KROK 1 2023 – Question 21 · KROK (Medicine) · Pharmacology

A man was hospitalized with abdominal pain and profuse salivation, sweating, and tears. Examination detects miosis. The day before, he was treating plants with a solution of an insecticidal substance without wearing personal protective equipment. The substance that has caused the poisoning in this case belongs to:

  1. A. Copper salts
  2. B. Organochlorine compounds
  3. C. Anticholinesterase agents
  4. D. Nitrates
  5. E. Nicotinic cholinomimetics
Hint

Salivation, lacrimation, sweating, abdominal cramps and pinpoint pupils are signs of excessive cholinergic (muscarinic) stimulation; ask which type of agricultural poison, readily absorbed through the skin, produces this picture.

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