Toxicology Quiz

A 45-year old presents with altered mental status. Vital signs show tachycardia and hypertension. The patient is febrile and psychosis. Which of the following exam findings will assist with diagnosis of anticholinergic versus sympathomimetic toxidromes?

A 51-year old presents from Studio 54 where he was disco dancing. He notes using cocaine and developing chest pains. His chest pain continues. He appears anxious. His ECG is abnormal, and he is found to have an elevated troponin. Which of the following medications should be avoided?

A 23-year old with a history of depression who takes sertraline and trazodone who presents to the ED after going "clubbing." She has spontaneous clonus, agitation, fever, tremors, and hyperreflexia. She should be treated for which of the following conditions?

A 25-year old presents to the ED brought in by family for concerns about his "mental state." He has taken pills as suicide attempts in the past. ECG is obtained and is normal. Laboratory workup reveals and elevated anion gap acidosis. Upon confrontation the patient admits to taking what?

A 24-year old is brought to the hospital after a house fire. He has been found to have cyanide toxicity. Which of the following medications would be indicated for treatment?

A 65-year old farmer presents to the hospital with diarrhea, tearing, vomiting, hypertension, and dilated pupils. He was getting ready to spray his crops when these symptoms developed. Which of the following medications would be indicated for treatment?

An 18-month old who is otherwise healthy is admitted to the hospital with acute lead toxicity and altered mental status. He has a history of peanut allergy. After the first dose of the treatment, the patient develops nausea, vomiting, hives, diarrhea, and difficulty breathing. Which medication was administered?

A 33-year old presents after an intentional overdose of acetaminophen. Treatment is determined to be necessary for prevention of what complications?

What is the treatment for a clinically significant acetaminophen overdose?

Parents bring a 2-year old in for abdominal pain and vomiting. X-ray shows numerous radiodense abnormalities in the stomach. Parents remember that they left their iron supplements on the counter next to the children's vitamins. Which of the following medications is indicated?

A 56-year old advertising executive notes that he enjoys using recreational drugs and has had "spiritual discoveries" and sees the most beautiful colors when using his favorite drug. What drug is he likely referring to?

A 45-year old alcoholic presents to the emergency department with confusion, ophthalmoplegia, and impaired gait. Which of the following medications is indicated?