Clinical Toxicology Page 1 of 9

1. A specialized field of toxicology that designates an area of

professional emphasis within the realm of medical science 16. When reporting cases of poisoning like eating in public
a. Forensic toxicology restaurant, the cases should be reported to the:
c. Environmental toxicology a. nurse b. family doctor c. pharmacist
b. Clinical toxicology d. d. public health officer e.
Regulatory toxicology BFAD

2. This is an area of toxicology which is concerned directly with 17. The major routes by which toxic agents gain access to the
toxicity testing, which provide necessary information for body are through the ff. except:
safety evaluation and regulatory requirements. a. blood b. GIT c.
a. mechanistic toxicology c. descriptive toxicology lungs d. skin e. parenteral
b. regulatory toxicology d. route
forensic toxicology
18. Acute exposure by inhalation refers to continuous exposure
3. The quantity of medicine that can kill an organism for less than 2 hours, most frequently for:
a. fatal dose b. LD50 c. a. 2 b. 3
Teratology d. Threshold Limit Value c. 4 d. 5
e. 6 hrs.
4. Acute poisoning includes, except:
a. taking a strong poison 19. Dryness of the mouth is a side effect of
c. taking several small a. atropine b. aspirin c. acetaminophen
doses at long intervals d. cimetidine
b. taking several small doses but frequent
d. taking excessive single doses 20. One group of thiol-containing enzymes that may play a critical
role in cell injury and death as a result of oxidative
5. This is obtained from an examination of the tissues and organs inactivation (oxidative stress) is:
of the dead. a. Ca b. Na c. K
a. Experimental evidence d. Mg
c. Post-Mortem evidence e. A1 transportation Alpase
b. Chemical evidence
d. 21. The ff. are mechanisms of poison absorption, except:
Circumstantial evidence a. hydrolysis b. endocytosis c. filtration
d. passive diffusion
6. Death may result from poisoning due to the following causes,
except: 22. An example of a Phase 1 Reaction in the metabolism of
a. due to interference with the carriage of oxygen substances is/are:
b. due to inhibition of the respiratory movements by a. oxidation b. hydrolysis
neuromuscular agents c. reduction d. all of the above
c. due to interference with the enzyme system utilizing
it 23. Pneumomediastenum is a complication of the use of:
d. circulatory failure as a result of cardiac glucosides a. gastric lavage b. hemodialysis c.
hemoperfusion d. emetics
7. Catharsis as a way of removing a poison includes, except:
a. increases intestinal injury when a corrosive is ingested 24. Constipation caused by active charcoal can be relieved by
b. is avoided in a patient showing disturbed electrolyte concomitant administration of
imbalance a. glycerol b. water c.
c. hypertonic cathartic and enemas are hazardous in laxative d. none of the above
the presence of impaired renal function
d. all of the above 25. Contraindication to the use of cathartics are the ff. except:
a. GI hemorrhage b. corrosive agents c. renal
8. This is recommended in phenol poisoning as a cathartic but is failure d. none of the above
contraindicated in poisoning by chlorinated insecticide, 26. The percentage of oxygen which is indicated for carbon
since it may increase intestinal absorption dioxide poisoning to increase the conversion of
a. magnesium sulfate b. castor oil carboxyhemogloblin to hemogloblin and myoglobin
c. mannitol d. and to increase oxygen saturation of the plasma is:
Fleet’s Phospho-soda a. 50% b. 75%
c. 100% d. 10%
9. A poison which increases suddenly in its intensity of action
after slow or gradual addition of it is 27. Nail polish remover contain
a. corrosive poison b. cumulative poison a. aniline b. ammonium hydroxide
c. true poison d. irritant poison c. acetone
d. phosphoric acid
10. The most serious potential consequence of ingestion of liquid
hydrocarbon such as kerosene or gasoline is: 28. Convulsions caused by drug poisoning are most commonly
a. paralysis of the peristaltic motion of the GI tract associated with:
b. the aspiration of the poison into the respiratory tract a. Phenobarbital b. diazepam c.
c. destruction of body enzymes by the poison strychnine d. chlorpromazine

