BCCCP- Toxicology ACTUAL EXAM 2026 -2027 ||
MOST RECENT EXAM ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
How does Activated Charcoal work?
Adsorbent that binds toxins via GI tract to reduce absorption.
NEEDS established airway/ protected airway
A patient has ingested an Acid/ Alkaline solution, can you use Activated
Charcoal?
Should be avoided because the charcoal may cause vomiting = leading
to injury to the esophagus
(Also charcoal is black = interferes with endoscopy)
,A patient has ingested large amounts of alcohol, can you use Activated
Charcoal?
Yes but Act. char binds poorly to alcohol so very large doses are
needed which is hard to ingest
Cyanide poisoning, can you use activated charcoal?
Yes but cyanide will bind poorly to act char so normal doses of act. char
will not work.
Hydrocarbon ingestion, can you use Activated Charcoal?
No, due to risk of aspiration
What are some complications and contraindications to activated
charcoal?
Complications: Aspiration, admin into lungs, emesis, constipation GI
obstruction
Contraindications: Unconscious state/ inability to maintain airway, recent
GI surgery.
,Is multi-dose activated charcoal better than single dose regimens?
Multi-dose has not been shown to be more effective in reducing
morbidity and mortality than single doses.
Multi-dose Act Char only used in medications that undergo
enterohepatic recirculation that make active enterohepatic metabolites.
What is a whole bowel irrigation?
strategy to cleanse bowels from potential toxin by giving osmotic
polyethylene glycol solution.
What are some Complications and contraindications to using a whole
bowel irrigation?
Complications: anaphylaxis, lip angioedema, aspiration, Mallory-Weiss
tear, esophageal perforation.
Contraindication: Bowel obstruction, perforation, illeus, recent bowel
surgery. (use KUB radiograph to rule out)
, When is the best time to use Whole Bowel Irrigation?
(not recommended for routine use) but...
Needs to be relatively close to time of ingestion.
1. Ingestion of Medications with long half-life, sustained release, or
enteric coated formulations.
2. When activated charcoal has not worked or will not work ( lithium and
iron)
3. Packers / Stuffers of illicit substances.
Can you use whole bowel irrigation AND Activated Charcoal at the
same time?
No, if both used the charcoal will not work as well.
Urine Alkalinization work how?
improves the elimination of toxins by increasing the urine pH to levels of
7.5 or more by giving sodium bicarb or sodium acetate.
When would you use the Urine Alkalinization strategy?
When ingestion involves weak acids with urinary clearance. (salicylates,
phenobarbital, chlorpropamide)
MOST RECENT EXAM ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
How does Activated Charcoal work?
Adsorbent that binds toxins via GI tract to reduce absorption.
NEEDS established airway/ protected airway
A patient has ingested an Acid/ Alkaline solution, can you use Activated
Charcoal?
Should be avoided because the charcoal may cause vomiting = leading
to injury to the esophagus
(Also charcoal is black = interferes with endoscopy)
,A patient has ingested large amounts of alcohol, can you use Activated
Charcoal?
Yes but Act. char binds poorly to alcohol so very large doses are
needed which is hard to ingest
Cyanide poisoning, can you use activated charcoal?
Yes but cyanide will bind poorly to act char so normal doses of act. char
will not work.
Hydrocarbon ingestion, can you use Activated Charcoal?
No, due to risk of aspiration
What are some complications and contraindications to activated
charcoal?
Complications: Aspiration, admin into lungs, emesis, constipation GI
obstruction
Contraindications: Unconscious state/ inability to maintain airway, recent
GI surgery.
,Is multi-dose activated charcoal better than single dose regimens?
Multi-dose has not been shown to be more effective in reducing
morbidity and mortality than single doses.
Multi-dose Act Char only used in medications that undergo
enterohepatic recirculation that make active enterohepatic metabolites.
What is a whole bowel irrigation?
strategy to cleanse bowels from potential toxin by giving osmotic
polyethylene glycol solution.
What are some Complications and contraindications to using a whole
bowel irrigation?
Complications: anaphylaxis, lip angioedema, aspiration, Mallory-Weiss
tear, esophageal perforation.
Contraindication: Bowel obstruction, perforation, illeus, recent bowel
surgery. (use KUB radiograph to rule out)
, When is the best time to use Whole Bowel Irrigation?
(not recommended for routine use) but...
Needs to be relatively close to time of ingestion.
1. Ingestion of Medications with long half-life, sustained release, or
enteric coated formulations.
2. When activated charcoal has not worked or will not work ( lithium and
iron)
3. Packers / Stuffers of illicit substances.
Can you use whole bowel irrigation AND Activated Charcoal at the
same time?
No, if both used the charcoal will not work as well.
Urine Alkalinization work how?
improves the elimination of toxins by increasing the urine pH to levels of
7.5 or more by giving sodium bicarb or sodium acetate.
When would you use the Urine Alkalinization strategy?
When ingestion involves weak acids with urinary clearance. (salicylates,
phenobarbital, chlorpropamide)
