Quiz: Atropin & Digitalis – Corrosives & Pesticides

1. Active principles of "thorn apple" are:

A a) Atropine, and hyoscine B b) Codeine and morphine C c) Digoxin and digitonin D d) None of the above

2. The Active principles of "thorn apple" are extracted from: a) Seeds

A a) Seeds B b) Roots C c) Leaves D d) All of the above

3. Alkaloids ’s have:

A a) Remote action only B b) Local action only C c) Local and remote action D d) All of the above

4. All are Uses of Atropine except:

A a) Antispasmodic B b) Diuretic C c) Mydriatic D d) Bronchodilator

5. Alkaloids' local antidotes are all except:

A a) Charcoal B b) Hydrogen peroxide C c) Naloxone D d) Na HC03

6. Atropinism includes all of the following except:

A a) Constipation and urine retention. B b) Atropine fever C c) Talk and visual hallucination D d) Dysphagia & hoarseness of voice

7. Atropine toxicity is never accompanied with:

A a) Tachycardia B b) Dry air passages C c) Hypothermia D d) Euphoria

8. Atropine toxicity is characterized by:

A a) Drunkard gait B b) Dilated fixed pupil C c) Central asphyxia D d) All of the above

9. The central effect of atropine is not responsible for:

A a) Occupational Delirium B b) Drunkard gait C c) Hyperthermia mainly D d) None of the above

10.Physostigmine [Eserine]:

A a) Doesn’t cross blood-brain barrier (B.B.B.) B b) Acts peripherally only C c) It should be given in a hospital and under continuous ECG monitoring D d) Its dose is 10 mg i.v.

11.Therapeutic dose of digitalis:

A a) Enforces systolic power B b) Positive chronotropic C c) Decreases renal blood flow D d) All of the above

12.The earliest manifestation of acute digitalis toxicity is:

A a) Green - yellow vision B b) Hypokalemia C c) Anorexia. nausea D d) Arrhythmias

13.The most frequent manifestation of acute digitalis toxicity is:

A a) Green - yellow vision B b) Hypokalemia C c) Delirium D d) Arrhythmia

14.Never used in the treatment of acute digitalis toxicity:

A a) Digibind B b) Non-Ca EDTA C c) KCl D d) Lidocaine

16.Seeds of datura contain all, except:

A a) Hyoscine B b) Hyoscyamine C c) Daturotoxin D d) Atropine

17.Natural alkaloid of datura is:

A a) Atropine B b) Morphine C c) Glycine D d) Digitalis

18.Hyoscine differs from atropine in the following, EXCEPT:

A a) Depressant from the start B b) Smaller fatal dose C c) Has milder peripheral action D d) More dangerous in children

19.hot as a hare, dry as a bone, red as a beet, blind as a bat and mad as a wet hen is related to which of the following poison

A a) Atropine B b) Opium C c) C- Cocaine D d) D- Cannabis

20.All of the following produce Miosis in overdose except:

A a) Carbamate B b) Cocaine C c) Phenol D d) Morphine

20.All of the following produce Miosis in overdose except:

A a) Carbamate B b) Cocaine C c) Phenol D d) Morphine

21) 5 years old child swallowed diluted alkaline (k0h) the best fluid to treat this condition is :

A a. Diluted acid B b. Milk C c. water D d. Carbonated beverages

22)Eschars of nitric acid is characterized by

A a. Green B b. Black C c. Yellow D d. Red

23) Liquefactive necrosis is the action of

A a. Sulphuric acid B b. Sodium hydroxide C c. Hydrochloric acid D d. Nitric acid

24)All the following could be the cause of death in alkaline toxicity poisoning except

A A Neurogenic shock B b Hypovolemic shock C c Laryngeal edema D d Liver failure.

25) In alkaline toxicity, cachexia can result from

A a. Perforation of the stomach B b. Stricture of the esophagus C c. Dehydration D D. Stricture of pylorus

26) Neutralization is contra-Indicated in treatment of alkaline toxicity because it leads to

A a. Sever vomiting B b. Production of heat C c .Carbon dioxide evolution D d. Na chloride toxicity

27) After 4 hours, a patient with carbolic acid toxicity can die from

A a. Hypovolemic shock B b. Central asphyxia C c. Peripheral asphyxia D d. Renal failure

28) Organophosphorus poisoning is characterized by all the following, except

A a) Bronchospasm B b) Increase intestinal sounds C c) Pin point pupil D d) Garlic smell

29) Pyrethrins cause

A a. Cutaneous allergy B b. Inhalational allergy C c. Tremors, paralysis or seizures D d) All of the above.

30) Chlorinated hydrocarbon insecticides

A a. Cause fever and rigors B b. Cholinesterase inhibitors C C .Have cumulative effect D C .Have cumulative effect

31) Respiratory failure in organophosphorus poisoning is due to

A a. Decreased bronchial secretions B b. Laryngeal oedema C c. Respiratory muscle spasm D d. Myocardial depression

32) Pin point pupil occurs in toxicity of

A a) D D T B b) b. Pyrothrin C c) c. Oxalic acid D d) Anticholinergic drugs anticholinestrase

33)Bradycardia and heart block in O.P is due to

A a) Nicotinic like action. B b) Muscarinic like action C c) Central action D d) .All of the above

34) Organophosphate intermediate syndrome Developed within 1-5 weeks.

A a) Cause paralysis of distal limb muscles. B b) Cause neck flexion paralysis C c) Death is due to circulatory collapse D d) cause paralysis of respiratory muscle

36-.A 21-year-old male was admitted to ER within 30 minutes after intake of that unknown substance with flushed face, dry skin and dilated fixed pupil. His pulse was 150/minute, blood pressure 180/100, and respiratory rate 40/min. The possible diagnosis of this case is

A Atropine toxicity B Cocaine toxicity C Alcohol toxicity Alcohol toxicity D Opioid toxicity

36-.A 21-year-old male was admitted to ER within 30 minutes after intake of that unknown substance with flushed face, dry skin and dilated fixed pupil. His pulse was 150/minute, blood pressure 180/100, and respiratory rate 40/min. The possible diagnosis of this case is

A Atropine toxicity B Cocaine toxicity C Alcohol toxicity D Opioid toxicity

If you have choice to treat this case, ?what are you prefer

A Supportive treatment and follow up B Start rapidly with physiological antidote C Patient can be discharged after 12 hours after admission D Naloxone is the drug of choice

Possible cause of death of that poisonis

A hepatic failure B tachyarrhythmia C peripheral asphyxia D All of the above

dry skin is due to

A its peripheral action B its central action C its peripheral action and central action D none of the above

37-50-year-old male with chronic heart failure, was admitted to ER with nausea and vomiting, his pulse was 50/min, blood pressure was 80/50, and ECG shows bradycardia. Laboratory investigations show hyperkalemia. What is the possible diagnosis of this case

A Atropine toxicity B Cocaine toxicity C Alcohol toxicity D Digitalis toxicity

Possible cause of death of that poison is

A hepatic failure B bradyarrhythmia C tachyarrhythmia D peripheral asphyxia

clinical manifestations of that patient categorized as

A acute toxicity B chronic toxicity C non specific D all of the above

the most important organ which can delay improvement

A liver B heart C kidneys D respiratory

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