11. The specific antidote for the treatment of poisoning due to oral 29. Alkalinizing the urine with sodium bicarbonate is useful in the
ingestion of silver nitrate would be the oral treatment of poisoning with:
administration of: a. ASA and barbiturates b. phencyclidine
a. acetic acid solution b. normal saline c. amphetamines d. morphine
c. sodium bicarbonate
30. Activated charcoal may be used in the treatment of these
12. Streptomycin can cause: poisoning, except:
a. 4th cranial damage b. 7th cranial a. Phenobarbital b. propoxyphene
damage c. 8th cranial damage d. 6th c. aspirin d. methanol
cranial damage
13. Most accidental poisoning in children is caused by: 31. These statements regarding carbon monoxide poisoning are
a. detergents b. bleaches true, except:
c. crayons d. insecticides e. a. the oxygen carrying capacity of the blood is decreased
salicylate analgesics b. the oxyhemoglobin dissociation curve becomes
shifted to the left, releasing less oxygen to the tissues
14. Antidote for iodine poisoning: c. a carboxyhemoglobin level of less than 30%
a. silver nitrate b. starch produces minimal symptoms
c. potassium nitrate d. treatment with 100% carbon dioxide is effective
d. sugar
32. Ototoxicity may be an adverse reaction of thE following,
15. The evidences to be saved in nonfatal poisoning are the except:
following, except: a. streptomycin b. ethacrynic acid c.
a. lung b. urine c. food furosemide d. tetracyclines
d. blood e. body fat
Clinical Toxicology Page 2 of 9
33. Individuals who are deficient in glucose-6-dehydrogenase a. chloral hydrate b. chloral hydrate and ethanol
experience hemolysis following the treatment with c. nitrous oxide d. ethanol
these drugs, except:
a. dapsone b. ethacrynic acid 52. Poisoning due to anticholinesterase is the best managed by
c. primaquine d. the administration of:
tetracyclines a. theophylline b. atropine
c. salbutamol
34. Acute intermittent porphyria is an absolute contraindication to d. ethanol
the use of:
a. nitrous oxide b. enflurane 53. Conjuctival and bronchial irritation are primary signs of
c. ketamine d. thiopental exposure to:
sodium a. ergot b. sulfur
dioxide c. ethyl alcohol
35. Direct hepatotoxicity has been observed with the following d. mercury
anesthetics agents:
a. halothane b. nitrous oxide 54. Deferoxamine is an antidote for:
c. thiopental d. all a. iron b. methanol
of the above c. calcium
d. iodine
36. A patient has resulted in acute hypertensive crisis after eating
cheese. This interaction is possible if the patient is on: 55. These are simple asphyxiants which are gases, except:
a. MAO inhibitor b. aspirin c. a. ethyl alcohol b. methane
tetracyclines d. all of the above c. nitrogen
d. none of these
37. It is used in the manufacture of smoke bomb, antiseborrheic
shampoos, in the treatment of bone fracture and rickets. 56. Toxic substance found in “tulingan” tuna and:
a. bismuth b. boron a. sourine b. nenerupin
c. cadmium d. cesium e. c. gemblid d.
chromium potassium bromate

38. Its deficiency mimics diabetes mellitus, it is found in brown 57. Effective therapy to rattle snake bite:
sugar and butter a. suction and tourniquet b. antivenin c.
a. bismuth b. boron antivenin and suction and tourniquet d. none of these
c. cadmium d. cesium e.
chromium 58. A type of poison that causes blackening and severe corrosion
in the mouth:
39. It is used in silvering of mirror and it causes metal line gum. a. nitric acid b. sulfuric acid
a. bismuth b. boron c. c. phenol d.
cadmium d. cesium e. chromium hydrochloric acid

40. It is the poison found in rust and ink eradicator. 59. It causes the Minamata disease:
a. nitrite b. naphthalene c. a. Nickel b.
oxalate d. lead e. mercury manganese c.
molybdenum d. mercury
41. It is used to preserve the color of meat in pickling.
a. nitrite b. naphthalene c. 60. Examples of herbicides, except:
oxalate d. lead e. mercury. a. phenoxyacetic acid b. paraquat
42. It is used in fingerprint photography c. diquat
a. nitrite b. naphthalene c. d. nicotine
oxalate d. lead e. mercury.
61. Mushroom poisoning comes from:
43. It is the choice of professional poisoners. a. belladonna b. digitalis
a. nitrite b. naphthalene c. c. Amanita phalloides d.
oxalate d. arsenic e. berrylium all of these

44. It is the most toxic metal. 62. It is the poison in toilet bowl deodorant:
a. nitrite b. naphthalene c. a. Nitrite b.
oxalate d. arsenic e. berrylium lead c. naphthalene
d. oxalate
45. Ammonium salt is the antidote for 63. Lead can be effectively detoxified by:
a. aniline b. cyanide a. barium sulfate b. BAL with EDTA
c. ethyl alcohol d. iodine c. ethanol d. deferroxamine
e. formaldehyde
64. An antidote to methanol poisoning:
46. Methylene blue is the antidote for a. ethanol b. digoxin
a. aniline b. cyanide c. atropine
c. ethyl alcohol d. iodine d. naloxone
e. formaldehyde
65. Induction of vomiting is accomplished by administering:
47. It is known as the prussic acid a. Syrup of ipecac b.Ginger ale
a. aniline b. cyanide c.Peppermint syrup
c. ethyl alcohol d. iodine d.None of these
e. formaldehyde
66. Banned toxic substance in “pandesal”, cakes and other
48. It is known as the Neutral spirit bakery products:
a. aniline b. cyanide a. gemblid b. venrupin
c. ethyl alcohol d. iodine c. potassium bromate
e. formaldehyde d. sourine

