Name: Rosemary Davis

Theme: Poisoning

OPTION LIST

A	Acetylcysteine	I	Paracetamol
B	Carbon Monoxide	J	Salicylates
C	Desferrioxamine	K	Tricyclic antidepressants
D	Ecstasy	L
E	Lithium	M
F	Methanol	N
G	Naloxone	O
H	Organophosphates	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. An 18 year old female is brought in to A&E in the early hours of the morning. On initial examination she is agitated with a heart rate of 120 bpm. She is very sweaty and has wide dilated pupils.

2. A 25 year old male is admitted with hyperventilation. He is sweating and appears nauseous. He says that he has ringing in his ears. Blood gases show that he has mixed acid-base disturbance.

3. An 80 year old man and his 79 year old wife were brought in after a neighbour found them collapsed in their home. On questioning the neighbour it was found that the couple had not been feeling well for a few weeks and had been complaining of nausea, headaches and dizziness.

4. A depressed 30 year old woman was brought into A&E after being found by a friend. On examination she appears very drowsy with sinus tachycardia and wide dilated pupils. She has marked reflexes and extensor plantar responses. ECG shows a wide QRS interval.

5. A 45 year old farm worker is admitted complaining primarily of nausea and vomiting. On further questioning it is revealed that he also has a headache, hypersalivation and he is finding it hard to breathe. On examination the patient appears sweaty and has flaccid paresis of his limb muscles.

ANSWERS

1. D

2. J

3. B

4. K

5. H