ENVIRONMENTAL AND TOXICOLOGIC EMERGENCIES EXPECTED
QUESTIONS AND ANSWERS 2027
Question 1.
Sam arrives at the emergency room unconscious and with a blood alcohol level of 0.5. His
past medical history is positive for alcoholism. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: IV fluids with thiamine
Question 2.
Ellen is brought into the emergency room after overdosing on labetalol, a beta blocker. Her
medical history is positive for high blood pressure. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: Glucagon
Question 3.
Alan arrives at the emergency room after having seizures related to an amitriptyline
overdose. His medical history is positive for depression. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
, g. Cathartic
h. Whole bowel irrigation
Correct Answer: Benzodiazepine
Question 4.
Mike arrives to the emergency room after accidentally overdosing on lorazepam. His
medical history is positive for epilepsy. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: Flumazenil
Question 5.
Janice arrives at the emergency department after taking an overdose of acetaminophen.
Janice has been self-medicating for fever and body aches. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: N-acetylcysteine
Question 6.
Marge takes aspirin for her arthritis and was recently prescribed medications that also
salicylates. She comes to the emergency department with ringing in her ears. Which is the
correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
QUESTIONS AND ANSWERS 2027
Question 1.
Sam arrives at the emergency room unconscious and with a blood alcohol level of 0.5. His
past medical history is positive for alcoholism. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: IV fluids with thiamine
Question 2.
Ellen is brought into the emergency room after overdosing on labetalol, a beta blocker. Her
medical history is positive for high blood pressure. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: Glucagon
Question 3.
Alan arrives at the emergency room after having seizures related to an amitriptyline
overdose. His medical history is positive for depression. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
, g. Cathartic
h. Whole bowel irrigation
Correct Answer: Benzodiazepine
Question 4.
Mike arrives to the emergency room after accidentally overdosing on lorazepam. His
medical history is positive for epilepsy. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: Flumazenil
Question 5.
Janice arrives at the emergency department after taking an overdose of acetaminophen.
Janice has been self-medicating for fever and body aches. Which is the correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
e. N-acetylcysteine
f. Sodium bicarbonate
g. Cathartic
h. Whole bowel irrigation
Correct Answer: N-acetylcysteine
Question 6.
Marge takes aspirin for her arthritis and was recently prescribed medications that also
salicylates. She comes to the emergency department with ringing in her ears. Which is the
correct treatment?
a. Benzodiazepine
b. Flumazenil
c. IV fluids with thiamine
d. Glucagon
