Peer Prep

Question 1

MC finding of cyanide poisoning

Answer 1

lactic acidosis

Question 2

benzocaine can cause

Answer 2

methyl hemoglobinemia; benzocaine found in teething gel

Question 3

TX methyl hemoglobinemia

Answer 3

methylene blue

Question 4

charcoal is usually used with what overdose?

Answer 4

acetylsalicylate acid

Question 5

phases of iron toxicity

Answer 5

1. vom/diarrhea
   2.recovery of phase 1
2. acidosis, liver failure, shock, seizures
   4.pyloric stenosis

Question 6

when to give digfab

Answer 6

ventricular tachycardia present

Question 7

systemic fluoride poisoning electrolyte abnorms

Answer 7

hypo calcium and hypomagnesium

Question 8

drug that can cause methemoglobinemia

Answer 8

chloroquine

Question 9

strychnine

Answer 9

like tetanus

Question 10

rationale for hyperbaric chamber for CO poisoning

Answer 10

decrease risk for delayed neuro sequela

Question 11

medication best for opioid withdrawal symptoms

Answer 11

buprenorphine

Question 12

water hemlock poisoning

Answer 12

GI sx, convulsions

Question 13

poison hemlock poisoning

Answer 13

like nicotine; GI sx

Question 14

oleander poisoning

Answer 14

GI sx; hyperkalemia and dysrhythmias

Question 15

amanita mushroom poisoning

Answer 15

delayed GI sx; hepatic failure

Question 16

if patient on SSRI and is intubated, what post intubation sedation medication should be avoided?

Answer 16

fentanyl

Question 17

tx of topical hydrofluoric acid exposure

Answer 17

decontamination and topical magnesium or calcium

Question 18

absolute contraindication for physostigmine for anticholinergic toxidrome

Answer 18

widen QRS

Question 19

ciguatera

Answer 19

cold allodynia, CNS, GI

Question 20

why does TCAs cause QT prolongation

Answer 20

sodium channel blockers

Question 21

imipramine can cause what toxidrome

Answer 21

anticholinergic

Question 22

diphenhydramine overdose s/sx

Answer 22

hallucinations, seizures, adn dilated pupils

Question 23

substance that causes lactate gap

Answer 23

ethanol glycol

Question 24

what local anesthetic causes allergic rxns

Answer 24

proparacaine, benzocaine

Question 25

s/sx of large ingestion of ibuprofen

Answer 25

gi upset -> seizures, coma, AKI, ACS, upper GI bleed

Question 26

strongest predictor of intimate partner homicide

Answer 26

access to firearms

Question 27

MC location of intimate partner violence

Answer 27

face

Question 28

electrolyte abnormality in anorexia

Answer 28

hypophos

Question 29

type pf vision loss in conversion disorder

Answer 29

circumferential

Question 30

metaphyseal chip fx assoc with

Answer 30

non accidental trauma

Question 31

MCC of PTSD

Answer 31

sex violence

Question 32

PTSG acute tx

Answer 32

propranolol

Question 33

absolute indication for hospitalization in anorexia

Answer 33

hypothermia

Question 34

most strongly assoc with PTSD

Answer 34

TBI

Question 35

patient with confusion, what findings suggest primary psych disorder

Answer 35

insidious onset

Question 36

delirium vs dementia

Answer 36

dementia: impaired ability to learn new information,

Question 37

symptoms expected in opioid withdrawal vs alcohol withdrawal

Answer 37

myalgias

Question 38

tx for acute opioid withdrawal

Answer 38

buprenorphine

Question 39

med contraindicated in preggo with opioid use disorder

Answer 39

clonidine

Question 40

clonidine MOA

Answer 40

alpha 1 agonist

Question 41

buprenorphine MOA

Answer 41

partial opioid agonist and weak antagonist

Question 42

what ingestion causes mixed acid base disturbance

Answer 42

asa