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Question 1
1. Case scenario: A dead body with suspected poisoning is having hypostasis of brown in color . Statement 1: It is suggestive of poisoning due to cyanides Statement 2: Brown colour hypostasis is due to methemoglobin
A. Both statements are true
B. Both statements are false
C. Statement 1 is true but statement 2 is false
D. Statement 1 is false but statement 2 is true
Question 2
2. • A 39 year old Carpenter has taken two bottles of liquor from the local shop. After about and hour, he develops confusion, vomiting and blurring of vision. He has been brought to the emergency department. He should be given
A. Naloxone
B. Diazepam
C. Flumazelnil
D. 4-methyl pyazzole
Question 3
3. A 28 year old male admitted with history of accidental consumption of 1 seed from this fruit (image). Regarding this case, which is not correct?
A. Convulsions affect all muscles at a time
B. Dose is too less for toxicity
C. Brain is preserved
D. Postmortem caloricity is seen
Question 4
4. A farmer ingested unknown poisonous seeds and had pain and vomiting. Soon he developed paralysis of lower limb which ascends till it affected the respiratory muscles and he died within two days. The poisoning is due to:
A. Dhatura
B. Strychnos nux vomica
C. Conium maculatum
D. Opium
Question 5
5. A 40 year old male abuses alcohol voluntarily for 15 years. He could not get alcohol for 4 days due to closure of liquor shops in view of election. He was confused, could not sleep properly. He also assaulted his neighbour. He is:
A. Fully responsible
B. Family is responsible
C. Partially responsible
D. Not responsible
Question 6
6. Ramesh presented with bronchodilatation, increased temperature, constipation and tachycardia. Probable diagnosis is poisoning with:
A. Morphine
B. Atropine
C. Arsenic
D. Organophosphorus
Question 7
7. Regarding methanol poisoning assertion: Administration of ethanol is one of the treatment modalities Reason: Ethanol inhibits 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
Question 8
8. A patient presented to ER with an unknown poisoning with dilated pupils, tachycardia & complaints of urinary retention. Mydriasis, tachycardia, urinary retention are toxidromes for:
A. Hyoscine
B. Digitalis
C. Salicylates
D. All of the above
Question 9
9. A teenager was abusing this specific drug. Features of over dose & Poisoning are all except:
A. Myocardial infarction
B. Epileptic seizures
C. Hypertension
D. Increased release of Norepinephrine in the synaptic cleft.
Question 10
10. INCORRECT statement is 1. Ganja prepared from FLOWERING TOPS of male plant 2. FLASHBACK phenomenon seen 3. Sinsemella – seedless preparation 4. No antidote 5. Run amok not seen
A. FTTTF
B. FFTTF
C. TFTTF
D. TFTFF
Question 11
11. A 35 year old man, admitted with history of suicidal consumption of a poisonous plants. The relatives were able to able to identify the plant with photo (image as shown). Which of the following is not correct?
A. Active principle is karabin
B. Active principle is peruvoside
C. Continuous ECG monitoring is necessary
D. Hypokalemia
Question 12
12. About this poison • Amyl nitrite should be given as first choice IV • Patients with chlorhydria have good prognosis • Smell of bitter lemon noted • Antidote is Hydroxycobalamin
A. FFFT
B. TFTT
C. FFTT
D. TFTT
Question 13
13. A patient was found in a locked room having labored breathing, kerosene-like smell, pin-point pupils, frothing from mouth, cyanosed and pulse rate of 40/ min. which of the following is correct regarding the management of the patient?
A. Atropine sulphate IM should be given till atropinisation
B. Oximes should be started after ageing of the enzyme
C. Chromodacryorrhea may be seen
D. P2AM is given IV 1-2mg along with atropine
Question 14
14. A victim recovered from a burning closed hut, brought to hospital. The victim looks like intoxicated state. True regarding the management
A. First aid is to give oxygen at low flow continuously
B. Metabolic acidosis
C. Symptoms of poisoning starts when concentration is < 10 %
D. Gastric lavage to be done immediately
Question 15
15. A man comes to emergency OPD with h/o substance toxicity, excessive salivation, pin point pupil and kerosene smell on breath. All true except:
A. Atropine is specific Antidote
B. Charcoal has no additional theoretical benefit
C. Atropine does not reverse muscular weakness
D. Oximes to be started after 24 hours for maximum therapeautic benefit.
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