49. It is also known as the stink damp 67. Fatal dose of aspirin:
a. hydrogen sulfide b. carbon monoxide a. 5 grains b. 5 grams
c. carbon disulfide d. nitrogen oxide c. 5 mg
d. all of these
50. It is known as the rodent poison
a. hydrogen sulfide B 68 Lysergic acid poisoning has this toxic syndrome/s:.
d. carbon tetrachloride a. dilated pupil b. hallucinations and dilated pupil
b. phosphorus c. hallucinations d.
e. carbon monoxide none of these
c. carbon disulfide
69. Death due to strychnine poisoning is from:
51. The abuse of this drug is responsible for major medical and a. fatigue
socio-economic problems: c. cardiac failure
Clinical Toxicology Page 3 of 9
b. fatigue of respiratory muscle
d. exhaustion of respiratory center 88. A common household substance given as antidote is milk
because:
70. Litharge is also known as: a. it is amphoteric and coats the stomach b.
a. magnesium oxide b. lead oxide c. coats the stomach c. it is amphoteric d. nota
arsenic trioxide d. nitrous oxide
89. It causes shellfish toxicity:
71. Manihot toxin is found in this crop root: a. dinoflagellates b. snails
a. yam b. cassava c. jellyfish d. octopus
c. sweet potatoes d. 90. Treatment of bismuth poisoning involves the use of:
none of these a. morphine b. dimercaprol c.
EDTA d. none of these
72. Best known physiological antidote for strychnine:
a. codeine b. pilocarpine 91. Side effects frequently seen with benzodiazepines, except:
c. barbiturate d. a. ataxia b. drowsiness
morphine c. seizures d.
none of these
73. Phencyclidine has this toxic syndrome:
a. violent syndrome 92. Most commonly known animal poison:
c. coma with open eyes and violent a. scombroid b. venom
syndrome c. saxitoxin d.
b. coma with open eyes tetrodotoxin
d. none of these
93. A botanical insecticide:
74. Poisonous fishes contain unedible organs or toxins such as: a. malthion b. pyrethrum
a. ciguatoxin b. saxitoxin c. parathrion
c. aflatoxin d. none of these
d. scombroid
94. An enzyme found in the snake venom is:
75. Activated charcoal is specifically helpful in the treatment of a. hyaluronidase b. urease
poisoning from: c. steapsin
a. aromatic compound b. all of these d. ptyalin
c. alkaloid d. none of
these 95. The effects that occurs at the site of the first contact between
the biological system and the toxicant.
76. Convulsions caused by drug poisoning are commonly a. local toxicity b. economic toxicity
associated with: c. systemic toxicity d. cumulative toxicity
a. diazepam b.
strychnine c. phenobarbital d. 96. The effects that occur at the site of the first contact between
chlorpromazine the biological system and the toxicant.
a. local toxicity b. economic toxicity
77. A carcinogenic substance found in stale peanut: c. systemic toxicity d. cumulative
a. peroxide b. glyceryl ester toxicity
c. aflatoxin d. fatty acid
97. One of the ingredients in mothballs
78. Black widow spider venom is called: a. oxalic acid b. naphthalene c.
a. neostigmine b. lactrotoxin activated charcoal d. arsenic e. none of
c. carbachol d. all these
of these
98. Poison that converts the red hemoglobin to chocolate brown
79. The antidote for DDT poisoning: color
a. adrenaline b. atropine a. aniline b. nitrobenzene
c. amphetamine d. c. both a and b d. ether
barbiturate
99. Dilution with water is contraindicated in the poisoning with
80. Causes digitalis-like toxicity and baritosis: a. sulfuric acid b. acetic acid
a. antimony b. aluminum c. hydrochloric acid d. none of the above
c. barium
d. arsenic 100. The poisonous substance in Lysol:
a. cresol b. phenol
81. Metal used in water purification: c. resorcinol d.
a. lead b. copper thymol
c. gold
d. gallium 101. Saxitoxin is the poison found in:
a. mushroom b. dried nuts
82. Bitter almond odor is symptoms of this poisoning: c. marine animal d. snake
a. mercury b. cyanide
c. lead 102. Cobra’s venom is composed of:
d. none of these a. toxin b. phytotoxin
c. bufotoxin d.
83. Paraquat poisoning is characterized by: syntoxin
a. bloody stool b. none of these
c. hematemesis d. bloody stool and hematemesis 103. Which of the following is the toxic action of antimony?
a. inhibition of enzymes through combination with –SH group
84. The universal antidote usually contains tannic acid, activated b. combines with hemoglobin to form
charcoal and: carboxyhemoglobin
a. calcium hydroxide b. aluminum hydroxide c. both a and b
c. magnesium hydroxide d. all of these d. none of these

