Ethylene Glycol Intoxication Mechanism Quiz
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Questions and Answers

What is the primary symptom of acute arsenic poisoning from ingestion?

  • Burning pain and corrosive damage to the skin
  • Conjunctival edema and corneal clouding
  • Irritation of the eyes and upper respiratory tract
  • Severe pain in the mouth, chest, and abdomen (correct)

What is the recommended antidote for acute arsenic poisoning?

  • Gastric emesis followed by a saline cathartic
  • Hemodialysis after dimercaprol therapy
  • Dimercaprol for 2 days (correct)
  • Milk or water given by mouth

What is the primary symptom of acute arsine poisoning from inhalation?

  • Severe pain in the mouth, chest, and abdomen
  • Irritation of the eyes and upper respiratory tract (correct)
  • Burning pain and corrosive damage to the skin
  • Conjunctival edema and corneal clouding

What is the recommended first aid treatment for eye contamination with arsenic or arsine?

<p>Wash eyes in a water bubbler eye fountain or shower for at least 15 minutes (B)</p> Signup and view all the answers

What is the primary symptom of acute arsenic poisoning from skin contact?

<p>Burning pain and corrosive damage to the skin (D)</p> Signup and view all the answers

What is the recommended treatment for acute arsenic poisoning from ingestion?

<p>Remove ingested arsenic by gastric emesis, followed by a saline cathartic (C)</p> Signup and view all the answers

What is the recommended treatment for encephalopathy caused by lead exposure?

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

When is parenteral chelation therapy for lead encephalopathy usually limited to?

<p>3 days (C)</p> Signup and view all the answers

What is the IM administration of calcium disodium edetate used for?

<p>Preventing further exposure (D)</p> Signup and view all the answers

What is the recommended treatment for seizures associated with lead exposure?

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

Why was dimercaprol followed by EDTA advocated for chelation treatment of lead encephalopathy?

<p>To initiate oral treatment with succimer (A)</p> Signup and view all the answers

What characteristic makes metallic mercury unique compared to other metals?

<p>&quot;Mysterious epidemic&quot; association (D)</p> Signup and view all the answers

Which metabolic products of ethylene glycol are responsible for the metabolic acidosis?

<p>Glycolic acid, glyoxylic acid, and oxalic acid (A)</p> Signup and view all the answers

How does oxalate contribute to tissue injury in ethylene glycol poisoning?

<p>It precipitates with calcium to form insoluble calcium oxalate crystals (C)</p> Signup and view all the answers

What is the initial symptom observed after acute ethylene glycol ingestion?

<p>Inebriation and mild gastritis (C)</p> Signup and view all the answers

Which enzyme is involved in the metabolism of ethylene glycol?

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

What is the delay period before the onset of symptoms caused by the metabolic products of ethylene glycol?

<p>4-12 hours (A)</p> Signup and view all the answers

Which of the following is a common use of formaldehyde?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended treatment for eye burns according to the text?

<p>Wash the eyes and apply sterile bandages without medication (C)</p> Signup and view all the answers

What should be done if perforation of the stomach or esophagus is suspected after acid exposure?

<p>Maintain nothing by mouth until endoscopic examination is done (C)</p> Signup and view all the answers

How should skin contact with acid be treated as per the text?

<p>Remove acid by flooding with water for at least 15 minutes (C)</p> Signup and view all the answers

What is the purpose of giving prednisolone in cases of chronic acid inhalation poisoning?

<p>To reduce the progression of fibrocystic and hyaline lung disease (C)</p> Signup and view all the answers

What are common symptoms of acute poisoning through ingestion according to the text?

<p>Vomiting and diarrhea with dark precipitated blood (D)</p> Signup and view all the answers

How should acid exposure-induced aspiration be managed according to the text?

<p>Maintain adequate airway to prevent asphyxia from glottal edema (D)</p> Signup and view all the answers

What is the primary mechanism by which carbon monoxide exerts its toxic effects?

<p>It binds reversibly to hemoglobin, reducing oxygen transport. (A)</p> Signup and view all the answers

Which organs are most affected by carbon monoxide poisoning?

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

Which of the following is NOT a symptom of carbon monoxide poisoning?

<p>Jaundice and abdominal pain (C)</p> Signup and view all the answers

What is the recommended treatment for acute carbon monoxide intoxication?

<p>Removal from the exposure source and administration of oxygen (B)</p> Signup and view all the answers

Which of the following statements about the elimination half-life of carbon monoxide is correct?

<p>With hyperbaric oxygen, the half-life can be reduced to 20 minutes. (C)</p> Signup and view all the answers

Which of the following substances is capable of causing silicosis?

<p>Both talcum powder and magnesium silicate (A)</p> Signup and view all the answers

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