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Worksheets

toxicology

Total questions: 30

Worksheet time: 10mins

Name
Class
Date
1.

Which of the following is not seen in serotonin syndrome?

a)

Hyperthermia

b)

Dry skin

c)

Tachycardia

d)

Increased tone

2.

Neuroleptic malignant syndrome can be caused by which of these?

a)

Suxamethonium

b)

Hyoscine

c)

Tramadol

d)

Haloperidol

3.

What smells like 'bitter almonds'?

a)

Organophosphates

b)

Cyanide

c)

Arsenic

d)

Ammonia

e)

Opium

4.

Which of these substances cause hypothermia?

a)

Salicylates

b)

Opioids

c)

Sympathomimetics

d)

Citalopram

5.

Which of these substances do not bind charcoal?

a)

Cocaine

b)

Lithium

c)

Calcium channel blockers

d)

Colchicine

6.

What toxidrome is depicted here? (click image to zoom in)

a)

Anti-cholinergic

b)

Extra-pyramidal

c)

Cholinergic

d)

Opioid withdrawal

7.

Which of the following is not a manifestation of colchicine overdose?

a)

Vomiting and diarrhoea

b)

Renal failure

c)

Pancytopenia

d)

Hyper-reflexia

8.

Which is not a feature of amphetamine toxicity?

a)

Lactic acidosis

b)

SIADH

c)

Acute coronary syndrome

d)

Hypothermia

9.

Activated charcoal has a role in management of acute digoxin toxicity?

a)

True

b)

False

10.

Massive caffeine overdose can cause life threatening seizures and arrhythmias?

a)

True

b)

False

11.

Acute ingestion of this can cause hyper-reflexia, ataxia AND tremor

a)

SSRIs/venlafaxine

b)

Lithium

c)

Opioids

d)

Carbamazepine

12.

Neuroleptic malignant syndrome can cause all of the following except

a)

Hypo-reflexia

b)

Normal pupils

c)

Clonus

d)

Lead pipe rigidity

13.

On HHP, massive paracetamol ingestion is classed as

a)

20g

b)

30g

c)

40g

d)

50g

14.

What toxidrome is this?

a)

Serotonin syndrome

b)

Lead poisoning

c)

Anti-cholinergic

d)

Benzodiazepine withdrawal

15.

Torsades de Pointes is least likely following OD with which

a)

Opioids

b)

Anti-psychotics

c)

Anti-depressants

d)

Benzodiazepines

16.

Which of these is a treatment for methanol toxicity?

a)

Ethanol

b)

Sodium bicarbonate

c)

Activated charcoal

d)

Flumazenil

17.

Overdose of which of these drugs can mimic brainstem death?

a)

Phenytoin

b)

Propofol

c)

Phenobarbitone

d)

Chlorpromazine

18.

Toxicity due to which substance could cause this rhythm?

a)

Amiodarone

b)

Citalopram

c)

Digoxin

d)

Metoprolol

19.

Which is not an indication for digibind in acute digoxin toxicity?

a)

Cardiac arrest

b)

Life threatening arrhythmia

c)

Ingested dose >5mg (adult) >2mg (child)

d)

K+>6

20.

Local anaesthetic toxicity manifests as

a)

Calcium blockade

b)

Beta blockade

c)

Sodium blockade

d)

Alpha blockade

21.

Which of the following does not a role in management of local anaesthetic toxicity?

a)

Dialysis

b)

ECMO

c)

Intra-lipid

d)

Sodium bicarbonate

22.

Which of these does not cause methaemoglobinaemia?

a)

Dapsone

b)

Nitrates/nitrites

c)

Prilocaine

d)

Vancomycin

23.

Treatment for methaemoglobinaemia?

a)

High flow oxygen

b)

Methylene blue

c)

Cyproheptadine

d)

Ethylene glycol

24.

Which of these would cause a high anion gap metabolic acidosis with wide osmolar gap?

a)

Frusemide

b)

Ethylene glycol

c)

Mannitol

d)

Amitriptyline

25.

Antidote of iron toxicity?

a)

Pralidoxime

b)

Dimercaprol

c)

Fomipazole

d)

Desferrioxamine

26.

Which antidote is used for orgnanophosphate poisoning?

a)

Cyproheptadine

b)

Pralidoxime

c)

Amylnitrate

d)

Dimercaprol

27.

Which of the following does not cause cholinergic syndrome?

a)

Edrophonium

b)

Promethazine

c)

Organophosphates

d)

Physostigmine

28.

Propranolol overdose manifests as beta blockade and...

a)

Calcium blockade

b)

Potassium blockade

c)

Alpha blockade

d)

Sodium blockade

29.

Overdose of which medication is unlikely to cause this ECG finding?

a)

Amitriptyline

b)

Carbamazepine

c)

Propranolol

d)

Verapamil

30.

TCAs exert effects on all of the following except

a)

Sodium channels

b)

Calcium channels

c)

Serotonin and noradrenaline reuptake

d)

Acetylcholine receptors

e)

Alpha 1 receptors