Ch12 Practice Questions Flashcards
A 44-year-old patient was found at home unresponsive. Based on his clinical presentation and the fact that he was heating with a kerosene heater in an enclosed room, you suspect that he is suffering from carbon monoxide poisoning. Based on this information, which route of exposure would you recognize as responsible for the poisoning?
A) Transdermal route
B) Inhalation
C) Ingestion
D) Absorption
A 44-year-old patient was found at home unresponsive. Based on his clinical presentation and the fact that he was heating with a kerosene heater in an enclosed room, you suspect that he is suffering from carbon monoxide poisoning. Based on this information, which route of exposure would you recognize as responsible for the poisoning? A) Transdermal route B) Inhalation C) Ingestion D) Absorption
Ans: B
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 263 Objective: 12-2
Which of the following terms does not indicate a route of absorption in the body?
A) Ingestion
B) Inhalation
C) Distribution
D) Transdermal
Which of the following terms does not indicate a route of absorption in the body? A) Ingestion B) Inhalation C) Distribution D) Transdermal
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 264 Objective: 12-2
Distribution of a poisonous substance in the body occurs primarily through the:
A) lymphatic system.
B) circulatory system.
C) endocrine system.
D) gastrointestinal system.
Distribution of a poisonous substance in the body occurs primarily through the: A) lymphatic system. B) circulatory system. C) endocrine system. D) gastrointestinal system.
Ans: B
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 264 Objective: 12-1
The process by which the body breaks down a substance is known as:
A) elimination.
B) detoxification.
C) metabolism.
D) distribution.
The process by which the body breaks down a substance is known as: A) elimination. B) detoxification. C) metabolism. D) distribution.
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 264 Objective: 12-2
Substance abuse is defined as:
A) an intentional or unintentional use of a substance or poison that results in a medical emergency.
B) an accidental ingestion of a toxin that interferes with normal functioning.
C) the use of a substance or poison at least once a day.
D) the intentional misuse of a substance that results in significant impairment.
Substance abuse is defined as:
A) an intentional or unintentional use of a substance or poison that results in a medical emergency.
B) an accidental ingestion of a toxin that interferes with normal functioning.
C) the use of a substance or poison at least once a day.
D) the intentional misuse of a substance that results in significant impairment.
Ans: D
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 265 Objective: 12-3
A poisonous substance that comes from a living organism is known as a(n):
A) antipsychotic.
B) toxin.
C) chemical.
D) legume.
A poisonous substance that comes from a living organism is known as a(n): A) antipsychotic. B) toxin. C) chemical. D) legume.
Ans: B
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 265 Objective: 12- KeyTerm
Which of the following statements indicates that the speaker understands inhalation poisonings?
A) “They can occur from inhaling common household products.”
B) “They affect the lungs only and do not circulate systemically.”
C) “An inhalation emergency cannot be occurring if you don’t smell anything.”
D) “Most inhalation poisonings are easily identifiable by a residue around the mouth.”
Which of the following statements indicates that the speaker understands inhalation poisonings?
A) “They can occur from inhaling common household products.”
B) “They affect the lungs only and do not circulate systemically.”
C) “An inhalation emergency cannot be occurring if you don’t smell anything.”
D) “Most inhalation poisonings are easily identifiable by a residue around the mouth.”
Ans: A
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 266 Objective: 12-1
You are teaching a class about drug-related emergencies, specifically opiate overdose. Which of the following statements made by students indicates an understanding of possible signs of opiate overdose?
A) “Only illegal narcotics can cause hallucinations, which may make the patient violent.”
B) “When assessing a patient, you must be alert for respiratory depression.”
C) “You should always ask patients if they have pain because narcotics suppress pain.”
D) “You should always check the patient’s pupils because they will be dilated in a narcotics overdose.”
You are teaching a class about drug-related emergencies, specifically opiate overdose. Which of the following statements made by students indicates an understanding of possible signs of opiate overdose?
A) “Only illegal narcotics can cause hallucinations, which may make the patient violent.”
B) “When assessing a patient, you must be alert for respiratory depression.”
C) “You should always ask patients if they have pain because narcotics suppress pain.”
D) “You should always check the patient’s pupils because they will be dilated in a narcotics overdose.”
Ans: B
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 266 Objective: 12-4
A 15-year-old admits to taking “a bunch” of extra strength Tylenol tablets. Her mother states it’s nothing to worry about because it was just Tylenol. Based on your training, you recognize that this ingestion could have serious consequences. It is because toxic amounts acetaminophen can cause irreversible:
A) liver damage.
B) stomach damage.
C) brain damage.
D) hearing damage.
