EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND CORRECT ANSWERS GRADED A+
●● Opiates and opioids.
Answer: morphine, codeine, and heroin, methadone, oxycodone
hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma,
hypotension
●● sympathomimetics.
Answer: epinephrine, albuterol, cocaine, methamphetamine
hypertension, tachycardia, dilated pupils, agitation, seizures,
hyperthermia
●● sedative hypnotics.
Answer: diazepam, secobarbital, flunitrazepam, midazolam
slurred speech, sedation, coma, hypoventilation, hypotension
●● anticholinergics.
,Answer: atropine, diphenhydramine, chloropheniramine, doxylamine,
datura stramonium (jimsonweed)
tachycardia, hyperthermia, hypertension, dilated pupils, dry skin and
mucous membranes, sedation, agitation, seizures, coma, delirium,
decreased bowel sounds
●● cholinergics.
Answer: organophosphates, pilocarpine, nerve gas
airway compromise
SLUDGEM
●● SLUDGEM.
Answer: salivation, sweating
lacrimation
urination
defecation, drooling, diarrhea
,gastric upset and cramps
emesis
muscle twitching/miosis (pinpoint pupils)
●● miosis.
Answer: excessively constricted pupil, often bilateral after exposure to
nerve agents.
●● Inhaled poisons.
Answer: can cause hypoxia (CO), airway obstruction and pulmonary
edema (chlorine gas), burning eyes, sore throat, cough, chest pain,
hoarseness, wheezing, respiratory distress, dizziness, confusion,
headache, stridor, seizures, altered mental status,
treat by removing the patient from exposure and applying oxygen
some inhaled agents cause progressive lung damage and damage may
not be evident for several hours. It may take 2-3 days or more of ICU to
restore normal lung function.
, prompt transport, O2 via non rebreathing and possible positive pressure
ventilation if necessary. pulse oximetry readings may be inaccurate with
inhaled poisons. suction if necessary.
●● Absorbed and surface contact poisons.
Answer: corrosive substances will damage the skin, mucous membranes,
eyes, cause chemical burns, rashes, or lesions,.
acids/alkalis, petroleum (hydrocarbon) products are destructive to the
skin and external tissue.
distinguish between contact burns and contact absorption
history of exposure, liquid or powder on patient skin, burns, itching,
irritation, redness of skin, odors of substance.
avoid contaminating yourself and others
remove substance from the patient as fast as possible
remove all contaminated cothes
brush off dry powdery substances, flood/flush with water 15-20 minutes.
use soap.