Emergency Preparedness and Response Course - CBRN for Medical Personnel and First Responders (4 hrs) JKO

The amount of radiation that an individual absorbs depends on ____?

All of the Above Time exposed to a radioactive source Distance a person is from a radioactive source Type and amount of shielding between a person and a radioactive source

Smallpox can spread from one person to another by the following routes:

All of the above Aerosols generated by a patient sneezing and coughing Droplets during face-to-face contact with a patient Direct contact with patient's scabs

What form of ionizing radiation is the least penetrating?

Alpha

A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. Patient is alert and oriented during the exam. What toxin do you suspect and how do you treat it?

Botulinum toxin, supportive care and antitoxin.

A patient was admitted to the hospital suffering from the following symptoms for the past week: fever, chills and weakness, very swollen tender lymph nodes of bubo, and skin ulcerations. He states the ulcerations are exactly where very small insects bit him. Which type of plague is responsible for the patient's symptoms?

Bubonic

Which of the following cell types are least sensitive to ionizing radiation damage?

Cells that divide slowly

Which of these are fast-acting compounds that attack oxygen-dependent tissues known to be particularly sensitive

Cyanide Compounds

You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. It is reported that

Don your mask before going into the room

How is the victim of nerve agent exposure presenting with convulsions classified?

Immediate

Pulmonary (choking) agents primarily enter the victim by what means?

Inhalation

A patient is suffering from painful, highly corrosive burns similar to acid, and wheals have begun to appear on the

Phosgene oxime

A patient is exhibiting the following symptoms: Fever, Cough, Dyspnea, prominent gastrointestinal symptoms, absence of buboes. Which form of plague is responsible?

Pneumonic

Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal?

Q Fever

Treatment of patients suffering from pulmonary agent exposure should focus on?

Recognizing which compartment(s) are damaged and minimizing that damage

Vesicant (blister) agents include all of the following, EXCEPT:

Sarin (GB)

For which virus is the mosquito not known as a possible vector?

Smallpox

Processed foods and temperature-abused foods are most commonly associated with ____ poisoning.

Staphylococcal Enterotoxin B (SEB)

Which of the following statements does NOT describe Brucellosis?

The brucellae are highly infectious via the aerosol route and brucellosis is associated with a high mortality rate.

A group of victims has been admitted to your triage unit. All victims have recently been in an area where canisters exploded spraying them with an amber colored liquid that smells like flowers and burns intensely. You suspect Lewisite. Which of the following is not a consideration during treatment of the victims?

Unroofing of blisters

Which type nerve agent is the MOST persistent?

VX

A patient presents to the hospital. He has been feeling ill since his return from safari in Africa a few days ago. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. What type of viral infection do you suspect?

Viral Hemorrhagic Fever

Which of the following decontamination method is NOT recommended for removing vesicants from casualties?

Wash patient with their clothing still on

Select three components, in correct order of administration, utilized in the treatment for cyanide exposure.

Amyl nitrite, sodium nitrite, sodium thiosulfate

Radiation burns, which cause delayed, irreversible changes of the skin, can be caused by high doses of what form of ionizing radiation?

Beta

Which of the following is considered a pulmonary (choking) agent?

Chlorine

A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for

Cyanide

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of cell

What type of biological toxin is predominantly derived from the bean of the castor plant?

Ricin

Patient presents with 5-day-old blisters/rash mostly on the arm, face, and hands. No scabs are present. Patient reports fever started several days before blisters appeared. Based on the information would you suspect chickenpox or smallpox?

Smallpox, because the rash is centrifugal on the patient

In industry, cyanide compounds are widely used during:

All of the above Plastic production Gold and silver extraction Hide tanning

A patient who works at an insecticide manufacturing plant is admitted to the emergency room. He states he was splashed with a large quantity of liquid and is now exhibiting symptoms of vomiting, diarrhea, difficulty breathing, body twitching and is generally very weak. What is the preferred treatment to block the effects of excessive ACh?

Administer additional 2-PAM Cl