All of the following are a treatment for cyanide poisoning except: a. 100% oxygen b. IV of Sodium Nitrate, thiosulfate c. Oxycodone d. Hydroxocobalamin
c. Oxycodone
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2
Which of the following is most likely to be an endocrine disruptor? a. DDT b. Arsenic c. Mercury d. Lead
a. DDT
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3
Which of the following is consistent with Cyanide poisoning? a. Odor of Garlic b. Pale venous blood c. Odor of bitter almonds d. Bradypnea
c. Odor of bitter almonds
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4
What is the cause of vibrio? a. Ingestion of raw or undercooked pork b. Ingestion of raw or undercooked seafood c. Ingestion of raw or undercooked beef d. Ingestion of sushi cooked
b. Ingestion of raw or undercooked seafood
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5
Which form of cyanide is the most toxic? a. Hydrogen Cyanide b. Blue Cyanide c. Plain Cyanide d. Chlorinated Cyanide
a. Hydrogen Cyanide
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6
Which of the following statements correctly describes red tides? a. Respiratory irritant and it is brevetoxin, algal bloom b. GI irritant to humans and is a red algal bloom c. Skin irritant and causes a rash d. All of the above
a. Respiratory irritant and it is brevetoxin, algal bloom
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7
All of the following are Chlorinated Hydrocarbon Insecticides, except? a. Benzene b. Lindane c. Paraquat d. Heptachlor
c. Paraquat
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8
What are the symptoms of cyanide poisoning? a. odor of bitter almonds b. Odor of garlic c. Odor of Lemon d. None of the above
a. odor of bitter almonds
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9
What do carbamate insecticides cause? a. porcelain dental fillings b. Neurotoxic and paralytic effects c. histotoxic hypoxia: high affinity for ferric iron; inhibits cytochrome c oxidase d. Inhibit breakdown of ACh by carbamyolation
d. Inhibit breakdown of ACh by carbamyolation
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10
What is the mechanism of Cyanide? a. Inhibit breakdown of AcH b. Inhibit breakdown of AcH by Carbomoylation c. Inhibits cytochrome C Oxidase in the ETC d. None of the above
c. Inhibits cytochrome C Oxidase in the ETC
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11
Which of the following is a carbmet insecticide? a. Benzene b. Lindane c. Carbaryl d. Heptachlor
c. Carbaryl
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12
Which of the following is an endocrine and reproductive disruptor? a. Chlorinated hydrocarbon insecticides b. Carbamet c. Organophosphorus pesticides d. None of the above
a. Chlorinated hydrocarbon insecticides
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13
What is the mechanism in which organophosphorus pesticides work? a. porcelain dental fillings b. Neurotoxic and paralytic effects c. histotoxic hypoxia: high affinity for ferric iron; inhibits cytochrome c oxidase d. Inhibit breakdown of ACh cholinesterase inhibitors
d. Inhibit breakdown of ACh cholinesterase inhibitors
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14
Nicotinic effects of organophosphorus pesticides include all of the following except? a. Pallor b. Mydriasis c. tachycardia d. Hypotension
d. Hypotension
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15
What can cyanide poisoning cause? a. porcelain dental fillings b. Neurotoxic and paralytic effects c. histotoxic hypoxia: high affinity for ferric iron; inhibits cytochrome c oxidase d. Inhibit breakdown of ACh cholinesterase inhibitors
c. histotoxic hypoxia: high affinity for ferric iron; inhibits cytochrome c oxidase
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16
Muscarinic effects of organophosphorus pesticides include all of the following except? a. Diaherra b. Emesis c. Weakness d. Miosis
c. Weakness
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17
What is Acrodynia? a. Acute mercury exposure b. Chronic Mercury Exposure c. Chronic Cyanide exposure d. Anemia
b. Chronic Mercury Exposure
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18
What is the mechanism of action ofr pesticides? a. Inhibit breakdown of AcH b. Inhibit breakdown of AcH by Carbomoylation c. Inhibits cytochrome C Oxidase
a. Inhibit breakdown of AcH
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19
All of the following are a cause of asbestos except: a. Insulation b. Burning Rubber Tires c. Fireproofing materials d. Brake Lining
b. Burning Rubber Tires
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20
Which of the following is Hemochromatatosis most prevalent in? a. Mediterranean Descent b. European Descent c. Middle eastern descent d. South American Descent
b. European Descent
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21
What is amnesic shellfish poisoning? a. Domoic Acid b. Okadaic Acid c. Saxitoxin d. Brevetoxin
a. Domoic Acid
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22
Which of the following is a vaccine preservative? a. Thimerosal b. Egg Yolk c. Mercury d. None of the above
a. Thimerosal
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23