85. A poisonous principle of Coalculus indicus used as fish 104. Yellow or disturbed vision, disturbed respiration, epileptiform
poison: convulsion can be caused by:
a. Phenacetin b. picric acid a. santonin b. muscarine
c. picrotoxin d. colchicines c. atropine d. all of these
e. none of these
86. Principal active alkaloid of ipecac:
a. caffeine b. apomorphine 105. Oxidation of pyrocatechol and hydroquinol may tint the urine
c. ergonovine with color _______
d. emetine a. black b. yellow c.
blue d. green
87. Sweet odor of vomitus is/are due to this type of poison/s: e. none of these
a. chloroform and acetone b. turpentine
c. acetone d. chloroform 106. Best known physiological antidote for strychnine:
Clinical Toxicology Page 4 of 9
a. pilocarpine b. atropine
c. morphine d. codeine 124. Cocaine is commonly known as:
a. coke b. lady
107. A branch of toxicology which is concerned with the medical c. crystals d.
and legal consequences of poisoning: all of the above
a. environmental toxicology
c. forensic toxicology 125. Tetracyclines tend to form complexes with the following,
b. experimental toxicology except:
d. economic toxicology a. belladonna b. calcium ions c.
magnesium ion d. iron ions
108. Mineral oil is an antidote for poisoning by kerosene.
a. adsorption 126. Which of the ff. symptoms is not present in digitalis
c. inactivation intoxication?
b. neutralization a. vomiting b. vagal arrest of the
d. lessen respiratory hazard by heart c. visual disturbance
increasing viscosity of kerosene 127. The first toxic symptoms of digitalis poisoning is:
a. gastrointestinal irritation d.
109. A CNS stimulant, fish or bird poison, adulterant of beverage cerebral excitement
a. muscarine b. undue depression of heart rate e.
d. both a and b colored vision
b. atropine c. flushing of skin
e. none of these
c. picrotoxin 128. A type of insulin which causes exceptionally few allergic
reactions is:
110. Brown color of smog a. protamine zinc insulin
a. nitrogen pentoxide b. nitric oxide c. d. lente insulin
nitrogen oxide d. all of these e. none of these b. NPH insulin
e. salicylate analgesics
111. Specific antidote for silver poisoning c. globulin unsulin
a. lemon juice b. saline solution
c. ammonia 129. One of the ff. should not be listed below as a volatile poison
a. chloroform
112. Which of the following metals coagulate protein: d. di-fluorocarboxyl
a. lead b. mercury b. benzene
c. copper d. silver e. petroleum ether
c. carbolic acid
113. The alkaloid found in Ipecac used for amoebic dysentery
were evident poisoning symptom is violent purging 130. Cases of heavy metal poisoning are concrete examples of:
with bloody stools: a. sub-acute poisoning b. chronic poisoning
a. ephedrine b. emetine c. acute poisoning d. unknown
c. isoquinoline d. methylxanthine
131. Calcium disodium edetate is:
114. Surface contaminated with phenol can be washed by: a. BAL b. Ca-EDTA
a. water b. ethanol c. Desferal d.
c. soap d. all of these Penicillamine

115. Peculiar stimulation (tingling) and paresthesia (numbness) of 132. Example of poison which exhibits both local and remote
the sensory in nerves are symptoms of poisoning types of effects
due to: a. arsenic b. cantharides
a. aconite b. muscarine c. c. both a and b d. none of the above
atropine d. physostigmine
133. Substance intended to prevent, destroy, repel or mitigate
116. Potent cord convulsant, increases the excitability of the CNS rats, mice, etc
at all level a. herbicides b. hematocides
a. morphine b. opium c. rodenticides d. molluscides
c. strychnine d. both a and b
134. fatal dose of nitrobenzene
117. Obtained from coal tar a. 2-3 drops b. 8-15 drops
a. kerosene b. naphthalene c. 60-80 drop d. 0-1 drops
c. both a and b d. none of
these 135. Characteristic odor of phosphorous intoxication
a. garlic odor b. mousey odor c.
118. Intermediate acting barbiturate/s, except: odor of bitter almonds d. odor of chico
a. amobarbital b. butabarbital
c. pentobarbital d. vinbarbital 136. The only poisonous variety of phosphorous
a. yellow b. red
119. Entrance or outlet of any body cavity is termed as: c. black d. all of the
a. media b. meatus above
c. oral d. 137. Systemic emetics act by:
orifice a. direct stimulation
c. indirect stimulation
120. Atropa belladonna belongs to the family b. reflex stimulation
a. Solanaceae b. Rutaceae c. d. none of the above
Ranunculaceae d. all of the above e.
none of the above 138. Water is avoided in poisoning by:
a. acetic acid b. nitric acid
121. Poisonous substance in Paris green is: c. milk d. tea
a. arsenic b. cyanide
c. antimony 139. Which of the ff preparations contains arsenic?
d. mercury a. Fehling’s solution
c. Nylander’s solution
122. Insecticide, fungicide, alloys in medicine, emetic drug, b. Benedic’s solution
astringent and caustic, purification of water, escharotic d. Fowler’s solution
a. cadmium b. copper c.
lead d. mercury 140. Source of phytotoxin
d. none of the above a. animals b. plants c.
minerals d. insects
123. Ultra short acting barbiturates are highly lipid
soluble and rapidly penetrate the brain, and is 141. Which of the ff animals used for flocculant precipitates with
capable of inducing: human blood?
a. anesthesia b. paralysis a. cat b. dog
c. none of the above c. rabbit d. monkey
Clinical Toxicology Page 5 of 9
158. Causes liquefaction necrosis
142. The organ of elimination for metallic poisons a. silicones b. acids
a. mouth b. rectum c. liver c. alkali
d. skin d. paraquat

