You are on page 1of 2

General Principles of Toxicology Formative

Directions: Each of the numbered items or incomplete statements in this section is followed by answers or by completions of the statement. Select the ONE lettered answer or completion that is BEST in each case. 1. What treatment would be appropriate in a 3-year-old boy with a dramatically elevated blood level of lead? (A) Pyridoxine (B) Glucagon (C) Digibind (D) Calcium disodium EDTA (E) Deferoxamine 2. A 56-year-old chronic alcoholic is brought to the emergency room with altered mental status and complains of not being able to see. He reports running out of whiskey and ingesting wood alcohol (methanol). His laboratory test results demonstrate a severe anion gap and acute renal failure. Which of the following would be appropriate therapy? (A) Hyperbaric oxygen (B) Fomepizole (C) Lidocaine (D) Ethylene glycol (E) Methylene blue 3. An 18-year-old man is brought to the emergency room by his friends because he passed out. His friends tell the physician that they were at a party and the patient drank a couple of beers and took several Valium (diazepam). On examination the patient is unresponsive, with decreased respirations (8 per minute). What would be an appropriate treatment? (A) Flumazenil (B) Ethyl alcohol (C) Dextrose (D) Strychnine (E) Carbon tetrachloride 4. A 23-year-old known heroin addict is brought to the emergency room for unresponsiveness. On examination he is found to have pin-point pupils and respiratory depression. His fingerstick glucose measurement is normal. What is the most appropriate agent to administer at this point? (A) Insulin (B) Naloxone (C) Dimercaprol (D) Penicillamine (E) Atropine
General Principles of Toxicology Formative-mic-09-02013 1

5. A 2-year-old child is brought to the emergency room because he recently ingested numerous iron pills his mother was taking for her anemia. The child now has severe abdominal pain, bloody diarrhea, nausea, and vomiting. His serum iron is dramatically elevated. What should be given to treat this toxicity? (A) Activated charcoal (B) Phlebotomy (C) Mercury vapor (D) Deferoxamine (E) Succimer 6. Which of the following is a sensitive indicator of lead toxicity? (A) Wristdrop (B) Rice-water stools (C) Milk and roses complexion (D) Odor of bitter almonds 7. Central nervous system (CNS) disturbances and depression are a major toxic effect of (A) Ionic mercury (Hg2+) (B) Trivalent arsenic (C) Pentavalent arsenic (D) Elemental mercury

8. Which of the following toxic agents would pose a problem with dermal exposure? (A) Inorganic arsenic (B) Organophosphate insecticides (C) Inorganic lead (D) Cadmium 9. Which of the following is the most common result of benzene poisoning? (A) Central nervous system (CNS) depression (B) Stimulation of red blood cell production (C) Delayed hepatotoxicity (D) Cardiotoxicity 10. Atropine can be used effectively as an antidote to poisoning by which toxic agent? (A) Parathion (B) Carbaryl (C) Methanol (D) Chlorophenothane (DDT)

General Principles of Toxicology Formative-mic-09-02013 2

You might also like