Injuries and Exposures

Question 1

Activated charcoal is NOT indicated for which ingestions?

Answer 1

Alcohol, caustics, heavy metals, lithium, hydrocarbons

Note: it is useful in aspirin overdose

Question 2

Which coin is the most corrosive when swallowed?

Answer 2

Penny (has zinc)

Question 3

Which type of snakebite always requires antivenom?

Answer 3

Coral snakes (vespid) because they release neurotoxins

Question 4

Cherry red lips, headaches, and malaise

Answer 4

Carbon monoxide poisoning

Question 5

Racoon eyes, hemotympanum, and cerebrospinal fluid leaking from the nose

Answer 5

Basilar skull fracture

Question 6

Facial trauma, can’t look up, and decreased sensation over cheek

Answer 6

Orbital blowout fracture

Question 7

Teenager with episodes of nausea and vomiting relieved by hot baths

Answer 7

Cannabinoid hyperemesis syndrome

Question 8

Organism associated with puncture wound in the foot

Answer 8

Pseudomonas

Question 9

1. Hyperthermia, agitation, and clonus in a patient with depression
2. Treatment?

Answer 9

1. Serotonin syndrome
2. Cyproheptadine

Question 10

Treatment for acetaminophen overdose

Answer 10

Give N-acetylcysteine

Question 11

Treatment for ethylene glycol or methanol overdose

Answer 11

Give fomepizole

Question 12

Treatment for iron overdose

Answer 12

Give deferoxamine

Question 13

Treatment for anticholinergic overdose

Answer 13

Give physostigmine

Question 14

Treatment for cholinergic (i.e., organophosphate) overdose

Answer 14

Give atropine, pralidoxime

Question 15

Treatment for calcium channel blocker overdose

Answer 15

Give calcium gluconate

Question 16

Treatment for tricyclic antidepressant or salicylate overdose

Answer 16

Give sodium bicarbonate

Question 17

Treatment for opiate overdose

Answer 17

Give naloxone

Question 18

Treatment for benzodiazepine overdose

Answer 18

Give flumazenil

Question 19

Lab findings in aspirin (salicylate) overdose

Answer 19

primary respiratory alkalosis, and primary anion-gap metabolic acidosis