CMN 577 UNIT 3 EXAM QUESTIONS
WITH CORRECT ANSWERS
What are the characteristic signs of botulism? - Answer-Ptosis, cranial nerve palsies w/
impairment of extraocular muscles, and fixed dilated pupils are characteristic signs
When is it appropriate to treat HTN due to poisoning? - Answer-When patient is
symptomatic or their diastolic pressure is higher than 105-110
Hypotensive patients, due to poisoning, are best treated with immediate? - Answer-NS
200mL blouses, repeatedly. If not adequate, give dopamine or norepinephrine
Hypotension caused by overdose of TCA's or sodium channel blockers, administer? -
Answer-Sodium Bicarbonate
In hypotension d/t B.B. overdose, give? - Answer-Glucagon
For calcium channel blocker overdose, leading to hypotension, give? - Answer-Calcium
Chloride
How long should an eye be irrigated after contamination with an irritant? - Answer-15
minutes or until each eye has been irrigated with 1L saline
If the toxin is an acid or a base, check the pH and continue irrigation until pH is between
6-8
When is aggressive gut decontamination necessary? - Answer-When large ingestions
with Anticholinergics compounds and salicylates have occurred.
When is activated charcoal contraindicated? - Answer-In comatose or convulsing
patients, unless it can be given by gastric tube and the airway is protected by an ET
tube. Also contraindicated in patients with ileus or intestinal obstruction
In _________ _________, the BP and HR are elevated, temperature is elevated, ,pupils
are dilated, skin is sweaty, mucous membranes are dry, patients are usually agitated,
anxious, or psychotic - Answer-Sympathomimetic Syndrome
In __________ _________, the BP and HR are decreased, body temperature is low,
pupils are small, patient's are usually obtunded or comatose. - Answer-Sympatholytic
Syndrome
, In _________ _______, patients are bradycardia, sweating, with meiosis and
hyperperistalsis, as well as wheezing, with excessive salivation and urinary
incontinence. patients are usually agitated and anxious - Answer-Cholinergic syndrome
In ___________ ________, patient is tachycardia with mild HTN and the body
temperature is elevated, with widely dilated pupils. Skin is flushed, hot, and dry.
Peristalsis is decreased and urinary retention occurs. Myoclonic jerking may occur with
choreoathetoid movements. Agitated delirium is frequently seen and severe
hyperthermia may occur. - Answer-Anticholinergic Syndrome
What drugs can cause sympathomimetic syndrome? - Answer-Amphetamines, cocaine,
ephedrine, and pseudoephedrine
What drugs can cause sympatholytic syndrome? - Answer-Barbiturates, benzos,
sedative hypnotics, clonidine, ethanol, opioids
What drugs can lead to cholinergic syndrome? - Answer-Carbamates, nicotine,
physostigmine, nerve agents
What drugs may lead to anticholinergic syndrome? - Answer-Atropine, Scopolamine,
anticholinergics, antihistamines, TCA's
Harold comes in with a warfarin overdose. What medication is not appropriate to give
until INR is resulted? - Answer-Vitamin K
When should inclusion of poison prevention begin in clinic? - Answer-6 month well-child
appointments
Acetylcystein for acetaminophen overdose is effective even when given ___ hours after
ingestion, but is more effective when given within ____ hours postingestion. - Answer-
24; 8
Symptoms of acute amphetamine poisoning in children? - Answer-CNS stimulation,
anxiety, hyperactivity, hyperpyrexia, diaphoresis, HTN, abdominal cramps, N/V, inability
to void.
Children typically react to antihistamine overdose by exhibiting what SXS? - Answer-
Excitement, hallucinations, delirium, ataxia, tremors, and convulsions, followed by CNS
depression, respiratory failure, or cardio. Collapse
As a healthcare professional what are the first things you would have to do In response
to bioterrorism? - Answer-Identify, report, refer
WITH CORRECT ANSWERS
What are the characteristic signs of botulism? - Answer-Ptosis, cranial nerve palsies w/
impairment of extraocular muscles, and fixed dilated pupils are characteristic signs
When is it appropriate to treat HTN due to poisoning? - Answer-When patient is
symptomatic or their diastolic pressure is higher than 105-110
Hypotensive patients, due to poisoning, are best treated with immediate? - Answer-NS
200mL blouses, repeatedly. If not adequate, give dopamine or norepinephrine
Hypotension caused by overdose of TCA's or sodium channel blockers, administer? -
Answer-Sodium Bicarbonate
In hypotension d/t B.B. overdose, give? - Answer-Glucagon
For calcium channel blocker overdose, leading to hypotension, give? - Answer-Calcium
Chloride
How long should an eye be irrigated after contamination with an irritant? - Answer-15
minutes or until each eye has been irrigated with 1L saline
If the toxin is an acid or a base, check the pH and continue irrigation until pH is between
6-8
When is aggressive gut decontamination necessary? - Answer-When large ingestions
with Anticholinergics compounds and salicylates have occurred.
When is activated charcoal contraindicated? - Answer-In comatose or convulsing
patients, unless it can be given by gastric tube and the airway is protected by an ET
tube. Also contraindicated in patients with ileus or intestinal obstruction
In _________ _________, the BP and HR are elevated, temperature is elevated, ,pupils
are dilated, skin is sweaty, mucous membranes are dry, patients are usually agitated,
anxious, or psychotic - Answer-Sympathomimetic Syndrome
In __________ _________, the BP and HR are decreased, body temperature is low,
pupils are small, patient's are usually obtunded or comatose. - Answer-Sympatholytic
Syndrome
, In _________ _______, patients are bradycardia, sweating, with meiosis and
hyperperistalsis, as well as wheezing, with excessive salivation and urinary
incontinence. patients are usually agitated and anxious - Answer-Cholinergic syndrome
In ___________ ________, patient is tachycardia with mild HTN and the body
temperature is elevated, with widely dilated pupils. Skin is flushed, hot, and dry.
Peristalsis is decreased and urinary retention occurs. Myoclonic jerking may occur with
choreoathetoid movements. Agitated delirium is frequently seen and severe
hyperthermia may occur. - Answer-Anticholinergic Syndrome
What drugs can cause sympathomimetic syndrome? - Answer-Amphetamines, cocaine,
ephedrine, and pseudoephedrine
What drugs can cause sympatholytic syndrome? - Answer-Barbiturates, benzos,
sedative hypnotics, clonidine, ethanol, opioids
What drugs can lead to cholinergic syndrome? - Answer-Carbamates, nicotine,
physostigmine, nerve agents
What drugs may lead to anticholinergic syndrome? - Answer-Atropine, Scopolamine,
anticholinergics, antihistamines, TCA's
Harold comes in with a warfarin overdose. What medication is not appropriate to give
until INR is resulted? - Answer-Vitamin K
When should inclusion of poison prevention begin in clinic? - Answer-6 month well-child
appointments
Acetylcystein for acetaminophen overdose is effective even when given ___ hours after
ingestion, but is more effective when given within ____ hours postingestion. - Answer-
24; 8
Symptoms of acute amphetamine poisoning in children? - Answer-CNS stimulation,
anxiety, hyperactivity, hyperpyrexia, diaphoresis, HTN, abdominal cramps, N/V, inability
to void.
Children typically react to antihistamine overdose by exhibiting what SXS? - Answer-
Excitement, hallucinations, delirium, ataxia, tremors, and convulsions, followed by CNS
depression, respiratory failure, or cardio. Collapse
As a healthcare professional what are the first things you would have to do In response
to bioterrorism? - Answer-Identify, report, refer
