MCQs

Multiple choice questions on toxicology

1. A person was brought by police from the railway 5. Phosphine liberated in the stomach in aluminum
platform. He is talking irrelevant. He is having dry phosphide poisoning is toxic to all except
mouth with hot skin, dilated pupils, staggering gait a. Lungs
and slurred speech. The most probable diagnosis is b. Kidneys
a. Alcohol intoxication c. Liver
b. Carbamates poisoning d. Heart
c. Organophosphorous poisoning 6. Paraquat poisoning causes
d. Dhatura poisoning a. Renal failure
2. Regarding methanol poisoning b. Cardiac failure
Assertion: Administration of ethanol is one of the c. Respiratory failure
treatment modalities d. Multiple organ failure
Reason: Ethanol inhibits alcohol dehydrogenase 7. Ecstasy toxicity causes
Please select the most correct option from the a. Hypereflexia
following: b. Trismus
a. Both assertion and reason are true, and the c. Dilated pupils
reason is the correct explanation for the d. Visual hallucinations
assertion e. All of the above
b. Both assertion and reason are true, and the 8. A housewife ingests a rodenticide white
reason is not the correct explanation for the powder accidentally. She is brought to hospital
assertion where the examination shows generalized,
c. Assertion is true, but the reason is false flaccid paralysis and an irregular pulse.
d. Assertion is false, but the reason is true electrocardiogram shows multiple ventricular
3. In methyl alcohol poisoning, there is central nervous ectopics, generalized changes with ST-T.
system depression, cardiac depression and optic Serum potassium is 2.5 mEq/L. The most likely
nerve atrophy. These effects are produced due to: ingested poison is:
a. Formaldehyde and formic acid a. Barium carbonate
b. Acetaldehyde
b. Super warfarins
c. Pyridine
c. Zinc phosphide
d. Acetic acid
d. Aluminum phosphide
4. A 39-year-old carpenter has taken two bottles of
9. All of the following are treatment options for toxic
liquor from the local shop. After about an hour,
alcohol poisoning except
he develops confusion, vomiting and blurring
a. Fomepizole
of vision. He has been brought to the emergency
b. Hydroxycobalamin
department. He should be given
c. Thiamine
a. Naloxone
d. Folic acid
b. Diazepam
c. Flumazelnil e. Pyridoxine
d. Ethyl alcohol 10. Hyperthermia in a patient of poisoning is a pointer
to all except
Access this article online a. Ecstasy
Quick Response Code: b. Selective serotonin reuptake inhibitor
c. Salicylates
Website: d. Chlorpromazine
www.jmgims.co.in
11. Ophotoxemia refers to
a. Organophosphorous poisoning
b. Heavy metal poisoning

March 2015 | Vol 20 | Issue 1 Journal of Mahatma Gandhi Institute of Medical Sciences
118 MCQs on toxicology

c. Scorpion venom poisoning On examination bite mark cannot be visualized and

d. Snake venom poisoning there is no swelling of the limb. He has bilateral
12. Elapidaes are ptosis. His 20 min whole blood clotting test is good
a. Vasculotoxic quality. What is the next course of action?
b. Neurotoxic a.  Don’t give anti-snake venom (ASV), but
c. Musculotoxic observe the patient
d. Nontoxic b. Give ASV and keep the patient in observation
13. The most useful bedside test to suggest snake bite c. Give ASV, and give neostigmine and observe
envenomation is the patient
a. Prothrombin time d. Reassure the patient and send him home with
b. 20 min whole blood clotting time anxiolytic
c. International normalized ratio 15. Magnan’s symptoms are characteristic symptoms
d. Platelet count with which poisoning?
14 A 12-year-old boy had an alleged history of snake a. Alcohol
bite and presented to the hospital with inability to b. Charas
open eyes well and difficulty in breathing. He is very c. Cocaine
anxious and is having tachycardia and tachypnea. d. Ecstasy

c 15. d 10. b 5.
c 14. b 9. d 4.
b 13. a 8. a 3.
b 12. e 7. a 2.
d 11. d 6. d 1.

Answer

Journal of Mahatma Gandhi Institute of Medical Sciences March 2015 | Vol 20 | Issue 1