Organophosphate Toxicokinetics and Mechanism of Action Quiz

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29 Questions

Where are the highest concentrations of OPs found in the body?

Liver and Kidneys

What type of barrier can OPs easily cross due to their high lipid solubility?

Blood/Brain barrier

What are common initial symptoms of OP toxicity in patients?

Vomiting and Diarrhea

Which route of entry allows OPs to be well absorbed according to the text?

Dermal

What feature of OPs leads to a need for a high index of suspicion for early diagnosis of toxicity?

Non-specific symptoms

What are the local symptoms of neurotoxic snake venom?

Fang marks, redness, hotness, and swelling

What is the first systemic sign of neurotoxic snake venom toxicity?

Ptosis, numbness in lips & tongue

What is a key management step in dealing with snake venom toxicity?

Reassuring the patient

What is the purpose of immobilizing the affected limb in snake venom toxicity management?

To stop venom absorption

Why is it important to examine the site of bite in snake venom toxicity management?

To decide if antivenom is needed

What is a potential consequence of using tourniquet proximal to the snake bite?

Increased venom absorption

What is the first step in managing Organophosphates (OPs) toxicity?

Blockade of Muscarinic activity with ATROPINE

Which life-threatening symptoms does atropine help to reverse in OPs toxicity management?

Bronchospasm

In snake venom toxicity, which muscles are mainly affected leading to respiratory failure?

Respiratory muscles

What is the main characteristic of neurotoxic venom found in cobra venom?

Low molecular weight and dialyzable

Which of the following is NOT a symptom of atropine toxicity?

Bradycardia

What is the target heart rate that atropine aims to achieve in OPs toxicity management?

>80 bpm

What are the reported symptoms of nutmeg abuse?

Tachycardia, salivation, and CNS excitation

Which enzymatic activity leads to the formation of cyanide from cyanogenic glycosides?

Hydrolytic enzymes

What is the upper safety limit of solanine in potatoes per 100g fresh weight?

20 mg

Which category of mushroom toxins causes symptoms like profuse sweating, hallucinations, and coma?

Neurotoxins

What type of symptoms do protoplasmic poisons from mushrooms cause?

Organ failure

What distinguishes disulfram-like toxins among the categories of mushroom toxins?

They are usually nontoxic and produce no symptoms

What are the symptoms that may occur if alcohol is consumed within 72 hours after eating mushrooms?

Vomiting, nausea, headache, flushing, cardiovascular disturbances

In mushroom poisoning, which phase involves severe vomiting, abdominal cramps, nausea, and watery diarrhea?

Phase 2

What is characteristic of Phase 3 in mushroom poisoning?

Improved clinical symptoms

What is the primary source of mycotoxins known for inducing toxic effects in animals and humans?

Fungi

Which fungal genera are often responsible for producing mycotoxins?

Aspergillus, Penicillium, and Fusarium

Which species of Aspergillus are responsible for producing aflatoxins?

A. flavus and A. parasiticus

Test your knowledge on the toxicokinetics and mechanism of action of organophosphates. Learn about their absorption, distribution, and effects on the central nervous system.

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