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Forensic Medicine · Toxicology: copper sulphate
Sample itemA farmer swallows a blue crystalline substance used as a fungicide. He vomits blue-green material, has a metallic taste, and develops jaundice and dark urine from intravascular haemolysis. Which poison is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Copper sulphate
Copper sulphate causes blue-green vomit, a metallic taste, gastroenteritis, haemolysis, jaundice and renal failure. Potassium dichromate stains yellow-orange, arsenic gives rice-water diarrhoea and mercuric chloride causes metallic taste with bloody diarrhoea and renal failure. The blue-green vomit is the clue.
Option by option
A. Arsenic trioxide
Arsenic trioxide causes a profuse rice-water diarrhoea and garlic odour, not blue-green vomit.
B. Potassium dichromate
Potassium dichromate causes yellow-orange staining and corrosion.
C. Copper sulphate (correct)
Correct. Blue-green vomit with haemolysis points to copper sulphate.
D. Mercuric chloride
Mercuric chloride gives bloody diarrhoea and acute tubular necrosis without a blue-green colour.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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