ENPC Toxicological Emergencies

Question 1

Which antidote is indicated for acetaminophen toxicity in pediatric patients?

Accepted Answer

N-acetylcysteine (NAC)

Answer

Naloxone

Answer

Flumazenil

Answer

Atropine

Question 2

A 4-year-old presents with miosis, bradycardia, excessive secretions, and bronchospasm after pesticide exposure. Which toxidrome does this represent?

Accepted Answer

Cholinergic

Answer

Sympathomimetic

Answer

Anticholinergic

Answer

Opioid

Question 3

What is the first-line antidote for opioid-induced respiratory depression in a pediatric patient?

Accepted Answer

Naloxone

Answer

Atropine

Answer

Flumazenil

Answer

Activated charcoal

Question 4

Which GI decontamination method is MOST appropriate for an alert 2-year-old who ingested an unknown substance 30 minutes ago?

Accepted Answer

Activated charcoal

Answer

Ipecac syrup

Answer

Gastric lavage

Answer

Whole bowel irrigation

Question 5

A teenager presents with hyperthermia, tachycardia, hypertension, agitation, and dilated pupils. Which toxidrome is most likely?

Accepted Answer

Sympathomimetic toxidrome

Answer

Opioid toxidrome

Answer

Cholinergic toxidrome

Answer

Sedative-hypnotic toxidrome

Question 6

Which clinical finding best indicates severe acetaminophen hepatotoxicity rather than early ingestion effects?

Accepted Answer

Markedly elevated transaminases with coagulopathy

Answer

Nausea and vomiting

Answer

Right upper quadrant pain

Answer

Mild tachycardia

Question 7

What is the appropriate dose of activated charcoal for a pediatric patient weighing 20 kg?

Accepted Answer

20 grams

Answer

5 grams

Answer

10 grams

Answer

50 grams