Free Printable Module 4 ClinTox Green PACOP 101

1.

Saxitoxin is the poison found in:

a)

mushroom

b)

dried nuts

c)

marine animal

d)

snake

2.

Cobra’s venom is composed of:

a)

toxin

b)

phytotoxin

c)

bufotoxin

d)

syntoxin

3.

Which of the following is the toxic action of antimony?

a)

inhibition of enzymes through combination with –SH group

b)

combines with hemoglobin to form carboxyhemoglobin

c)

both a and b

d)

none of these

4.

Yellow or disturbed vision, disturbed respiration, epileptiform convulsion can be caused by:

a)

santonin

b)

muscarine

c)

atropine

d)

all of these

e)

none of these

5.

Oxidation of pyrocatechol and hydroquinol may tint the urine with color _______

a)

black

b)

yellow

c)

blue

d)

green

e)

none of these

6.

Best known physiological antidote for strychnine:

a)

pilocarpine

b)

atropine

c)

morphine

d)

codeine

7.

A branch of toxicology which is concerned with the medical and legal consequences of poisoning:

a)

environmental toxicology

b)

forensic toxicology

c)

experimental toxicology

d)

economic toxicology

8.

Mineral oil is an antidote for poisoning by kerosene.

a)

adsorption

b)

inactivation

c)

neutralization

d)

lessen respiratory hazard by increasing viscosity of kerosene

9.

A CNS stimulant, fish or bird poison, adulterant of beverage

a)

muscarine

b)

atropine

c)

picrotoxin

d)

both a and b

e)

none of these

10.

Brown color of smog

a)

nitrogen pentoxide

b)

nitric oxide

c)

nitrogen oxide

d)

all of these

e)

none of these

11.

Specific antidote for silver poisoning

a)

lemon juice

b)

saline solution

c)

ammonia

12.

Which of the following metals coagulate protein:

a)

lead

b)

mercury

c)

copper

d)

silver

13.

The alkaloid found in Ipecac used for amoebic dysentery were evident poisoning symptom is violent purging with bloody stools:

a)

ephedrine

b)

emetine

c)

isoquinoline

d)

methylxanthine

14.

Surface contaminated with phenol can be washed by:

a)

water

b)

ethanol

c)

soap

d)

all of these

15.

Peculiar stimulation (tingling) and paresthesia (numbness) of the sensory in nerves are symptoms of poisoning due to:

a)

aconite

b)

muscarine

c)

atropine

d)

physostigmine

16.

Potent cord convulsant, increases the excitability of the CNS at all level

a)

morphine

b)

opium

c)

strychnine

d)

both a and b

17.

Obtained from coal tar

a)

kerosene

b)

naphthalene

c)

both a and b

d)

none of these

18.

Intermediate acting barbiturate/s, except:

a)

amobarbital

b)

butabarbital

c)

pentobarbital

d)

vinbarbital

19.

Entrance or outlet of any body cavity is termed as:

a)

media

b)

meatus

c)

oral

d)

orifice

20.

Atropa belladonna belongs to the family

a)

Solanaceae

b)

Rutaceae

c)

Ranunculaceae

d)

all of the above

e)

none of the above

21.

Poisonous substance in Paris green is:

a)

arsenic

b)

cyanide

c)

antimony

d)

mercury

22.

Insecticide, fungicide, alloys in medicine, emetic drug, astringent and caustic, purification of water, escharotic

a)

cadmium

b)

copper

c)

lead

d)

mercury

e)

none of the above

23.

Ultra short acting barbiturates are highly lipid soluble and rapidly penetrate the brain, and is capable of inducing:

a)

anesthesia

b)

paralysis

c)

none of the above

24.

Cocaine is commonly known as:

a)

coke

b)

lady

c)

crystals

d)

all of the above

25.

Tetracyclines tend to form complexes with the following, except:

a)

belladonna

b)

calcium ions

c)

magnesium ion

d)

iron ions

26.

Which of the ff. symptoms is not present in digitalis intoxication?

a)

vomiting

b)

vagal arrest of the heart

c)

visual disturbance

27.

The first toxic symptoms of digitalis poisoning is:

a)

gastrointestinal irritation

b)

cerebral excitement

c)

undue depression of heart rate

d)

colored vision

e)

flushing of skin

28.

A type of insulin which causes exceptionally few allergic reactions is:

a)

protamine zinc insulin

b)

lente insulin

c)

NPH insulin

d)

salicylate analgesics

e)

globulin unsulin

29.

One of the ff. should not be listed below as a volatile poison

a)

chloroform

b)

di-fluorocarboxyl

c)

benzene

d)

petroleum ether

e)

carbolic acid

30.

Cases of heavy metal poisoning are concrete examples of:

a)

sub-acute poisoning

b)

chronic poisoning

c)

acute poisoning

d)

unknown

31.

Calcium disodium edetate is:

a)

BAL

b)

Ca-EDTA

c)

Desferal

d)

Penicillamine

32.

Example of poison which exhibits both local and remote types of effects

a)

arsenic

b)

cantharides

c)

both a and b

d)

none of the above

33.

