Nokea
Which of the following is the antidote for lead poisoning?
- A. Naloxone
- B. Nitrite
- C. CaEDTA
- D. Dialysis
Correct Answer: C
Rationale: The correct answer is C: CaEDTA. Calcium disodium ethylenediaminetetraacetic acid (CaEDTA) is a chelating agent used to treat lead poisoning by binding to lead ions in the bloodstream and enhancing their excretion through urine. It forms stable complexes with lead, reducing its toxicity. Naloxone (A) is an opioid receptor antagonist, used to reverse opioid overdose. Nitrite (B) is used in cyanide poisoning. Dialysis (D) is not effective in removing lead from the body as lead is not effectively dialyzable.
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Which of the following is considered a class IA Sodium Channel blocker?
- A. Mexiletine
- B. Amiodarone
- C. Quinidine
- D. Procainamide
Correct Answer: D
Rationale: The correct answer is D: Procainamide. Procainamide is a class IA antiarrhythmic drug that blocks sodium channels, prolonging the action potential duration. This helps to stabilize the heart's rhythm. Mexiletine (A) is a class IB antiarrhythmic drug that blocks sodium channels with fast recovery kinetics. Amiodarone (B) is a class III antiarrhythmic drug that prolongs repolarization by blocking potassium channels. Quinidine (C) is a class IA antiarrhythmic drug that also blocks sodium channels, but it is not a class IB sodium channel blocker like Procainamide.
What is the antidote for copper toxicity?
- A. Glucagon
- B. Aminocaproic acid
- C. Atropine
- D. Penicillamine
Correct Answer: D
Rationale: The correct answer is D: Penicillamine. Penicillamine is a chelating agent that binds to copper and forms a complex that can be excreted from the body, making it an effective antidote for copper toxicity. Glucagon (A) is used for treating hypoglycemia, aminocaproic acid (B) is used to treat excessive bleeding, and atropine (C) is used to treat bradycardia and organophosphate poisoning, none of which are related to copper toxicity.
Which of the following is the antidote for Heparin toxicity?
- A. Protamine
- B. Methylene blue
- C. N-acetylcysteine
- D. Glucagon
Correct Answer: A
Rationale: Protamine is the antidote for Heparin toxicity because it binds to Heparin and forms a stable complex, neutralizing its anticoagulant effects. Protamine sulfate is positively charged, while Heparin is negatively charged, allowing them to bind effectively. Methylene blue is used to treat methemoglobinemia, not Heparin toxicity. N-acetylcysteine is used for acetaminophen overdose, and Glucagon is used for beta-blocker overdose.
Which of the following is the antidote for benzodiazepine toxicity?
- A. Flumazenil
- B. Methylene blue
- C. Deferoxamine
- D. Alkalinize urine
Correct Answer: A
Rationale: The correct answer is A: Flumazenil. Flumazenil is a specific benzodiazepine receptor antagonist that can reverse the effects of benzodiazepine toxicity by competitively inhibiting the binding of benzodiazepines to their receptors. It works by reversing the sedative and respiratory depressant effects of benzodiazepines. Methylene blue (B) is used to treat methemoglobinemia, not benzodiazepine toxicity. Deferoxamine (C) is used for iron toxicity. Alkalinizing urine (D) is used to enhance the excretion of weak acids in the urine, not for benzodiazepine toxicity.
A drug ending in the suffix (pril) is considered a ______.
- A. H
- B. ACE inhibitor
- C. Antifungal
- D. Beta agonist
Correct Answer: B
Rationale: The correct answer is B: ACE inhibitor. Drugs ending in the suffix (-pril) typically refer to ACE inhibitors, which are commonly used to treat hypertension and heart failure by inhibiting the angiotensin-converting enzyme. ACE inhibitors do not belong to the categories mentioned in the other choices. Choice A (H) is vague and does not provide any relevant information. Choice C (Antifungal) is incorrect as drugs ending in (-pril) are not typically used to treat fungal infections. Choice D (Beta agonist) is also incorrect as drugs ending in (-pril) do not belong to the class of beta agonists, which are used to treat conditions like asthma and COPD.