Quiz: Drug Dependance & abuse- Food & Animal Poisoning

1- Drug Abuse is:

A a) the use of a drug for non medical purpose, usually for altering consciousness and or mood. B b) The use of the drugs for medical purpose usually for altering consciousness and or mood. C c) the use of plants for non medical purpose, usually for altering consciousness and or mood. D d) the use of a plants for medical purpose, usually for altering consciousness and or mood.

2- the use of medically prescribed opiate analgesic for inducing euphoria and cheerfulness or to improve sexual performance considered

A a) drug medical use B b) drug abuse C c) drug clearance D d) drug counteraction

3- the person who irregularly uses the drug (in a party or in a gathering with friends) and is still not totally bound to it called

A a) addict B b) suicidal C c) recreational user D d) treated

4- A state of chronic intoxication produced by repeated taking of the drug called:

A a) Drug Abuse B b) Occasional or recreational user C c) Tolerance D d) Drug Dependence

5- Craving is:

A a) tendency to increase the dose of the drug B b) Increased metabolism and excretion of the drug C c) the metabolism of the cells become dependent on the drug D d) Overpowering or compulsive desire to continue taking the drug and to obtain it by any mean

6- Tolerance is:

A a) tendency to increase the dose or frequency of the drug to produce the same effect. B b) Increased metabolism and excretion of the drug C c) the metabolism of the cells become dependent on the drug D d) Overpowering or compulsive desire to continue taking the drug and to obtain it by any mean

7- Physical dependence means:

A a) tendency to increase the dose or frequency of the drug to produce the same effect. B b) Increased metabolism and excretion of the drug C c)if the drug is abruptly stopped, withdrawal manifestations will result D d) Overpowering or compulsive desire to continue taking the drug and to obtain it by any mean

8- the ability of one drug to supress the manifestations of physical dependence produced by another called:

A a) Tolerance B b) Cross tolerance C c) Dependence D d) Craving

9- ecstasy considered schedule:

A a) 1 B b) 2 C c) 3 D d) 4

10- Patients, given opiates, in advanced diseases as analgesics considered:

A a) Professional addicts B b) Street addicts C c) Therapeutic addicts D d) Neonatal addicts

11- a febrile reaction due to suspension of drugs filteration. It begins 10-20 minutes after IV infusion producing headache, chills, dyspnea, palpitations and fever (40 degrees) called

A a) AIDS B b) Rheumatic fever C c) Familial medetranian fever D d) Cotton fever

12- The similarities of anabolic steroid abuse to the classic substance abuse are suggested through the facts that:

A a) Not effective in old age B b) (ASs) are used over long periods than desired, failure of the attempts to stop taking the drug C c) No harmfull effect on adolescent D d) Have less side effects

13- anabolic steroids effect on gonadotropin:

A a) Increase B b) Inhancement C c) No effect D d) Suppress

14- prostate enlargement is one of effects of:

A a) Anabolic steroids B b) Amphetamine C c) Cocaine D d) Cannabis

15- Mechanism of action of amphetamine :

A a) Decrease release of catecholamines especially dopamine and serotonin. B b) Increase release of catec holamines especially dopamine and serotonin. C c) Increase release of amphetamine. D d) Destruction of catecholamine especially dopamine and serotonin.

16- All animal venoms are mixtures of:

A a) Proteins B b) Enzymes C c) proteins and enzymes D d) Quinolones

17- Prognosis of animal poisoning is always:

A a) severe in young aged victims B b) mild in young aged victims C c) without any symptoms D d) not related to age

18- Prognosis of animal poisoning is always sever when bites or stings are produced in:

A a) Fingers of the foot B b) Fingers of the hand C c) In the knee joint D d) In the neck

19- Prognosis of animal poisoning is always sever when bites or stings are:

A a) One bit B b) More than one C c) Not related to number D d) Less sever with multiple bits

20- Skin sensitivity test before administration of the antivenom:

A a) Should be done B b) Cant be done C c) Shouldn’t be done D d) Not important

21- The dose of antivenom administered to neutralize the venom for children and adults:

A a) Half the amount to children B b) The same to adult and children C c) Triple to the adult D d) Half the amount to adult

22- One of the Local effects of Viper envenomation:

A a) Skin cant be affected B b) Burnt skin C c) Skin necrosis and dry gangrene D d) Psoriasis

23- Hematemesis and melena are manifestation of:

A a) Brain death B b) Respiratory failure C c) Abortion D d) Viper envenomation

24- Diplopia and ptosis are manifestation of :

A a) Cobra envenomation B b) Viper envenomation C c) Atropine poisoning D d) Abortion

25- Scorpion bits can cause:

A a) Hypotension B b) Hypertension C c) Normal blood pressure D d) Vasodilatation

25- Scorpion bits can cause:

A a) Hypotension B b) Hypertension C c) Normal blood pressure D d) Vasodilatation

26- Food cooked in copper utensils;

A a) Not leading to food poisoning B b) Healthy food C c) Don’t give any poisonus manifestation D d) May lead to food poisoning

26- Food cooked in copper utensils;

A a) Not leading to food poisoning B b) Healthy food C c) Don’t give any poisonus manifestation D d) May lead to food poisoning

27- Deferential diagnosis of Salmonella enterica food poisoning;

A a) Amphetamine B b) Anabolic steroids C c) Arsenic D d) Atropine

28- Stuphylococcol food poisoning has:

A a) Hypothermia B b) Fever C c) Normal temperature D d) Bad mouth odor

29- Stuphylococcol food poisoning recover in:

A a) 24 houre B b) 72 h C c) On week D d) A month

30- Shigella and enteroinvasive E coli can cause:

A a) Heart failure B b) Liver cell carcinoma C c) Respiratory failure D d) Renal failure

A 10 years old female came to the hospital with her parents which complaint sever pain and numbness of her left arm, fever ,dyspnea and vomiting ….by examination we found heart rate 120 p.m., resp. cycle30p.m. blood preasure160\100 with oedema in the left hand , cyanosis in the fingers…by stethoscope we can hear crepitation and chest wheez. Answer the following; 31-Diagnosis of this case is

A a) Snake bit B b) Scorpion sting C c) Amphitamin use D d) Organophosphorouse poisoning

32-The most common manifestation to deffrentiate snake pite from :scorpion sting is

A a) Hypertension B b) Pain C Edema D d) Enlarged lymph nodes

33-Cyanosis in this case may occure due to

A a) Dehydration B b) Vomiting C c) Metabolic acidosis D d) peripheral vasospasm caused by catecholamines

34-The cause of Stridor in this case is

A a) Serotonin B b) Albumin C c) Histamine D d) Alanine

36-The venom of the scorpion consists of

A a) Hyalurinidase B b) Myotoxins C c) Botulism D d) Staphylococcus ores

37-The first line in diagnosis of animal pits is

A a) Investiagation B b) History C c) Examination D d) Blood culture

38-test should be done before administration of the antivenom

A a) riench test B b) takayama test C c) hypersensitivity test D d) coagulation test

39-in management of scorpion sting patient who develop systemic manifestation should be

A a) treated at home B b) treated at your privet clinic C c) receive local treatment only D d) hospitalized

40-scorpion antivenom is given to

A a) children and adult as equal B b) adults only C c) children only D d) females only

41-scorpion antivenom is given by

A a) sublingual B b) iv and im route C c) iv only D d) intradermal

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