lecture 4 avoidable tox disasters Flashcards

1
Q

london fog and smog led to which act?

A

clean air act 1956 - reduced burning of coal and monitored quality of air

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2
Q

diethylene glycol used to dilute elixir led to which act?

A

Food, Drug, and Cosmetics Act 1938 ensured drug is proven safe before placed on market

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3
Q

sulfathiazole antibiotic was replaced accidentally with phenobarbital in manufacturing

A

GMP - Good Manufacturing Practices

Transparency in manufacturing process

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4
Q

over the counter L-tryptophan supplement causing eosinophilia and myalgia syndrome led to which act?

A

Dietary Supplement Health and Education Act of 1994cannot make claims for marketing but FDA does not regulate

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5
Q

most unintentional nondrug poisoning death?

A

Carbon monoxide (CO)

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6
Q

organophosphate poisoning

porphyria cutanea tarda

A

Hexacholorbenzene

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7
Q

flour contamination with methylenedianiline

A

epping jaundice

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8
Q

neuromuscular changes

A

aniline in rapeseed oil

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9
Q

melanosis

greatest mass poisoning in history

A

arsenic in ground water

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10
Q

teratogen
chronic brain damage
tunnel vision
congenital defects

A

methyl mercury

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11
Q

osteomalacia

A

cadmium

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12
Q

ginger jake paralysis

organophosphate induced delayed neuropathy

A

Triorthocresyl phosphate (TOCP)

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13
Q

congestive heart failure

cardiomyopathy

A

Cobalt

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14
Q

causes blindness and death if not treated

A

methanol

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15
Q

destuction of cells in substantia nigra

causes irreversible parkinsonism

A

MPPP (meperidine analog)

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16
Q

respiratory depression

antidote is Naloxone

17
Q

anticholinergic poisoning

A

scopolamine

18
Q

mutism and spastic quadriparesis

spongiform leukoencephalopathy

A

chasing the dragon

heroin + aluminum foil

19
Q

phocomelia

sedative and antiemetic drug in pregnant women

A

Thalidomide

20
Q

prevents miscarriages or premature delivery
causes breast cancer in mothers
endometiral/cervical/vaginal cancer in daughters
testicular cancer in sons

A

Diethylstilbestrol (DES)

21
Q

Hepatic Angiosarcoma rate
Thorotrastomas
For radiographic IV contrast
contains thorium dioxice

A

Thorotrast

22
Q

subacute myelooptic nerupathy

used as antibacterial and antiparasitic agent

A

Clioquinol

23
Q

used as perservative in IV solutions

neonatal gasping syndrome

A

Benzyl Alcohol

24
Q

eosinophilia myalgia syndrome

dietary supplement health and education act 1994

A

L-tryptophan

25
cardiac valvulopathy and pulmonary hypertension
fenfluramine and phentermine (fen-phen)
26
mad hatter disease
mercury
27
phossy jaw | mandibular osteonecrosis
white phosphorus
28
bladder tumors | dyemakers
Beta Naphthylamine
29
bladder tumors | dyemakers
Beta Naphthylamine
30
aplastic anemia | carcinogen
benzene
31
hepatic angiosarcoma | plastic workers
vinyl chloride
32
mesotheliomia, lung cancer | shipbuilding, insulating, fireproofing
asbestos
33
male cancers with infertility | factory workers
pesticides chlorodecone - Organochlorine inseciticide DBCP - soil fumigant
34
``` organochlorine chloracne heart/circulatory problems liver damage reduced reproductivity ```
dioxin - TCDD
35
bronchitis
london fog
36
vasospasm | gangrene
claviceps purpurea is an ergot fungus