Toxicology

Front 1

Standard urine drug screen tests?

Back 1

A CCOP

Amphetamine

Cocaine

Cannabis

Opioid

PCP

Front 2

Hx of opioi abuse but neg drug screen. Dx?

Back 2

Synthetic or semi synthetic opioid use

Front 3

FP amphetamine result on drug screen due to?

Back 3

1-Nasal decongestant,Selegiline

2-Bupropion

3-Atenolol, propranolol

Front 4

MetHb associated drugs?

Back 4

SAND

1- Dapsone,

2- Nitrates,

3-topical/local anesthetic (benzocaine)

4- Sepsis

Front 5

MetHb associated drugs?

Back 5

SAND

Dapsone,

nitrates,

topical/local anesthetic (benzocaine)

Sepsis

Front 6

Rx of MetHb?

Back 6

1-Methylene blue

2-Vit C => MB not available or CI

Front 7

Methylene blue CI in?

Back 7

G6PD

Front 8

NBSIM in pts with positive Pb poisoning r/f?

Back 8

Venous Pb level

Front 9

Mild, moderate & severe venous Pb levels?

Back 9

Mild=> 5-44 mcg/dl

Moderate=> 45-69 mcg/dl

Severe=> ≥70 mcg/dl

Front 10

NBSIM in pts w/ mild Venous Pb levels?

Back 10

Repeat levels w/I 1 mon

Front 11

NBSIM in pts w/ moderate Venous Pb levels?

Back 11

Succimer aka Dermatosuccinic acid DMSA

Front 12

NBSIM in pts w/ severe Venous Pb levels?

Back 12

Dimercaprol PLUS EDTA

Front 13

Labs in PB poisoning?

Back 13

Anemia

Inc uric acid

Inc serum Zn protoporphyrin

Inc venous Pb

Front 14

Dose considered toxic in acetaminophen overdose?

Back 14

≥7.5 gm

Or ≥150 mg/kg

Front 15

Indications for NAC in acetaminophen overdose?

Back 15

Front 16

NBSIM in acetaminophen overdose if time elapsed ≤4 hrs?

Back 16

Activated Charcoal

Front 17

Rx of Fe poisoning?

Back 17

Front 18

Fe vs Pb poisoning?

Back 18

Fe => corrosive to GIT

PB=> Non-corrosive

Front 19

Rx of caustic ingestion?

Back 19

Front 20

Endoscopy is performed within...... in caustic ingestion?

Back 20

24 hrs

Front 21

Stenosis/strictures develop after caustic ingestion after ......(time)?

Back 21

2-3 wks

Front 22

NBSIM in chemical contact with eyes?

Back 22

Hold eyelid open under running faucet of water for at least 15 minutes

Front 23

Management of organophosphate poisoning?

Back 23

Immediately=> atropine

Also of equal importance=> remove contaminated clothing

Front 24

Rx of diphenhydramine poisoning?

Back 24

Physostigmine=> -s AchE

Front 25

Rx of TCA overdose?

Back 25

Front 26

Best predictor of overdose severity in TCA overdose?

Back 26

ECG with special attention to QRS

Front 27

MCC of death in TCA overdose?

Back 27

TCA induced hypotension

Front 28

NaHco3 role in TCA overdose?

Back 28

1- Inc pH=>dec drug avidity for Na channels

2- Inc Na=> Inc electrochemical gradient across cardiac cells

Front 29

Cause of seizures in TCA overdose?

Rx?

Back 29

1-Inhibition of GABA

2-BZs

Front 30

Rx of Li toxicity?

Back 30

Hemodialysis

Front 31

Best indicator of opioid toxicity?

Back 31

Resp rate & effort=> usually<12/min

Front 32

Rx of opioid toxicity?

Back 32

Naloxone

Front 33

Hypotension in opioid toxicity due to?

Back 33

Histamine release

Front 34

Opioid withdrawal sx appear & peak at?

Back 34

Appear=> within 6-12 hrs of last dose

Peak at=> 36-72 hrs

Front 35

Rx of opioid withdrawal?

Back 35

Oral or IV methadone

Front 36

Drugs used to dec alcohol abuse?

Back 36

1- Naltrexone

2- acamprosate

3- disulfiram

Front 37

Acamprosate not used in?

Back 37

Renal impairment

Front 38

Naltrexone not used in?

Back 38

1- taking opioids

2- acute liver dz

3- liver failure

Front 39

Hemodialysis used in which toxi?

Back 39

Sometimes used in Toxic alcohol poisoning ie methanol, ethylenee glycol