What is paralytic shellfish poisoning? a. Domoic Acid b. Okadaic Acid c. Saxitoxin d. Brevetoxin
c. Saxitoxin
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24
What is the most common vaccine preservative? a. Ethylmercury b. Methylmercury c. Inorganic Mercury d. None of the above
a. Ethylmercury
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Where does amnesic shellfish poisoning occur? a. Hippocampus and temporal lobe b. Parietal and Frontal Lobe c. Medulla and Pons d. Hippocampus and Amygdala
d. Hippocampus and Amygdala
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26
Which of the following heavy metals causes burton's lines and metaphyseal bands seen on Xray and Tissues? a. Arsenic b. Lead c. Mercury d. Iron
b. Lead
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27
All of the following insects cause Hymenoptera except: a. Honeybees b. Ants c. Crickets d. Wasps and Hornets
c. Crickets
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28
What is the mechanism in which arsenic inhibits pyruvate dehydrogenase? a. Lipoic acid cofactor b. Decrease lactate c. Decrease potassium d. Increase thiamine
a. Lipoic acid cofactor
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29
What is Neurotoxic shellfish poisoning? a. Domoic Acid b. Okadaic Acid c. Saxitoxin d. Brevetoxin
d. Brevetoxin
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30
Which of the following heavy metal toxicities causes mad hatters, danbury/ hatter's shakes? a. Iron b. Mercury c. Arsenic d. Lead
b. Mercury
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31
What is Diarrheal shellfish poisoning? a. Domoic Acid b. Okadaic Acid c. Saxitoxin d. Brevetoxin
b. Okadaic Acid
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32
Which of the following causes rain drop pigmentation? a. Lead b. Mercury c. Arsenic d. Iron
c. Arsenic
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33
What does shellfish poisoning cause? a. porcelain dental fillings b. Neurotoxic and paralytic effects c. histotoxic hypoxia: high affinity for ferric iron; inhibits cytochrome c oxidase d. Inhibit breakdown of ACh cholinesterase inhibitors
b. Neurotoxic and paralytic effects
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34
What is the most common source of mercury? a. Ethylmercury b. Methylmercury c. Inorganic Mercury d. None of the above
b. Methylmercury
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35
Which of the following characteristics makes CO particularly dangerous? a. it acts like a headache b. its very irritating to the lungs c. it causes extremely high fever d. it has an overpowering odor
a. it acts like a headache
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36
Which of the following causes chest pain, pneumonitis nausea, vomiting, metallic taste? a. Mercury b. Lead c. Arsenic d. Iron
a. Mercury
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37
Parrot fever is also known as which of the following? a. bird fancier's lung b. psittacosis c. pigeon breeder's lung d. farmer's lung
b. psittacosis
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38
Which of the following heavy metals inhibits the pyruvate dehydrogenase and uncouples of oxidative phosphorylation? a. Arsenic b. Lead c. Mercury d. Iron
a. Arsenic
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39
WOTF refers to inhaling hydrocarbons using a saturated rag? a. Whip-it b. Bagging c. Sniffing d. huffing
d. huffing
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40
Which of the following heavy metals crosses the blood brain barrier and placenta and deposits in the bones? a. Arsenic b. Lead c. Mercury d. Iron
b. Lead
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41
Which of the following is most likely to bioaccumulate in fish(shark)? a. Mercury b. Lead c. Dioxins d. herbicides
a. Mercury
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42
Which of the following inhibits myelin formation? a. Arsenic b. Lead c. Mercury d. Iron
c. Mercury
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43
Which of the following is found is some vaccines? a. Mercury b. Arsenic c. Lead d. carbamates
a. Mercury
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44
What is the oldest occupational toxicity? a. Arsenic b. Lead c. Mercury d. Iron
b. Lead
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45
Electricity production plants are the most common sources of which of the following? a. NO2 b. CO c. SO2 d. O3 (ozone)
c. SO2
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46
Which of the following inhibits selenoenzymes and increases oxidative damage in the CNS? a. Lead b. Arsenic c. Mercury d. Iron
c. Mercury
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47
Silo filler's disease results from exposure to which of the following? a. NO2 b. CO c. SO2 d. O3 (ozone)
a. NO2
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48
What is the main source of arsenic poisoning? a. Water b. Lithium Batteries c. Ammunition d. Garlic
a. Water
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49
Which of the following is characterized by cherry-red skin and mucous membrane? a. NO2 b. CO c. SO2 d. O3 (ozone)
b. CO
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50
