Emergency preparedness response Course (clinician course) Pre-Test

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.

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

Lymphocytes count

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

Secondary blast effect

START stands for

Simple Triage and Rapid Treatment

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

Smallpox

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

Worries about others

What is the most available explosive agent?

nitroglycerin

What form of ionizing radiation is the least penetrating?

Alpha

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

Are Legal

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 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

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

Cyanide

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

Cyanide compounds

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

Immediate

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

Incident commander

An all-hazards approach affects preparedness by allowing communities to:

Increase the speed, effectiveness, and efficiency of incident management.

The decontamination site should NOT be located:

Near waterways and drainage systems

Experts anticipate that a ________ incident is the least likely to occur but would have a great impact upon the environment and people.

Nuclear

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

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 statements does NOT describe Brucellosis?

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

ICS has been used to manage incidents such as fires, earthquakes, hurricanes, and acts of terrorism. Which of the following situations represents another viable application for the use of ICS?

The planning and operation of the Central City annual Labor Day celebration, including a parade and fair.

What technique may be used to test for T-2 Mycotoxins in environmental and clinical samples?

Gas Chromatography-Mass Spectrometry

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

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

Inhalation

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

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

You are certain that your patient, who is now convulsing from nerve agent exposure, has already received three MARK 1/ATNAA kits and their diazepam. What else should be done?

Provide ventilator assistance, oxygen, and IV fluids Administer more atropine to reduce secretions and relax the airway Give more diazepam to prevent seizures All of the Above

What bacterial infection requires confirmation through serological testing since it is difficult to culture the organism

Q fever

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

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

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

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

Sarin (GB)

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

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

Tularemia

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 type of nerve agent is the MOST persistent?

Vx

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

A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. Chest x-rays reveal a widened mediastinum and the patient's white blood cell count is elevated. Which type of anthrax is responsible for the patient's symptoms?

Inhalation

What is the purpose of a secondary device?

Injure or kill first responders

Disaster victims presenting for medical care should be assessed for common short-term stress reactions which fall into what categories EXCEPT?

Intellectual

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

Latent

In industry, cyanide compounds are widely used during:

Plastic production Gold and silver extraction Hide tanning All of the Above (correct)

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

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

Thorough

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 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

How do nerve agents produce effects in the body?

They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate

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

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

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