Substance intended to prevent, destroy, repel or mitigate rats, mice, etc

a)

herbicides

b)

hematocides

c)

rodenticides

d)

molluscides

34.

fatal dose of nitrobenzene

a)

2-3 drops

b)

8-15 drops

c)

60-80 drop

d)

0-1 drops

35.

Characteristic odor of phosphorous intoxication

a)

garlic odor

b)

mousey odor

c)

odor of bitter almonds

d)

odor of chico

36.

The only poisonous variety of phosphorous

yellow

red

black

all of the above

The only poisonous variety of phosphorous

a)

yellow

b)

red

c)

black

d)

all of the above

37.

Systemic emetics act by:

a)

direct stimulation

b)

indirect stimulation

c)

reflex stimulation

d)

none of the above

38.

Water is avoided in poisoning by:

a)

acetic acid

b)

nitric acid

c)

milk

d)

tea

39.

Which of the ff preparations contains arsenic?

a)

Fehling’s solution

b)

Nylander’s solution

c)

Benedic’s solution

d)

Fowler’s solution

40.

Source of phytotoxin

a)

animals

b)

plants

c)

minerals

d)

insects

41.

Which of the ff animals used for flocculant precipitates with human blood?

a)

cat

b)

dog

c)

rabbit

d)

monkey

42.

The organ of elimination for

skin

a)

metallic poisons

b)

mouth

c)

rectum

d)

liver

e)

skin

43.

Strong black coffee of subcutaneous injection of caffeine citrate in the treatment of acute alcohol poisoning is attributed to

a)

antagonistic stimulant effect of caffeine

b)

oxidation of alcohol

c)

depressant action of caffeine

d)

hypotensive effect of caffeine

44.

The cardinal rule or the first step to be considered in the treatment of poisoning is to:

a)

remove the poison from contact with the victim

b)

stop the action of the poison by giving the specific antidote

c)

provide symptomatic of supportive care

d)

fight against the tendency of death

45.

Activated charcoal is used in the treatment of phenol poisoning as

a)

mechanical antidote

b)

chemical antidote

c)

physiological antidote

46.

Morphine as a physiological antidote in methanol poisoning acts by:

a)

reversing acidosis

b)

antagonizing the action of methanol

c)

relieving abdominal pain

d)

inducing intestinal evaluation

47.

Nalorphine acts as a specific antagonist for opium poisoning by:

a)

competitive inhibition

b)

non-competitive inhibition

c)

stimulation

d)

sedation

48.

The mechanism of action involved in the use of EDTA as antidote for heavy metal poisoning is:

a)

adsorption

b)

oxidation

c)

chelation

d)

precipitation

49.

The ff symptoms of poisoning from antimony are similar to those of arsenic poisoning, except:

a)

diarrhea of rice-water stool

b)

garlic odor of breath and suppression of urine

c)

severe dehydration and great thirst

d)

nausea and vomiting

50.

Metallic poisons are classified as

a)

corrosive poison

b)

irritant poison

c)

cerebral neurotic poison

d)

all

51.

Prussian blue is the antidote for what poisoning?

a)

lithium

b)

nitrites

c)

thallium

d)

cyanide

52.

Whole Bowel Irrigation is preformed using

a)

PEG

b)

Sodium phosphates enema

c)

Magnesium citrate

d)

NaSO4

53.

The ff compounds have 2 sulfhydryl (-SH) groups, except:

a)

DMSA

b)

penicillamine

c)

DMPS

d)

BAL

54.

Which of the following can be used for carbamate poisoning?

a)

pralidoxime

b)

neostigmine

c)

atropine

d)

all of the above

55.

Poison present in Dora rat killer

a)

diphenhydramine

b)

coumarin

c)

heavy metals

d)

2,4-D

56.

The ff. are used to treat anaphylaxis

a)

diphenhydramine

b)

dopamine

c)

cortisone

d)

epinephrine

57.

Calcium gluconate precipitates the ff. salts, except

a)

oxalate

b)

fluoride

c)

sulfate

d)

none of the above

58.

Causes liquefaction necrosis

a)

silicones

b)

acids

c)

alkali

d)

paraquat

59.

Street names of marijuana, except:

a)

grass

b)

mary jane

c)

pot

d)

ice

60.

Ecstasy is related to what drug?

a)

amphetamine

b)

opioids

c)

acetylcholinesterase

d)

anorectic

61.

Antidote for cyanide poisoning, except:

a)

methemoglobin producers

b)

hydroxycobalamine

c)

EDTA

d)

none of the above

62.

FPN test indicates the presence of:

a)

chlorpromazine

b)

imipramine

c)

ferric chloride

d)

salicylic acid

63.

A red color in the pyridine layer after adding NaOH develops in the presence of

a)

nitrobenzene

b)

chloroform

c)

ethylene

d)

phenacetin

64.

Present in tear gas:

a)

cyanide

b)

capsaicin

c)

alloin

d)

cysteine sulfoxide

65.

Muscarinic antagonists, except:

a)

hyoscine

b)

arecoline

c)

pilocarpine

d)

NOTA

66.

Which of the ff. conditions can cause convulsions?

a)

hypoglycemia

b)

coma

c)

isopropyl alcohol toxicity

d)

lactic acidosis

67.