143. Strong black coffee of subcutaneous injection of 159. Street names of marijuana, except:
caffeine citrate in the treatment of acute alcohol a. grass b. mary jane
poisoning is attributed to c. pot
a. antagonistic stimulant effect of caffeine d. ice
b. oxidation of alcohol
c. depressant action of caffeine 160. Ecstasy is related to what drug?
d. hypotensive effect of caffeine a. amphetamine b. opioids
c. acetylcholinesterase
144. The cardinal rule or the first step to be considered in the d. anorectic
treatment of poisoning is to:
a. remove the poison from contact with the victim 161. Antidote for cyanide poisoning, except:
b. stop the action of the poison by giving the specific antidote a. methemoglobin producers
c. provide symptomatic of supportive care c. hydroxycobalamine
d. fight against the tendency of death b. EDTA
d. none of the above
145. Activated charcoal is used in the treatment of phenol
poisoning as 162. FPN test indicates the presence of:
a. mechanical antidote b. chemical a. chlorpromazine b. imipramine
antidote c. physiological antidote c. ferric chloride d.
salicylic acid
146. Morphine as a physiological antidote in methanol poisoning
acts by: 163. A red color in the pyridine layer after adding NaOH develops
a. reversing acidosis in the presence of
c. antagonizing the action of methanol a. nitrobenzene b. chloroform
b. relieving abdominal pain d. inducing c. ethylene d.
intestinal evaluation phenacetin

147. Nalorphine acts as a specific antagonist for opium poisoning 164. Present in tear gas:
by: a. cyanide b. capsaicin
a. competitive inhibition c. c. alloin
non-competitive inhibition d. cysteine sulfoxide
b. stimulation
d. sedation 165. Muscarinic antagonists, except:
a. hyoscine b. arecoline
148. The mechanism of action involved in the use of EDTA as c. pilocarpine
antidote for heavy metal poisoning is: d. NOTA
a. adsorption b. oxidation
c. chelation d. 166. Which of the ff. conditions can cause convulsions?
precipitation a. hypoglycemia b. coma
c. isopropyl alcohol toxicity
149. The ff symptoms of poisoning from antimony are similar to d. lactic acidosis
those of arsenic poisoning, except:
a. diarrhea of rice-water stool 167. A warfare gas:
c. garlic odor of breath and suppression of urine a. phosgene b. COCl2
b. severe dehydration and great thirst d. c. sarin
nausea and vomiting d. all of the above

150. Metallic poisons are classified as 168. A patient passing out a yellow-green vomitus can be
a. corrosive poison b. irritant poison poisoned by:
c. cerebral neurotic poison d. all a. iron b. chromium
c. phosphorous
151. Prussian blue is the antidote for what poisoning? d. cyanide
a. lithium b. nitrites
c. thallium d. cyanide 169. Triad of opioid/opiate toxicity, except:
a. respiratory depression b. pin-point
152. Whole Bowel Irrigation is preformed using pupil c. convulsion d. coma
a. PEG b. Sodium phosphates
enema c. Magnesium citrate 170. Toxic metabolite of CCl4
d. NaSO4 a. epoxides b. phosgene
c. nitrite d.
cyanide
153. The ff compounds have 2 sulfhydryl (-SH) groups,
except: 171. Toxic metabolite of acetonitrile
a. DMSA b. penicillamine a. epoxides b. phosgene
c. DMPS d. BAL c. nitrite d.
cyanide
154. Which of the following can be used for carbamate
poisoning? 172. Enzyme which catalyzes conversion of paracetamol to n-
a. pralidoxime b. neostigmine acetyl-paraamino-benzoquinone imine
c. atropine d. a. cytochrome P-450 b. superoxide dismutase
all of the above c. hyaluronidase d. glucuronide
transferase
155. Poison present in Dora rat killer
a. diphenhydramine b. coumarin 173. Poison from black widow spider:
c. heavy metals a. α-latro toxin b. saxitoxin
d. 2,4-D c. α-bungarotoxin d.
picrotoxin
156. The ff. are used to treat anaphylaxis
a. diphenhydramine b. dopamine 174. Protamine sulfate is a/an:
c. cortisone a. anticoagulant b. antidote for heparin
d. epinephrine toxicity c. basic protein
d. all of the above
157. Calcium gluconate precipitates the ff. salts, except
a. oxalate b. fluoride 175. Capable of measuring serum concentration levels of
c. sulfate poisons, except:
d. none of the above a. HPLC b. RIA
c. TLC d. GLC
Clinical Toxicology Page 6 of 9
176. Digoxin FAB comes from 193. An agent that neutralizes a poison or counteracts its effects
a. pigeons b. sheep is a/an:
c. fish d. a. antidote b. antiemetic
cats c. counterirritant d.
antibiotic
177. Thallium toxicity causes:
a. coma b. respiratory depression 194. Ethanol acts by preventing the conversion of this drug to
c. metabolic acidosis formaldehyde by competing for dehydrogenase
d. hair loss a. chlorine b. iodine
c. methanol
178. Penicillin is used to treat poisoning with: d. all of these
a. Amanita mushrooms
c. Botulinus toxin 195. Signs of barbiturate poisoning
b. Silibinin a. alkalosis b. diuresis
d. Salmonella c. decrease respiratory minute volume
enterotoxin d. hypertension

