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

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

Ability to handle emergency conditions

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

Airways, inhalation

An 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

The amount of radiation that na individual absorbs depends on ___________?

All of the Above

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?

All of the Above

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

___________ 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

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

Cyanide

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

IV

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

Lymphocytes count

The decontamination site should NOT be located:

Near waterways and drainage systems

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 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

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

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

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

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

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

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

You approace 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

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

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?

Inhalational

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 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

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

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

Practive protective measures of time, distance, and shielding

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

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

Ricin

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

Secondary Contamination

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

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?

Unrooming of blisters

What types of CBRNE agents are man-made and acct 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