Diagnosis of Ethanol Poisoning Quiz
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Questions and Answers

What is the main treatment in isolated alcohol intoxication?

  • Performing surgery
  • Prescribing antibiotics
  • Administering insulin
  • Supportive care (correct)

Why is thiamine given in cases of acute ethanol toxicity?

  • To improve kidney function
  • To protect from Wernicke’s encephalopathy (correct)
  • To lower the heart rate
  • To prevent seizures

What investigation is crucial in cases of moderate to severe ethanol toxicity to detect and correct imbalances?

  • Serum ethanol level (correct)
  • Stool sample analysis
  • Hair follicle testing
  • Magnetic resonance imaging (MRI)

In severe ethanol toxicity, what intervention may be needed to address respiratory depression?

<p>Intubation (A)</p> Signup and view all the answers

What is the purpose of starting dextrose infusion in patients with reduced consciousness?

<p>To maintain blood glucose levels (A)</p> Signup and view all the answers

What condition should a head CT scan help rule out in acutely altered consciousness due to ethanol toxicity?

<p>Stroke (A)</p> Signup and view all the answers

What is the most important factor in diagnosing alcohol withdrawal?

<p>Accurate history taking (D)</p> Signup and view all the answers

Which of the following is a risk factor for severe alcohol withdrawal?

<p>Admission ethanol level &gt;200 mg/dL (A)</p> Signup and view all the answers

What is the primary purpose of administering thiamine in alcohol withdrawal?

<p>To treat or protect from Wernicke's encephalopathy (B)</p> Signup and view all the answers

Which of the following is considered a first-line agent for therapeutic sedation in alcohol withdrawal?

<p>Benzodiazepines (D)</p> Signup and view all the answers

Which of the following is a key component of supportive care in alcohol withdrawal?

<p>Ensuring airway protection (A)</p> Signup and view all the answers

What is the purpose of performing a complete blood count (CBC) and lumbar puncture in alcohol withdrawal?

<p>To rule out infection (e.g., meningitis) in the presence of fever (A)</p> Signup and view all the answers

What are the classic components of Wernicke encephalopathy?

<p>Encephalopathy, Nystagmus, Ataxia (A)</p> Signup and view all the answers

Which disorder is characterized by memory loss and confabulation in chronic alcoholics?

<p>Korsakoff Psychosis (A)</p> Signup and view all the answers

What is the initial treatment for Wernicke encephalopathy?

<p>High dose IV thiamine (C)</p> Signup and view all the answers

Which of the following is NOT a typical circumstance of alcohol withdrawal?

<p>Intentional increased alcohol intake (D)</p> Signup and view all the answers

Which medication is commonly used to control agitation and seizures in alcohol withdrawal?

<p>Benzodiazepines (C)</p> Signup and view all the answers

What is a characteristic feature of Korsakoff Psychosis?

<p>Unconscious filling of memory gaps with fabricated experiences (A)</p> Signup and view all the answers

What is the therapeutic target of sedative titration in agitated patients?

<p>To keep the patient alert and calm (A)</p> Signup and view all the answers

What is the Richmond Agitation and Sedation Score (RASS) range for the therapeutic target in alcohol withdrawal?

<p>0 to -1 (B)</p> Signup and view all the answers

What is the maximum cumulative dose limit for phenobarbital monotherapy?

<p>20-30mg/kg (C)</p> Signup and view all the answers

What is the therapeutic plasma concentration range for phenobarbital?

<p>15-40μg/mL (C)</p> Signup and view all the answers

What is the loading dose for phenobarbital monotherapy if the patient has not received benzodiazepines before?

<p>10mg/kg IV (C)</p> Signup and view all the answers

Which of the following is a contraindication for phenobarbital use?

<p>Acute intermittent porphyria (A)</p> Signup and view all the answers

What is the typical time frame for generalized convulsions to occur after cessation of alcohol consumption?

<p>Within 12 to 48 hours (D)</p> Signup and view all the answers

How do hallucinations differ from delirium tremens in alcohol withdrawal syndrome?

<p>Patients are aware of the hallucinations and distressed by them (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of delirium tremens (DT) in alcohol withdrawal syndrome?

<p>Onset typically within 12 hours of cessation (B)</p> Signup and view all the answers

What is a critical factor in diagnosing delirium tremens (DT) during alcohol withdrawal?

<p>The onset of delirium within 4 days of cessation (C)</p> Signup and view all the answers

Which of the following is NOT a potential differential diagnosis for delirium tremens (severe alcohol withdrawal syndrome)?

<p>Alcohol intoxication (C)</p> Signup and view all the answers

Which of the following is a potential complication associated with severe alcohol withdrawal?

<p>Refeeding syndrome (A)</p> Signup and view all the answers

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