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Forensic Medicine · Toxicology
Sample itemA man who swallowed a disinfectant has white corrosive burns around the lips and mouth. His urine turns dark green on standing. Which poison is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Carbolic acid (phenol)
Phenol causes white, painless corrosive burns and systemic CNS depression. It is excreted as oxidised metabolites that turn the urine dark green or olive (carboluria).
Option by option
A. Oxalic acid
Oxalic acid causes hypocalcaemia and renal injury with crystals.
B. Carbolic acid (phenol) (correct)
White burns with olive-green urine are characteristic of phenol.
C. Organophosphate
Organophosphate poisoning causes cholinergic features without corrosive burns.
D. Sulphuric acid
Sulphuric acid causes black charred burns.
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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