Emergency Preparedness Response Course (EPRC) - Pre-test

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

A positive Tzank smear

In industry, cyanide compounds are widely used during:

All of the Above

Smallpox can spread form 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

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

All-hazard preparedness

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

Attention is directed towards a single hazard

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

Cyanide Compounds

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

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 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

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

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

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

Latent

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

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

What is the most available explosive agent?

Nitroglycerin

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

Pastoral care

Which phase of CBRN response focuses on the prioritization of forces to deploy for mission task?

Phase II - Response

What form of ironizing radiation can penetrate deeply into body tissue?

Photon

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

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

The majority of the injuries to gas-containing organs is usually attributed to which of the following?

Primary blast effect

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

Q Fever

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

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

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

When conducting a medical assessment, what status is the 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

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

Secondary Contamination

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

Sensitive to UV light.

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

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

Staphylococcal Enterotoxin B (SEB)

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.

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

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 Incident Commader (IC) immediately.

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

are legal

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

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

Sarin (GB)

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

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

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

Amyl nitrite, sodium nitrite, sodium thiosulfate