AMLS Toxicological Emergencies 2

Question 1

Which toxin causes a 'sympathomimetic toxidrome' with hyperthermia, tachycardia, hypertension, and agitation?

Accepted Answer

Cocaine or amphetamines

Answer

Benzodiazepines

Answer

Opioids

Answer

Beta-blockers

Question 2

What is the treatment for organophosphate poisoning causing SLUDGE symptoms?

Accepted Answer

Atropine and pralidoxime (2-PAM)

Answer

Naloxone and activated charcoal

Answer

Physostigmine and benzodiazepines

Answer

Flumazenil and oxygen

Question 3

Carbon monoxide poisoning should be treated with which intervention?

Accepted Answer

100% oxygen via non-rebreather mask or hyperbaric oxygen

Answer

Supplemental oxygen via nasal cannula only

Answer

Bronchodilators and corticosteroids

Answer

Naloxone and sodium bicarbonate

Question 4

A widened QRS complex and sodium channel blockade are hallmarks of toxicity from which drug class?

Accepted Answer

Tricyclic antidepressants (TCAs)

Answer

Selective serotonin reuptake inhibitors

Answer

Beta-blockers

Answer

Opioids

Question 5

Which treatment reverses the QRS widening caused by TCA overdose?

Accepted Answer

Sodium bicarbonate IV bolus

Answer

Magnesium sulfate IV

Answer

Calcium gluconate IV

Answer

Activated charcoal only

Question 6

Serotonin syndrome is caused by excessive serotonergic activity and presents with which triad?

Accepted Answer

Mental status change, neuromuscular abnormalities, and autonomic instability

Answer

Miosis, bradycardia, and respiratory depression

Answer

Hyperthermia, rigidity, and rhabdomyolysis

Answer

Fever, altered mentation, and diaphoresis only