08 S P M P On Snake Bite

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Simulated Patient Management Protocol on Snake Bite

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08 S P M P On Snake Bite

  1. 1. SPMP on Snake Bite<br />Dr. S. Aswini Kumar. MD<br />VIII. 01. The following features can identify bite by a snake EXCEPT: <br /><ul><li>Two distinct bite marks .5-1 cm apart
  2. 2. Eight bite marks seen in a semicircle
  3. 3. The snake is killed and brought
  4. 4. History of creature winding round leg
  5. 5. Extremely anxious state of the patient</li></ul>VIII. 02. The poisonous snakes belong to the following families EXCEPT:<br /><ul><li>Elapidae
  6. 6. Colubridae
  7. 7. Hydrophidae
  8. 8. Croatalidae
  9. 9. Viperidae</li></ul>VIII. 03. Venoms of poisonous snakes have the following toxicity EXCEPT:<br /><ul><li>Hematotoxicity
  10. 10. Neurotoxicity
  11. 11. Cardiotoxicity
  12. 12. Myotoxicity
  13. 13. Permiability </li></ul>VIII. 04. First aid measures to be undertaken immediately are the following EXCEPT:<br /><ul><li>Immobilizing the limb using a splint
  14. 14. Mechanical suction with a rubber pump
  15. 15. Applying a tourniquet over a single bone
  16. 16. Washing the wound with soap and water.
  17. 17. Making a cruciate incision at the site of bite</li></ul>VIII. 05. Following clinical features identify Envenomation EXCEPT:<br /><ul><li>Bleeding and burning sensation
  18. 18. Lymphangitis and lymphadenitis
  19. 19. Vomiting and abdominal pain
  20. 20. Blurred vision and slurred speech
  21. 21. Polyuria and polydypsia</li></ul>VIII. 06. The following clinical parameters are to recorded periodically EXCEPT:<br /><ul><li>Pulse rate and rhythm
  22. 22. Blood pressure
  23. 23. Extent of local reaction
  24. 24. Jugular venous pressure
  25. 25. Single breath count</li></ul>VIII.07. Following investigations are to be done immediately EXCEPT:<br /><ul><li>Complete blood count & platelet count
  26. 26. Blood grouping and cross matching
  27. 27. Bleeding time, Clotting time
  28. 28. Blood & urine for Toxicological analysis
  29. 29. Urine microscopy for blood or myoglobin</li></ul>VIII. 08. Evidence of local reaction in poisonous snake bite is indication for administration of:<br />A)    1-2 vials<br />B)    2-4 vials<br />C)    5-8 vials<br />D)    8-16 vials<br />E)    16-32 vials<br />VIII.09. Maximum Anti Snake Venom Serum usually required in presence of Systemic envenomation is:<br /><ul><li> 10
  30. 30. 20
  31. 31. 30
  32. 32. 60
  33. 33. 90</li></ul>VIII. 10. Approximate cost of one vial of Anti Snake Venom Serum is:<br /><ul><li>100
  34. 34. 200
  35. 35. 300
  36. 36. 400
  37. 37. 500</li></ul>VIII. 11. The procedures involved in giving ASV are the following EXCEPT:<br /><ul><li>Intra-dermal test dose
  38. 38. Intravenous test dose
  39. 39. Multiple intra-muscular doses
  40. 40. Intravenous bolus dose as slow push
  41. 41. Intravenous Infusion in 1-4 hours</li></ul>VIII. 12. Treatment of any anaphylactic reaction to ASV include the following EXCEPT:<br /><ul><li>Chlorpheneramine Maleate 10-20mg
  42. 42. Hydrocortisone 200mg given as IV
  43. 43. Desensitizing the patient against ASV
  44. 44. Adrenaline 1 in 1000 S/C SOS
  45. 45. Not getting informed consent</li></ul>VIII. 13. Dangerous complications of poisonous snake bite include following EXCEPT:<br /><ul><li>Acute renal failure
  46. 46. Intra-cerebral bleeding
  47. 47. Circulatory collapse
  48. 48. Pneumonia due to atypical bacteria.
  49. 49. Neuromuscular paralysis</li></ul>VIII. 14. In cobra or krait bite following can be done EXCEPT:<br /><ul><li>Neostigmine 1mg IV at hourly intervals
  50. 50. Atropine 1mg IV hourly before each Neostigmine
  51. 51. Diazepam 5mg IM given twice daily
  52. 52. Frequent checking of Single Breath Count.
  53. 53. Endotracheal intubation/assisted ventilation</li></ul>VIII. 15. Local reaction can be treated with the following EXCEPT:<br /><ul><li>Cap. Amoxycillin + Cloxacillin 500 Q 6h
  54. 54. Local administration of long acting steroid
  55. 55. Metronidazole 500mg IV 8hourly
  56. 56. Injection Tetanus Toxoid 0.5ml IM
  57. 57. Serratiopeptidase 10mg TID</li></ul>VIII. 16. Severe Cellulitis may require the following treatment :<br /><ul><li>Glycerin Magnesium Sulphate dressing
  58. 58. Surgical Debridement
  59. 59. Fasciotomy
  60. 60. Skin Grafting
  61. 61. All the above</li></ul>VIII. 17. Visha chikilza is best suited for snake bite because <br /><ul><li>It is 100% effective
  62. 62. It is cheap
  63. 63. It is readily available
  64. 64. It is without side effect
  65. 65. None of the above

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