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Question

Consider the following pairs :
Urine colourPossible causative agent in a child with suspected poisoning
1. Pink- Cephalosporin
2. Brown- Chloroquine
3. Greenish blue- Phenazopyridine
4. Red-orange- Amitriptyline
How many of the pairs given above are correctly matched ?

The correct answer is
Only two pairs

Urine Colour and Poisoning Agents: Matching Pairs

This question requires identifying correctly matched pairs between urine colour and potential causative agents in suspected poisoning cases.

Analysis of Matched Pairs

  • Pair 1: Pink - Cephalosporin
    Cephalosporins are known to potentially cause pink or reddish urine due to their metabolites. This pair is considered correctly matched.
  • Pair 2: Brown - Chloroquine
    An overdose of Chloroquine can lead to dark brown or reddish-brown urine. This pair is considered correctly matched.
  • Pair 3: Greenish blue - Phenazopyridine
    Phenazopyridine, a urinary analgesic, typically causes urine to turn bright orange to reddish-orange. Greenish blue is not a characteristic colour associated with this drug. This pair is incorrectly matched.
  • Pair 4: Red-orange - Amitriptyline
    Amitriptyline can cause urine discoloration, often noted as blue-green or sometimes pinkish-red. A distinct red-orange colour is not its typical presentation, especially when compared to drugs like Phenazopyridine. This pair is considered incorrectly matched.

Conclusion on Correct Matches

Based on the analysis, the correctly matched pairs are:

  • Pink - Cephalosporin
  • Brown - Chloroquine

Therefore, there are exactly two correctly matched pairs.

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Important Questions from Childhood Injuries and Poisoning

  1. A child presents to the emergency following ingestion of around 20 mL of kerosene oil about 40 minutes back. The child appears stable. Which one of the following measures should be done for the management of the child?
  2. In case of a child with an acute poisoning by ingestion, activated charcoal may be used in which one of the following situations?
  3. After sustaining a head injury, an 18 month old child displays eye opening only to pain, moans on painful stimuli and withdraws to painful stimuli. What is the modified Glasgow Coma Scale Score in this child ?
  4. An 8 year old child has consumed a few tablets of a drug that were being taken by his motheron a regular basis. Following this the child develops gastric necrosis, acidosis, shock and hepatic necrosis. Which is the most likely drug?

  5. In a child with acute organophosphorus poisoning, which one of the following drugs will act as anti-sialogogue and peripheral parasympatholytic agent?

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