A warfare gas:

a)

phosgene

b)

COCl2

c)

sarin

d)

all of the above

68.

A patient passing out a yellow-green vomitus can be poisoned by:

a)

iron

b)

chromium

c)

phosphorous

d)

cyanide

69.

Triad of opioid/opiate toxicity, except:

a)

respiratory depression

b)

pin-point pupil

c)

convulsion

d)

coma

70.

Toxic metabolite of CCl4

a)

epoxides

b)

phosgene

c)

nitrite

d)

cyanide

71.

Toxic metabolite of acetonitrile

a)

epoxides

b)

phosgene

c)

nitrite

d)

cyanide

72.

Enzyme which catalyzes conversion of paracetamol to n-acetyl-paraamino-benzoquinone imine

a)

cytochrome P-450

b)

superoxide dismutase

c)

hyaluronidase

d)

glucuronide transferase

73.

Poison from black widow spider:

a)

α-latro toxin

b)

saxitoxin

c)

α-bungarotoxin

d)

picrotoxin

74.

Protamine sulfate is a/an:

a)

anticoagulant

b)

antidote for heparin toxicity

c)

basic protein

d)

all of the above

75.

Capable of measuring serum concentration levels of poisons, except:

a)

HPLC

b)

RIA

c)

TLC

d)

GLC

76.

Digoxin FAB comes from

a)

pigeons

b)

sheep

c)

fish

d)

cats

77.

Thallium toxicity causes:

a)

coma

b)

respiratory depression

c)

metabolic acidosis

d)

hair loss

78.

Penicillin is used to treat poisoning with:

a)

Amanita mushrooms

b)

Botulinus toxin

c)

Silibinin

d)

Salmonella enterotoxin

79.

The process of detoxification wherein the drug/ substance of abuse is withdrawn gradually:

a)

“cold turkey”

b)

“warm turkey”

c)

“lukewarm turkey”

d)

“hot turkey”

80.

“Angel dust”:

a)

MDMA

b)

LSD

c)

PCP

d)

THC

81.

“Roofies”

a)

alprazolam

b)

cannabis

c)

flunitrazepam

d)

heroin

82.

A toxic insult on the developing organism may cause adverse effect during:

a)

prenatal development

b)

prior to conception

c)

postnatal development

d)

all of the above

83.

Fetal alcohol syndrome is characterized by following, except:

a)

long palpebral fissures

b)

intellectual growth retardation

c)

retarded psychomotor development

d)

microcephaly

84.

Pralidoxime can be used for poisoning from:

a)

parathion

b)

aldicarb

c)

either a or b

d)

neither a nor b

85.

All of the ff metals have been found with substantial evidence to be carcinogenic in humans, except

a)

arsenic

b)

beryllium

c)

cadmium

d)

manganese

86.

The organs adversely affected by lead, except:

a)

brain

b)

kidneys

c)

blood

d)

lungs

87.

causes fetal hydantoin syndrome:

a)

heroin

b)

phenytoin

c)

penicillin

d)

tamoxifen

88.

Exposures at any time during pregnancy poses a high risk of congenital structural abnormalities

a)

tretinoin

b)

cyclophosphamide

c)

carbamazepine

d)

tamoxifen

89.

Enters the breast milk and can cause neonatal narcotic dependence

a)

heroin

b)

codeine

c)

both a and b

d)

none of these

90.

A characteristic of arsenic poisoning

a)

black gum lines

b)

wrist drop

c)

Mee’s lines

d)

acrodynia

91.

The major target organ of toxicity of benzene:

a)

blood

b)

liver

c)

bone marrow

d)

heart

92.

Morphine and its derivatives can cause

a)

dyspnea

b)

diarrhea

c)

constipation

d)

respiratory paralysis

e)

all of these

93.

An agent that neutralizes a poison or counteracts its effects is a/an:

a)

antidote

b)

antiemetic

c)

counterirritant

d)

antibiotic

94.

Ethanol acts by preventing the conversion of this drug to formaldehyde by competing for

a)

dehydrogenase

b)

chlorine

c)

iodine

d)

methanol

e)

all of these

95.

Signs of barbiturate poisoning

a)

alkalosis

b)

diuresis

c)

decrease respiratory minute volume

d)

hypertension

96.

An antidote for heparin overdosage

a)

protamine sulfate

b)

dicumarol

c)

calcium salts

d)

atropine

97.

Angina pectoris is a type of pain seen in this type of poisoning

a)

hydrochloric acid

b)

lead

c)

mercury

d)

nicotine

98.

Nicotinic acid produces which of the ff. effects:

a)

decreases VLDL clearance

b)

increases VLDL clearance

c)

Increases VLDL production

d)

none of these

99.

An antidote for acetaminophen overdosage

a)

atropine

b)

n-acetylcysteine

c)

physostigmine

d)

all of these

100.

Aflatoxin is found in

a)

nux vomica

b)

mushrooms

c)

improperly dried nuts

d)

shellfish

Module 4 ClinTox Green PACOP 101 - 200

Total questions: 100

Worksheet time: 50mins

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