1. Which of the following statements regarding poisonings is true? a. b. c. d.

A poison is any substance that causes harmful effects when introduced into the body. All toxins are poisonous when in contact with the human body. The majority of poisonings are intentional and result in homicide or suicide. The number-one cause of poisoning in the United tates is prescription medications.

Answer! a "bjecti#e! 1$-% &eference! %'() %*+ $. Which of the following terms does not indicate a route of absorption in the body? a. b. c. d. ,ngestion ,nhalation -istribution Transdermal route

Answer! c "bjecti#e! 1$-$ &eference! %'(-%'' %. A ..-year-old patient was found at home unresponsi#e. /ased on his clinical presentation and the fact that he was burning a 0erosene heater in an enclosed room) you suspect that he is suffering from carbon monoxide poisoning. /ased on this information) which route of exposure would you recogni1e as responsible for the poisoning? a. b. c. d. Transdermal route ,nhalation ,ngestion Absorption

Answer! b "bjecti#e! 1$-$ &eference! %*. .. -istribution of a poisonous substance in the body occurs primarily through the! a. b. c. d. lymphatic system. circulatory system. endocrine system. gastrointestinal system.

Answer! b "bjecti#e! 1$-1 &eference! %'*

2. The process by which the body brea0s down a substance is 0nown as! a. b. c. d. elimination. detoxification. metabolism. distribution.

Answer! c "bjecti#e! 1$-1 &eference! %'* 3. The speed at which a toxin is distributed in the body is affected by! a. b. c. d. the heart rate. body mass. the respiratory rate. urination.

Answer! a "bjecti#e! 1$-1 &eference! %'* (. ,n the broadest sense) anything that has mass and occupies space is 0nown as a! a. b. c. d. poison. toxin. cell. substance.

Answer! d "bjecti#e! 1$-% &eference! %'( '. A 12-year-old admits to ta0ing 4a bunch5 of extra strength Tylenol tablets. 6er mother states it7s nothing to worry about because it was just Tylenol. /ased on your training you recogni1e that this ingestion could ha#e serious conse8uences. ,t is because toxic amounts acetaminophen can cause irre#ersible! a. b. c. d. li#er damage. stomach damage. brain damage. hearing damage.

Answer! a "bjecti#e! 1$-2

&eference! %*% *. 9ou are #isiting a friend7s home and suddenly hear a child crying out in the 0itchen. As you assess the scene you note 0itchen cabinets are open with bottles tossed around. The child is holding her hand to her mouth. 9our friend tells you that the child must ha#e tasted something that she didn7t li0e. /ased on your scene assessment) you would! a. b. c. d. agree with your friend and suggest that a coo0ie would ta0e the bad taste away. as0 your friend if she has ,pecac so you can ma0e the child #omit. call *11 and try to identify which bottle the child may ha#e been drin0ing from. offer the child a glass of mil0 to dilute any chemical he may ha#e ingested.

Answer! c "bjecti#e! 1$-3 &eference! %*3 1+. Which of the following criteria is not one of the criteria for administering acti#ated charcoal? a. b. c. d. The patient ingested the poison less than three hours ago. The patient is awa0e and responsi#e. Transport time will be prolonged. Authori1ation has been granted by medical control or some other :; authority.

Answer! a "bjecti#e! 1$-3 &eference! %** 11. ,t is late <riday e#ening and you are joining your friends at a cabin for a winter wee0end trip. When you open the door you notice how nice and warm it is inside. 9our friends though are not #ery welcoming. They tell you they are not feeling well and complain of being lightheaded and nauseated. /ased on their symptoms) you are concerned they may be suffering from! a. b. c. d. carbon dioxide poisoning. alcohol toxicity. excessi#e heat exposure. carbon monoxide poisoning.

Answer! d "bjecti#e! 1$-2 &eference! %*.) %*( 1$. Which of the following statements indicates that the spea0er understands inhalation poisonings? a. 4They can occur from inhaling common household products.5 b. 4They affect the lungs only and do not circulate systemically.5 c. 4An inhalation emergency cannot be occurring if you don7t smell anything.5

d. 4;ost inhalation poisonings are easily identifiable by a residue around the mouth.5 Answer! a "bjecti#e! 1$-2 &eference! %*1 1%. 9ou are dri#ing on the highway and see an o#erturned tan0er. A fluid is spilling from the tan0er rapidly co#ering the ground around the dri#er7s door. The dri#er appears to be unresponsi#e. The only mar0ing on the tan0er seems to be the name of the tan0er company and ha1ard symbol. 9our initial action should be! a. b. c. d. try not to step in the li8uid while pulling the dri#er away from the truc0. ha#e someone call *11 and assess the dri#er7s A/=-s. remain at a safe distance while calling *11 for assistance. co#er your mouth and nose so that you don7t breathe any fumes while you rescue the dri#er.

