1.

A 12 year old boy had an alleged history of snake bite and presented to the hospital with
inability in breathing. He is very anxious and is having tachycardia and tachypnea .On
examination bite marks cannot be visualized and there is no swelling of limb. He has
bilateral ptosis. His whole blood clotting test is good.

2. Factory worker presented with tremors personality change, blue line in gum. Probable
diagnosis is poisoning with…. Justify your finding

3. A man working as pest killer comes to OPD with pain abdomen, garlic odour and
transverse line in the nail .What could be your suspicion?

4. A Bus passenger who was offered sweet by co-passenger presented with dilated pupils
and facial flushing after being duped?
5. Indian polyvalent anti snake venom consists of the venom of.

1) cobra 2) viper-Hypernole 3) Raw scaled viper 4) Russels viper 5) krait 6) king cobra

6. A patient is brought with suicidal consumption of sulphuric acid. Which of the following is
not seen in H2so4?
1) chalky white tongue / teeth 2) carbonization of stomach mucosa 3) perforation of
stomach 4) blotting paper stomach.

7. A person is accused of causing hurt to another person by giving drink laced with poison.
He is punishable with……………….. IPC
a) 284 b) 324 c) 328 d) 302.

8. You are working in a consulting as DMO. A person is brought with history of homicidal
Kerosene consumption. Pick the right one mentioned below.
1) Is it mandatory & inform the police before starting any treatment

2) Gastric lavage

3) Activated charcoal

4) Failure & preserve evidence is punishable under 201 IPC

9. A 5yrs old male brought to casualty by his mother because of episode of sudden vomiting.
He has been behaving strangely according to mother also complaint of weakness of hand
and feet. O/E – pale lethargic child, discolouration of gums, wasting of muscle of hand
and feet . Lab : Microcytic hypochromic anaemia with basophilic stippling.

What is this condition?

10. Patient brought with suicidal consumption of oxalic acid which is suitable for oxalic acid
poisoning?
a) Systemic symptoms not severe as it is acid
b) Causes hypokalemia /hypocalcemia
c) Perforation of stomach.
d) Parathyroid extract indicated

11. A dead baby with suspected poisoning and having hypostasis of brown in colour. What
could be your suspicion?

12. A 39 year old carpenter has taken two bottle of liquor from local shop. After about and
hour , he develops confusion, vomiting blurring of vision. He had been brought to the
emergency dept. What he should be given?

13. 28year old male admitted with H/o accidental consumption of one seed from the fruit
 ( Toxic……..poison) Which among the given below statement is wrong?

Which among the above statements are true? Justify

1) Convulsion affect all the muscle

2) Dose is too less for toxicity
3) Brain preserved
4) PM caloricity is seen
5) Pleurosthotonus seen

14. A farmer ingested unknown poisonous seeds and had pain and vomiting, soon he
developed paralysis of lower limb which ascends till it affected the respiratory muscle
and he died within 2 days the poisoning is due to

15. A 40 year old male abuses alcohol voluntarily for 15 years .He could not get alcohol for
4days due to closure of liquor shop in view of election. He was confused, could not sleep
properly. He also assaulted his neighbour. He had Delirium Tremors– Hallucination, Acute
Alcoholic withdrawal symptoms.

Who is responsible?

1) Person himself fully

2) Family is responsible
3) Partially responsible
4) Not responsible.
16.Ramesh presented with bronchodilation, increased temperature, constipation and
tachycardia probable diagnosis is poisoning with…………..,?

1) Atropine
2) Morphine
3) Arsenic
4) Organophosphorus.

17. Teenager was abusing this specific drug (white lady), features of over dose & poisoning
are all except .

1) Myocardial infraction
2) Epileptic seizures
3) Hypertension
4) Increased release of nor epinephrine in the synaptic cleft.

18.Cannabis:

Which is incorrect statement?