Which of the following is a treatment for heavy metal toxicity? a. Carotenoids & dimercaprol b. Flavonoids & succimer c. Dimercaprol & succimer d. None of the above
c. Dimercaprol & succimer
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51
Coal miners are susceptible to which of the following diseases? a. anthracosis b. pneumonitis c. silicosis d. asbestosis
a. anthracosis
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52
Which of the following causes Acrodynia in kids? a. Mercury b. Lead c. Arsenic d. Iron
a. Mercury
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53
Aldrige-Mee's Lines are characteristic of poisoning by which of the following? a. arsenic b. cyanide c. lead d. mercury
a. arsenic
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54
Which of the following heavy metal poisoning causes basophilic stippling? a. Arsenic b. Iron c. Lead d. Mercury
c. Lead
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55
Wrist drop, foot drop, and paraesthesias are characteristic of which of the following? a. Arsenic b. Organophosphorus pesticides c. Lead d. mercury
c. Lead
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56
Which of the following toxicities cause rice water stools and aldrich- Mees lines? a. Arsenic b. Lead c. Mercury d. Iron
a. Arsenic
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57
Hyperkeratosis is a symptom of poisoning by which of the following? a. Lead b. Carbamates c. Mercury d. Arsenic
d. Arsenic
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58
Which is the oldest occupation causing lead toxicity? a. Pottery b. Construction c. Painting d. Coal Mining
c. Painting
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59
The symptom complex characterized by psychopathology, social phobia, delirium, hallucinations, and tremors (especially evident in handwriting) is associated with which of the following? a. paraquat poisoning b. oranophosophate poisoning c. Mad Hatter's disease d. Carbament poisoning
c. Mad Hatter's disease
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60
All of the following supplements helps heavy metal detoxification, except? a. Glutathione b. Milk Thistle c. Vitamin B d. Lipoic acid
c. Vitamin B
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61
All of the following are true of "bad ozone" EXCEPT? a. specific treatment exists b. it is present in smog c. it is also referred to as ground ozone d. it exacerbates pre-existing lung conditions
a. specific treatment exists
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62
What toxin does the pufferfish carry? a. Ciguatera b. Botulism c. Hydrogen Cyanide d. Tetrodotoxin
d. Tetrodotoxin
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63
Bright red venous blood and an order of bitter almonds is characteristic of poisoning by which of the following? a. Arsenic b. Mercury c. CO d. cyanide
d. cyanide
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64
Which of the following is a cause of Scrombroid? a. Improper storage (Freezing) b. Eating fish c. Eating fish intestines d. Ingestion of shellfish
a. Improper storage (Freezing)
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65
Pneumonitis caused by exposure to by-products and spores (micropolyspora) related to sugar cane processing is which of the following? a. Ornithosis b. Farmer's lung c. Bagassosis d. psittacosis
c. Bagassosis
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66
All of the following fish carry Scrombroid except: a. Tuna b. Mackerel c. Seabass d. Marlin
c. Seabass
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67
Which of the following is known as the "great imitator" because its symptom complex? a. NO b. CO c. SO2 d. O3 (ozone)
b. CO
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68
All of the following fish carry ciguatera except: a. Reef fish b. Seabass c. Grouper d. Tilapia
d. Tilapia
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69
Which of the following contains cyanide? a. Grapes b. Almonds c. Grapefruit d. Shrimp
b. Almonds
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70
Which of the following is associated with the cheese effect? a. MAOIs b. Cytochromes c. COX d. NSAIDs
a. MAOIs
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71
Hydroglaia is caused by exposure to which of the following? a. Arsenic b. Hg c. Paraquat d. Lead
b. Hg
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72
All of the following are psychomotor stimulants except? a. Krokodil b. Nicotine c. Methylxanthines d. MDMA
a. Krokodil
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73
All of the following are sources of mercury except? a. non-digital thermometers b. some vaccine preservatives c. porcelain dental fillings d. some topical antiseptics
c. porcelain dental fillings
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74
Synesthesia would most likely be characteristics of which of the following? a. Peyote b. MDMA c. Desomorphine d. Cocaine
a. Peyote
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75
Rice water stools and garlicky breath are characteristic of poisoning by which of the following? a. Arsenic b. Mercury c. lead d. Cyanide
a. Arsenic
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76
