ASSIGNMENT 22

Book Assignment: “Poisoning and Drug Abuse,” pages 22-1 to 22-34

22-1. Poisoning is defined as contact with or 22-6. Which of the following is the method of exposure to a toxic substance. choice for the HM to use to induce vomiting? 1. True 2. False 1. 15-30 cc of syrup of Ipecac 2. 2 teaspoonfuls of dry mustard in water 22-2. Toxicology is defined as the science of 3. 2 teaspoonfuls of an active charcoal poisons. slurry 4. To tickle the back of the victim’s 1. True throat 2. False

22-7. When a patient ingests an acid or base 22-3. A patient presents with dilated pupils, treatment is to give a neutralizing agent fever, dry skin, urinary retention, decreased orally. bowel sounds, and increased heart rate. What toxidrome does this set of symptoms 1. True suggest? 2. False

1. Narcotic 2. Anticholinergic 22-8. If the HM is unable to reach the poison 3. Withdrawal control center or a physician for specific 4. Non-syndrome syndrome instructions, how should the HM treat a victim who has ingested turpentine?

22-4. A patient presents with salivation, 1. Induce vomiting and observe lacrimation, urination, and muscle 2. Give 1 to 2 ounces of vegetable oil weakness. What toxic syndrome does this orally set of symptoms suggest? 3. Neutralize the poison with vinegar and water 1. Anticholinergic 4. Give 1 to 2 tablespoonfuls of milk 2. Cholinergic of magnesia 3. Narcotics 4. Sympathominetic 22-9. Of the following, which is considered the most common agent in inhalation 22-5. What is the most common route of poisoning? exposure to toxic chemicals in the home? 1. Carbon dioxide 1. Absorbed 2. Carbon monoxide 2. Injected 3. Freon 3. Ingested 4. None of the above 4. Inhaled

1

22-10. Treatment for an inhalation poisoning 22-15. What is the key identifying feature of victim includes all of the following the North American coral snake that EXCEPT? distinguishes it from other snakes with similar markings? 1. Removal from the contaminated atmosphere 1. The yellow band is always next to 2. Administration of oxygen the red band 3. Administration of stimulants 2. The red band is always next to the 4. Treatment for shock black band 3. It has a distinctive bite pattern 4. It has deep pits below the eyes 22-11. A patient presents exhibiting signs of anaphylactic reaction to a bee or wasp sting. Of the following, which is NOT considered 22-16. On patrol, a member of the unit receives appropriate treatment? a rattlesnake bite just below the elbow. What first aid treatment should be 1. Removal of patient’s jewelry performed? 2. Subcutaneous injection of epinephrine 1. Place a tourniquet 1 inch proximal 3. Warm packs over the sting site to the bite site 4. Removal of the stinger by scraping 2. Place a constricting band 2 inches with a dull knife proximal to the bite site 3. Place a constricting band 2 inches distal to the bite site below the 22-12. The victim of a scorpion sting may elbow safely be given any of the following 4. Both 2 and 3 above pharmaceuticals EXCEPT?

1. Demerol or morphine 22-17. Valuable information on the antivenom 2. Calcium gluconate is found in the package inserts. 3. Valium 4. All the above are acceptable 1. True 2. False

22-13. Symptoms of a black widow spider bite may include severe pain, dyspnea, and 22-18. The Puffer, Surgeon, Trigger, and Parrot ______. fish are known to be______.

1. Obvious swelling 1. Poisonous at all times 2. Abdominal rigidity 2. Poisonous to the touch 3. A necrotizing lesion 3. Not poisonous 4. Fever and chills 4. Poisonous during red tide

22-14. Crotalids are identified by ______.

1. Slit-like pupils of the eyes 2. Flat, triangular heads 3. Semi curved bite marks 4. Both 1 and 2

2

22-19. A person suffering from a Venomous 22-24. Which of the following is not a Fish sting should? symptom of alcohol abuse?

1. Soak the wound in hot water for 30 1. Nausea to 90 minutes 2. Vomiting 2. Apply Ice packs to the wound 3. Confusion 3. Urinate on the wound 4. Increased level of consciousness 4. Apply a tourniquet

22-25. Withdrawal from barbiturates is less life 22-20. Identify the fish with which there is threatening than narcotic withdrawal. antivenom available. 1. True 1. Stonefish 2. False 2. Scorpionfish 3. Zebrafish 4. All of the above 22-26. Central nervous system stimulants are used for all of the following EXCEPT?

22-21. Antivenin is available to neutralize the 1. Decrease mental alertness effects of the following types of 2. Combat drowsiness Coelenterates? 3. Fatigue 4. Attention Deficit Hyperactivity 1. Portuguiez man o war, sea blubber Disorder (ADHD) 2. Sea anemone, rosy anemone 3. Box jellyfish, sea nettle 4. Sea wasp, box jellyfish 22-27. Signs and symptoms of stimulant intoxication include all of the following EXCEPT? 22-22. How many hours after the last dose does narcotic withdraw normally peak? 1. Hypertension 2. Increased appetite 1. 2 hours 3. Dilated pupils 2. 24 hours 4. Increased body temperature 3. 48 hours 4. 72 hours 22-28. A person may display which of the following sign(s) after using a 22-23. The most widely abused drug(s) is/are? hallucinogenic drug?

1. Ethanol 1. Pin-pointed pupils 2. Opiates 2. Decreased heartbeat 3. Barbiturates 3. Flushed face 4. Amphetamines 4. Both 2 and 3 above

3

22-29. Marijuana falls into which of the following categories of drugs?

1. Barbiturate 2. Physically addicting 3. Cannabis 4. Harmless

22-30. Persons who regularly abuse inhalants risk which of the following injuries?

1. Severe brain damage 2. Damaged internal organs 3. Death 4. All of the above

22-31. In caring for drug-intoxicated persons, the HM should perform what actions as the first priority?

1. Check for an adequate airway 2. Keep the victim awake 3. Induce vomiting if the victim is awake 4. Transport to a medical facility

4