Mcpc exam 3 week 4 Toxicology
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Questions and Answers

____ refers to what the body does to the toxin while ____ refers to what the toxin does to the body

Toxicokinetics ; Toxicodynamics

____: substances travel from entry site throughout the body

  • Absorption
  • Distribution (correct)
  • Metabolism
  • Excretion

____:substance or metabolites are removed from the body via waste

  • Absorption
  • Distribution
  • Metabolism
  • Excretion (correct)

A Large VD (____) implies that the drug is mainly distributed into the tissues

<p>&gt;5L/kg (A)</p> Signup and view all the answers

Which drug does NOT have a large VD?

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

T/F: Drugs with small VD are mainly confined to blood compartment

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

Which is NOT one of the organs primarily responsible for excretion and metabolism?

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

T/F: If an oral drug injures the epithelial barrier of the gastrointestinal tract it will not affect absorption

<p>False (B)</p> Signup and view all the answers

If the concentration of drug in the blood increases and blood protein-binding capacity is exceeded, will this result in an INCREASED or DECREASED fraction of free drug and GREATER or LESSER toxic effect?

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

An overdose of which drug would lead to tachycardia and hypertension?

<p>Cocaine (B)</p> Signup and view all the answers

T/F: If a patient was admitted to the E.R. for possible opioid overdose (has a large Vd), hemodialysis would be used as a treatment

<p>False (B)</p> Signup and view all the answers

Which drug could lead to a patient dying of cellular Hypoxia?

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

T/F: If a poisoned patient is presenting with coma, seizures, or altered mental status the ABCDs should be used regardless of poison involved

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

Which of these is one the ABCDs of poisoning

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

Which of these could NOT be used for decontaminating the GI tract

<p>Peritoneal dialysis (B)</p> Signup and view all the answers

Match the antidote to the poison

<p>Flumazenil = Benzos Oxygen = Carbon Monoxide hydroxocobalamin = Cyanide Naloxone = Opioids</p> Signup and view all the answers

T/F: Hemodialysis is more efficient than Peritoneal dialysis is enhancing elimination of most drugs

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

If an individual was admitted to the E.R. and died from the loss of respiratory reflexes which resulted in a coma then which of the following classifications is how the poisoned patient died?

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

What is the normal range for anion gap?

<p>12-16 mEq/L (C)</p> Signup and view all the answers

What is the toxic acetaminophen dose for children?

<p>150-200 mg/kg (D)</p> Signup and view all the answers

What is the antidote for Acetaminophen?

<p>N-acetylcysteine (A)</p> Signup and view all the answers

Which is NOT a treatment for Cyanide?

<p>None of the above (D)</p> Signup and view all the answers

Match term to definition

<p>Toxicity = ability to cause an adverse effect Hazard = potential to cause an adverse effect in a given situation or setting (likelihood) Exposure = coming into contact with a substance Risk = expected frequency of the occurrence of an adverse effect arising from exposure</p> Signup and view all the answers

Being exposed to a hazard for two months would qualify as which duration?

<p>Subchronic (B)</p> Signup and view all the answers

What does ED50 mean?

<p>dose causes response in 50% of the test subject (C)</p> Signup and view all the answers

T/F: Increased therapeutic index means increased safety

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

What would be the therapeutic index for a drug with an LD50 of 20 and ED50 of 2?

<p>10 (B)</p> Signup and view all the answers

Calculate anion gap for the following patient: Na = 135 meq/l, K = 5 mEq/l, HCO3 = 10 mEq/l, Cl= 115 mEq/l

<p>15 mEq/l (C)</p> Signup and view all the answers

What's the margin of safety for a drug with an LD1 of 7 and an ED99 of 9

<p>.77 (C)</p> Signup and view all the answers

An anticoag clinic would be an example of which type of professional services

<p>Professional Services 1 (A)</p> Signup and view all the answers

What is the leading cause of preventable injury-related death

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

What drug is the #1 cause of acute liver failure in the US?

<p>Acetaminophen (B)</p> Signup and view all the answers

Acetaminophen has Antipyretic activity at serum [APAP] of _____?

<p>4 - 18 mcg/mL (A)</p> Signup and view all the answers

What is the toxic dose for acute ingestion of APAP?

<p>&gt;150 mg/kg (D)</p> Signup and view all the answers

Which would NOT lead to a person being at higher risk for APAP toxcitiy?

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

Which is NOT a lab that needs to be monitored after APAP poisoning?

<p>WBC (B)</p> Signup and view all the answers

How long does Phase I of APAP poisoning last?

<p>30 mins-24 h</p> Signup and view all the answers

During which phase of APAP poisoning would liver necrosis occur?

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

T/F: APAP levels should be drawn after 4 hours post ingestion

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

Which is a risk of activated charcoal?

<p>Pneumonitis (B)</p> Signup and view all the answers

Which is true about sorbitol?

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

Which is NOT a Criteria for discontinuing NAC after APAP ingestion

<p>[APAP] &lt; 20 mcg/mL (A)</p> Signup and view all the answers

T/F: The 2 bag NAC Regimen is FDA approved

<p>False (B)</p> Signup and view all the answers

HD recommended with NAC in those with [APAP] >____ with acidosis or altered consciousness

<p>900 μg/mL (C)</p> Signup and view all the answers

Which is NOT a symptom seen in Aspirin toxicity?

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

What is the [Salicylate] to diagnose toxicity? 30 mg/dL

<p>&gt; 30 mg/dL (A)</p> Signup and view all the answers

Sodium bicarbonate is given to treat ___ during Salicylate toxicity?

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

If aspirin toxicity happens in a pregnant woman, ____ can occur to the fetus

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

___ is the most commonly used NSAIDs and the least toxic of the NSAIDs

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

What is the pediatric single dose toxcity for ibuprofen?

<p>&gt;200 mg/kg (B)</p> Signup and view all the answers

Which is not a treatment option for NSAID poisoning?

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

Which poision would most likely cause severe blisters on eyes and skin?

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

What is the preferred treatment if a patient overdoses on an anticholinergic agent?

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

What is the antidote for Anticholinesterase insecticides?

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

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