Toxicology Quiz

By:Mohamed Mamdouh

Which of the following suspect a toxicological case

When you take history of present illness (toxicological) what to look for ?

Grading of coma by (Reeds or GCS), inability to concentrate, apathy, agitated, depressed, hallucinated represent which of the following examination

Mydriasis,Miosis represent which of the following examination

Blood pressure,Respiratory rate,pulse,Temp represent which of the following examination

Burns, erythema, corrosives and Needle tracts represent which of the following examination

Decreased visibility of oxyhemoglobin, detected in inner side of lips or palm of hands.

Bluish discoloration of skin and mucus membrane due increased level of reduced hemoglobin > 5 gm % Detected in tongue (under surface).

Yellowish discoloration of skin and mucus membrane due to increased bilirubin level > 3mg %. Detected in the sclera in the day light.

Collection of integrated data provided by both vital signs and clinical examination to elicit manifestations specific to toxic agent.

Help in diagnosis when the agent is unknown

Atropine,scopolamine,benztropine,trihexyphen are examples of

Chlorphenira,doxylamine,hydroxyzine are examples of

Mydriasis nonreactive to light ,dry flushed skin, and urinary retention indicate which toxidrome

Mydriasis reactive to light,Diaphoretic skin, No Urinary retention indicate which toxidrome

Are similar in points Both cause CNS altered, agitated , pupils dilated except reaction to light

Organic phosphorous compounds, mushromes Cholin,metacholine,carbamate are examples of

Opium, Morphin ,Herion are examples of

Are similar in vital signs and pupils and both Miosis (pinpoint) and no reaction to light

Benzodiazepine,Anti-anxity,muscle relaxants are examples of

Which of the following cause urinary retention

Which of the following cause Diaphoresis

Which of the following toxidromes do NOT cause dry to skin

A patient with opioid has bradypnea what is the color of the skin

Which of the following is Specific toxicological tests

While opening air way may be needed in Laryngeal obstruction.

While Stabilization Breathing o2 saturation should be

Which of the following is not a Coma Cocktail drug

Organophosphates, Carbamate , Bradycardia need which of the following Antidote

Opiates need which of the following Antidote

Paracetamol need which of the following Antidote

Snake envenomation need which of the following Antidote

Scorpion envenomation need which of the following Antidote

Botulism intoxication need which of the following Antidote

Calcium channel blockers and Beta blockers need which of the following Antidote

Carbon monoxide poisoning need which of the following Antidote

Acute iron poisoning need which of the following Antidote

Digoxin intoxication need which of the following Antidote

While Stabilization Circulation Bolus ......... IV fluids for correction of hypotension

Should be given early as soon as possible life saving

To prevent absorption according to the route of exposure and delay time

Surface decontamination uses OPC , Carbolic acid(phenol) with wash with soap & water for 15 min

Surface decontamination uses wash with running water or saline for 20 min and Ophthalmic consultation is must

Surface decontamination uses Remove to fresh air, Care of respiration

Is intended to remove as much ingested toxicant from the upper gastrointestinal

Which of the following Gastrointestinal Decontamination procedure syrup ipecac or salty water are Contraindications

Which of the following Gastrointestinal Decontamination procedure done by By using wide bore orogastric lavage tube

All of the following are Indications for Gastric Lavage before 2 hours except

Which of the following Gastrointestinal Decontamination procedure May given oral or through the orogastric tube

Which of the following Gastrointestinal Decontamination procedure May given single dose or multiple doses

Which of the following Gastrointestinal Decontamination procedure Available in form of tablets or powder

Gastrointestinal Decontamination procedure Claimed to be more effective than emesis or GL

Which of the following toxins not absorbed by Activated Charcoal

Activated Charcoal right dose is

Gastrointestinal Decontamination procedure used for Large ingestions of drugs poorly adsorbed to activated charcoal.

Enhancing excretion methods are

It is a simple method for excretion of some poisons. Its value is increased when mixed with manipulation of urine PH.

Which of the following position Diuresis used in

Diuresis uses Dextrose or mixture of glucose with normal saline.

Diuresis uses Mannitol 20%

Enhances elimination of weak acidic toxins which have greater ionization and better excreted at urine

Urinary Alkalization method are

Allow blood to circulate in contact with a semi-permeable membrane to remove substances from the blood by concentration gradient,

Dialyzable drug should be:

Which of the following is NOT Dialyzable drug

Supportive/ Symptomatic treatment used for Coma:

Supportive/ Symptomatic treatment used for Convulsion:

Supportive/ Symptomatic treatment used for Rhabdomyolysis:

Supportive/ Symptomatic treatment used for Acid base disturbance:

Supportive/ Symptomatic treatment used for Pulmonary edema:

Supportive/ Symptomatic treatment used for Respiratory failure:

Supportive/ Symptomatic treatment used for Shock

Supportive/ Symptomatic treatment used for Arrhythmias:

Supportive/ Symptomatic treatment used for Hyperthermia:

Urinary Alkalization Is useful for