MCQ Sample Questions

Below are some sample questions to guide you in preparing for the exam:

 

1/When treating patients with inhalation injury, which of the following fact is true,

 

Highly water-soluble agents produce pulmonary edema.

Poorly water-soluble agents produce rapid irritation of the airway.

Keep a close observation and delay intubation as long as possible.

Always consider CO and cyanide poisoning in smoke inhalation.

2/ A 20-year-old male patient is brought to the emergency room by ambulance when he collapsed in a street; his friend gave history of cocaine abuse. Out of the following statements, which option you should avoid while treating such patient,
 
Intravenous benzodiazepine is the key treatment for most of the symptoms caused by cocaine and other stimulant drug poisoning.
The body temperature should be lowered rapidly if hyperthermia is present in cocaine poisoning.
Sodium bicarbonate is useful for wide complex tachycardia in stimulant drug poisoning.
Beta-blockers are the drug of choice to treat hypertension in cocaine poisoning.

3/ Choose one option which makes the diagnosis of cocaine toxicity unlikely,
 
Agitation and seizures.
Subarachnoid hemorrhage.
Bradycardia
Coronary spasm and chest pain.

4/Which of the following causes high anion gap metabolic acidosis?
 
Lithium
Beta blocker
Digoxin
Methanol

5/Which one of the following toxidrome can present with diarrhea, diaphoresis, urination, miosis, bradycardia, bronchosecretions, emesis, lacrimation, lethargy and salivation?
 
Cholinergic
Anticholinergic
Opioid
Sympathomimetic

6/ Which one of the following is the antidote for methanol intoxication?
 
n-acetylcysteine
Ethanol/fomepizole
Oxygen/hyperbarics
Naloxone/nalmefene

7/ Which one of the following is the antidote for organophosphate intoxication?
 
n-acetylcysteine
Ethanol/fomepizole
Atropine
Naloxone/nalmefene

8/ Which one of the following is the earliest postmortem change?
 
Adipocere formation
Mummification
Rigor mortis
Skeletonization

9/ Which of the followings best describe a stab wound?
 
More depth than length
Gapping of tissue
Regular long edges
Clean cut edges

10/ Where would a lacerated wound look like a cut wound?
 
Scalp
Corrugated areas
Axilla
Forehead

11/ A 32 year old male patient brought to the ER with confusion and agitation, according to his family he was normal till few hours ago, he has no relevant past medical history.
What is your first priority in managing this patient in the emergency department?
 
Secure his circulation, airway and breathing.
Send him immediately for CT brain.
Do his chest x-ray.
Give him coma cocktail.

12/ Which one of the following is the antidote for opioid intoxication?
n-acetylcysteine
Ethanol/fomepizole
Oxygen/hyperbarics
Naloxone/nalmefene

13/ From the following statements choose one option which is true while treating the patients who present with hydrocarbon poisoning,
 
The major toxicity is by inhalation injury.
Gastric lavage is very beneficial if done early in the course of poisoning.
Symptoms of the poisoning occur immediately.
Asymptomatic patient should be discharged with out any further observation.
 

14/ A 44 female with history of diabetes since 9 years. She suffers from chronic duodenal ulceration. Suddenly, she lost her consciousness and was admitted to the hospital where operation for duodenal perforation was done. She died of peritonitis a few days after.
 
What is the direct cause of death?
Diabetes
Duodenal ulceration
Peritonitis
Duodenal perforation

15/ A man sustains abdominal gunshot wound with perforation of the colon.  In spite of multiple operations and other treatment, over a period of three months, he develops generalized peritonitis, septicemia and adult respiratory distress syndrome.
 
What is the cause of death?
Septicemia
Gunshot wound
Peritonitis
Adult respiratory distress syndrome

 

 Best of luck