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1. Which of the following statements regarding poisonings is true?
a. A poison is any substance that causes harmful effects when introduced into the body.
b. All toxins are poisonous when in contact with the human body.
c. The majority of poisonings are intentional and result in homicide or suicide.
d. The number-one cause of poisoning in the United States is prescription medications. - Correct
Answer :Answer: a
Objective: 12-3
Reference: 387, 390
2. Which of the following terms does not indicate a route of absorption in the body?
a. Ingestion
b. Inhalation
c. Distribution
d. Transdermal route
- Correct Answer :Answer: c
Objective: 12-2
Reference: 387-388
3. A 44-year-old patient was found at home unresponsive. Based on his clinical presentation and
the fact that he was burning a kerosene heater in an enclosed room, you determine that he is
suffering from carbon monoxide poisoning. Based on this information, which route of exposure
would you recognize as responsible for the poisoning?
a. Transdermal route
b. Inhalation
c. Ingestion
d. Absorption
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- Correct Answer :Answer: b
Objective: 12-2
Reference: 391
4. Distribution of a poisonous substance in the body occurs primarily through the:
a. lymphatic system.
b. circulatory system.
c. endocrine system.
d. gastrointestinal system.
- Correct Answer :Answer: b
Objective: 12-1
Reference: 389
5. The process by which the body breaks down a substance is known as:
a. elimination.
b. detoxification.
c. metabolism.
d. distribution.
Correct Answer :Answer: c
Objective: 12-1
Reference: 389
6. The speed at which a toxin is distributed in the body is affected by:
a. the heart rate.
b. body mass.
c. the respiratory rate.
d. urination.
- Correct Answer :Answer: a
Objective: 12-1
Reference: 396
7. Anything that has mass and occupies space is known as a:
a. poison.
b. toxin.
c. cell.
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d. substance.
- Correct Answer :Answer: d
Objective: 12-3
Reference: 387
8. A 15-year-old admits to taking "a bunch" of extra strength Tylenol tablets. Her mother states
it's nothing to worry about because it was just Tylenol. Based on your training you recognize that
this ingestion could have serious consequences. It is because toxic amounts acetaminophen can
cause irreversible:
a. liver damage.
b. stomach damage.
c. brain damage.
d. hearing damage.
- Correct Answer :Answer: a
Objective: 12-5
Reference: 393
9. You are visiting a friend's home and suddenly hear a child crying out in the kitchen. As you
assess the scene you note kitchen cabinets are open with bottles tossed around. The child is
holding her hand to her mouth. Your friend tells you that the child must have tasted something
that she didn't like. Based on your scene assessment, you would:
a. agree with your friend and suggest that a cookie would take the bad taste away.
b. ask your friend if she has Ipecac so you can make the child vomit.
c. call 911 and try to identify which bottle the child may have been drinking from.
d. offer the child a glass of milk to dilute any chemical he may have ingested.
- Correct Answer :Answer: c
Objective: 12-6
Reference: 396
10. You are assisting a paramedic in the aid room to care for a patient who has ingested a toxin.
The paramedic states she wants to give the patient activated charcoal. Based on your training
you recall that there are specific criteria that should be met before charcoal is administered.
Which of the following criteria is not one of the criteria for administering activated charcoal?
a. The patient ingested the poison less than three hours ago.
b. The patient is awake and responsive.
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c. Transport time will be prolonged.
d. Authorization has been granted by medical control or some other EMS authority. - Correct
Answer :Answer: a
Objective: 12-6
Reference: 399
11. It is late Friday evening and you are joining your friends at a cabin for a winter weekend
camping trip. When you open the door you notice how nice and warm it is inside. Your friends
though are not very welcoming. They tell you they are not feeling well and complain of being
lightheaded and nauseated. Based on their symptoms, you are concerned they may be suffering
from:
a. carbon dioxide poisoning.
b. alcohol toxicity.
c. excessive heat exposure.
d. carbon monoxide poisoning.
- Correct Answer :Answer: d
Objective: 12-5
Reference: 394, 397
12. Which of the following statements indicates that the speaker understands inhalation
poisonings?
a. "They can occur from inhaling common household products."
b. "They affect the lungs only and do not circulate systemically."
c. "An inhalation emergency cannot be occurring if you don't smell anything."
d. "Most inhalation poisonings are easily identifiable by a residue around the mouth."
- Correct Answer :Answer: a
Objective: 12-5
Reference: 391
13. You are driving on the highway and see an overturned tanker. A fluid is spilling from the
tanker rapidly covering the ground around the driver's door. The driver appears to be
unresponsive. The only marking on the tanker seems to be the name of the tanker company and
hazard symbol. Your initial action should be:
a. try not to step in the liquid while pulling the driver away from the truck.
b. have someone call 911 and assess the driver's ABCDs.
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