Answer! c "bjecti#e! 1$-3 &eference! %*3 1.. 9ou are helping a friend change the battery in his truc0 when acid from the old battery splashes in his eye. 6e is complaining of pain in his right eye and is ha#ing a hard time 0eeping it open. 6e has no problems with airway) breathing) or circulation. What should you do? a. =o#er both his eyes and immediately dri#e him to the nearest :mergency -epartment. b. >lace an ice pac0 on his eye and immediately transport him to the nearest :mergency -epartment. c. >at the eye with a dry towel to absorb the acid. d. ,mmediately irrigate the eye with copious amounts of water. Answer! d "bjecti#e! 1$-3 &eference! %*'?%** 12. 9ou are at a party and are called to assist a young female college student who is unresponsi#e. <riends say that she is not a hea#y drin0er) but tonight she dran0 an excessi#e amount of alcohol. he responds only to painful stimuli and has snoring respirations. 6er respiratory rate is ' breaths per minute and her radial pulse is wea0. /ased on your ":= training your first action would be would be! a. b. c. d. place her lying on her right side in case she #omits. notify the authorities because she is probably an underage drin0er. perform the jaw thrust-head tilt maneu#er. as0 her friends if she has also ingested any drugs.

Answer! c

"bjecti#e! 1$-3 &eference! %*3 13. 9ou are teaching a class about drug-related emergencies) specifically opiate o#erdose. Which of the following statements made by students indicates an understanding of possible signs of opiate o#erdose? a. 4"nly illegal narcotics can cause hallucinations) which may ma0e the patient #iolent.5 b. 4When assessing a patient) you must be alert for respiratory depression.5 c. 49ou should always as0 patients if they ha#e chest pain because narcotics increase the heart7s wor0load.5 d. 49ou should always chec0 the patient7s pupils because they will be dilated in a narcotics o#erdose.5 Answer! b "bjecti#e! 1$-2 &eference! %*$) %*3 1(. Agitation) ele#ated heart rate) and ele#ated blood pressure are signs of intoxication with which of the following types of substances? a. b. c. d. =ocaine and hallucinogens Antipsychotics and carbon monoxide ,nhalants and sleeping pills Alcohol and ethylene glycol

Answer! a "bjecti#e! 1$-2 &eference! %*( 1'! ubstance abuse is defined as! a. an intentional or unintentional use of a substance or poison that results in a medical emergency. b. an accidental ingestion of a toxin that interferes with normal functioning. c. the use of a substance or poison at least once a day. d. the intentional misuse of a substance that results in significant impairment or distress. Answer! d "bjecti#e! 1$-% &eference! %*+ 1*. A patient in the third day of withdrawal from alcohol could de#elop all of the following conditions except: a. rash.

b. sei1ure acti#ity. c. hallucinations. d. muscle tremors. Answer! a "bjecti#e! 1$-2 &eference! %*% $+. Which of the following parts of the body is least often affected by substances? a. b. c. d. The eyes The heart muscle The lymphatic #essels The blood

Answer! c "bjecti#e! 1$-2 &eference! %'*?%*+ $1. A poisonous substance that comes from a li#ing organism is 0nown as a@nA! a. b. c. d. antipsychotic. toxin. chemical. legume.

Answer! b "bjecti#e! 1$-% &eference! %*+ $$. As a whole) the least toxic of all accidental ingestion-related poisonings in#ol#e! a. b. c. d. alcoholic be#erages. acetaminophen. toxic plants. aspirin.

Answer! c "bjecti#e! upplemental &eference! %*. $%. <or children) the three deadliest poisons are! a. household cleaners) aspirin) and adult prescriptions. b. aspirin) acetaminophen) and iron. c. carbon monoxide) toxic plants) and aspirin.

d. adult prescriptions) alcohol) and daily #itamins. Answer! b "bjecti#e! 1$-. &eference! %*%?%*. $.. The most commonly abused drug in the world is! a. b. c. d. marijuana. cocaine. amphetamine. alcohol.

Answer! d "bjecti#e! 1$-. &eference! %*% $2. ,n the United tates) poison-related information is a#ailable $. hours a day by contacting the! a. Bational ,nstitute on -rug Abuse at 1-'++-$$$-6:C>. b. ubstance Abuse and ;ental 6ealth 6otline at1-'++-333-3333. c. Bational >oison =enter at 1-'++-$$$-1$$$. d. =hemical :mergency =enter at 1-'++-$3$-'$++. Answer! c "bjecti#e! 1$-( &eference! .+1 $3. The mnemonic -U;/:C and the acronym CU-D: can help identify specific signs and symptoms associated with! a. b. c. d. exposure to ner#e agents. ingestion of ethylene glycol. ingestion of C -. o#erdoses of antipsychotic drugs.

Answer! a "bjecti#e! 1$-2 &eference! %*(