Skin signs of Poisoning (3 MCQs) 18/04/24
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1) A 25-year-old man who worked in a semiconductor manufacturing plant developed mild, persistent abdominal pain with intermittent severe pain and constipation. Three days after the initial painful episode, his hair started to fall out (shown), 2 days later, he was completely bald. One month later, he felt pain and tingling in his hands and feet and developed difficulty speaking, blurred vision, and trouble walking. He was hospitalized; 2 weeks later, he became comatose. Which of the following was responsible for his signs/symptoms? *
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2) A 35-year-old male presents to the emergency room with complaints of severe abdominal pain, vomiting, and diarrhoea. Upon further investigation, it is revealed that the patient works in a chemical laboratory and handles various heavy metals regularly. His symptoms worsen rapidly, with development of neurological symptoms including muscle weakness and paralysis. Laboratory tests reveal a high anion gap metabolic acidosis. Which of the following heavy metals is most likely responsible for his symptoms?
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3)  A 28-year-old female presents to the emergency department with complaints of sudden onset of hair loss, visual disturbances, and abdominal pain. She reports no significant medical history but mentions a recent conflict with her neighbour. On further questioning, she admits to consuming food items prepared by the neighbour as a peace offering. Physical examination reveals alopecia and areas of hyperpigmentation on her skin. Which of the following heavy metals is most likely responsible for her symptoms? *
1 point
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