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Emergency Medical Treatment and Toxicology Quiz

#1

What is the first step in the management of a patient with a suspected overdose?

Assessment of airway, breathing, and circulation (ABCs)
Explanation

ABCs assessment ensures immediate stabilization and prioritizes critical interventions.

#2

Which of the following is a common antidote for acetaminophen overdose?

N-acetylcysteine
Explanation

N-acetylcysteine aids in replenishing depleted glutathione and mitigating liver damage.

#3

Which of the following medications is used as an antidote for opioid overdose?

Naloxone
Explanation

Naloxone competitively antagonizes opioid receptors, reversing opioid-induced respiratory depression.

#4

What is the treatment of choice for organophosphate poisoning?

Atropine
Explanation

Atropine counters excessive muscarinic receptor stimulation caused by organophosphate poisoning.

#5

Which of the following is a common sign of salicylate poisoning?

Metabolic acidosis
Explanation

Salicylate poisoning often results in metabolic acidosis due to increased lactate production and respiratory alkalosis.

#6

What is the antidote for heparin overdose?

Protamine sulfate
Explanation

Protamine sulfate binds to heparin, neutralizing its anticoagulant effects.

#7

What is the antidote for benzodiazepine overdose?

Flumazenil
Explanation

Flumazenil competitively antagonizes the effects of benzodiazepines by binding to their receptor sites.

#8

Which of the following is NOT a common symptom of anticholinergic toxicity?

Bradycardia
Explanation

Anticholinergic toxicity typically presents with tachycardia rather than bradycardia.

#9

Which of the following is a sign of tricyclic antidepressant overdose?

Hypertension
Explanation

Tricyclic antidepressant overdose often leads to hypertension due to alpha-1 receptor blockade.

#10

What is the antidote for digoxin toxicity?

Digoxin immune fab
Explanation

Digoxin immune fab binds to digoxin, preventing its action and facilitating its elimination from the body.

#11

Which of the following is a characteristic feature of lead poisoning?

Anemia
Explanation

Lead inhibits heme synthesis, leading to decreased production of hemoglobin and anemia.

#12

What is the primary treatment for methanol poisoning?

Fomepizole
Explanation

Fomepizole inhibits alcohol dehydrogenase, preventing the formation of toxic metabolites from methanol.

#13

What is the preferred antidote for cyanide poisoning?

Hydroxocobalamin
Explanation

Hydroxocobalamin scavenges cyanide ions, forming non-toxic cyanocobalamin, thereby detoxifying cyanide.

#14

What is the primary treatment for carbon monoxide poisoning?

Oxygen therapy
Explanation

Oxygen displaces carbon monoxide from hemoglobin and tissues, aiding in its elimination.

#15

Which of the following is a common feature of mushroom poisoning?

Hepatotoxicity
Explanation

Many toxic mushrooms cause liver damage, presenting as hepatotoxicity.

#16

Which of the following is a common symptom of organophosphate poisoning?

Diarrhea
Explanation

Organophosphate poisoning often leads to increased gastrointestinal motility and diarrhea.

#17

Which of the following is a common symptom of cyanide poisoning?

Altered mental status
Explanation

Cyanide poisoning often leads to altered mental status due to its effects on the central nervous system.

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