179. The process of detoxification wherein the drug/ substance of 196. An antidote for heparin overdosage
abuse is withdrawn gradually: a. protamine sulfate b. dicumarol
a. “cold turkey” b. “warm turkey” c. calcium salts
c. “lukewarm turkey” d. d. atropine
“hot turkey”
197. Angina pectoris is a type of pain seen in this type of
180. “Angel dust”: poisoning
a. MDMA b. LSD a. hydrochloric acid b. lead
c. PCP d. c. mercury
THC d. nicotine

181. “Roofies” 198. Nicotinic acid produces which of the ff. effects:
a. alprazolam b. cannabis a. decreases VLDL clearance
c. flunitrazepam d. c. increases VLDL clearance
heroin b. Increases VLDL production
d. none of these
182. A toxic insult on the developing organism may cause
adverse effect during: 199. An antidote for acetaminophen overdosage
a. prenatal development a.. atropine b. n-acetylcysteine
c. prior to conception c. physostigmine d.
b. postnatal development all of these
d. all of the above 200. Aflatoxin is found in
a. nux vomica b. mushrooms
183. Fetal alcohol syndrome is characterized by following, c. improperly dried nuts
except: d. shellfish
a. long palpebral fissures
c. intellectual growth retardation 201. A specific antidote for metallic poisoning like arsenic
b. retarded psychomotor development d. a. sodium nitrate b. copper sulfate
microcephaly c. dimercaprol d.
activated charcoal
184. Pralidoxime can be used for poisoning from:
a. parathion b. aldicarb 202. Enhancement of elimination of poisoning include:
c. either a or b a. manipulation of urine pH to accelerate urinary excretion
d. neither a nor b b. hemoperfusion
c. hemodialysis
185. All of the ff metals have been found with substantial d. all of these
evidence to be carcinogenic in humans, except
a. arsenic b. beryllium 203. These are chelating agents used as antidotes
c. cadmium a. penicillamine b. calcium edentate
d. manganese c. dimercaprol d.
all of these
186. The organs adversely affected by lead, except:
a. brain b. kidneys 204. Atropine is useful in treating poisoning by organophosphate
c. blood d. lungs insecticides because it
a. stimulates receptors directly
187. causes fetal hydantoin syndrome: b. reactivates inhibited acetylcholinesterase
a. heroin b. phenytoin c. blocks the action of acetylcholinesterase at both central and
c. penicillin d. tamoxifen peripheral sites
d. inhibits normal ganglionic transmission
188. Exposures at any time during pregnancy poses a high risk
of congenital structural abnormalities 205. Iron poisoning gives ____ coloration of stool and urine
a. tretinoin b. a. brown b. blue
cyclophosphamide c. c. black
carbamazepine d. tamoxifen
206. Antidote for monomethylhydrazine
189. Enters the breast milk and can cause neonatal narcotic a. pyridoxine b. thiamine
dependence c. riboflavin
a. heroin b. codeine d. all of these
c. both a and b d. none of these
207. Caffeine can cause
190. A characteristic of arsenic poisoning a. respiratory paralysis
a. black gum lines b. wrist drop c. drowsiness
c. Mee’s lines d. acrodynia b. restlessness
d. all of these
191. The major target organ of toxicity of benzene:
a. blood b. liver 208. An antidote for curare poisoning
c. bone marrow a. atropine b. neostigmine
d. heart c. homatropine d.
all of these
D 192. Morphine and its derivatives can cause
a. dyspnea b. diarrhea c. 209. Rotten egg odor is a characteristic of poisoning with
constipation d. respiratory paralysis e. all a. heroin b. hydrogen sulfide
of these c. lead d. ethylene glycol
Clinical Toxicology Page 7 of 9
210. Drugs of high addicting property 231. This is usually given in poisoning to induce vomiting.
a. amphetamines b. scopolamine For questions 232-235, choose from the ff:
c. chloral hydrate d. ketamine A. ammonia water
B. 2.5% sodium thiosulfate
211. the following are important air pollutants except C. atropine
a. carbon monoxide b. malathion D. BAL with EDTA
c. ozone d. sulfur dioxide E. Pyridoxine

