SAQ Stack : Toxicology & Toxinology
Short Answer Questions for ED Fellowship Study
Paracetamol overdose
An 18-year-old woman presents following an overdose of paracetamol. Initial concentration is 660 µmol/L.
Polypharmacy overdose
A 25yr old female is brought into the resuscitation area 4 hours after a polypharmacy overdose of: Quetiapine IR 60 …
Reduced conscious state and impaired practitioner
An unidentified 40-year-old man is brought in with reduced conscious state after collapsing at a party. His vital signs on …
Ethylene glycol poisoning
A 25-year-old female (70 kg) presents after being unconscious by a friend. A suicide letter was found by her friend …
Potassium permanganate ingestion
A 64-year-old man presents after ingesting potassium permanganate crystals as a home remedy for leg cramps.
Methanol poisoning
A 31-year-old man presents with vertigo and blurred vision after ingesting home-distilled alcohol. He initially had vomiting and abdominal pain …
Loperamide misuse and long QT
A young man presents with palpitations after chronic loperamide misuse (400–600 mg/day). An ECG is performed.
Paediatric calcium channel blocker ingestion
A 4-year-old girl presents after ingesting an unknown amount of her grandmother’s diltiazem.
Hyperthermia and seizure after club drug use
A 25-year-old woman is brought to ED after a self-terminating seizure at a nightclub. Collateral history suggests recreational drug use. …
Hydrofluoric acid burn
A 42-year-old man presents to your emergency department at midnight with a history of gradually increasing pain to the fingertips …
Paediatric cardiac arrest from box jellyfish envenomation
You are working at a regional hospital in a coastal city in northern Australia. You are pre-alerted that the ambulance …
Aspirin ingestion
A 21-year-old woman with a longstanding history of borderline personality disorder is brought in by ambulance 2 hours after deliberate …
Venlafaxine ingestion
A 25-year-old man with a history of depression and anxiety is BIBA, 3 hours after taking a deliberate overdose of …
Webster pack overdose
A 75-year-old male with mild dementia is BIBA after accidentally taking 2 days’ worth of his Webster pack 3 hours …
Funnel-web spider bite
You are the day consultant in a large regional ED on the east coast of NSW. You have received notice …
Button battery ingestion
A mother brings in her 2-year-old son who she suspects may have swallowed a buton batery sometime over the last …
Webster pack overdose
A 75-year-old male with mild dementia is BIBA after accidentally taking 2 days’ worth of his Webster pack 3 hours …
Liquid paracetamol ingestion
A 3-year-old boy is brought in by his mother after ingesting an unknown quantity of liquid paracetamol. He had been …
LL Weakness
A 25-year-old overseas student presented to ED with 4/7 history of lower limb weakness, She is otherwise well with no …
Collapse after playing in a rock pool
A 10-year-old boy collapses on the beach in Queensland a er playing in a small rock pool. He had been …
Valproate toxicity
A 29-year-old woman with a history of epilepsy, presents a er inges ng 90 tablets x 200mg of sodium valproate. …
Hydrofluoric acid
A 27-year-old male has presented to the Emergency Department complaining of severe pain in his right hand involving the palmar …
Lithium overdose
A 55-year-old woman with a long history of bipolar disorder, presents 2 hours after ingesting 4 weeks’ worth of lithium …