Drugs of Abuse
Pesticide Poisoning
General
Miscellaneous
Miscellaneous
100
A person was brought by police from the railway platform. He is talking irrelevant. He has dry mouth with hot skin, dilated pupils, staggering gait and slurred speech. The most probable diagnosis is: a. Alcohol intoxication b. Carbamates poisoning c. Organophosphorous poisoning d. Dhatura Plant (Atropine) poisoning
d. Dhatura poisoning
100
Phosphine liberated in the stomach in aluminum phosphide poisoning is toxic to all except: a. Lungs b. Kidneys c. Liver d. Heart
b. Kidneys
100
Which of the following is the most significant indicator for the degree of poisoning? a. Age of Person b. Route of Exposure c. Dose of the substance d. Form of the substance e. C and D
e. Dose of the substance
100
In paracetamol poisoning which of the following is TRUE: a) There are theoretical advantages to giving the antidote at 2 hours post ingestion b) Toxicity is less likely in children than adults c) The initial dose of N‑acetylcysteine is given over 5 minutes d) N‑acetylcysteine is not indicated more than 20 hours post ingestion e) Activated charcoal is not used more than 1 hour after ingestion
b) Toxicity is less likely in children than adults
100
All of the following statements concerning decontamination of the poisoned patient are TRUE, EXCEPT A. Ipecac syrup continues to be a front-line tool in home management of poisoning. B. Gastric lavage is of very limited utility C. Current superactivated charcoal has 3 times the absorptive area of older preparations. D. Cathartics may cause electrolyte derangements and dehydration. E. Whole bowel irrigation is a highly effective method for dealing with body “packers” or “stuffers” and overdoses with enteric-coated or sustained release medications.
A. Ipecac syrup continues to be a front-line tool in home management of poisoning.
200
Regarding methanol poisoning Assertion: Administration of ethanol is one of the treatment modalities Reason: Ethanol competes with alcohol dehydrogenase Please select the most correct option from the following: a. Both assertion and reason are true, and the reason is the correct explanation for the assertion b. Both assertion and reason are true, and the reason is not the correct explanation for the assertion c. Assertion is true, but the reason is false d. Assertion is false, but the reason is true
a. Both assertion and reason are true, and the reason is the correct explanation for the assertion
200
A housewife ingests a rodenticide white powder accidentally. She is brought to hospital where the examination shows generalized, flaccid paralysis and an irregular pulse. Electrocardiogram shows multiple ventricular ectopics, generalized changes with ST-T. Serum potassium is 2.5 mEq/L. The most likely ingested poison is: a. Barium carbonate b. Super warfarin c. Zinc phosphide d. Aluminum phosphide
a. Barium carbonate
200
Which of the following Corrosives can produce both Local and systemic effects? a. HCL b. H2SO4 c. Oxalic acid d. All of the above
c. Oxalic acid
200
The maintenance dose of Naloxone in opiate poisoning is: a) 1/2 of the bolus dose b) 3/4 of the bolus dose c) 1/3 of the bolus dose d) 2/3 of the bolus dose
d) 2/3 of the bolus dose
200
The best predictor of serious toxicity in TCA poisoning is: a) Drug plasma levels b) GCS less than 8 c) Estimates of ingested drug dose d) Rightward deviation of the QRS vector e) QRS duration of >100msec
e ) QRS duration of >100msec
300
All of the following are treatment options for toxic alcohol poisoning except: a. Fomepizole b. Hydroxycobalamin c. Thiamine d. Folic acid e. Pyridoxine
b. Hydroxycobalamin
300
Methanol ingestion causes toxicity to this part of the body (as well as causing an anion gap metabolic acidosis)
a) Brain b) Eye c) Liver d) Kideny E) Lung
300
A Patient with bradycardia or tachycardia, small pupils, incontinence, diarrhea, hypersalivation, bronchorrhea.....identify the toxidrome a) Sympathomimetic b) Anticholinergic c) Opiate d) Cholinergic
d) Cholinergic
300
Which is FALSE regarding salicylate poisoning? a)At pH 7.4 salicylic acid is in the unionized form b)Patients are often hyperthermic c)When alkalinizing the urine, serum K+ replacement may be required d)Haemodialysis is of benefit e)A serum salicylate level of 2.0 at 6 hours is sufficient for medical discharge
e) A serum salicilate level of 2.0 at 6 hours is sufficient for medical discharge
300
Patient with shallow respirations, bradycardia, ALOC and marked miosis....identify the toxidrome a) Sympathomimetic b) Anticholinergic c) Opiate d) Cholinergic
c) Opiate
400
Ecstasy toxicity causes a. Hypereflexia b. Trismus c. Dilated pupils d. Visual hallucinations e. All of the above
e. All of the above
400
You continue to administer Atropine in cases of organophosphate or carbamate poisoning suffering from all of the following conditions EXCEPT: a) Bronchorhea b) Bradycardia c) Miosis D)Bronchoconstiction
c) Miosis
400
In a child who definately ingested some household dishwashing powder your treatment would consist of? a) Inserting a NGT and aspirating stomach contents b) Giving ipecac c) Giving the child 150 ml of water to drink d) Admitting for observation e) Urgent gastroscopy regardless of the time of day or night
C) giving the child 150 ml of water to drink
400
With regards to alcohols which is false? a)Methanol causes snow storm vision in severe intoxication b)Ingestion of both methanol and ethylene glycol causes a metabolic acidosis with an increased anion gap and an increased osmolar gap c) Neither methanol or ethylene glycol are absorbed through the skin d)You might expect to find oxalate crystals in the urine of a pt who had ethylene glycol e)Methanol is not found in Australian methylated spirits
c) Neither methanol or ethylene glycol are absorbed through the skin
400
Patient with hypertension, tachycardia, agitation, dilated pupils, diaphoresis.........Identify the toxidrome a) Sympathomimetic b) Anticholinergic c) Opiate d) Cholinergic
a) Sympathomimetic
500
Hyperthermia in a patient of poisoning is a pointer to all of the following except a. Ecstasy b. Selective serotonin reuptake inhibitor c. Salicylates d. Chlorpromazine
d. Chlorpromazine
500
With regards to organophosphates and carbamates which is FALSE: a) Both inactivate acetyl cholinesterase b) Both cause an acute cholinergic syndrome c) Both respond to treatment with atropine d) Both respond to treatment with pralidoxime e) If there is associated CNS signs and muscle weakness the cause is likely to be organophosphates.
d) both respond to treatment with pralidoxime
500
All of the following substances bind well to activated charcoal EXCEPT: a. Thioridazine b. Atenolol c. Cyanide d. Benztropine e. Tetrahydrocannabinol (THC)
c. Cyanide
500
Patient with hypertension, tachycardia, agitation, dilated pupils, urinary retention, dry skin........Identify the toxidrome a) Sympathomimetic b) Anticholinergic c) Opiate d) Cholinergic
b) Anticholinergic
500
The target parameters for Naloxone boluses in Opiate poisoning with spontaneous breathing is a) RR of 14 and O2 Saturation of 96% b) RR of 12 and O2 Saturation of 94% c) RR of 13 and O2 Saturation of 95% d) RR of 11 and O2 Saturation of 93%
d)RR of 12 and O2 Saturation of 94%
M
e
n
u