International Snakebite Awareness Day: Quiz!

30 Questions | Total Attempts: 75

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International Snakebite Awareness Day: Quiz!

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Questions and Answers
  • 1. 
    An annual number of deaths due to snake bites in Bangladesh.
    • A. 

      250

    • B. 

      1000

    • C. 

      6000

    • D. 

      10000

  • 2. 
    The estimated annual incidence of snake bites in Bangladesh.
    • A. 

      623/100000

    • B. 

      123/100000

    • C. 

      423/100000

    • D. 

      1200/100000

  • 3. 
    Who are mostly affected by snake bite?
    • A. 

      City dwellers

    • B. 

      Urban dwellers

    • C. 

      Village people

    • D. 

      All the above

  • 4. 
    Which is the recommended first aid in managing snake bite?
    • A. 

      Application of tourniquet

    • B. 

      Pressure immobilization

    • C. 

      Application of heat

    • D. 

      Incising the bite area

  • 5. 
    Regarding carbolic acid to distract the snake.
    • A. 

      Scientifically proven benefit

    • B. 

      No scientific evidence

    • C. 

      Can be used to distract snake

    • D. 

      Recommended to keep carbolic acid during flood

  • 6. 
    After any snake bite incident, a victim should be sent to the hospital.
    • A. 

      Within 100 min

    • B. 

       With 1 hour

    • C. 

      Immediately

    • D. 

      After appearance of sign symptoms

  • 7. 
    20 minutes Whole Blood Clotting can be positive (> 20 minutes) for the following snake.
    • A. 

      Cobra

    • B. 

      Krait

    • C. 

      Russel's viper

    • D. 

      Sea snake

  • 8. 
    Russel’s viper snake is commonly found in the following area.
    • A. 

      Rajshahi

    • B. 

      Dhaka

    • C. 

      Chittagong

    • D. 

      Sylhet

  • 9. 
    Which method is commonly used to detect the offending snake in Bangladesh?
    • A. 

      ELISA method

    • B. 

      PCR

    • C. 

      Syndromic approch

    • D. 

      ICT method 

  • 10. 
    How many vials of Polyvalent antivenoms are needed to treat a venomous snake bite?
    • A. 

      5

    • B. 

      10

    • C. 

      15

    • D. 

      20

  • 11. 
    The available polyvalent antivenom does not contain the antivenom against the following snake.
    • A. 

      Cobra

    • B. 

      Krait

    • C. 

      Green pit

    • D. 

      Russel's viper

  • 12. 
    Neostigmine and atropine are not recommended as additional treatments to manage the following snake bite.
    • A. 

      Cobra

    • B. 

      Krait

    • C. 

      Green pit viper

    • D. 

      Russel's viper

  • 13. 
    A patient with a cobra bite presented to you with reduced respiratory effort with PaO2 65%. Following this should be the first step of management.
    • A. 

      Immediate administration of Antivenom

    • B. 

      Endotracheal intubation

    • C. 

      Administration of Atropine and Neostigmine

    • D. 

      Prophylactic S/C adrenaline  

  • 14. 
    Which snake does not cause features of local envenomation?
    • A. 

      Cobra

    • B. 

      Russel's viper

    • C. 

      Green pit

    • D. 

      Krait

  • 15. 
    A 45 years old farmer presented to the Emergency Department of DMCH with a history of snakebite 5 hours ago. During the examination, the patient had bilateral ptosis and painful swelling of the bite site. 20 minutes whole blood clotting test was less than 20 minutes. Identify the offending snake.
    • A. 

      Krait

    • B. 

      Cobra

    • C. 

      Russel's viper

    • D. 

      Saw scaled viper

  • 16. 
    A snake charmer in Rajshahi admitted at the DMCH with a history of snake bite 12 hours back. He developed a blood-stained blister over the affected limb with mild bilateral ptosis. Which is the suspected snake?
    • A. 

      Cobra

    • B. 

      Russel's viper

    • C. 

      Green pit viper

    • D. 

      Krait

  • 17. 
    To prevent antivenom reaction, which drug is recommended?
    • A. 

      S/C Neostigmine

    • B. 

      S/C Adrenalin

    • C. 

      I/M Adrenalin

    • D. 

      I/M Neostigmine

  • 18. 
    Antivenom treatment is contraindicated for the following patient.
    • A. 

      Pregnant women

    • B. 

      Chronic Kidney Diseases

    • C. 

      H/O allergic reaction to drugs

    • D. 

      None  of the above

  • 19. 
    After administering 1st dose of Polyvalent antivenom for Cobra, when you should consider repeating the second dose of antivenom?
    • A. 

      30 min

    • B. 

      60 min

    • C. 

      6 hours

    • D. 

      12 hours

  • 20. 
    Ophiophagus Hannah does not cause the following.
    • A. 

      Flaccid paralysis

    • B. 

      Local necrosis

    • C. 

      Shock

    • D. 

      Procoagulant coagulapathy

  • 21. 
    Which anti-venom is available for managing Russel’s viper bites in Bangladesh?
    • A. 

      Monovalent anti venom against Russel's viper

    • B. 

      Polyvalent antivenom

    • C. 

      Bi-valent anti venom against Russel's viper

    • D. 

      Monovalent antivenom against pit viper 

  • 22. 
    Which drug is not used to treating Antivenom reaction?
    • A. 

      Adrenalin

    • B. 

      Anti-histamin

    • C. 

      Hydro-cortisone

    • D. 

      Neostigmine

  • 23. 
    After successful management of antivenom reaction, what should you do?
    • A. 

      Reintroduce the antivenom

    • B. 

      Do not reintroduce antivenom

    • C. 

      Try with different antivenom

    • D. 

      Never give anymore anti venom  

  • 24. 
    Regarding continuing the additional treatment with Neostigmine and Atropine.
    • A. 

      Should continue at least 4 hours

    • B. 

      Stop whenever neurological features disappear 

    • C. 

      Should continue for at least 24 hours

    • D. 

      Should continue at least 6 hours

  • 25. 
    Which snake does not cause procoagulant coagulopathy?
    • A. 

      Green pit

    • B. 

      Krait

    • C. 

      Russel's viper

    • D. 

      Cobra

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