Toxic Ingestions and Exposures

Question 1

mydriasis, tachycardia, hyperthermia, sedation, coma, twitching, seizure, hypotension, arrhythmia

Answer 1

cholinergic inhibition

Question 2

severe bradycardia and hypotension with the development of pulmonary edema and bronchospasm

Answer 2

beta adrenergic blockage

Question 3

severe bradycardia, electrocardiogram findings of AV block.

Answer 3

calcium channel inhibition

Question 4

initially asymptomatic or mild nausea and vomiting that proceeds to jaundice and abdominal pain, markedly elevated liver function tests with 24-48 hrs.

Answer 4

fulminant hepatic failure- acute acetaminophen overdose

treat with activated charcoal and N acetylcysteine. liver transplant is the only curative procedure in the case of fulminant damage

Question 5

arrhythmia, conduction disturbances, severe hyperkalemia

Answer 5

digoxin overdose

treat with anti digitalis antibody.

Question 6

diarrhea, defecation, urination, miosis, bradycardia, bronchorrhea, bronchospasm, emesis, lacrimation, salivation

Answer 6

CHOLINERGIC POISONING by organophosphates!!

treat with atropine

DDUMBELS (acute cholinergic poisoning)

Question 7

therapy for methanol overdose

Answer 7

ethanol + fomepazole/methypyrazole

Question 8

influenza like symptoms of malaise, fatigue, increased work of breathing, change in mental status, nausea, vomiting, skin becomes cherry-red

Answer 8

acute carbon monoxide poisoning

Question 9

tachycardia, shock, altered mental status, seizures, vomiting and severe, blood tinged diarrhea, smell of garlic

Answer 9

arsenic poisoning

Question 10

smell of almonds

Answer 10

cyanide