Drugs/Forensic toxicology Flashcards

1
Q

Choose the most appropriate answer from the list

  • Cannabis
  • Cocaine
  • Heroin
  • Methadone
  • Ketones
  • MDMA (Ecstasy)
  • Propoxyphene
  • Fluoxetine
  • Paracetamol
  • Tramadol
  • Glucose
  • Cocaethylene
  • Ethanol
  • Lithium Carbonate
  • Ketamine
  • HCO3-

This compound is 20x more cardio-toxic than cocaine

A

Cocaethylene

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2
Q

Choose the most appropriate answer from the list

  • Cannabis
  • Cocaine
  • Heroin
  • Methadone
  • Ketones
  • MDMA (Ecstasy)
  • Propoxyphene
  • Fluoxetine
  • Paracetamol
  • Tramadol
  • Glucose
  • Cocaethylene
  • Ethanol
  • Lithium Carbonate
  • Ketamine
  • HCO3-

Ingestion of a fatal 60 mL dose of this prescribed drug can result in death within 4-6 hours

A

Methadone

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3
Q

Choose the most appropriate answer from the list

  • Cannabis
  • Cocaine
  • Heroin
  • Methadone
  • Ketones
  • MDMA (Ecstasy)
  • Propoxyphene
  • Fluoxetine
  • Paracetamol
  • Tramadol
  • Glucose
  • Cocaethylene
  • Ethanol
  • Lithium Carbonate
  • Ketamine
  • HCO3-

Combined with cocaine to form a ‘speedball’

A

Heroin

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4
Q

Choose the most appropriate answer from the list

  • Cannabis
  • Cocaine
  • Heroin
  • Methadone
  • Ketones
  • MDMA (Ecstasy)
  • Propoxyphene
  • Fluoxetine
  • Paracetamol
  • Tramadol
  • Glucose
  • Cocaethylene
  • Ethanol
  • Lithium Carbonate
  • Ketamine
  • HCO3-

Measured post mortem in diabetic patients to check for acidosis

A

Ketones

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5
Q

Choose the most appropriate answer from the list

  • Cannabis
  • Cocaine
  • Heroin
  • Methadone
  • Ketones
  • MDMA (Ecstasy)
  • Propoxyphene
  • Fluoxetine
  • Paracetamol
  • Tramadol
  • Glucose
  • Cocaethylene
  • Ethanol
  • Lithium Carbonate
  • Ketamine
  • HCO3-

Broken down by pseudocholinesterases

A

Cocaine

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6
Q

Choose the most appropriate answer from the list.

  • Amitriptyline
  • Ethanol
  • Amphetamine
  • Fluoxetine
  • Cannabis
  • Heroin
  • Citalopram
  • Mephedrone
  • Cocaine
  • Methadone
  • Codeine
  • Morphine
  • Diazepam
  • Paracetamol
  • Ecstasy

A 14 year old girl is brought to A+E by her parents with jaundice, nauseous and complains of stomach pains. Her prognosis is assessed according to the King’s College Criteria.­­­ ­­

A

Paracetamol

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7
Q

Choose the most appropriate answer from the list.

  • Amitriptyline
  • Ethanol
  • Amphetamine
  • Fluoxetine
  • Cannabis
  • Heroin
  • Citalopram
  • Mephedrone
  • Cocaine
  • Methadone
  • Codeine
  • Morphine
  • Diazepam
  • Paracetamol
  • Ecstasy

A 30 year old gentleman presents at 8am on Monday morning. He has an irregular, tachycardic pulse and is extremely anxious. The doctor administers diazepam which helps to calm him down.

A

Cocaine

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8
Q

Choose the most appropriate answer from the list.

  • Amitriptyline
  • Ethanol
  • Amphetamine
  • Fluoxetine
  • Cannabis
  • Heroin
  • Citalopram
  • Mephedrone
  • Cocaine
  • Methadone
  • Codeine
  • Morphine
  • Diazepam
  • Paracetamol
  • Ecstasy

A 27 year old homeless man presents with tachypnoea, miosis and mild hypotension. He is very drowsy. Blood gases show a respiratory acidosis.

A

Heroin

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9
Q

Choose the most appropriate answer from the list.

  • Amitriptyline
  • Ethanol
  • Amphetamine
  • Fluoxetine
  • Cannabis
  • Heroin
  • Citalopram
  • Mephedrone
  • Cocaine
  • Methadone
  • Codeine
  • Morphine
  • Diazepam
  • Paracetamol
  • Ecstasy

A 33 year old lady presents at 5am, and is confused and agitated. She is not very coherent, and says that she does not remember much of the evening. She is very warm, and blood tests show a very high creatine kinase, as well as raised creatinine and urea.

A

Ecstasy

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10
Q

Choose the most appropriate answer from the list.

  • Amitriptyline
  • Ethanol
  • Amphetamine
  • Fluoxetine
  • Cannabis
  • Heroin
  • Citalopram
  • Mephedrone
  • Cocaine
  • Methadone
  • Codeine
  • Morphine
  • Diazepam
  • Paracetamol
  • Ecstasy

A 64 year old man returns for surgical follow up, and the doctor has reason to believe he has become opioid-dependent. The doctor prescribes this drug as a replacement.

A

Methadone

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