Emergency preparedness and response course- CBRN for medical personnel and first responders

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

All of the Above

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

Pneumonic plague

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.

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

Secondary Contamination

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

Cyanide

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 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 loarge 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

In industry, cyanide compounds are widely used during

All of the Above

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

All of the Above

What form of ionizing radiation is the least penetrating?

Alpha

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

Contamination

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

Cyanide Compounds

What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination?

Level C

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

A patient is exhibiting the following symptoms: Fever, Cough, Dyspnea, Prominent gastrointestinal symptoms, 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

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

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

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

Wash patient with their clothing still on

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

Ricin

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

Thorough

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

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

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 possibl

Immediate decontamination

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

Inhalation

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

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

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

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

Processed foods and temperature-abused foods are most commonly associated with ________ poisoning.

Staphylococcal Enterotoxin B (SEB)

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