Emergency Medicine Exam 2 | Actual Questions and Answers
Latest Updated 2026/2027 (Graded A+)
• Question
The first step in the management of any poisoned patient is to:
Correct Answer: Contact Poison Control 1-800-222-1222
• Question
How do you protect a poisoned patients airway?
Correct Answer: Early intubation
• Question
How do you control shivering to prevent it from increasing their fever:
Correct Answer: I. Benzodiazepines:
II. -Valium
III. -Versed
IV. -Lorazepam
• Question
What is a side effect of activated charcoal?
Correct Answer: Constipation
• Question
T/F Serum drug levels do not influence management.
Correct Answer: False- it does influence management
• Question
What 2 drug levels do you always run labs for on a poisoned patient?
Correct Answer: I. Acetaminophen
II. &
III. Salicylic acid
• Question
What happens to patients who are grossly contaminated
Correct Answer: Decontamination before they are seen
• Question
What do you use for decontamination of the patient?
Correct Answer: Soap and Water
,• Question
What corrects for a refractive error (glasses, but does not have them with them) of
visual acuity
Correct Answer: Pinhole Test
• Question
T/F GI decontamination would never cause more harm than good.
Correct Answer: False
• Question
What is the adult dose of activated charcoal:
Correct Answer: Adult dose 50grams
• Question
What is a child dose of activated charcoal?
Correct Answer: 1g/kg
• Question
What is the most common route of exposure:
a. Ingestion
b. Inhalation
c. Cutaneous
d. Injections
Correct Answer: a. Ingestion
• Question
What is the cocktail for AMS?
Correct Answer: I. Dextrose (D50)
II. Naloxone
III. Thiamine
IV. O2
V. *Given empirically*
• Question
What is the treatment for hypoglycemia?
Correct Answer: IV Dextrose (D50)
• Question
What is given to patients with Wernickes or Delirium Tremors
Correct Answer: Thiamine
,• Question
If a patient has OD on sympathomimetics ( Methamphetmines)
Correct Answer: Benzodiazepines
• Question
What is given for serotonin syndrome, overdose.
Correct Answer: Cyproheptadine
• Question
A non-toxic diagnostic and therapeutic antidote that is competitive
Correct Answer: Naloxone (Narcan)
• Question
What is the usual dose of narcan?
Correct Answer: 0.1-0.4mg/.2-.4mg depends on the slide
• Question
Why must you observe a patient after you give them narcan?
Correct Answer: Respiratory depression after the initial dose
• Question
What is the antidote for CCB?
Correct Answer: I. Glucagon
II. 5-10mg IV- Adult
III. 50-150mcg/kg IV
• Question
What is the most population OTC analgesic an done of the most common toxic
exposures reported to poison control centers?
Correct Answer: Acetaminophen
• Question
What is the Maximum Adult dosing of Acetaminophen?
Correct Answer: 3000mg per day
• Question
What is the time limit of days that adults can take acetaminophen?
Correct Answer: 10 consecutive days
, • Question
What is the maximum daily dose of Tylenol for children?
Correct Answer: 75mg/kg or 5 doses in a 24 hour period
• Question
What is the active metabolite of acetaminophen?
Correct Answer: N-Acetyl-p-benzoquinoneime (NAPQI)
• Question
What is used to plot the levels of acetaminophen for toxicity?
Correct Answer: Rumack Matthew Nomogram
• Question
When does the Nomogram start?
Correct Answer: 4 hours
• Question
What is hepatotoxicity defined as?
Correct Answer: AST >1000 IU/ml
• Question
If you see a Tylenol overdose within an hour you can give the patient what to treat?
Correct Answer: Activated Charcoal
• Question
Salicylates in children are associated with what condition?
Correct Answer: Reyes Syndrome
• Question
Salicylates cause a direct stimulation of the respiratory center that results in:
Correct Answer: I. tachypnea
II. Hyperpnea
III. respiratory alkalosis
• Question
What enhances the elimination of salicylate?
