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Rosh Tox Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution $7.99   Add to cart

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Rosh Tox Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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Rosh Tox Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 26, 2024
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  • 2023/2024
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Rosh Tox
Dose of NAC - ANS-Loading dose 140 mg/kg PO
70 mg/kg PO Q4h for 17 doses

Indication for NAC - ANS-Serum APAP level at or above 150 at 4 hours post ingestion
AMS
Unclear history

Indications for hyperbaric O2 in CO poisoning - ANS-Syncope, AMS, seizures, coma,
focal neuro deficit, COHb >15% in pregnancy, COHb >25% in other patients
Evidence of end organ damage

Risk factors for poor outcome in CO poisoning - ANS-<6 mo old
Pregnant
>60yo old
CAD

First line Treatment of anticholinergic toxicity - ANS-sodium bicarb

Treatment for agitation in anticholinergic toxicity - ANS-Physostigmine (if no QRS
widening)

Presentation of Isopropyl alcohol - ANS-Nausea and vomiting
CNS effects inebriation to coma
Tachycardia common
Hypotension rare

Metabolic derangements in isopropyl alcohol ingestion - ANS-Osmolar gap
Ketosis
No metabolic acidosis

Treatment of isopropyl alcohol ingestion - ANS-Supportive care

Dextromethorphan toxic ingestion - ANS-AMS
Dilated pupils
Rotary nystagmus
Tachycardia
Opioid with similar structure to PCP, less respiratory depression

, What toxidrome can dextromethorphan precipitate? - ANS-serotonin syndrome

Hydrocarbon toxicity - ANS-Mild CNS depression
Coughing can lead to aspiration and hydrocarbon pneumonitis

Hydrocarbon pneumonitis - ANS-Mild symptoms or progress rapidly to ARDS
Bilateraly patchy infiltrates on CXR within 6 hours
Treatment is supportive

What urinary abnormality found in antifreeze ingestion? - ANS-calcium oxalate crystals
in urine

Colchicine poisoning - ANS-1. severe GI distress, dehydration, leukocytosis
2. pancytopenia, multisystem organ failure, sudden cardiac death over next 1-7 days

Patients who survive colchicine poisoning may develop what? - ANS-Alopecia
Myopathy
Neuropathy

Metabolism of colchicine - ANS-liver and kidney
Renal or liver disease can potentiate toxicity at therapeutic doses

Clinical presentation of cyanide poisoning - ANS-Initial hypotension, bradycardia,
hyperventilation
dyspnea, LOC, seizures, cardiac dysrhythmias
Coma, cardiovascular collapse, death may occur immediately from high exposure

Sources of cyanide - ANS-Cyanide salt
Smoke inhalation
Manufacturing exposure (jewelry, fumigation pesticide control)
Food - cassava, prunis pits (apricots, peaches, bitter almond, cherry)
Cigarette smoke
Acetonitrile

Treatment of cyanide poisoning - ANS-hydroxocobalamin or
amyl nitrite and sodium thiosulfate

Indications for defuroxamine - ANS-Iron level >500 mcg/dL
Shock

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