Toxicology

Question 1

Ingestion causing hallucinations and nystagmus

Answer 1

Phencyclidine (PCP)

Question 2

Prenatal exposure causing jitters, agitation, crying, diarrhea, vomiting, hypothermia, hyper/hypotonia

Answer 2

SSRI and opioids

Question 3

Intrapartum cocaine use

Answer 3

Gastroschisis (other vasoactive substances too eg. nicotine, pseudoephedrine)

Question 4

Peripartum lithium use

Answer 4

Ebstein anomaly

Question 5

Peripartum isotretinoin use

Answer 5

Congenital defects (craniofacial, cardiovascular, neurological, and thymic)

Question 6

Peripartum carbamazepine use

Answer 6

Spinal bifida, craniofacial, cardiovascular, and hypospadias

Question 7

Fever, urticarial rash, arthralgia, lymphadenopathy 1-2 weeks after antibiotics

Answer 7

Serum-syndrome like illness: Rash (pruritic urticaria andedema), polyarthritis, GI complaints. Sxs last 7-10 days then resolve spontaneously. Tx: Stop offending agent and supportive care.

Question 8

Vitamin deficiency in chronic alcohol use

Answer 8

B1 (thiamine) and folate

Question 9

Serotonin syndrome treatment

Answer 9

Benzodiazipine and Cyproheptadine (H1 receptor antagonist with 5-HT2A antagonism)

Question 10

Organophosphate poisoning

Answer 10

Atropine and pralidoxime (prevents aging)

Question 11

Cyanide poisoning

Answer 11

Hydroxycobalamin or Sodium thiosulfate