Emergency Preparedness Response Course (EPRC) - Clinician Course

Which of the following is NOT a physical requirement of those expected to wear PPE?

Ability to handle emergency conditions

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

A bomb blast victim presents with nausea and abdominal pain. A Computed Tomography (CT) scan shows no hemorrhage. What treatment should be recommended?

Admit patient for observation for 12 to 24 hours in case a hematoma develops.

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

All of the Above

Advantages of adopting a comprehensive all-hazards approach includes the following EXCEPT:

Attention is directed towards a single hazard

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 the following is considered a pulmonary (choking) agent?

Chlorine

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

What type of laboratory test(s) would NOT be conducted if you suspect a patient has contracted plague?

Gas Chromatography-Mass Spectrometry

What directive establishes a single comprehensive national incident management system that allows all levels of government to work efficiently and effectively together?

Homeland Security Presidential Directive-5

Which post disaster phase is generally characterized by optimism due to an infusion of resources?

Honeymoon phase

What Mission Oriented Protective Posture (MOPP) level provides the greatest level of protection?

IV

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

What command system is a widely used and accepted tool for command, control and coordination of a response to a disaster?

Incident Command System

Who is responsible for directing the command and control of all operations.

Incident Commander (IC)

What is the purpose of a secondary device?

Injure or kill first responders

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell

One of the five intervention principles in the management of the stress response is promoting the sense of safety. How can this be accomplished?

Leadership provide an accurate, organized voice to help circumvent threat

An explosion casualty suffering from crush injuries of the lower extremities has been admitted to your hospital with severe hyperkalemia. What emergency treatment is NOT recommended?

Limit fluids.

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

Lymphocytes count

All-hazards are often categorized as:

Man-made: technological

How is the victim of vesicant (blister agent) exposure with skin burn over less than 5 percent of Body Surface Area (BSA) and minor eye irritation classified?

Minimal

What CBRNE agent inhibits the enzyme AChE allowing ACh to accumulate affecting the way cells transmit signals to the body?

Nerve

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

Neurovascular

What is the most available explosive agent?

Nitroglycerin

Which phase of CBRN response focuses on the prioritization of forces to deploy for mission task?

Phase II - Response

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 suspected?

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, and absence of buboes. Which form of plague is responsible?

Pneumonic

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

The Disaster Mental Health Response Team can be called upon to assist victims and disaster responders. Which of the following is NOT a service that they may provide:

Provide professional psychological treatment

All of the following are procedures for activating the Hospital Incident Command System (HICS) EXCEPT:

Refer to your Job Action Sheet (JAS) for response duties

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

Remove patients clothing, ensure agent does not contact skin during removal.

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 in protein. Several died. What was the likely agent?

Ricin

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

Ricin

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

Secondary Contamination

Penetrating trauma caused by shrapnel is usually attributed to which of the following?

Secondary blast effect

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

Sensitive to UV light

START stands for

Simple Triage and Rapid Treatment

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

Smallpox

Victims caught in a fire have inhaled toxic smoke from furnishings and plastics 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

Definitive diagnosis of Viral Hemorrhagic Fever rests on _______________.

Specific virologic diagnosis

Your patient is recovering from injuries sustained in a terrorist incident and is exhibiting stress symptoms. Which of the following is a common behavior reaction associated with severe short-term stress reactions?

Substance abuse

Cyanide is historically found in the following EXCEPT:

Teflon

What treatment should be given to a patient exposed to T-2 mycotoxins via ingestion?

Therapy for poison ingestion including the administration of super-activated charcoal.

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

Thorough

Which of the following bacterial diseases typically produce ulcers on the skin?

Tularemia

Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days?

VX

What types 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

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

airways, inhalation

Secretary of Defense has the responsibility to provide defense support to civil authorities when the actions:

are legal

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

Experts anticipate that biological incidents are ________________.

the most likely to occur, and will have the greatest impact on the greatest number of people.

One of the contributing factors to stress reactions is the physical factor. Which of the following is associated with this factor?

worries about others