212. Antipyrine has been known to cause 232. the best antidote for organosphoshate poisoning.
a. blood dyscrasia b. non-electrolyte 233. The antidote for treating poisoning with bleaching agents
c. fever d. high like Zonrox.
incidence of rashes 234. The best antidote for formaldehyde poisoning, since it
forms a non-poisonous product which is methenamine.
213. The following antidotes could be used to treat carbamate 235. The antidote for isoniazid poisoning.
insecticide poisoning except For questions 236-240, choose from the ff:
a. atropine b. pralidoxime A. Acetylcysteine
c. physostigmine d. B. Weak acid
all of these C. Starch
D. activated charcoal
214. An antidote that acts by adsorption and is usually given E. Folic acid
when the nature of the poison is unknown
a. KMnO4 b. ipecac syrup 236. Antidote for magnesium salts
c. tannic acid d. 237. Universal antidote contains this substance
charcoal 238. Antidote for iodine poisoning
239. This B-complex vitamin, when administered to patients
215. The basis of understanding drug reaction is: with methanol and ethylene glycol poisoning, may
a. pharmacokinetics b. enhance the elimination of the toxic metabolite, formic
pharmacodynamics c. toxicodynamics acid.
d. all of these 240. This drug is indicated for acetaminophen overdose,
which acts as a sulfhydryl group donor, substituting for
216. Non-therapeutic chemical most commonly involved in the liver’s usual sulfhydryl donor glutathione.
poisoning are the ff., except
a. corrosives b. insecticides For questions 241-244, choose from the ff:
c. solvents
d. analgesics A. acetylcysteine
B. physostigmine
217. Emetics act in the ff. manner except: C. potassium salt
a. centrally b. peripherally D. thiamine
c. locally d. none E. ethanol

218. Ipecac syrup has the ff. adverse effect except: 241. This drug could be used to treat hydrocarbon
a. blurred vision b. persistent GI upset insecticide poisoning.
c. hemorrhagic gastritis 242. The antidote for ethanol and ethylene glycol poisoning.
d. all of these 243. Glucose with this drug is given to alcoholic and
malnourished patient but may aggravate
219. the most toxic veratrine alkaloid is: hyperglycemic ischemia and brain injury.
a. pseudoveratrine b. protoveratrine 244. Used for the treatment of digitalis poisoning.
c. veratrine d.
pseudogerbine

220. This gas is used for execution in so-called gas chambers:

a. nitrous oxide b. nitrous oxide and For questions 245-248, choose from the ff:
cyanide c. cyanide
d. ozone A. Vitamin K
B. Nalorphine
221. eating of rotten canned goods can cause: C. Apomorphine HCl
a. salicylism b. botulism D. BAL
c. cinchonism E. Citric acid
d. none of these
245. The specific antagonist for narcotic poisoning.
For questions 222-226, choose from the ff: 246. A local emetic.
A. normal saline 247. An antidote for sodium hydroxide poisoning
B. dimercaprol 248. An antidote for warfarin poisoning
C. atropine
D. lead For questions 249-253 choose from the ff:
E. neostigmine
A. CuSO4
222. the specific antidote for the treatment of poisoning due B. Nalorphine
to he oral ingestion of silver nitrate C. Sodium bicarbonate
223. Ethylendiamine-tetraacetic acid is an antidote for this D. KCl
poison E. Chlorpromazine
224. Antidote for curare poisoning
225. The most effective antidote for arsenic, gold and 249. This is the antidote for chlorine gas poisoning
mercury poisoning, which is a metal complexing agent 250. This is an antidote for phosphorous poisoning
226. The best known physiological antidote for strychnine 251. A systemic antidote for amphetamine poisoning
252. A physiological antagonist for digitalis
For questions 227-231, choose from the ff: 253. Acts as a specific antagonist for opium poisoning.
A. diazoxide
B. diazepam For questions 254-258 choose from the ff:
C. syrup of ipecac
D. charcoal A. Atropine/ pralidoxime
E. sodium bicarbonate B. Magnesium hydroxide
C. Ethanol
227. This is indicated for severe metabolic acidosis resulting D. Naloxone
fro intoxication by methanol, ethylene glycol, E. Sodium bicarbonate
salicylates, and excessive lactic acid.
228. This is indicated for anxiety, convulsions, muscle 254. Poisoning by narcotics can be best treated by giving
relaxant and chloroquine poisoning to antagonize this drug.
cardiac toxicity. 255. Surface contamination with phenol can be washed
229. The drug is used as an oral hypoglycemic agent. using this substance
230. An antidote that acts by adsorption and is usually given 256. The universal antidote usually contains tannic acid,
when the nature of the poison is unknown. activated charcoal and this drug.
Clinical Toxicology Page 8 of 9
257. These drugs can treat poisoning with organphosphates a. tetanics b. neurotics
like parathion and malathion. c. asthenics
258. This drug is used for effective excretion of absorbed d. stimulants
barbiturates.
259. One should not e listed below as a volatile poison: 277. Agents which produce stupor
a. chloroform b. benzene a. abortives b. stimulants
c. carbolic acid d. c. narcotics
di-fluorocarboxyl d. convulsants

