Clinical Toxicology

Question 1

What is the primary goal in taking a history in a poisoned patient?
a. determining drug allergies.
b. determining susceptibility to drug overdose.
c. determining likelihood of an attempted suicide.
d. determining the ingested substance.
e. determining the motive behind the poisoning.

Answer 1

D

Question 2

Who is most likely to give incorrect information while taking a history of a poisoned
patient?
a. patient.
b. EMT.
c. employer.
d. pharmacist.
e. family members.

Answer 2

A

Question 3

Which of the following sets of clinical features characterizes an anticholinergic toxic
syndrome?
a. increased blood pressure, decreased heart rate, decreased temperature.
b. decreased blood pressure, increased heart rate, decreased temperature.
c. increased blood pressure, increased heart rate, increased temperature.
d. decreased blood pressure, decreased heart rate, decreased temperature.
e. increased blood pressure, decreased heart rate, increased temperature.

Answer 3

C

Question 4

Which of the following sets of clinical features characterizes a sympathomimetic toxic
syndrome?
a. miosis, decreased bowel sounds, decreased alertness.
b. decreased heart rate, increased temperature, mydriasis.
c. hyperalertness, decreased blood pressure, miosis.
d. increased temperature, increased heart rate, miosis.
e. mydriasis, increased blood pressure, hyperalertness.

Answer 4

E

Question 5

Which of the following drugs CANNOT be tested for in a hospital on a stat basis?
a. ethanol.
b. cocaine.
c. aspirin.
d. phenytoin.
e. digoxin.

Answer 5

B

Question 6

Which is NOT included in the differential diagnosis of an elevated anion gap?
a. ethanol.
b. methanol.
c. diabetes.
d. ethylene glycol.
e. diarrhea.

Answer 6

E

Question 7

An elevated osmol gap might suggest which of the following?
a. methanol poisoning.
b. chronic vomiting.
c. lactic acidosis.
d. diabetic ketoacidosis.
e. chronic diarrhea

Answer 7

A

Question 8

Which of the following is LEAST likely to prevent further poison absorption?
a. induction of emesis.
b. activated charcoal.
c. gastric lavage.
d. syrup of ipecac.
e. parasympathetic agonist.

Answer 8

E

Question 9

Which of the following would NOT be used to enhance poison elimination?
a. oral activated charcoal.
b. hemoperfusion.
c. acidification of urine.
d. hemodialysis.
e. plasma exchange.

Answer 9

C

Question 10

Which of the following might be used as an antidote for patients with cyanide poisoning?
a. syrup of ipecac.
b. atropine.
c. chelating agents.
d. sodium nitrite.
e. quinine

Answer 10

D