Review Questions

Question 1

Which of the following statisticsis TRUE regarding toxicological emergencies in the United States

Answer 1

C Some 80 percent of all attempted suicides involve a drug overdose

Question 2

Ingestion is the most common route of entry for toxic exposure. other routes of entry include all of the following EXCEPT:

Answer 2

C Tertiary

Common routes of entry are: inhalation, absorption, and injection

Question 3

Many toxic substances can pass through the skin without puncturing it. An example of this type of substance is

Answer 3

D: organophosphates

Question 4

General principles of toxicological assessment and management include:

Answer 4

C reducing intake of a surface-absorbed toxin by removing clothing and cleaning the skin with soap and water.

Question 5

Benzodiazepine overdoses are treated with the antidote

Answer 5

C: Flumazenil

Question 6

One of your major objectives in treating a poisoning patient is:

Answer 6

B: prevention of aspiration

Question 7

Cyanide enters the body by:

Answer 7

D: all ove the above (ingestion, absorption, inhalation)

Question 8

You are caring for a patient with carbon monoxide poisoning. An important point to remember is which of the following:

Answer 8

C Once the carbon monoxide molecule binds with hemoglobin, it is very resistant to removal

Question 9

Your patient has been working in the fields of his farm for several hours. When you arrive he presents with sweating, constricted pupils, lacrimation, excessive salivation, wheezing, cramps, vomiting, diarrhea, and urinary incontinence. You suspect his problem is:

Answer 9

D: organophosphate poisoning

Question 10

Once airway and breathing have been managed, treatment for the patient with organophosphate poisoning, would include what medication?

Answer 10

B: Atropine

Question 11

Activated charcoal does not bind with caustic substances, so it should not be given in cases of:

Answer 11

C: alkali or acid ingestion

Question 12

The Range between curative and toxic doses of medications is called the:

Answer 12

A: Therapeutic index

Question 13

A young man tells you he believes his wife has overdosed on some medication she is on for OCD. She is complaining of headache, nausea, and palpitations. She is very agitated and restless and you note tremors. You suspect she may have overdosed on :

Answer 13

B. MAO inhibitor

Question 14

Your patient has deliberately ingested a large dose of aspirin. Which of the following is true regarding salicylate overdoses?

Answer 14

A. Signs and symptoms with the overdose are likely to include hyperthermia, confusion, and rapid respirations

Question 15

Signs and Symptoms of poisonous mushroom ingestions include:

Answer 15

C. Diaphoresis

Question 16

You are caring for a patient who is complaining of chills, fever, and nausea developed since he awoke this morning. He discovered a small, painful, erythematous macule surrounded by a white ring on his arm. You suspect a:

Answer 16

A. Brown Recluse Spider Bite

Question 17

Management of the patient who has been bitten by a pit viper includes:

Answer 17

C: Maintaining the extremity in a neutral position

Question 18

to relieve pain and inactivate the venom of a marine animal injection, you should:

Answer 18

D: apply heat or hot water (110-113Degrees F)

Question 19

The condition in which the body reacts severely when deprived of an abused substance is called

Answer 19

A: Withdrawal

Question 20

An absolute contraindication in the treatment of cocaine overdose is

Answer 20

D: beta blockers

Question 21

Alcohol abuse may be indicated by a number of warning signs, including “green tongue syndrome” resulting from

Answer 21

C: the use of chlorophyll-containing substances to disguise alcohol odor on the breath.

Question 22

Chronic alcoholics may exhibit or experience which of the following

Answer 22

A: death resulting from delirium tremens

Question 23

The drug commonly referred to as the “date rape drug” is

Answer 23

C: Rohypnol

Question 24

The drugs for which flumazenil is used to counteract adverse effects are

Answer 24

B: Benzodiazepines

Question 25

Delirium tremens usually develop in habitual alcoholics within how long after cessation of drinking.

Answer 25

C: 48-72 hours