General Toxicology Overview
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Questions and Answers

What is forensic toxicology primarily concerned with?

  • Study of poisons in specific occupations
  • Medicolegal aspects of poisoning (correct)
  • Intended therapeutic use of substances
  • Effects of toxins on the environment
  • Which of the following correctly describes a poison?

  • A substance with low toxicity used for therapeutic purposes
  • Only substances that are solid in form
  • Any substance causing ill health or death through any route (correct)
  • Only chemical compounds found dangerous in the workplace
  • What does 'Sola dosis facit venenum' imply in toxicology?

  • Only high doses of drugs are harmful
  • Medicinal substances never cause harm
  • All substances are inherently toxic
  • The amount of a substance determines its toxicity (correct)
  • How does the absorption rate of poisons vary by route?

    <p>Inhalational &gt; Intravenous &gt; Intramuscular</p> Signup and view all the answers

    Which term describes the study of poisons in relation to specific occupations?

    <p>Occupational toxicology</p> Signup and view all the answers

    Which of the following best distinguishes a toxin from a venom?

    <p>All venoms are toxins, but not all toxins are venoms.</p> Signup and view all the answers

    What distinguishes a drug from a poison?

    <p>Drugs are intended for healing, while poisons are intended to cause harm.</p> Signup and view all the answers

    Which category includes substances produced by living organisms that are harmful?

    <p>Toxins</p> Signup and view all the answers

    Which type of poisoning is characterized by pinpoint pupils and respiratory depression?

    <p>Opioids poisoning</p> Signup and view all the answers

    What is a common clinical feature of sympathomimetic poisoning?

    <p>Dilated pupils</p> Signup and view all the answers

    Which of the following toxic syndromes typically leads to urinary retention?

    <p>Anticholinergic syndrome</p> Signup and view all the answers

    What clinical triad is associated with morphine poisoning?

    <p>Pinpoint pupils, coma, respiratory depression</p> Signup and view all the answers

    What would most likely suggest oxalic acid/ethylene glycol poisoning during lab investigations?

    <p>Presence of oxalate casts/crystals in urine</p> Signup and view all the answers

    In which toxic syndrome would you expect an increase in gastrointestinal motility?

    <p>Cholinergic syndrome</p> Signup and view all the answers

    Which feature is commonly associated with anticholinergic poisoning?

    <p>Dry skin</p> Signup and view all the answers

    Which of the following features is NOT typically associated with opioid poisoning?

    <p>Increased heart rate</p> Signup and view all the answers

    Which preservative is ideal for blood analysis?

    <p>Sodium fluoride + Potassium oxalate</p> Signup and view all the answers

    What is the main disadvantage of using formalin in chemical analysis?

    <p>It destroys poisons.</p> Signup and view all the answers

    Which of the following is not a preservative for urine samples?

    <p>Rectified spirit</p> Signup and view all the answers

    What preservation method can safely avoid contamination for deeply frozen samples?

    <p>No preservatives needed</p> Signup and view all the answers

    Which preservative is preferred for virology studies?

    <p>Glycerol</p> Signup and view all the answers

    What type of poison is associated with causing maximum tissue destruction?

    <p>Corrosives</p> Signup and view all the answers

    Which of the following is NOT classified as an irritant?

    <p>Strychnine</p> Signup and view all the answers

    Which of the following examples is classified as a cardiotoxin?

    <p>Digitalis</p> Signup and view all the answers

    Which of the following types of poisons primarily induce asphyxia?

    <p>Asphyxiants</p> Signup and view all the answers

    What type of neurotoxin is known to cause delirium?

    <p>Cannabis</p> Signup and view all the answers

    Which of the following is a common plant source of irritants?

    <p>Ricinus communis</p> Signup and view all the answers

    Which of the following substances would be classified as a neurotoxin acting on the spinal cord?

    <p>Conium maculatum</p> Signup and view all the answers

    Which of the following is classified as a simple asphyxiant?

    <p>Carbon dioxide</p> Signup and view all the answers

    Which organ should be preserved when Digitalis poisoning is suspected?

    <p>Heart</p> Signup and view all the answers

    What color indicates the presence of Sodium amytal?

    <p>Yellow or dark brown</p> Signup and view all the answers

    Which of the following is the most reliable sample for analysis in suspected poisoning cases?

