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Toxicology Quiz

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1. Pit vipers




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2. Mushrooms-7 toxic classes




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3. Norwalk Virus (Viral)




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4. Sedative hypnotics




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5. Ethylene Glycol




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6. Salmonella




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7. Serum Sickness symptoms (delayed reaction)




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8. Methanol tx:




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9. Shigellosis




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10. Vipers venom




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11. -vomit center in medulla -CTZ Chemoreceptor triggering zone, stimulates vomiting indirectly, located in basal ganglia/midbrain




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12. 1 hr




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13. kids most common victims-paint chip ingestion -causes brain and nervous system damage -adults exposed thru inhalation




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14. Tofranil,elavil,norpramin,pamelor,amitriptyline -blocks reuptake of NE/serotonin in presynaptic neuron A2 primarily -do not use flumazenil,may cause seizures




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15. inhibits effects of AChE-cholinergic overdrive-TX: remove clothes, wash water n soap,Atropine, 2-5mg every 5-15min,diazepam 5-10mg for seizures, Pralidoximine 2pam chloride-600mg IM or 1-2 gm IVP over 15-30




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16. -life threatning, caused by clostridium botulinum -blocks ACh release from motor neurons, leads to muscle paralysis from head to toe, develops w/out gastric upset, severe CNS symptoms -incubation 4hrs-8days




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17. ingestion,injection,inhalation,absorption




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18. commonly sorbitol like lactulose -dangerous if aspirated, speeds passage thru GI




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19. through cappilaris in skin




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20. -do not allow to walk, do not apply cold compress,give pain meds anything PO, or suction venom,. -restrict movement, keep limb below heart, immobilize, most deaths occur 6-30hrs , 90% within 1st 48hrs





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