A majority of venomous snakebites in the US occur in which of the following populations? a. accidental home encounters (gardening, cleaning, ect.) b. outdoor enthusiasts (hikers, campers, ect.) c. intoxicated males d. kids accidentally handling snakes
c. intoxicated males
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77
WOTF accumulates in bones and is evident in the metaphyseal endplates when viewed on plane film x-ray? a. Arsenic b. Mercury c. Lead d. Asbestos
c. Lead
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78
Which of the following is the only neurotoxic snake in Florida? a. pigmy rattlesnake b. Coral snake c. Diamondback d. Cottonmouth/ water moccasin
b. Coral snake
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79
Which of the following is the main cause of death in acute organophosphorus poisoning? a. dehydration from diarrhea, polyuria, emesis b. diaphragmatic failure c. tachycardia and hypertension d. Diaphoresis
b. diaphragmatic failure
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80
Which of the following is a major side effect of Oxycodone? a. acid reflux b. parasthesia c. paranoia d. Constipation
d. Constipation
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81
Lead and mercury can both be chelated from the body by which of the following? a. EDTA b. Dimercaprol c. Alpha lipoic acid d. Vitamin B12
b. Dimercaprol
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82
What are the 3 categories of Mercury? a. Organic, Elemental, Synthetic b. Organic, Inorganic, & Elemental c. Toxic, Nontoxic, Mildly Toxic d. Organic, Inorganic, Toxic
b. Organic, Inorganic, & Elemental
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83
Muscarinic effects of organophosphorus pesticides include all of the following except? a. Urination b. Salivation c. cramping d. Lacrimation
c. cramping
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84
Which of the following inhibit selenoenzymes, increase oxidative damage to the CNS, and inhibit myelin formation? a. Mercury b. Carbamet c. Lithium d. Cholinesterase inhibitors
a. Mercury
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85
Nicotinic effects of organophosphorus pesticides include all of the following except? a. muscle fasciculation b. hypertension c. tachycardia d. Tachypnea
d. Tachypnea
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86
Which of the following is not an example of an insecticide? a. carbaryl b. parathion c. atropine d. DDT
c. atropine
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87
Which of the following is one of the main antidotes for oragnophosphosphates? a. Flumazenil b. Oxygen c. Pralidoxine (2-PAM) d. Ethanol
c. Pralidoxine (2-PAM)
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88
Which of the following reverses all muscarinic effects? a. Pralidoxime b. diazepam c. sarin d. Atropine
d. Atropine
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89
Which of the following is one of the main antidotes for oragnophosphosphates? a. Flumazenil b. Oxygen c. Atropine d. Ethanol
c. Atropine
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90
Sarin and Soman are examples of which of the following? a. mercury gas b. nerve gas c. smog d. laughing gas
b. nerve gas
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91
Burton's lines & basophilic stippling of nucleated RBC are characteristic of poisoning by which of the following? a. Arsenic b. Cyanide c. Lead d. Mercury
c. Lead
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92
Which of the following is the most common hypersensitivity Pneumonitis? a. Parrot Fever b. Farmers Lung c. Bird Fancier's Lung d. Bagassosis
c. Bird Fancier's Lung
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93
Arsenic poisoning works by which of the following actions? a. Inhibits Cytochrome Oxidase b. Inhibits Pyruvate Dehydrogenase c. Inhibits Selenoenzymes d. Inhibits Cytochrome C Oxidase
b. Inhibits Pyruvate Dehydrogenase
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94
Which of the following combines with hemoglobin to form carboxyhemoglobin? a. O3 b. Nitrogen dioxide c. CO d. Sulfur dioxide
c. CO
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95
Hydrargyria, and Erethism are all names for which of the following? a. Chronic Arsenic Poisoning b. Chronic Organophosphorus Poisoning c. Chronic Cyanide Posioning d. Chronic mercury poisoning
d. Chronic mercury poisoning
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96
Which of the following refers to any lung disease caused by permanent deposition in substantial amounts of particulate matter in the lungs? a. COPD b. Pneumoconiosis c. Pneumonitis d. Pneumonia
b. Pneumoconiosis
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97
Methylmurcury is found in AOTF EXCEPT? a. shark b. almonds c. swordfish d. Tilefish
b. almonds
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98
Mesothelioma is cancer caused by which of the following? a. Asbestos b. Silicates c. Bird droppings d. Fungus
a. Asbestos
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99
Ethylmercury is found in WOTF? a. Antiseptics b. Tuna c. Almonds d. Sharks
a. Antiseptics
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100
Exposure to moldy hay or other crops can cause which of the following? a. Ornithosis b. Farmer's lung c. bagassosis d. Psittacosis