260. The botanical origin of the very toxic ergonovine: 278. Evidence obtained by examination of body organs and
a. Papaver somniferum b. Croton tiglium tissues after death
c. Claviceps purpurea d. a. experimental evidence
Cantaris vesicatoria c. post-mortem evidence
b. chemical evidence
d. pre-mortem evidence
2671. The best method of isolating non-volatile poisons is by:
a. distillation with a current of steam 279. Evidence contributed by the symptoms
b. distillation without current of steam a. chemical evidence
c. extraction with water or oxalic acid c. symptomatic
d. extraction with organic acids evidence
b. post-mortem evidence
262. Cases of heavy metal poisoning are concrete examples of: d. experimental evidence
a. sub-acute poisoning b. chronic
poisoning c. acute poisoning d. unknown 280. Evidence obtained by administering the suspected
substance to some living animal and observing the effects
263. Local action of poisons are best characterized by: a. circumstantial evidence
a. Cantharidin b. phosphorous c. experimental evidence
c. corrosive acids d. both a and c b. symptomatic evidence
d. chemical evidence
264. Digitoxin goes this kind of physiological action.
a. local b. remote 281. A type of poisoning produced by taking or absorbing for a
c. both a and b protracted period small doses of a poison, thereby
d. none of these producing gradual deterioration of function of tissues
a. acute poisoning b. sub-acute poisoning
265. Spoiled food brings about: c. chronic poisoning d. none of the
a. botulism b. ptomaine above
c. tinnitus cureum d. none of these
282. Dose which may be expected ordinarily to produce the
266. Best known physiological antidote for strychnine therapeutic effects for which the preparation is employed.
a. pilocarpine b. atropine a. maximum dose b. minimum dose c.
c. morphine average dose (median) d. above
d. codeine average dose

267. Oil of mirbane is a synonym for: 283. Atmospheric substance with an oxidizing power which
a. sulfuric acid b. nitrobenzene c. liberates iodine from the solution of KI
potassium hydroxide d. potassium nitrate a. carbon monoxide b. oxidants
c. particulates d.
hydrogen sulfide gas
268. Antidote for magnesium salts
a. 4% tannic acid solution 284. This substance is produced by the incomplete combustion
c. nalorphine of carbon or carbonaceous materials
b. activated charcoal a. nitrogen materials b. sulfur oxides
d. copper sulfate c. carbon monoxides d.
269. The primary toxicity of carbon tetrachloride hydrogen sulfide
a. nephrotoxicity b. hepatotoxicity c.
cardiotoxicity d. pulmonary toxicity 285. Characteristic color of the ammonium phosphor-molybdate
precipitate for the presence of phosphorous
270. Washing out an organ such as the stomach or bowel a. violet precipitate b. black precipitate
a. intravenous b. irrigation c. yellow precipitate d. maroon
c. labyrinth d. lavage precipitate

271. This poison particularly affects cardiac muscles 286. Characteristic type of precipitate of magnesium ammonium
a. strychnine b. digitoxin phosphate for the presence of phosphorous
c. theophylline a. curdy, white precipitate
d. pilocarpine c. crystalline, white precipitate
b. heavy, white precipitate
272. Exerts their effects by interfering with the oxidation of the d. white solution
tissues
a. narcotics b. irritants 287. Distinguishing test of carbon disulfide fro hydrogen sulfide
c. asphyxiants a. sulfocyanate test b. hypochlorite test c.
d. convulsants xanthogenate test

273. The function of the toxicologist covers: 288. Aniline + bromine water gives this characteristic
a. diagnosis of a poisoning case precipitation
b. detection and treatment of an identified poisoning case a. pinkish red precipitate
c. all of the above c. blue green precipitate
d. none of the above b. flesh-colored precipitate
d. yellowish globules
274. Food poisoning is an example of:
a. organic alkaloidal poisoning 289. In order to detect with certainty nitrobenzene, one must
c. organic animal poisoning a. steam distill the sample
b. organic bacterial poisoning b. reduce the sample first to aniline with iron and HCL, then test it
d. none of the above for aniline
c. smell the liquid
275. A condition of more or less complete suspension of
respiration and death may begin at the lungs: 290. Nitrobenzene odor resembles that of
a. syncope b. coma a. chico b. garlic
c. asphyxia c. bitter almonds d. oil of
d. drowning sulfates

276. Agents which produce exhaustion and cause marked loss of

vital or muscular power
Clinical Toxicology Page 9 of 9