Overdose and poisoning Emergencies Flashcards
A patient has accidentally ingested about 4 ounces of drain cleaner. Your primary concern should be:
Question 1 options:
A)
decreased level of consciousness.
B)
internal bleeding.
C)
metabolic alkalosis.
D)
potential airway compromise.
potential airway compromise
Restoril and Ativan are examples of:
Question 2 options:
A)
barbiturates.
B)
benzodiazepines.
C)
narcotics.
D)
opiates.
benzodiazepines
Your patient is a 27-year-old male who has possibly overdosed on heroin. He is unresponsive and bradypneic. Which of the following is appropriate?
Question 3 options:
A)
100 mg of thiamine
B)
1 mg of flumazenil
C)
2 mg of naloxone
D)
25 mg diphenhydramine
2 mg of naloxone
Your patient is a 40-year-old male who ingested 30 tablets of Lexapro and 24 tablets of Tylenol PM. Which of the following is the most important question you should ask?
Question 4 options:
A)
“Do you have a history of depression?”
B)
“Have you ever done this before?”
C)
“Why did you take these medications?”
D)
“How long ago did you take these medications?”
how long ago did you take these medications
Which of the following classes of drugs is commonly abused to produce hyperactivity and exhilaration?
Question 5 options:
A)
Barbiturates
B)
Benzodiazepines
C)
Alcohol
D)
Amphetamines
amphetamines
Which of the following is the therapeutic effect of a cathartic?
Question 6 options:
A)
Diarrhea
B)
Alkalinization of the urine
C)
Vomiting
D)
Increased protein binding of drugs
diarrhea
Using a pharmaceutical agent for something other than its intended use is called:
Question 7 options:
A)
addiction.
B)
overdose.
C)
habituation.
D)
substance abuse.
substance abuse
A 54-year-old female is conscious and alert and in significant pain after a coral snake bite to her hand. You note two small puncture wounds surrounded by a swollen, red area. She states that she is nauseous and has chills. Your management of this patient should include immobilization of the affected arm and:
Question 8 options:
A)
placing it below the level of the heart with a constricting band proximal to the wound.
B)
placing it at the level of the heart with ice packs to the affected area.
C)
elevating it above the level of the heart.
D)
placing it at the level of the heart.
placing it at the level of the heart
Which of the following medication combinations is beneficial for a lithium overdose?
Question 9 options:
A)
Haloperidol and furosemide
B)
Narcan and sodium bicarbonate
C)
Mannitol and sodium bicarbonate
D)
Flumazenil and naloxone
mannitol and sodium bicarbonate
Your patient is a 45-year-old female who became hypertensive after eating some cheese and drinking wine. Which type of medication would most likely account for this reaction?
Question 10 options:
A)
Selective serotonin reuptake inhibitors
B)
Monoamine oxidase inhibitors
C)
Phenothiazines
D)
Tricyclic antidepressants
monoamine oxidase inhibitors
When a substance enters the body through the gastrointestinal tract, it has accessed the body by:
Question 11 options:
A)
ingestion.
B)
inhalation.
C)
surface absorption.
D)
injection.
ingestion
You have been called to a residence by the parents of a 14-year-old boy, whom they found sniffing paint fumes in an effort to get high. The patient is agitated, coughing, and complaining of dizziness and shortness of breath. His airway is patent, respirations adequate, and radial pulse easily palpable. Closer assessment of the patient reveals paint around his mouth and breath sounds that are clear and equal. Heart rate = 96, respirations = 20, blood pressure = 116/78, and SaO2 = 96%. Oxygen via a nonrebreather has been applied and an IV established. Which of the following is the most important in the assessment and care of this patient?
Question 12 options:
A)
Albuterol administration
B)
Antipyretics
C)
Benzodiazepines
D)
Cardiac monitoring
cardiac monitoring
Your patient is a 29-year-old male who is conscious, alert, and extremely hyperactive after using cocaine. HR = 134, BP = 148/102, RR = 20. Physical examination reveals warm, diaphoretic skin and dilated pupils bilaterally. Which of the following medications should be considered to manage this patient?
Question 13 options:
A)
Metoprolol
B)
Propranolol
C)
Diazepam
D)
Naloxone
diazepam
Your patient is a 56-year-old female who is sitting on a park bench. She is conscious, though lethargic, and complaining of faintness. She states she has had a “chest cold” for the past week so had decided to stop taking her “blood pressure pills” until she felt better. She states that this morning she ingested five tablets instead of her normal one tablet dose to “catch up” after the days off. You note cool, slightly diaphoretic skin; lungs clear bilaterally; PEARL; and no motor deficits. HR = 48, BP = 76/30, RR = 12, SaO2 = 97%. Which of the following is least likely to be the medication she overdosed on?
Question 14 options:
A)
Cardizem
B)
Procardia
C)
Verapamil
D)
Metoprolol
metoprolol
Lithium is used to treat:
Question 15 options:
A)
personality disorders.
B)
bipolar disorder.
