Which Test is this for: 

Name          
License #       
Cert #          
Date            
Employer    

E-mail Address (Required for CE)    

Delayed Onset Poisoning Syndromes

Post-Test (2.0 CE hours, EMT-B, EMT-P, & MICN)  

1. Which TWO of the following drug dosage forms can contribute to delayed onset toxicity in overdose?

a.       Capsules, tablets
b.     
Liquids, capsules & tablets
c.      
enteric coating, sustained release
d.     
all of the above  

2.   Which organ is damaged 3 to 4 days following an untreated acetaminophen overdose?

a.       brain
b.     
heart
c.      
liver
d.     
spleen  

3. Approximately what dose of acetaminophen is sufficient to cause toxicity if left untreated?

a.       50 mg/kg
b.     
100 mg/kg
c.      
140 mg/kg  

4. The danger in oral hypoglycemic drug overdoses are:

a.       degree of hypoglycemia
b.     
recurrence of hypoglycemia after field treatment
c.      
delay on onset of hypoglycemia after ingestion
d.     
all of the above  

5.   Very early symptoms of a significant iron ingestion are:

a.       nausea, vomiting, abdominal pain
b.     
altered level of consciousness
c.      
muscle weakness
d.     
chest pain

6. One sign that may help to distinguish anticholinergic effects of TCA overdose from hyperadrenergic effects of an MAOI overdose is:

a.       tachycardia
b.     
altered mental status
c.      
hyperthermia
d.     
dry skin (absence of sweating)

7. Characteristics which make hydrofluoric acid burns more serious than other acid burns are:

a.       deeper penetration & burn depth
b.     
concentration-dependent delay in pain onset
c.      
systemic toxicity of fluoride
d.     
all of the above

8. Acetonitrile and methanol cause delayed onset toxicity due to:

a.       end products of metabolism
b.     
direct toxicity of the unmetabolized chemical
c.      
delayed absorption

And for the paramedics and MICN's among you ………

9. Sodium bicarbonate may be helpful in treating wide complex tachycardia resulting from overdose of:

a.       Cocaine & tricyclic antidepressants
b.     
Calcium channel blockers
c.      
monoamine oxidase inhibitors
d.     
oral hypoglycemic drugs

10. The pediatric (<2 years old) dose of glucose for marked hypoglycemia resulting from an oral hypoglycemic drug ingestion is:


a.       25 gm of D50W
b.     
1 ml/kg of D50W
c.      
2 ml/kg of D25W