Toxicology Assessment (Paramedic)

Which of the following drugs will present with miosis in an overdose patient?

• Midazolam

• Fentanyl

• Adderall

• Benadryl

A ridig/board-like abdomen is most likely seen in a patient who was bitten or stung by a __________.

• Black widow spider

• Brown recluse spider

• Pit viper

• Jelly Fish

The toxins associated with ________ would most likely produce SLUDGE symptoms.

• Methamphetamines

• Coral snakes

• Brown recluse spiders

• Amanita mushrooms

An overdose patient presenting with mydriasis, hot/dry skin, agitation and tachycardia would best fall under the following toxidrome:

• Opiate toxidrome

• Sympathomimetic toxidrome

• Anticholinergic toxidrome

• Sedative-hypnotic toxidrome

Which of the following is commonly used in the treatment of organophosphate poisoning?

• Amiodarone

• Atropine

• Adenosine

• Amitriptyline

You are called to the scene of a 57 year old male who has overdosed on their metoprolol prescription. Which of the following is commonly used to treat this patient?

• Calcium channel blockers

• Amiodarone

• Glucagon

• Diphenhydramine

Which of the following statements regarding activated charcoal is incorrect?

• IT adsorbs toxins and prevents them from being absorbed into the blood stream

• It should be used on caustic substance ingestion within 1 hour from the ingestion

• Nausea and vomiting is a common side effect

• It is not effective on patients who ingested heavy metals

Which of the following medications should be used if you suspect cyanide and carbon monoxide poisoning?

• Thiamine

• Levophed

• Hydroxocobalamin

• Cimetidine

Sodium Bicarbonate should be considered in patients who overdose on ___________ medications if the have a QRS duration >100ms.

• Tricyclic Antidepressants

• NMDA receptor antagonist

• Benzodiazepine

• Antipsychotic

During your assessment of a suspected overdose patient, you note that the patient has a respiratory rate of 6 breaths per minute and shallow. The patient's pupils are equal and reactive and you note no improvement in respirations following 2 doses of naloxone. Which of the following medications is likely responsible:

• Fluoxetine (SSRI)

• Methylphendiate (Ritalin)

• Labetalol (Beta Blocker)

• Alprazolam (Benzodiazepine)