ToxRemedycon 2023 Quiz

A person was brought by police from the railway platform. He is talking irrelevant. He is having dry mouth with hot skin, dilated pupils, staggering gait and slurred speech. The most probable diagnosis is

• Alcohol intoxication

• Carbamates poisoning

• Organophosphorous poisoning

• Dhatura poisoning

In methyl alcohol poisoning, there is central nervous system depression, cardiac depression and optic nerve atrophy. These effects are produced due to:

• Formaldehyde and formic acid

• Acetaldehyde

• Pyridine

• Acetic acid

Phosphine liberated in the stomach in aluminum phosphide poisoning is toxic to all except

• Lungs

• Kidneys

• Liver

• Heart

Ecstasy toxicity causes all except

• Hypereflexia

• Trismus

• Miosis

• Visual hallucinations

A housewife ingests a rodenticide white powder accidentally. She is brought to hospital where the examination shows generalized, flaccid paralysis and an irregular pulse. electrocardiogram shows multiple ventricular ectopics, generalized changes with ST-T. Serum potassium is 2.5 mEq/L. The most likely ingested poison is:

• Barium carbonate

• Super warfarins

• Zinc phosphide

• Aluminum phosphide

All of the following are treatment options for toxic alcohol poisoning except

• Fomepizole

• Hydroxycobalamin

• Thiamine

• Folic acid

• Pyridoxine

Hyperthermia in a patient of poisoning is a pointer to all except

• Ecstasy

• Selective serotonin reuptake inhibitor

• Salicylates

• Chlorpromazine

Ophitoxemia refers to

• Organophosphorous poisoning

• Heavy metal poisoning

• Scorpion venom poisoning

• Snake venom poisoning

Elapidaes are

• Vasculotoxic

• Neurotoxic

• Musculotoxic

• Nontoxic

A 12-year-old boy had an alleged history of snake bite and presented to the hospital with inability to open eyes well and difficulty in breathing. He is very anxious and is having tachycardia and tachypnea. On examination bite mark cannot be visualized and there is no swelling of the limb. He has bilateral ptosis. His 20 min whole blood clotting test is good quality. What is the next course of action?

• Don't give anti-snake venom (ASV), but observe the patient

• Give ASV and keep the patient in observation

• Give ASV, and give neostigmine and observe the patient

• Reassure the patient and send him home with anxiolytic