Toxicology Flashcards

1
Q

[diagnose]

odorless, colorless gas

headache, confusion, decreased visual acuity, cherry red skin

A

CO

Tx: Hyperbaric Oxygen, 100% O2

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2
Q

[diagnose]

colorless, irritating gas; forms sulfurous acid in contact with mucus membranse

conjuctival and bronchial irritation

A

Sulfur dioxide

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3
Q

[diagnose]

brownish irritant gas

cause irritation of the ENT, lung, pulmonary edema

A

Nitrogen oxides

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4
Q

[diagnose]

bluish irritant gas produced in water purification devices and electrical fields

irritation and dryness of mucosa, pulmonary function impaired at higher concentrations, chronic exposure leads to bronchitis, bronchiolitis, emphysema

A

Ozone

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5
Q

[diagnose]

CNS depression, hepatotoxicity, nephrotoxicity

halogenated solvents

A

CCl4, Chloroform, trichloroethylene

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6
Q

[diagnose]

CNS depression, ataxia, coma

aromatic hydrocarbons

A

Benzene
toluene
xylene

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7
Q

[diagnose: pesticide]

tremors, seizures, infertility and breast, brain, balls cancer

chlorinated hydrocarbons

A

DDT and its analogs

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8
Q

[diagnose: pesticide]

diarrhea, urination, miosis, bronchospasm, bradycardia, excitation, lacrimation, sweating, salivation

A

Carbamates, Organophosphates

Tx: Atropine + pralidoxime

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9
Q

[diagnose: botanical insecticides]

initial excitation followed by paralysis of ganlionic, CNS and neurmuscular transmission

A

Nicotine

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10
Q

[diagnose: botanical insecticides]

GI distress when ingested, conjunctivitis, dermatitis after direct contact

A

rotenone

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11
Q

[diagnose: botanical insecticides]

causes contact dermatitis; large quantities cause seizures, and peripheral neurotoxicity

A

pyrethrum

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12
Q

[diagnose: herbicides]

muscle hypotonia and coma, increases risk of NHL

includes Agent orange

A

Chlorophenoxy acids

  1. 2,4-dichlorophenoxyacetic acid
  2. 2,4,5, trichlorophenoxyacetic acid (agent orange)
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13
Q

most widely used herbicide in the world

A

glycophosate

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14
Q

[diagnose: herbicides]

initial effect is GI irritation with hematemesis and bloody stools; progressive pulmonary impairment

A

Glycophosate

Example: Paraquat

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15
Q

[diagnose: environmental pollutants]

used in manufacturing electrical equipments

acne, erythema, folliculitis, hyperkeratosis; mild increase in liver enzyme

A

polychlorinated biphenyls

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16
Q

[diagnose: environmental pollutants]

cystic acneiform lesions that form on the face and upper body, carcinogenic and teratogenic

A

Dioxins

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17
Q

[diagnose: environmental pollutants]

cause fibrotic lung disorder, shortness of breath

associated with lung cancer, mesothelioma, cancers of the GIT

A

asbestos

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18
Q

[diagnose: heavy metals]

acute abdominal colic, acute encephalopathy, acute encephalopathy

children who have ingested large quantities of chips or flakes of paint

A

lead poisoning

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19
Q

[diagnose: heavy metals]

chronic exposure of this heavy metal, peripheral neuropathy (wrist drop), anorexia, anemia, tremor, weight loss, GI symptoms

in child: growth retardation, neurocognitive deficits, developmental delay

A

chronic lead poisoning (plumbism)

Tx: oral succimer in outpatients

EDTA +/- Dimercaprol

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20
Q

[diagnose: heavy metals]

hallucinations, headache, irritability, convulsion, coma;

contained in antiknock gasoline additives

A

organic lead poisoning

21
Q

[diagnose: heavy metals]

released during coal burning;

severe GI discomfort, vomiting, rice-water stools, dehydration, shock

sweet garlicky odor in breath and stools

A

Acute arsenic poisoning

Tx: dimercaprol

22
Q

[diagnose: heavy metals]

released during coal burning;

hair loss, bone marrow depression and anemia, chronic nausea and Gi disturbances,

