Emergency Preparedness and Response Course - CBRN for Medical Personnel and First Responders (Pre Test)

what mission oriented protective posture (MOPP) level provides the greatest level of protection?

IV

which type o fnerve agent is the most persistent?

VX

a patient whop 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 Ci

the primary toxicity of pulmonary agents is to the _________ and follows __________ of smoke, particles, vapors, or gases.

airways, inhalation

in industry, cyanide compounds are widely used during:

all of the above

patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or __________

delayed until past the time of bone marrow suppression and delayed wound healing

the decontamination site should NOT be located:

near waterways and drainage systems

following a nuclear detonation, some of the casualties with survivable injuries are possibly contaminated with radiological material. which of the below courses of action is most appropriate for the situation?

treat all life-threatening injuries first

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 consideration during treatment of the victims?

unroofing of blisters

what type of CBRNE agents are man-made and act rapidly, burn and blister skin, mucous membranes, airways and gastrointestinal systems?

vesicants

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

decontamination will be conducted in the __________ hazard zone

warm

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

wash patient with their clothing still on

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

cyanide compounds

processed foods and temperature-abused foods are most commonly associated with __________ poisoning.

staphylococcal enterotoxin b (SEB)

type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the lowest level possible

thorough

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

all of the above

the amount of radiation that an individual absorbs depends on_____?

all of the above

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

amyl nitrite, sodium nitrite, sodium thiosulfate

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

beta

what method is used to estimate a radiation dose by measuring the biological response to an absorbed dose of ionizing radiation?

biodosimetry

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 this patient's symptoms?

bubonic

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

cells that divide slowly

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

chlorine

__________ occurs when people comes in direct contact with a harmful agent at or near an incident

contamination

a metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for which chemical agent

cyanide

you approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. it is reported that the smell of bitter almonds is in the air. the door is open; many victims are lying on the floor. what do you do first?

don your mask before going into the room

how is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified?

expectant

wearing PPE can put the responder at considerable risk both physically and psychologically. which of the following is NOT considered a risk factor?

hyperactivity

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

immediate

used in life-threatening situations, the goal is to remove contaminant as quickly as possible

immediate decontamination

how does cyanide cause cell death in the body?

interferes with anaerobic metabolism of the cell

what phase is characterized by improvement of symptoms but becomes shorter with increasing doses

latent

what blood test is available that will give an accurate estimate of radiation dose?

lymphocytes count

__________ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves

neurovascular

a patient is suffering from painful, highly corrosive burns similar to acid, and wheals have begun to appear on the skin. which vesicant (blister agent) is susp[ected?

phosgene oxime

what form of ionizing radiation can penetrate deeply into body tissue?

photon

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 following bacterial diseases is contagious person to person?

pneumonic plague

your unit has responded within minutes to a suspected CBRNE incident. select the important steps that you should take

practice protective measures of time, distance, and shielding

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

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

what is the best method of decontamination?

removing clothing and washing with warm soapy water

personal protective equipment (PPE) is generally divided into two categories. they are:

respiratory protection & chemical protective garments

Over 20 people who worked together developed cough, excess fluid in their lungs, and difficulty breathing. chest x-rays show bilateral infiltrates with bronchial aspirates rich protein. several died. what was the likely agent?

ricin

__________ occurs outside of the incident area when people come in contact with a contaminaed person or object

secondary contamination

which of the following statements does NOT describe spores produced by Bacillus anthracis, causative agent of anthrax?

sensitive to UV light

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

smallpox

patient presents with 5-day-old blisters/rash mostly on the arms, 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

victims caught in a fire have inhaled toxic smoke from furnishings and plas5tics that have released cyanide in the burning process. what precaution/side effects should you be aware of when administering cyanide antidotes?

sodium nitrite can increase methemoglobin levels, which will decrease blood oxygenation

cyanide is historically found in the following EXCEPT:

teflon

how do nerve agents produce effects in the body?

they inhibit the enzyme acetylcholinesterase (AChE) allowing acetylcholine (ACh) to accumulate