ABEM Medical Tox Practice Questions - ABEM Medical Toxicology Subspecialty Certification Exam - ABEM Medical Tox Practice Questions - ABEM Medical Toxicology Subspecialty Certification Exam

Question 1

A 24-year-old is brought in altered, flushed, with dry mucous membranes, mydriasis, urinary retention, and a temperature of 39.2°C. Bowel sounds are diminished. Which toxidrome is most likely?

Anticholinergic Cholinergic Sympathomimetic Opioid

Correct Answer:

Anticholinergic

Question 2

A farmer is found confused and diaphoretic with pinpoint pupils, copious oral secretions, bronchospasm, urinary incontinence, and fasciculations. Which exposure best explains this presentation?

Organophosphate insecticide Diphenhydramine Heroin Cocaine

Correct Answer:

Organophosphate insecticide

Question 3

Which feature most reliably distinguishes serotonin syndrome from neuroleptic malignant syndrome (NMS)?

Inducible or spontaneous clonus, especially lower-extremity, with rapid onset (hours) Fever above 40°C Leukocytosis Elevated creatine kinase

Correct Answer:

Inducible or spontaneous clonus, especially lower-extremity, with rapid onset (hours)

Question 4

A patient presents 6 hours after a single acute acetaminophen ingestion with a 4-hour-equivalent serum acetaminophen level of 160 mcg/mL. According to the Rumack-Matthew nomogram, which is correct?

The level is above the 150 mcg/mL treatment line at 4 hours — start N-acetylcysteine The level is below the treatment line — observe without NAC Nomogram is invalid; treat empirically only if LFTs elevated Start hemodialysis immediately

Correct Answer:

The level is above the 150 mcg/mL treatment line at 4 hours — start N-acetylcysteine

Question 5

Which IV N-acetylcysteine regimen corresponds to the standard 21-hour Prescott protocol?

150 mg/kg over 1 hour, then 50 mg/kg over 4 hours, then 100 mg/kg over 16 hours 140 mg/kg loading, then 70 mg/kg every 4 hours for 17 doses 150 mg/kg bolus, then 150 mg/kg continuous over 24 hours 100 mg/kg over 2 hours, then 200 mg/kg over 10 hours

Correct Answer:

150 mg/kg over 1 hour, then 50 mg/kg over 4 hours, then 100 mg/kg over 16 hours

Question 1

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About this Exam

Prepare with the ABEM Medical Tox Practice Questions - ABEM Medical Toxicology Subspecialty Certification Exam practice quiz. This question bank includes 100 questions covering patient, presents, level, therapy, and ingestion. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABEM Medical Tox Practice Questions - ABEM Medical Toxicology Subspecialty Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, presents, level, therapy, and ingestion. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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ABEM Medical Tox Practice Questions - ABEM Medical Toxicology Subspecialty Certification Exam

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