EMSS 2022 Land Organism Envenomation and Poisoning Quiz

What is the top priority of steps in improving snake related injury in Malaysia?

• Injury Surveillance System

• National Antivenom Stockpiling

• Clinical study on effectiveness of antivenom

• CME on snakebite envenoming

What is the most neglected aspects of snakebite management?

• No Antivenom in Health Clinic

• The doctors unable to identify snake species

• No topic of snakebite in Medical and Nursing school

• The doctor do not following up on patients

Most common presenting sign/symptom following centipede bite

• Pruritus/Itching

• Necrosis

• Pain out of proportion

• Severe Bleeding

How many medically important Order of Centipede are there?

• 2

• 3

• 4

• 5

Answer explanation

3 (Scutigeromorpha, Lithobiomorpha, Scolopendromorpha)

Which of the following complication/s would you expect following centipede envenomation?

• Acute Ischemic Stroke

• Cardiac Dysrrhythmias and Acute Coronary Syndromes

• Disseminated / Venom-Induced Intravascular Coagulopathy

• Acute Tubular Necrosis from Hemolytic Anemia

Which is NOT included in the management of centipede envenomation?

• Analgesics or Hot/Cold Water Immersion

• Antihistamine and/or Corticosteroids

• Environmental Control

• Antivenom

Answer explanation

Antivenom (There are no commercially available antivenom as of the moment)

According to Profile of Animal Bite Cases present earlier, what was the most frequent symptoms caused by animal bite?

• Pain

• Swollen

• Wound

• Headache

According to Profile of Animal Bite Cases present earlier, what was the most frequent animal that cause animal bite?

• Cat

• Dog

• Snake

• Scorpion

According to Profile of Animal Bite Cases present earlier, what year has the highest recorded number of animal bite?

• 2012

• 2014

• 2016

• 2018

Which of the following spider envenomation may cause haemolytic effects?

• Atrax sp.

• Heterometrus longimanus

• Butus tunetatus

• Loxosceles sp.