A 15-year-old admits to taking “a bunch” of extra strength Tylenol tablets. Her mother states it’s nothing to worry about because it was just Tylenol. Based on your training, you recognize that this ingestion could have serious consequences. It is because toxic amounts acetaminophen can cause irreversible: A) liver damage. B) stomach damage. C) brain damage. D) hearing damage.
Ans: A
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 267 Objective: 12-4
A patient in the third day of withdrawal from alcohol could develop all of the following conditions except:
A) rash.
B) seizure activity.
C) hallucinations.
D) muscle tremors.
A patient in the third day of withdrawal from alcohol could develop all of the following conditions except: A) rash. B) seizure activity. C) hallucinations. D) muscle tremors.
Ans: A
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 268 Objective: 12-4
The most commonly abused drug in the world is:
A) marijuana.
B) cocaine.
C) amphetamine.
D) alcohol.
The most commonly abused drug in the world is: A) marijuana. B) cocaine. C) amphetamine. D) alcohol.
Ans: D
Complexity: Easy Ahead: Commonly Abused Substances and Poison Related Emergencies Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 268 Objective: 12-4
The mnemonic DUMBELS and the acronym SLUDGEM can help identify specific signs and symptoms associated with:
A) exposure to nerve agents.
B) ingestion of ethylene glycol.
C) ingestion of LSD.
D) overdoses of antipsychotic drugs.
The mnemonic DUMBELS and the acronym SLUDGEM can help identify specific signs and symptoms associated with: A) exposure to nerve agents. B) ingestion of ethylene glycol. C) ingestion of LSD. D) overdoses of antipsychotic drugs.
Ans: A
Complexity: Moderate Ahead: Patient Assessment for Substance Abuse and Poisoning Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 271 Objective: 12-7
It is late Friday evening, and you are joining your friends at a cabin for a winter weekend trip. When you open the door, you notice how nice and warm it is inside from the wood stove. Your friends though are not very welcoming. They tell you they are not feeling well and complain of being lightheaded and nauseated. Based on their symptoms, you are concerned they may be suffering from:
A) carbon dioxide poisoning.
B) alcohol toxicity.
C) excessive heat exposure.
D) carbon monoxide poisoning.
. It is late Friday evening, and you are joining your friends at a cabin for a winter weekend trip. When you open the door, you notice how nice and warm it is inside from the wood stove. Your friends though are not very welcoming. They tell you they are not feeling well and complain of being lightheaded and nauseated. Based on their symptoms, you are concerned they may be suffering from: A) carbon dioxide poisoning. B) alcohol toxicity. C) excessive heat exposure. D) carbon monoxide poisoning.
Ans: D
Complexity: Easy Ahead: Patient Assessment for Substance Abuse and Poisoning Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 272 Objective: 12-4
Agitation, elevated heart rate, and elevated blood pressure are signs of intoxication with which of the following types of substances?
A) Cocaine and hallucinogens
B) Antipsychotics and carbon monoxide
C) Inhalants and sleeping pills
D) Alcohol and ethylene glycol
Agitation, elevated heart rate, and elevated blood pressure are signs of intoxication with which of the following types of substances? A) Cocaine and hallucinogens B) Antipsychotics and carbon monoxide C) Inhalants and sleeping pills D) Alcohol and ethylene glycol
Ans: A
Complexity: Moderate Ahead: Patient Assessment for Substance Abuse and Poisoning Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 272 Objective: 12-4
You are driving on the highway and see an overturned tanker. A fluid is spilling from the tanker, rapidly covering the ground around the driver’s door. The driver appears to be unresponsive. The only marking on the tanker seems to be the name of the tanker company and hazard symbol. Your first step should be:
A) try not to step in the liquid while pulling the driver away from the truck.
B) have someone call 911 and assess the driver’s ABCDs.
C) secure the scene; you must ensure your safety.
D) cover your mouth and nose so that you don’t breathe any fumes while you rescue the driver.
You are driving on the highway and see an overturned tanker. A fluid is spilling from the tanker, rapidly covering the ground around the driver’s door. The driver appears to be unresponsive. The only marking on the tanker seems to be the name of the tanker company and hazard symbol. Your first step should be:
A) try not to step in the liquid while pulling the driver away from the truck.
B) have someone call 911 and assess the driver’s ABCDs.
C) secure the scene; you must ensure your safety.
D) cover your mouth and nose so that you don’t breathe any fumes while you rescue the driver.
Ans: C
Complexity: Easy Ahead: Management of Substance Abuse and Poisoning Subject: Chapter 12 Title: Substance Abuse and Poisoning Feedback: 272 Objective: 12-5
