Pharm Tox Final Exam with Complete
Solutions
Is normally liquid at room temperature - ANS-Elemental Mercury
A patient presents to your clinic and upon exam you notice white lines on the base of
his finger nails. You suspect possible _____ toxicity. - ANS-Arsenic
The antidote for organochlorine intoxication is the administration of a muscarinic
blocking agent - ANS-False
Paralysis of CN I is seen in patients exposed to - ANS-H2S
Which of the following clinical signs would NOT be seen in a patient experiencing
organophosphate toxicity? - ANS-Tachycardia
Organophosphate insecticides bind ACH and prevent its action on the post synaptic cell
- ANS-False
The pyrethrum insecticides were used for centuries as a fish poison - ANS-False
This agent, which is normally applied topically, can cause hypotension, ataxia,
confusing, insomnia and even seizures - ANS-DEET
The leaves of this plant contain calcium oxalate crystals and biting into their leaves can
cause severe irritation of the mucous membrane of the mouth - ANS-Philodendron
Ingestion of a leaf from a poinsettia plant is not harmful and may only cause mild
irritation to the mouth and mucous membranes - ANS-True
How many leaves to a cluster on a poison ivy plant? - ANS-3
Patients who ingest amanita phalloides can die in 4-7 days from liver and kidney failure
- ANS-True
Inky cap mushrooms produce their toxic signs and symptoms when ever they are
ingested along with alcoholic beverages - ANS-True
Initial findings on a blood smear stained with Wright's stain indicates the presence of
basophilic stippling. DDx should include iron toxicity. - ANS-False (It's lead)
, A 7 year old consumes and unknown quantity of pills found in the garage. Within hours
the child is vomiting blood, and is experiencing severe cramps with bloody diarrhea.
After an apparent recovery the child goes into shock, coma, and eventually dies of
unknown etiology. An autopsy reveals evidence of ulceration to intestinal cells. Which of
the following is the most likely cause? - ANS-Iron
White lines of the lunula of the nails. Mee's lines - ANS-Arsenic
Melena - ANS-Iron
Basophilic stippling in the RBC's - ANS-Lead
Narrowing of visual field, paresthesias, mental deterioration, muscle tremors - ANS-
Mercury
Unexplained irritability, sleeplessness, headaches and poor appetite in children - ANS-
Lead
The presence of a dark gray bluish black line at the gum tooth interface is indicative of
mercury toxicity. - ANS-False (Lead)
Hyperkeratosis of the palms of the hands and the soles of the feet can be a possible
complication of chronic exposure to mercury. - ANS-False
Rotenone is an insecticide derived from the yellow flower of the Chrysanthemum plant -
ANS-False
Poinsettia plants contain cardiotoxin and ingestion of these plants poses a severe life
threatening emergency - ANS-False
Cooking mushrooms twice will render toxic mushrooms non toxic and safe to eat - ANS-
False
Foot drop with a peroneal nerve associated palsy is a complication of mercury
poisoning. - ANS-False
Signs and symptoms of organophosphate toxicity include mydriasis, tachycardia, and
diarrhea - ANS-False
Which of the following plants contains the poison urushiol? - ANS-Poison Ivy
Lead toxicity can cause wrist drop. What nerve is affected? - ANS-Radial n.
4 tomatoes, 2 bunches of cilantro, 1 large onion and two jalapeno peppers is a great
recipe for - ANS-A natural chelating agent
Solutions
Is normally liquid at room temperature - ANS-Elemental Mercury
A patient presents to your clinic and upon exam you notice white lines on the base of
his finger nails. You suspect possible _____ toxicity. - ANS-Arsenic
The antidote for organochlorine intoxication is the administration of a muscarinic
blocking agent - ANS-False
Paralysis of CN I is seen in patients exposed to - ANS-H2S
Which of the following clinical signs would NOT be seen in a patient experiencing
organophosphate toxicity? - ANS-Tachycardia
Organophosphate insecticides bind ACH and prevent its action on the post synaptic cell
- ANS-False
The pyrethrum insecticides were used for centuries as a fish poison - ANS-False
This agent, which is normally applied topically, can cause hypotension, ataxia,
confusing, insomnia and even seizures - ANS-DEET
The leaves of this plant contain calcium oxalate crystals and biting into their leaves can
cause severe irritation of the mucous membrane of the mouth - ANS-Philodendron
Ingestion of a leaf from a poinsettia plant is not harmful and may only cause mild
irritation to the mouth and mucous membranes - ANS-True
How many leaves to a cluster on a poison ivy plant? - ANS-3
Patients who ingest amanita phalloides can die in 4-7 days from liver and kidney failure
- ANS-True
Inky cap mushrooms produce their toxic signs and symptoms when ever they are
ingested along with alcoholic beverages - ANS-True
Initial findings on a blood smear stained with Wright's stain indicates the presence of
basophilic stippling. DDx should include iron toxicity. - ANS-False (It's lead)
, A 7 year old consumes and unknown quantity of pills found in the garage. Within hours
the child is vomiting blood, and is experiencing severe cramps with bloody diarrhea.
After an apparent recovery the child goes into shock, coma, and eventually dies of
unknown etiology. An autopsy reveals evidence of ulceration to intestinal cells. Which of
the following is the most likely cause? - ANS-Iron
White lines of the lunula of the nails. Mee's lines - ANS-Arsenic
Melena - ANS-Iron
Basophilic stippling in the RBC's - ANS-Lead
Narrowing of visual field, paresthesias, mental deterioration, muscle tremors - ANS-
Mercury
Unexplained irritability, sleeplessness, headaches and poor appetite in children - ANS-
Lead
The presence of a dark gray bluish black line at the gum tooth interface is indicative of
mercury toxicity. - ANS-False (Lead)
Hyperkeratosis of the palms of the hands and the soles of the feet can be a possible
complication of chronic exposure to mercury. - ANS-False
Rotenone is an insecticide derived from the yellow flower of the Chrysanthemum plant -
ANS-False
Poinsettia plants contain cardiotoxin and ingestion of these plants poses a severe life
threatening emergency - ANS-False
Cooking mushrooms twice will render toxic mushrooms non toxic and safe to eat - ANS-
False
Foot drop with a peroneal nerve associated palsy is a complication of mercury
poisoning. - ANS-False
Signs and symptoms of organophosphate toxicity include mydriasis, tachycardia, and
diarrhea - ANS-False
Which of the following plants contains the poison urushiol? - ANS-Poison Ivy
Lead toxicity can cause wrist drop. What nerve is affected? - ANS-Radial n.
4 tomatoes, 2 bunches of cilantro, 1 large onion and two jalapeno peppers is a great
recipe for - ANS-A natural chelating agent
