Question 1

A patient presents with diaphoresis & agitation, HR 102, Temperature of 101F and RR of 27.  What are the potential complications of the toxidrome in thier system?

Accepted Answer

Intracranial Hemorrhage

Question 2

A 40 y/o farmer presents to the ED with diaphoresis, intense salivation, two episodes of vomiting and diarrhea. What antidote would provide relief for his symptoms?

Accepted Answer

Praxlidoxime

Question 3

A woman with a PMH of depression took all 90 tablets of thier Amitriptyline so they could "stop feeling sad".  Their ECG shows tachycardia w/ a wide QRS complex.What treatment will best help them?

Accepted Answer

Sodium Bicarbonate - Anticholinergics - Physostigmine should not be given in patients with heart abnormalities!

Question 4

A 25 y/o with recent MSK injury presents with the following vitals: HR 110, RR 16, Temp 102F. She appears flushed w/ midriasis and absent bowel sounds. What antidote should be administered?

Accepted Answer

Physostigmine

Question 5

A 45 year old female is brought to the ED after a friend noticed she was cold & unresponsive with a needle nearby. Her vitals are: RR 9, HR 40, temp 97.2F. What should you do first?

Accepted Answer

Provide Ventilation and O2

Question 6

Which of the following labs should not be ordered for a patient with a suspected toxidrome-induced injury of unknown origin?

Accepted Answer

Cr

Question 7

What diagnostic finding will be present in a patient who ingested antifreeze?

Accepted Answer

Renal Failure

Question 8

A 35 year old presents with jaundice, complaining of abdominal pain, nausea, vomiting, and anuria. After further questioning you discover she took 100 tabs of Tylenol. What stage of toxicity is she in

Accepted Answer

Stage 3

Question 9

A new nurse accidently injected the incorrect dosage of a patient's beta-blocker into thier IV infusion. What agent will reverse this mistake?

Accepted Answer

Glucagon

Question 10

You are seeing a 25 y/o with a PMH of schizophrenia in the ED who said they felt thier limbs were stiff, shaky, and "moving outside of thier control". How should you manage thier symptoms?

Accepted Answer

Diphenhydramine

Question 11

A patient in the ED with a Hx of depression and insomnia presents with tachycardia & tremors. On PE you note hyperreflexia and myoclonus. What is the likely cause of her symptoms?

Accepted Answer

Serotonin Syndrome

Question 12

What toxidrome is likely suspected in a patient with metabolic acidosis, vertigo and visual snow syndrome?

Accepted Answer

Methanol Toxicity

Question 13

A paient with severe anxiety took more than thier prescribed dose of medication. They appear confused, with ataxic gait, and somnolence. What reversal agent should be given ?

Accepted Answer

Flumazenil

Question 14

A 17 y/o comes to the ED for ingesting an unknown substance. She has symptoms of photophobia, headache and dizziness. Her labs show signs of metabolic acidosis . How would you manage this patient?

Accepted Answer

IV Sodium Bicarbonate

Question 15

A patient presents with dry mucus membranes, discolored urine, decreased bowel sounds and altered mental status. What diagnostic interventions should be ordered?

Accepted Answer

Troponin, Total CK  - Anticholinergics

Toxicology Emergency Medicine

2) A 40 y/o farmer presents to the ED with diaphoresis, intense salivation, two episodes of vomiting and diarrhea. What antidote would provide relief for his symptoms?

3) A woman with a PMH of depression took all 90 tablets of thier Amitriptyline so they could "stop feeling sad". Their ECG shows tachycardia w/ a wide QRS complex.What treatment will best help them?

4) A 25 y/o with recent MSK injury presents with the following vitals: HR 110, RR 16, Temp 102F. She appears flushed w/ midriasis and absent bowel sounds. What antidote should be administered?

5) A 45 year old female is brought to the ED after a friend noticed she was cold & unresponsive with a needle nearby. Her vitals are: RR 9, HR 40, temp 97.2F. What should you do first?

6) Which of the following labs should not be ordered for a patient with a suspected toxidrome-induced injury of unknown origin?

7) What diagnostic finding will be present in a patient who ingested antifreeze?

8) A 35 year old presents with jaundice, complaining of abdominal pain, nausea, vomiting, and anuria. After further questioning you discover she took 100 tabs of Tylenol. What stage of toxicity is she in

9) A new nurse accidently injected the incorrect dosage of a patient's beta-blocker into thier IV infusion. What agent will reverse this mistake?

10) You are seeing a 25 y/o with a PMH of schizophrenia in the ED who said they felt thier limbs were stiff, shaky, and "moving outside of thier control". How should you manage thier symptoms?

11) A patient in the ED with a Hx of depression and insomnia presents with tachycardia & tremors. On PE you note hyperreflexia and myoclonus. What is the likely cause of her symptoms?

12) What toxidrome is likely suspected in a patient with metabolic acidosis, vertigo and visual snow syndrome?

13) A paient with severe anxiety took more than thier prescribed dose of medication. They appear confused, with ataxic gait, and somnolence. What reversal agent should be given ?

14) A 17 y/o comes to the ED for ingesting an unknown substance. She has symptoms of photophobia, headache and dizziness. Her labs show signs of metabolic acidosis . How would you manage this patient?

15) A patient presents with dry mucus membranes, discolored urine, decreased bowel sounds and altered mental status. What diagnostic interventions should be ordered?