Question 1: A 20 year old female weighing about 55 kg is admitted to an emergency department having consumed 10 g of paracetamol (acetaminophen) together with alcohol, 6 hours earlier. A serum paracetamol level is reported as 400 micrograms/ml. Which one of the following is correct in this case ?
A) Gastric lavage is mandatory
B) Administration of activated charcoal
C) Abnormalities of kidney function are likely to be present
D) Hepatotoxicity is likely to occur
Answer:
D
Question 2: An unconscious man is brought into hospital suffering from methyl alcohol poisoning. All of the following are correct except ?
A) Kussmaul’s breathing could be expected to be a feature of the condition
B) Papilloedema would be consistent with this form of intoxication
C) His plasma bicarbonate might be very low
D) Methyl alcohol would be metabolized to acetaldehyde
Answer:
D
Question 3: A body is brought for autopsy with history of poisoning. On postmortem examination, there is dark brown postmortem staining and garlic odour in stomach. In this case the poisoning is most likely due to ?