9.3 D-G) Environmental Venomous Bites And Stings

Front 1

Which of the following Marine sting does not

require vinegar ?

A. Box Jellyfish
B. Non-tropical Jellyfish
C. Tropical Jellyfish
D. Irukandji

Back 1

B.

Front 2

List the Marine envenomations requiring

Pressure Immobilisation bandaging (PIB)

{ 3}

Back 2

1. Sea snake
2. Blue-ringed octopus
3. Cone-Shell

Front 3

Which one of the following requires hot water immersion as a analgesic treatment for sting ?

A. Tropical jellyfish
B. Stonefish
C. Irukandji
D. Box jellyfish

Back 3

B.

Front 4

Which of the following marine stings /

envenomations does not encompass the use of vinegar in the initial treatment ?

A. Irukandji
B. Box Jellyfish
C. Non-tropical jellyfish
D. Tropical jellyfish

Back 4

C.

Front 5

Which Marine stings/envenomations have an ANTIVENOM?

Back 5

Marine Envenomation Antivenoms :

1. Stonefish
2. Sea Snake
3. Box Jellyfish

Front 6

Which of the marine envenomations main

treatment is purely SUPPORTIVE

( i.e.. no anti venom ) ?

Back 6

1. Irukandji
2. Blue-ringed Octopus
3. Cone-shell

Front 7

Which antivenoms are available for use for sea snake envenomation ?

Back 7

1. Sea Snake antivenom
2. Tiger snake antivenom
3. polyvalent antivenom

Front 8

Which of the following is incorrect regarding

marine envenomations?
A. Box jellyfish has cardiotoxic and dermatonecrotic venom effects
B. Irukandji syndrome has vomiting, widespread pain and autonomic

lability as its main features.
C. The VDK does not detect sea snake venom
D. The blue ringed Octopus bite in excruciatingly painful

Back 8

D. painless

Front 9

Which marine envenomations have bite/sting site pain?

Back 9

1. Non-tropical jellyfish
2. Tropical jellyfish
3. Box jellyfish
4. Cone-shell
5. Stonefish *** (severe, excruciating)

Front 10

Which one is incorrect regarding marine

envenomations?
A. Box Jellyfish antivenom is indicated with cardiac arrest or severe pain unrelieved with opioids.
B. Anaphylaxis is uncommon with box jellyfish anti venom
C. The sea snake envenomation gives coagulopathy and rhabdomyolysis
D. The blue-ringed Octopus maculotoxin is a sodium channel blocker

Back 10

C. Sea Snake envenomation :

Neuromuscular paralysis and

rhabdomyolysis = COMMON

[ No coagulopathy ]

Front 11

Which Marine envenomations can give rise to Cardiorespiratory collapse - cardiac arrest?

Back 11

1. Box Jellyfish (Cardiac arrest )
2. Blue-ringed Octopus ( Respiratory)
3. Cone-shell (Respiratory)
4. Irukandji (Pulmonary oedema)
5. Sea snake (Respiratory)

Front 12

Which Marine envenomations have

no / minimal bite site pain ? [ 3 ]

Back 12

1. Irukandji
2. Sea snake
3. Blue-ringed Octopus

Front 13

Which of the following is incorrect regarding

Marine envenomations / toxins?
A. Tetrodotoxin is rare in Australia
B. Saxtoxin from Paralytic shellfish is from bivalve molluscs
C. Scombroid is essentially an Allergic reaction
D. Ciguatera is primarily a Neurological illness.

Back 13

D. Ciguatera is :

1. Primarily Acute gastrointestinal illness
2. Subsequent Neurological illness

Front 14

Which of the following anti venom doses is

incorrect?
A. Box Jellyfish : 6 ampoules for cardiac arrest
B. Sea Snake : single ampoule
C. Stonefish: 2 ampoules per puncture wounds
D. Sea snake : 3 Tiger antivenom ampoules

Back 14

C. Stonefish: 1 ampoule per 2 puncture wounds