1) Ganja prepared from flowering top of male plant

2) Flash back phenomenon is seen
3) Sinsemilla- seedless preparation
4) No antidote
5) Run amok is not seen
19. A 35year old man, admitted with H/o suicidal consumption of poisonous plant .(oduvan
thalai)The relatives were able to identify the plant .

Which of the following is not correct?

1) Active principle is Karabin

2) Active principle is peruvoside
3) Hyperkalemia
4) Continuous ECG monitoring is necessary
5) Hypokalemia.

20. Most rapid Poison.Which is True among the following?

a) Amyl nitrite should be given as first choice

b) Patients with chlorhydric have good prognosis
c) Smell of bitter lemon noted
d) Antidote is Hydroxycobalamin.

21. Patients was found in a locked room having labored breathing, kerosene like smells
pinpoint pupil, frothing from mouth, cyanosed, and pulse rate 40/min.

Which of the following is correct regarding the management of the patient?

1) Atropine sulphate 1M should be given till atropinisation

2) Oximes should be started before ageing of the enzyme.
3) Chromodacryorrhea may be seen
4) P2AM is given IV 1-2mg along with atrophine.
22. A victim recovered from a burning closed hut brought to hospital , the victim looks like
intoxicated state.

True regarding the management.

1) First aid is to give oxygen at low flow continuously

2) Metabolic acidosis
3) Symptoms of poisoning starts when concentration is <10%.
4) Gastric lavage to be done immediately.

23. A man coming to emergency OPD H/o substance toxicity, excessive salivation, pin point
pupil,Kerosene smell on breath.

All true except

1) Atropine is specific antidote

2) Charcoal has no additional theoretical benefit
3) Atropine does not reverse muscular weakness .
4) Oximes to be started after 24 hrs for maximum therapeutic benefits.

24. A Women brought to casualty with kerosene burns in her both legs , right arm , chest
and left hand .calculate the degree of burn and immediate treatment for burns?
25. Elderly individual living alone in a temperate zone is found dead one morning . The
electric heater is found to be damaged. The rigor mortis will set in

1. Early than expected

2. Later than expected
3. Will not set in
4. Will set in as expected

26. First external sign of DecomposItion in a dead body

1. decomposition of liver and intestine

2. discoloration over right iliac fossa

3. greenish discoloration over dependant parts

4. blood stained froth from mouth

27. On postmortem examination contusion of neck muscles is seen along with fracture of
hyoid bone. The most probable cause of death is

1. Smothering

2. Mugging

3. Burking

4. Throttling
28. Jack knife position causes death due to

1. Burking

2. Traumatic asphyxia

3. Wedging

4. Positional asphyxia

29. A 5 year old boy while having dinner suddenly becomes aphonic and is brought to the
casualty with the complaint of respiratory distress. Immediate management should be?

1. Cricothyroidotomy
2. Emergency trichostomy
3. Humidified oxygen
4. Heimlich maneuver

30. In stab wounds lines of Langer determines

1. Direction

2. Gapping

3. Shelving

4. Healing
31. Order in lochia

1. Serosa, rubra, alba

2. Rubra, serosa, alba
3. Alba, rubra, serosa
4. Rubra, alba, serosa

32. Patient says he has super power and his relatives are jealous of him and planning to kill
him. Most likely diagnosis is

1. Delusion of persecution
2. Delusion of grandeur and persecution
3. Delusion of persecution and reference
4. Delusion of grandeur and reference

33. A 20 year old boy presented with fever along with hearing of voices, aggressive
behaviour, muttering to shelf since 2 days. Diagnosis is

1. Acute schizophrenia
2. Acute psychosis
3. Delirium
4. Delusional disorder
34. A person laughs to a joke, then suddenly loses tone of all muscles. Diagnosis is

1. Cataplexy
2. Catalepsy
3. Sleep attack
4. Sleep paralysis

35. An infant is brought to the casualty with the reports of violent shaking by the parent. The
most characteristic injury is

1. Long bone fracture

2. Ruptured spleen
3. Subdural hematoma
4. Skull bone fracture