Transverse bands in nails

raindrop hyperpigmentation, milk and roses complexion, hyperkeratosis

A

chronic arsenic posoning

23
Q

[diagnose: heavy metals]

semiconductor company;

headache, dyspnea, weakness, vomiting, abdominal pain, massive hemolysis

A

Arsine gas

Tx: exchange transfusion, vigorous hydration, hemodialysis

24
Q

[diagnose: heavy metals]

dental laboratories, wood preservative, seed dressings, fungicides

A

mercury

25
Q

[diagnose: heavy metals]

chest pain, SOB, N/V, renal damage, CNS damage,

life threatening hemorrhagic gastroenteritis then renal failure

A

Acute inorganic mercury poisoning

Tx: Oral Succimer + IV Dimercaprol

26
Q

[diagnose: heavy metals]

loosening of gums and teeth, GI disturbances, erethism

A

Chronic inorganic mercury poisoning

Tx: succimer + unithiol

dimercaprol SHOULD NOT be used

27
Q

[diagnose: heavy metals]

consumption of big fishes

cerebral palsy, deafness, blindness, mental retardation

A

Organic Mercury Poisoning

Minamata Disease

28
Q

[Guess the drug]

Chelates arsenic and mercury

co administered with EDTA in severe chronic lead poisoning

A

Dimercaprol

29
Q

[Guess the drug]

chelates lead

administered only when blood lead concentrations is greater than 45 mcg/dL

A

succimer

30
Q

[Guess the drug]

chelator of arsenic and mercury

used in acute severe arsenic poisoning, chronic severe mercury poisoning and lead poisoning

A

Unithiol

31
Q

[Guess the drug]

chelator and DMARD,

used for copper poisoning, wilsons disease, adjunct to gold, lead, arsenic intoxication

can cause drug-induced lupus

A

Penicillamine

32
Q

[Guess the drug]

chelates lead,

cause ECG changes, hypocalcemia, nephrotoxicity

A

Edetate Calcium Disodium (EDTA)

33
Q

what will you give to prevent the dangerous hypocalcemia caused by EDTA?

A

calcium disodium salt

34
Q

[Guess the drug]

drug chelator, acute iron chelator,used in iron overload states

A

deferoxamine

35
Q

[diagnose]

delirium, hallucinations, seizures, coma, tachycardia, hypertension, hyperthermia, mydriasis, decreased bowel sounds, urinary retention

A

Antimuscarinic drugs

36
Q

[diagnose]

anxiety, agitation, seizures, coma, bradycardia or tachycardia, pinpoint pupils, salivation, sweating, hyperactive bowel sounds, muscle fasciculation, paralysis

A

Cholinomimetic drug/organophosphate poisoning

37
Q

[diagnose]

lethargy, sedation, coma, bradycardia, hypotension, hypoventilation, pinpoint pupils, cool skin, decreased bowel sounds, flaccid muscles

A

opioids

Tx: naloxone

38
Q

[diagnose]

confusion
hyperventilation
acidosis
fever
seizures
A

salicylate toxicity

39
Q

[diagnose]

disinhibition initially, then lethargy, stupor, coma

nystagmus, decreased muscle tone, hypothermia, small pupils, hypotension, decreased bowel sounds in severe overdose

A

sedative hypnotics

40
Q

[diagnose]

agitation, anxiety, seizures, hypertension, tachycardia, arrythmias, mydriasis, vertical and horizontal nystagmus with pcp

skin is warm, sweaty, hyperthermia, increased muscle tone

possible rhabdomyolysis

A

Stimulants

41
Q

[diagnose]

type of antidepressant

coma, convulsion, cardiotoxicity

A

tricyclic antiderpessants

42
Q

Drugs that can cause increased STOOL osmolar gap

A
Methanol
Ethanol
Diuretics
Isopropyl alcohol
Ethylene glycol
43
Q

Drugs that cause hyperkalemia

A
  1. Beta-adrenergic blockers
  2. Digitalis
  3. Flouride
  4. Lithium
  5. K-sparing
44
Q

Drugs that cause hypokalemia

A
  1. Beta adrenergic agonist
  2. methylxanthines
  3. Diuretics
  4. toluene
45
Q

Activated charcoal is not effective for

A
  1. Iron
  2. Lithium
  3. K
  4. Alcohol
  5. Cyanide
  6. Acids
  7. Solvents
46
Q

Activated charcoal is effective for

A
  1. Amitriptyline
  2. Barbiturate
  3. Carbamazepine
  4. Digitalis
  5. Glycosides
  6. Phencyclidine
  7. Propoxyphene
  8. THeophylline
  9. Tricyclic antidepressants
  10. Valproic acid
47
Q

Hemodialysis is not effective for

A
  1. Amphetamines
  2. Antidepressants
  3. Antipsychotics
  4. Benzodiazepines
  5. CCBs
  6. Digoxin
  7. Metoprolol
  8. Propanolol
  9. Opioids
48
Q

Hemodialysis is effective for

A
  1. Carbamazepine
  2. Ethylene glycol
  3. Lithium
  4. Methanol
  5. Metformin
  6. Phenobarbital
  7. Salicylate
  8. Theophylline
  9. Valproic acid