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Chapter 33. Clinical Toxicology

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What is the primary goal in taking a history in a poisoned patient?

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a. determining drug allergies.

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b. determining susceptibility to drug overdose.

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c. determining likelihood of an attempted suicide.

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d. determining the ingested substance.

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e. determining the motive behind the poisoning.

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Who is most likely to give incorrect information while taking a history of a poisoned patient?

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a. patient.

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b. EMT.

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c. employer.

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d. pharmacist.

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e. family members.

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Which of the following sets of clinical features characterizes an anticholinergic toxic syndrome?

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a. increased blood pressure, decreased heart rate, decreased temperature.

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b. decreased blood pressure, increased heart rate, decreased temperature.

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c. increased blood pressure, increased heart rate, increased temperature.

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d. decreased blood pressure, decreased heart rate, decreased temperature.

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e. increased blood pressure, decreased heart rate, increased temperature.

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Which of the following sets of clinical features characterizes a sympathomimetic toxic syndrome?

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a. miosis, decreased bowel sounds, decreased alertness.

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b. decreased heart rate, increased temperature, mydriasis.

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c. hyperalertness, decreased blood pressure, miosis.

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d. increased temperature, increased heart rate, miosis.

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e. mydriasis, increased blood pressure, hyperalertness.

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Which of the following drugs CANNOT be tested for in a hospital on a stat basis?

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a. ethanol.

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b. cocaine.

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c. aspirin.

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d. phenytoin.

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e. digoxin.

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Which is NOT included in the differential diagnosis of an elevated anion gap?

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a. ethanol.

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b. methanol.

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c. diabetes.

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d. ethylene glycol.

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e. diarrhea.

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An elevated osmol gap might suggest which of the following?

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a. methanol poisoning.

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b. chronic vomiting.

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c. lactic acidosis.

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d. diabetic ketoacidosis.

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