CSPI Exam study ques
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| Rapid onset of coma, bradycardia, and myoclonic jerking are common effects in overdose of which of the following illicit drug. | show 🗑
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| Which set of symptoms would indicate that a nerve agent might have been used in an attack? | show 🗑
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| show | Organophosphates
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| First degree heart block, hypotension, and bradycardia are the most common consequences of overdose from which of the following classes of antihypertensives? | show 🗑
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| A pt is on Warfarin, levothyroxine, and digoxin and starts to bruise and have nose bleeds Which OTC med could contribute to these symptoms? | show 🗑
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| show | Based on the labs - radiator antifreeze.
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| Food borne illness outbreak that can cause vomiting, bloody diarrhea, severe abdominal crampig with a duration 24 hrs. | show 🗑
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| show | Hydrodfluoric acid; topical administration of calcium gluconate gel
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| show | Atropine only
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| show | Begin administration of polyvalent Crotalidae immun fab (Crofab)with starting dose of 4-6 vials.
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| Man in ER found lethargic & vomiting. an empty bottle orultra-rapid acting insulin. B/P 140/80, HR 72, RR 30, T 98.6 BS 102, no gluc given in field, no mental staus change with Naloxone 2 mf IV. Pt in metabolic acidosis and anion gap what med caused this | show 🗑
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| A 2 yo pt presents to ER with known G6PD deficiency. Which antidote would be contraindicated for the child | show 🗑
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| A child got 4 tabs of Glipizide 10 mg. Parents cannot wake him after 3 hr nap, found bottle, called EMS, BG 37mg/dL. Child given D25W. pt awakened BG monitored Q30 min. 2 hrs later in ED became confused and drowsy, BG 45 mg/dL, ? recmmedation? | show 🗑
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| A woman brought to ED with status epilepticus after ingesting 90 tablets of an unk med attempting suicide. Med Hx tuberculosis, friends said that pills ingested were prescibed to her. Valium and ativan did not help seizures, what should be given. | show 🗑
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| show | A. Kava "right answer"
B. Milk thistle
C. St. Johns Wort
D. Ginseng
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| LK presented approximately 1 hr after ingesting an unk amount of his anitriptyline in a suicide attempt. Which of the following is consistent with TCA OC? | show 🗑
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| show | A. Malignant Hyperthermia
B. Cocaine Abuse
C. "Neuroleptic Malignant syndrome"
D. Serotonin Syndrome
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| Which of the following statements about vitamins is true? | show 🗑
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| Male pt in ED is agitated & hallucinating, VS: B/P 196/102, HR 113, RR 18, T 38.4, HEENT pupils 5 MM pealra, moist mucous membranes, normal bowel sounds, diaphoretic | show 🗑
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| Which of the following statements concerning mercury is true. | show 🗑
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| Which of the following delayed clinical effect is most consistent with significant inhalation of chloramine gas? | show 🗑
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| show | A. Domoic Acid
B. Scombrotoxin
C."Botullinin toxin"
D. Shiga Toxin
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| show | you recommend:
A. Increase fluid volume, monitoring urine output hourly.
B. Preform whole bowel irrigation
C. Give multidose Charcoal, giving cathartic with initial dose and every other dose after that.
D."Consult Nephrologist for hemodyalisis ASAP"
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| A mother calls and states her 11 kg child came to her with an open empty bottle of bayer low dose ASA 81 mg. How many tablets would the child have to ingest to be toxic for ASA? | show 🗑
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| show | A. The age of the patient
B. the weight of the patient
C."Are there any symptoms"
D. How much medication is missing
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| JM had cyanotic lipes but otherwise asymptomatic, no HX, but is being treated for cystitis with antibiotic, also taking meds for decreased urinary burning. The pt repairs cars for a living but hasnt been to work for 48 hrs. The pt has what poisoning. | show 🗑
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| show | A. Methoxtrexate
B. "methylene blue"
C. Metaraminol
D. methinonine
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| A man in ED with chief complaint of N/V. During hx he seized, initial labs showed Bld Gluc 34 mg/dL. Which plant can cause toxic effects. | show 🗑
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| show | A. Dieffenbachia (Dieffenbacia amoena)
B. Fox glove (Digitalis Purpurea)
C. Jade plant (Crassula argentea)
D. Yew (Taxus canadensis)
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| What clinical effects are commonly assiciated with 3,4-methylendioxymethamo=phetamine (MDMA) toxicity? | show 🗑
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| BR may have ingested an unk quantity of his grandmothers Zolpidem. Which of the following would be expected in this exposure. | show 🗑
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| A 2 yo was inadvertently given an overdose of lorazepam while in the ER for a leg fx. Which of the following would be an indication for giving flumazenil? | show 🗑
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| A 13 yo female took an unk amount of BP meds. 2 hrs after ingestion she was feeling dizzy and was brought into an ED. She was hypotensive and bradycardic. Which medication most likely caused this? | show 🗑
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