Toxicology

Question 1

What is the withdrawal pattern of alcohol

Answer 1

First 24 hrs is the least concerning symptoms beyond 24hrs and up to 48 hrs seizure and alcohol hallucinosis, and Delrium tremens 48-27hrs.

Question 2

What other stimulant drug can cause hallucinations via intoxication?

Answer 2

Cocaine

Question 3

Besides aggression what other defining characteristic can wee see with PCP intoxication?

Answer 3

Nystagmus

Question 4

Patient presents with bloody diarrhea and darkly colored stools, elevated LFT’s and creatinine what mineral was consumed?

Answer 4

Fe

Question 5

Patient presents with blue violet/gingiva. He is a pescatarian and only eats shellfish?

Answer 5

Mercury

Question 6

3 yo presents with headache and fatigue with pallor (MCV 70) and gingival hyperpigmentation.

Answer 6

Sideroblastic anemia

Question 7

Patient that works in a battery factor presents with paraesthesias in his hands and feet.

Answer 7

Arsenic posioning

Question 8

This intoxication leads to the formation of oxalate crystals in the urine

Answer 8

ethylene glycol

Question 9

Patient rescued from a burning home has the odor of almonds

Answer 9

Cyanide

Question 10

What are the symptoms of anti-cholinergic toxicity?

Answer 10

Dry as bone, red as a beet, mad as a hatter, blind as a bat, hot as a hare, as full as a flask

Question 11

Patient presents with clenched jaw poor dentition, and anxious, what drug abuse are you suspecting?

Answer 11

Methamphetamine

Question 12

Patient with altered mental status, bilateral miosis (pinpoint pupils), respiratory depression, bradycardia, hypotension, hypothermia, and dry mucous membranes.

Answer 12

Opioid