EPRC 1, EPRC 3

What agent blocks enzymes resulting in a cholinergic crisis?

???????

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

Ability to handle emergency conditions

The immediate concern of chlorine exposure is the effects on the ____?

Airway and lungs

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

In industry, cyanide compounds are widely used during:

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

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

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

All-hazard preparedness

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 include the following EXCEPT:

Attention is directed towards a single hazard

A patient presented with 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

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

Which of the following agents is considered to be a slow effect agent?

Chlorine

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

Chlorine

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

Cyanide

blocks aerobic metabolism by interfering with cell use of oxygen

Cyanide

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

Cyanide Compounds

This form of detection provides warning in sufficient time to implement protective and/or treatment measures before exposure to agent.

Detection to warn

What is the value of verification or confirmation of biological agents?

Determination of genetic differences in pathogens may allow determination of source laboratories

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 a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified?

Expectant

Which of the following is a way to organize chemical agents that manifest most of their symptoms within seconds or minutes?

Fast effect

What is the role of the liaison officer within the Hospital Incident Command System (HICS)?

Function as the incident contact person for representatives from other agencies

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

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

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

Immediate decontamination

What device detects and discriminates between nerve and mustard vapors and can be used to sort contaminated and clean personnel during decontamination?

Improved Chemical Agent Monitor (ICAM)

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

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

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

Intellectual

A patient suffering blast effect presents with dyspnea, some hearing loss, and tinnitus following an explosion. Which of the following is NOT a likely diagnosis?

Intestinal rupture

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

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

A group of people are 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

________ 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

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

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 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

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

Pneumonic Plague

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

Pneumonic plague

Which of the following compounds can be administered to reduce the absorption of radiation that targets the thyroid?

Potassium Iodide

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

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

A nerve gas attack has occurred in one of the city's underground subway stations. This is the second attack this month. After arriving on the scent, a veteran responder, considered a "tough guy" by his team, freezes up and is unable to continue. After talking to him, you determine he responded to the previous attack. What personal situation stressor is this veteran exhibiting?

Prior disaster experience

During which post disaster phase do survivors realize that they will need to solve their problems of rebuilding their homes, businesses, and lives and have gradually assumed the responsibility to do so?

Reconstruction/Recovery Phase

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

When conducting a medical assessment, what status is checked first?

Respiratory Status

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

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

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

Penetrating trauma caused by shrapnel is usually attributed to which of the following? Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities?

Secondary blast effect

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

Sensitive to UV light.

A patient presents to the hospital. He exhibits symptoms of high fever, mild hypotension, flushing, conjunctiva injection, and now a bad rash has appeared that is bleeding in spots. He has been feeling ill since his return from safari in Africa a few days ago. What type of viral infection do you suspect?

Smallpox

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

Smallpox

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

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 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

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 produce ulcers on the skin?

Tularemia

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 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

Decontamination will be conducted in the __________ hazard control zone.

Warm

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

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

all hazard response

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

are legal

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

preexisting medical conditions

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.