Pathology EMQ template.

Name: Clare Delany: used in mock exam.

Theme: Poisoning - treatments

Theme 6: Chem path: Poisoning – treatments (Clare Delaney)

OPTION LIST

A	Activated charcoal	I	N-acetylcysteine
B	Atropine	J	Naloxone
C	Desferrioxamine	K	Symptomatic and Supportive treatment
D	Dicobalt edentate	L
E	Gastric lavage	M
F	Glucagon	N
G	Haemodialysis	O
H	Hyperbaric oxygen	P

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

1. A 30 year old farmer presents to casualty complaining of diarrhoea and painful mouth ulcers. On questioning he admitted accidentally ingesting liquid malathion (an organophosphorus insecticide) the day before.

2. A 15 year old girl presents with sweats and hyperventilation indicative of a severe metabolic acidosis after taking a large number of salicylate tablets

3. A 26 year old woman collapses after a massive overdose of atenolol. She remains in cardiogenic shock despite initial treatment with IV atropine

4. A pregnant 30 year old woman is found drowsy in her rented flat. She complains of severe nausea for the last 3 hours. Her carboxyhaemoglobin level is 41%.

5. A 25 year old man is delirious and hyperpyrexial after taking a pill in a club. He is hyperreflexic and is hyponatraemic

ANSWERS

1. B

2. G

3. F

4. H

5. K