Rita's Environmental Health/Poisoning Questions

Question 1

What are the presenting problems for a child who ingested a toxic dose of salicylates?

a) diarrhea
b) arrhythmia

Answer 1

b) arrhythmia

Question 2

What is the side effect of ecstasy?

a) Pancreatitis
b) hearing loss
c) amenorrhea
d) liver problems

Answer 2

a) Pancreatitis

Question 3

A 3yo drank lighter fluid. What do you do first?

a) call poison control
b) give ipecac
c) give milk
d) give soda

Answer 3

a) call poison control

Question 4

What patient education do you need for a patient who is taking Flagyl?

a) do not use alcohol w/this medication
b) call if you have mild diarrhea
c) take with meals

Answer 4

a) do not use alcohol w/this medication

Question 5

What patient education do you need for a patient on clindamycin?

a) call if diarrhea develops
b) take the medication once/day
c) take the medication w/an antacid

Answer 5

a) call if diarrhea develops

- -> pseudomembranous colitis

Question 6

What child is not a good candidate for Ritalin?

a) a child with a hx of tetralogy of fallot
b) a child with a hx of asthma
c) a child with a hx of pneumonia

Answer 6

a) a child with a hx of tetralogy of fallot

Question 7

What class of drugs is cromolyn sodium?

a) an antihistamine
b) a leukotriene inhibitor
c) mast cell stabilizer

Answer 7

c) mast cell stabilizer

Question 8

What is the first line drug for ADHD?

a) Ritalin
b) Strattera
c) Clonidine
d) Diazepam

Answer 8

a) Ritalin

Question 9

What is the most important thing to monitor with Ritalin use?

a) diet
b) CBC
c) Growth
d) liver functions

Answer 9

c) Growth

Question 10

What is the serious effect of stopping Clonidine suddenly?

a) hypertension
b) somnolence
c) dry mouth

Answer 10

a) hypertension

Question 11

A bulimic child took an overdosage of ipecac. What is the most serious side effect?

a) headache
b) cardiac arrhythmia and damage
c) diarrhea

Answer 11

b) cardiac arrhythmia and damage

Question 12

A child presenting with acrodynia, a classic syndrome in organic mercury poisoning, would display which symptom?

a) increased appetite
b) hypotension
c) painful, red fingers
d) papulovesicular, edematous rash

Answer 12

c) painful, red fingers

Question 13

What is the first step in parental management of home poisonings?

a) parents should call the poison control center
b) parents should administer syrup of icecap
c) parents should be instructed in gastric lavage
d) parents should dilute the ingestion with water

Answer 13

a) parents should call the poison control center