Correct Answer: Sodium bicarbonate Bolus 1-2 mEg/kg
Latest Updated 2026/2027 (Graded A+)
• Question
The first step in the management of any poisoned patient is to:
Correct Answer: Contact Poison Control 1-800-222-1222
• Question
How do you protect a poisoned patients airway?
Correct Answer: Early intubation
• Question
How do you control shivering to prevent it from increasing their fever:
Correct Answer: I. Benzodiazepines:
II. -Valium
III. -Versed
IV. -Lorazepam
• Question
What is a side effect of activated charcoal?
Correct Answer: Constipation
• Question
T/F Serum drug levels do not influence management.
Correct Answer: False- it does influence management
• Question
What 2 drug levels do you always run labs for on a poisoned patient?
Correct Answer: I. Acetaminophen
II. &
III. Salicylic acid
• Question
What happens to patients who are grossly contaminated
Correct Answer: Decontamination before they are seen
• Question
What do you use for decontamination of the patient?
Correct Answer: Soap and Water
,• Question
What corrects for a refractive error (glasses, but does not have them with them) of
visual acuity
Correct Answer: Pinhole Test
• Question
T/F GI decontamination would never cause more harm than good.
Correct Answer: False
• Question
What is the adult dose of activated charcoal:
Correct Answer: Adult dose 50grams
• Question
What is a child dose of activated charcoal?
Correct Answer: 1g/kg
• Question
What is the most common route of exposure:
a. Ingestion
b. Inhalation
c. Cutaneous
d. Injections
Correct Answer: a. Ingestion
• Question
What is the cocktail for AMS?
Correct Answer: I. Dextrose (D50)
II. Naloxone
III. Thiamine
IV. O2
V. *Given empirically*
• Question
What is the treatment for hypoglycemia?
Correct Answer: IV Dextrose (D50)
• Question
What is given to patients with Wernickes or Delirium Tremors
Correct Answer: Thiamine
,• Question
If a patient has OD on sympathomimetics ( Methamphetmines)
Correct Answer: Benzodiazepines
• Question
What is given for serotonin syndrome, overdose.
Correct Answer: Cyproheptadine
• Question
A non-toxic diagnostic and therapeutic antidote that is competitive
Correct Answer: Naloxone (Narcan)
• Question
What is the usual dose of narcan?
Correct Answer: 0.1-0.4mg/.2-.4mg depends on the slide
• Question
Why must you observe a patient after you give them narcan?
Correct Answer: Respiratory depression after the initial dose
• Question
What is the antidote for CCB?
Correct Answer: I. Glucagon
II. 5-10mg IV- Adult
III. 50-150mcg/kg IV
• Question
What is the most population OTC analgesic an done of the most common toxic
exposures reported to poison control centers?
Correct Answer: Acetaminophen
• Question
What is the Maximum Adult dosing of Acetaminophen?
Correct Answer: 3000mg per day
• Question
What is the time limit of days that adults can take acetaminophen?
Correct Answer: 10 consecutive days
, • Question
What is the maximum daily dose of Tylenol for children?
Correct Answer: 75mg/kg or 5 doses in a 24 hour period
• Question
What is the active metabolite of acetaminophen?
Correct Answer: N-Acetyl-p-benzoquinoneime (NAPQI)
• Question
What is used to plot the levels of acetaminophen for toxicity?
Correct Answer: Rumack Matthew Nomogram
• Question
When does the Nomogram start?
Correct Answer: 4 hours
• Question
What is hepatotoxicity defined as?
Correct Answer: AST >1000 IU/ml
• Question
If you see a Tylenol overdose within an hour you can give the patient what to treat?
Correct Answer: Activated Charcoal
• Question
Salicylates in children are associated with what condition?
Correct Answer: Reyes Syndrome
• Question
Salicylates cause a direct stimulation of the respiratory center that results in:
Correct Answer: I. tachypnea
II. Hyperpnea
III. respiratory alkalosis
• Question
What enhances the elimination of salicylate?
Correct Answer: Sodium bicarbonate Bolus 1-2 mEg/kg