C)
depression.
D)
schizophrenia.
bipolar disorder
Two 15-year-old boys have been hiking and camping and using a guide to native plants to determine which plants are edible. They drank a tea made from some plants that they picked. They are now complaining of abdominal cramping, watering eyes, vomiting, diarrhea, and sweating. Which of the following have they most likely ingested?
Question 16 options:
A)
Amanita
B)
Jimson weed
C)
Holly berries
D)
Poison sumac
Amanita
Your patient is a 22-year-old female who has increased her daily dose of lithium without her physician’s knowledge. She is complaining of generalized weakness, vomiting, and diarrhea. You notice that her speech is slurred. Heart rate = 68 and irregular, respirations = 16, blood pressure = 104/70, SaO2 = 97% on room air, and the monitor shows a sinus rhythm with PACs and PJCs. Which of the following would be most beneficial to this patient?
Question 17 options:
A)
Oxygen
B)
Sodium bicarbonate
C)
Calcium chloride
D)
Magnesium sulfate
sodium bicarbonate
A patient is experiencing severe abdominal cramping, vomiting, diarrhea, and facial flushing after eating undercooked chicken. Management of this patient should include all of the following EXCEPT:
Question 18 options:
A)
transport.
B)
oxygen.
C)
IV of normal saline.
D)
activated charcoal.
activated charcoal
Your patient has ingested cyanide in a suicide attempt. Which of the following is the primary threat to life you should anticipate?
Question 19 options:
A)
Liver failure
B)
Hypotension
C)
Cellular asphyxia
D)
Pulmonary edema
cellular asphyxia
Which of the following statements would make you suspicious that your patient has been exposed to cyanide?
Question 20 options:
A)
“I inhaled some fumes when I was fueling my truck.”
B)
“I think my car has an exhaust leak.”
C)
“I think I smoked some bad weed.”
D)
“I have been burning carpets and old furniture all day.”
I have been burning carpets and old furniture all day
LSD and PCP are examples of:
Question 21 options:
A)
sedatives.
B)
narcotics.
C)
amphetamines.
D)
hallucinogens.
hallucinogens
Your patient is a 56-year-old female who is alert and sitting in a chair. She states that she accidentally took too many of her Cardizem tablets. Which of the following signs or symptoms would you least expect to find?
Question 22 options:
A)
Warm, dry skin and tachycardia
B)
Cool, dry skin and mild hypotension
C)
Cool, diaphoretic skin and profound hypotension
D)
Bradycardia and altered mental status
warm, dry skin and tachycardia
Your patient is a 20-year-old female who is conscious and alert, though obviously hallucinating after ingesting LSD. Her friends state that she is having a “bad trip,” and you note that she is vigorously scratching her arms to the point of drawing blood. Physical examination reveals warm, slightly diaphoretic skin and dilated pupils bilaterally. Which of the following medications should be considered to manage this patient?
Question 23 options:
A)
Avapro
B)
Haloperidol
C)
Narcan
D)
Thiamine
haloperidol
All of the following are examples of one of the three “principles of decontamination” that are specific to toxicological emergencies EXCEPT:
Question 24 options:
A)
administration of sorbitol.
B)
administration of N-acetylcysteine.
C)
removing a patient from a structure that is filled with carbon monoxide.
D)
administration of an NS fluid challenge.
administration of an NS fluid challenge
The need to progressively increase the dose of a drug to reproduce the effect originally achieved at smaller doses is:
Question 25 options:
A)
habituation.
B)
addiction.
C)
tolerance.
D)
substance abuse.
tolerance
A couple has been experimenting with Ecstasy. They are both complaining of anxiety, nausea, and palpitations. You would also expect:
Question 26 options:
A)
elevated blood pressure.
B)
dyspnea.
C)
seizures.
D)
bradycardia.
elevated blood pressure
A 19-year-old male has ingested fifty 325 mg aspirin tablets 20 minutes before your arrival. He is alert and complaining of burning abdominal pain. Which of the following is appropriate in the prehospital management of this patient?
Question 27 options:
A)
N-acetylcysteine
B)
Sodium bicarbonate
C)
Activated charcoal
D)
Syrup of ipecac
activated charcoal
Your patient was in the building when a fire started at a factory that manufactures plastics. He is complaining of a headache, palpitations, and a burning sensation in his throat. His airway, breathing, and circulation are intact. Heart rate = 128, respirations = 22, blood pressure = 148/84, SaO2 = 93%. You should immediately:
Question 28 options:
A)
prepare to intubate.
B)
initiate supportive measures.
C)
apply the cardiac monitor.
D)
administer amyl and sodium nitrate.
initiate supportive measures
The order Hymenoptera includes:
Question 29 options:
A)
jellyfish.
B)
scorpions.
C)
wasps.
D)
spiders.
wasps
Which of the following cause(s) injury by inducing liquefaction necrosis?
Question 30 options:
A)
Alkalis
B)
Caustics
C)
Acids
D)
Emulsifiers
alkalis