Multiple Choice Questions
1. Toxicology is the study of:
A. Drugs and their therapeutic effects
B. Harmful effects of chemicals and other agents on living organisms
C. Microorganisms causing diseases
D. Surgical procedures
2. Which of the following is a major route of
exposure to toxic substances?
A. Oral
B. Inhalation
C. Dermal
D. All of the above
3. Which historical disaster involved the release of
methyl isocyanate (MIC)?
A. Chernobyl disaster
B. Bhopal gas tragedy
C. Agent Orange incident
D. Minamata disaster
4. Agent Orange is primarily associated with:
A. Nuclear radiation
B. Herbicide exposure
C. Heavy-metal poisoning
D. Carbon monoxide poisoning
5. Which factor can influence the toxicity of a
substance?
A. Dose
B. Route of exposure
C. Duration of exposure
D. All of the above
6. The relationship between the amount of exposure
and the harmful effect produced is commonly described by:
A. Dose-response relationship
B. Therapeutic index
C. Bioavailability
D. Clearance
7. Risk assessment in toxicology is primarily
concerned with:
A. Identifying and estimating potential health risks
B. Increasing drug absorption
C. Measuring blood pressure
D. Treating infections
8. Risk management refers to:
A. Identification of a poison
B. Actions taken to control or reduce identified risks
C. Measurement of toxicity only
D. Diagnosis of infectious diseases
9. Chernobyl is historically associated with:
A. Pesticide poisoning
B. Nuclear radiation exposure
C. Heavy-metal contamination
D. Food poisoning
10. The mechanism by which a toxic substance
produces harmful effects in the body is called:
A. Mechanism of toxicity
B. Pharmacokinetics
C. Therapeutic action
D. Drug formulation
11. Which of the following is NOT a routine vital
sign?
A. Body temperature
B. Pulse rate
C. Blood pressure
D. Blood glucose
12. In the initial management of poisoning, ABC
primarily stands for:
A. Airway, Breathing, Circulation
B. Assessment, Blood, Consciousness
C. Airway, Blood, Consciousness
D. Assessment, Breathing, Cardiac function
13. A toxidrome is best described as:
A. A group of clinical signs and symptoms characteristic of a type of poisoning
B. A laboratory test for poison
C. A method of drug administration
D. A type of antidote
14. Activated charcoal is used in poisoning mainly
to:
A. Increase gastric acid secretion
B. Adsorb certain toxic substances in the gastrointestinal tract
C. Induce vomiting
D. Neutralize blood pH
15. Gastric lavage is a method of:
A. Skin decontamination
B. Eye decontamination
C. Gastrointestinal decontamination
D. Pulmonary decontamination
16. Which of the following is used for
decontamination of the skin after exposure to a toxic substance?
A. Thorough washing with water and appropriate cleansing agent
B. Gastric lavage
C. Activated charcoal
D. Whole bowel irrigation
17. Convulsions in a poisoned patient are also known
as:
A. Arrhythmias
B. Seizures
C. Ataxia
D. Cyanosis
18. Which of the following is an extracorporeal
technique that may be used to enhance elimination of certain toxins?
A. Hemodialysis
B. Gastric lavage
C. Emesis
D. Catharsis
19. The primary purpose of administering an antidote
is to:
A. Increase absorption of the poison
B. Counteract or reduce the toxic effects of a specific poison
C. Increase body temperature
D. Induce vomiting in every poisoned patient
20. Which of the following is an important component
of comprehensive care for poisoning?
A. Nursing care
B. Psychosocial and psychiatric care
C. Medical stabilization
D. All of the above
A. Anticholinergic toxidrome
B. Cholinergic toxidrome
C. Opioid toxidrome
D. Sympathomimetic toxidrome
22. Which factor most directly determines the severity of toxicity following exposure to a chemical?
A. Colour of the chemical
B. Dose and duration of exposure
C. Packaging of the chemical
D. Route of manufacture
23. In a severely poisoned unconscious patient, the first priority during emergency management is to:
A. Administer activated charcoal
B. Perform gastric lavage
C. Assess and secure the airway
D. Administer a universal antidote
24. Which method is most appropriate for reducing absorption of many suitable toxins already present in the gastrointestinal tract?
A. Activated charcoal
B. Catharsis alone
C. Forced diuresis in every poisoning
D. Immediate emesis in every poisoning
25. Risk assessment in toxicology primarily involves evaluation of:
A. Hazard, exposure and dose-response relationship
B. Colour, odour and taste
C. Manufacturing cost and packaging
D. Route of administration only
Answer Key: 1-B, 2-D, 3-B, 4-B, 5-D, 6-A, 7-A, 8-B, 9-B, 10-A, 11-D, 12-A, 13-A, 14-B, 15-C, 16-A, 17-B, 18-A, 19-B, 20-D. 21-C, 22-B, 23-C, 24-A, 25-A.
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