Examination for Snake Bite in the State of Kentucky

If you wish to return to the Source Information for review please use your browsers "back" button. This is an "open book" test, so please feel free to return to the source information at any time. You will need to get 85% correct or greater to be granted credit.
Hint! You can print the test by clicking the print button on your browser. Then, if need to go back to the material to answer some of the questions, you will have a copy of the questions and answers to help guide you.


1. All of the snakes listed below are endemic to Kentucky except: ?
Copperhead
Cottonmouth
Eastern Diamond Back Rattlesnake
Timber Rattlesnake
Pygmy Rattlesnake


2. If there are no external signs of envenomation present (edema, ecchymoses), there is no need for laboratory testing: ?
True
False


3. Most bites will occur during the daylight hours of warm summer months. ?
True
False


4. All snakebite victims should receive prophylactic steroids to minimize immune mediated reactions ?
True
False


5. All of the following are prudent pre-hospital management techniques for snakebite victims except: ?
Incision and suction
Immobilization
Prompt transport to a hospital
IV access
Elevation of the effected limb


6. Which one of the following snakes belongs to the Elapidae family? ?
Copperhead
Coral Snake
Eastern Diamondback Rattelsnake
Cottonmouth
Pygmy Rattlesnake


7. Anaphylaxis with antivenin infusion is best treated with which drug(s)? ?
Methylprednisolone
Diphenhydramine and cimetidine
Hydroxyzine
Epinephrine
Dopamine and Atropine


8. Which is the best description of antivenin administration? ?
Rapid IV push
Slow IV infusion of a dilute concentration with prudent increases in drip to the desired rate
Half injected into the wound, the other half IM at a distant sight
Half injected into the wound, the other half IV
I ml of antivenin per square cm Sub-cutaneously surounding the bite site


9. New ovine Fab crotalid antivenin is less allergenic because: ?
It lacks the Fc fragment of the antibody
It is affinity-purified
Sheep antibodies are better tolerated by humans than horse antibodies
A and B
A and C


10. Fasciotomies are recommended in which patients? ?
In patients with clinical signs of compartment syndrome and significantly elevated CPK levels
All patients with clinical signs of compartment syndrome
Never in any patient with a snake bite
In patients with elevated compartment pressures after adequate antivenin therapy


11. Copperhead bite victims comonly present with: (select one) ?
Significant edema, pain and erythema of involved limbs
Coagulopathy
Shock
Renal Failure
Seizures


12. Which of the following is indicated in all copperhead bites: ?
Antivenin
Analgesia with nonsteroidal antiinflamitory agents
Compartment pressure measurements
Observation for systemic signs
Incision and suction


13. Which of the following in true of CroFab? ?
Skin testing is required prior to its use
It is less likely to casue immunologic reactions than whole antibody molecule antivenins
Recurent coagulopathy has nto been reported after its use
It is derived from the venoms of the Western Diamondback, Eastern Diamondback, Coral Snake and Mojave Rattlesnake
Pre-marketing studies definded its beneficial role in copperhead bites