RACP-Drugs/toxicology

Question 1

Which of the following substances is most associated with seizures with acute ingestion?

a) Cocaine
b) Alcohol
c) Diazepam
d) Phencyclidine

Answer 1

a) cocaine

Question 2

A 28 year old male has depression and a history of self-harm. He is known to take recreational drugs. He is found by paramedics with altered level of consciousness. On arrival to ED, he is agitated, bradycardic, vomiting, and has miosis, diarrhoea and hyperactive bowel sounds. What has he most likely taken?

A. Chlorpyrifos (organophosphate pesticide)
B. Citalopram
C. Ectasy (MDMA)
D. Quetiapine

Answer 2

A. Chlorpyrifos (organophosphate pesticide)

Question 3

78. What is the mechanism of action of Terlipressin?

A) Splanchnic vasodilation
B) Splanchnic vasoconstriction
C) Systemic vasodilation
D) Systemic vasoconstriction

Answer 3

B) Splanchnic vasoconstriction

indications:
- acute variceal bleeding
- hepatorenal syndrome (HRS)