    <p>Blood</p> Signup and view all the answers

    What should be preserved from the small intestine?

    <p>500g sample</p> Signup and view all the answers

    For which poison is the preservation of hair particularly important?

    <p>Arsenic</p> Signup and view all the answers

    What organ is suggested for preservation when poisoning by cerebral poisons is suspected?

    <p>Brain</p> Signup and view all the answers

    Which organ's preservation is crucial for detecting metallic poisons like Thallium?

    <p>Skin</p> Signup and view all the answers

    In the case of suspected Strychnine poisoning, which organ should be preserved?

    <p>Spinal cord</p> Signup and view all the answers

    What is the characteristic odor associated with cyanide?

    <p>Oil of bitter almonds</p> Signup and view all the answers

    Which poison produces a skin color of cherry red upon hypostasis?

    <p>Carbon monoxide</p> Signup and view all the answers

    What is the stomach mucosa appearance associated with sulphuric acid?

    <p>Black necrotic, charring</p> Signup and view all the answers

    Which of the following poisons is recognized for producing a garlic odor?

    <p>Arsenic</p> Signup and view all the answers

    What color is typically observed in the skin due to nitrites during hypostasis?

    <p>Bluish green</p> Signup and view all the answers

    What is the expected skin color from poisoning with phosphorous?

    <p>Dark brown</p> Signup and view all the answers

    The odor of burnt rope is associated with which poison?

    <p>Cannabis</p> Signup and view all the answers

    Nitric acid poisoning leads to what kind of stomach mucosa coloration?

    <p>Yellow or brown due to altered blood</p> Signup and view all the answers

    Study Notes

    General Toxicology

    • Study of poisoning, including sources, properties, mechanisms, signs, symptoms, diagnosis, and management
    • Acute poisoning is a medical emergency
    • A significant cause of morbidity and mortality worldwide
    • A leading cause of suicide

    Basic Terms

    • Forensic Toxicology: Medico-legal aspects of poisoning
      • Medico-legal reporting
      • Gastric lavage
      • Post-mortem findings
      • Preserving samples
    • Poison: Any substance (solid, liquid, or gas) that causes harm (local or remote action) through oral, injectable, inhalation, or direct contact
    • Rapid Absorption: Inhalation > Intravenous > Intramuscular
    • Drug vs. Poison: "The dose makes the poison." (Paracelsus)
    • Toxin vs. Venom:
      • Toxin: Biological substance produced by living organisms (plant or animal)
      • Venom: Toxin produced by an animal; a proteinaceous substance injected into the body causing ill effects.
    • Occupational Toxicology: Study of workplace exposure to poisons
    • Eco-toxicology: Study of toxins in the environment

    Classification of Poisons (Mnemonic: CINCAM)

    • Corrosives: Cause tissue destruction (acids, alkalis)
    • Irritants: Cause inflammation
    • Neurotoxins: Affect the brain and nervous system
    • Cardiotoxins: Affect the heart
    • Asphyxiants: Inhibit respiration
    • Miscellaneous Poisons: Variety of other poisons

    Diagnosis of Poisoning (In Living People)

    • Symptoms: Sudden onset, uniform worsening, similar symptoms in family members
    • History of recent intake/exposure
    • Features of specific toxidromes (cholinergic, anticholinergic, opioid, sedative-hypnotics, sympathomimetics)
    • Vital signs: Temperature, blood pressure, heart rate
    • Other: Bowel sounds, urination, tremors
    • Lab Investigations: Blood, urine (oxalate casts)
      • Suggestive of oxalic acid/ethylene glycol poisoning
      • Proximal convoluted tubule (PCT) necrosis → Phenol

    Ideal Homicidal vs. Suicidal Poison

    • Homicidal: Colorless, odorless, tasteless, cheap, delayed onset, mimics natural disease
    • Suicidal: Pleasant taste, unimportant onset, immediate, painless death

    Preservatives for Poison Analysis

    • Saturated solution of sodium chloride
    • Rectified spirit (95% alcohol)
    • Used for chemical analysis

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    General Toxicology PDF

    Description

    Explore the essential concepts of general toxicology, including the study of poisoning, its sources, symptoms, and management. This quiz delves into terms like forensic toxicology, drug versus poison, and the differences between toxins and venoms. Understanding these key aspects is vital for recognizing acute poisoning's impact on health and safety.

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