Emergency Preparedness Response Course (EPRC) - Clinician Course (8 hrs)

Which of the following is NOT relevant to a laboratory diagnosis of smallpox (variola)?

A positive Tzank smear

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.

In industry, cyanide compounds are widely used during:

All of the Above

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

All of the Above

What is the comprehensive preparedness required to manage the casualties resulting from the host of possible hazards?

All-hazard preparedness

What form of ionizing radiation is the least penetrating?

Alpha

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

Amyl nitrite, sodium nitrite, sodium thiosulfate

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

Attention is directed towards a single hazard

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

Beta

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 most sensitive to radiation damage?

Cells that are actively dividing

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

Contamination

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

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

Honeymoon phase

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

Hyperactivity

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

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

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

Inhalation

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell

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

A group of people is presenting with a delayed onset of blisters and a dry productive cough that later turns productive. What is the likely culprit?

Mustard

The decontamination site should NOT be located:

Near waterways and drainage systems

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 type of care is a stress management component that fosters a mourning process and helps treat psychological stress reactions?

Pastoral care

Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities?

Phase III - Operate

A patient is exhibiting the following symptoms: fever, cough, dyspnea, prominent gastrointestinal symptoms, and absence of buboes. Which form of plague is responsible?

Pneumonic

Which of the following bacterial diseases is contagious person to person?

Pneumonic plague

What directive establishes policies to strengthen the preparedness of the US to prevent and respond to threatened or actual domestic terrorist attack, major disasters and other emergencies by requiring a national domestic all-hazards preparedness goal?

Presidential Policy Directive-8

What bacterial infection requires confirmation through serological testing since it is difficult to culture the organism (causative agent)?

Q Fever

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

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 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

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

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

What type of explosive is widely used by the military, and is one of the least sensitive explosives.

TNT

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.

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 of nerve agent is the MOST persistent?

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

Decontamination will be conducted in the __________ hazard zone.

Warm

A secondary explosive device has been spotted. Which of the following options describes how to proceed?

Withdraw at least 50 yards from the scene and tell the Incident Commander (IC) immediately.

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

Which of the following is NOT a challenge in gaining access and acceptance?

similar cultural values

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