EPRC Operator Course JKO (8 hour) Pretest Answers

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

Secondary Contamination (correct)

63) Which of the following bacterial diseases produce ulcers on the skin?

Tularemia (correct)

38) 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?

Viral Hemorrhagic Fever (correct)

81) Decontamination will be conducted in the __________ hazard control zone.

Warm (correct)

61) 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. (correct)

Members of the ICRC arrive to perform an inspection of the medical treatment areas of the detainee facility and ask to visit patients and view medical data. What should you do?

You provide the requested information and you guide them around to visit the patients.

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

are legal (correct)

71) Which of the following is NOT a challenge in gaining access and acceptance?

similar cultural values (correct)

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

Ability to handle emergency conditions (correct)

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

Airway and lungs (correct)

73) A patient presents with 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. (correct)

27) Which of the following cell types are most sensitive to radiation damage?

Cells that are actively dividing (correct)

86) Which of the following cell types are least sensitive to ionizing radiation damage?

Cells that divide slowly (correct)

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

Chlorine (correct)

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

Contamination (correct)

4) ________ blocks aerobic metabolism by interfering with cell use of oxygen.

Cyanide (correct)

Which of the following statement is NOT true regarding separation of medical care and security responsibilities?

Detainee security will be provided by designated medical personnel.

9) How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified?

Expectant (correct)

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

Fast effect (correct)

83) 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 (correct)

Which of the following statements are true about the roles between healthcare personnel and military intelligence?

Healthcare personnel are prohibited from assisting detainee military intelligence teams. BSS Teams personnel assigned to military intelligence are not a part of the healthcare team and will not provide care to detainees.

41) Acute Radiation Syndrome results from high-level external exposure to ionizing radiation. Which sub-syndrome is normally seen at the lower range of exposure?

Hematopoietic Syndrome (correct)

49) 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 (correct)

11) Which post disaster phase is generally characterized by optimism due to an infusion of resources?

Honeymoon phase (correct)

18) Area immediately surrounding a hazardous material incident which extends far enough to protect personnel outside the zone from contamination.

Hot Hazard Zone (correct)

40) Wearing PPE can put the responder at considerable risk both physically and psychologically. Which of the following is NOT considered a risk factor?

Hyperactivity (correct)

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

IV (correct)

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

Immediate (correct)

16) 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) (correct)

80) What command system is a widely used and accepted tool for command, control and coordination of a response to a disaster?

Incident Command System (correct)

29) Who is responsible for directing the command and control of all operations?

Incident Commander (correct)

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

Increase the speed, effectiveness, and efficiency of incident management. (correct)

34) What is the purpose of a secondary device?

Injure or kill first responders (correct)

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

Intellectual (correct)

79) Chlorine casualties that require immediate treatment would most likely be suffering from:

Larynospasm (correct)

1) 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 (correct)

32) 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 (correct)

24) 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. (correct)

Which medications are detainees allowed to have in their possessions?

MAY HAVE: -Anti-fungal or mild steroid creams Albuterol inhalers Moisturizing creams MAY NOT HAVE: Insulin Aspirin

When it comes to detainee care and discipline, which of the responsibilities listed here would be for the medic and which are for military police?

MILITARY POLICE: Apply approved discipline measures Control detainees Restrain violent detainees Report detainee discipline problems MEDIC Administer care Restrain detainee patients for medical purposes

Battlefield Triage Categories

MINIMAL: Return to duty with minimal care IMMEDIATE: Stabilize to save DELAYED: Priority, lest they ger worse EXPECTANT: Comfort only

47) All-hazards are often categorized as:

Man-made: technological (correct)

57) Type of decontamination that occurs on scene and is accomplished by first responders.

Mass Decontamination (correct)

22) 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 (correct)

12) 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 (correct)

52) Which of the following is a cyanide antidote?

Nitrite (correct)

62) What is the most available explosive agent?

Nitroglycerin (correct)

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

Nuclear (correct)

54) Which of the following would NOT be used for the detection or collection of radiological material?

Nucleic acid amplification (correct)

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

Pastoral care (correct)

65) 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 (correct)

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

Primary blast effect (correct)

23) 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 (correct)

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

Respiratory Status (correct)

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

Ricin (correct)

6) 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 (correct)

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

Sensitive to UV light. (correct)

48) START stands for:

Simple Triage and Rapid Treatment (correct)

33) Which of the following is a way to organize chemical agents that manifest most of their symptoms for several hours to days?

Slow effect (correct)

68) Nerve agents are organophosphorus agents that cause all the following EXCEPT?

Slow heart rate (correct)

64) 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 (correct)

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

Staphylococcal Enterotoxin B (SEB) (correct)

Which of the following statements is/are true about the Behavioral Science Support (BSS) personnel?

They are exclusively assigned as operational support to detainee operations and intelligence interrogations in the DoD. The will not be used as a medical monitor or safety officer, or to supervise, conduct, or direct detainee operations or intelligence interrogations. They will not provide training in first aid, sanitation, or other health matters.

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

Thorough (correct)

25) 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. (correct)

EVACUATION CATEGORIES

URGENT: Move right away PRIORITY: Move withing a designated period of time ROUTINE: Move whenever possible

75) Experts anticipate that biological incidents are ________________.

the most likely to occur, and will have the greatest impact on the greatest number of people. (correct)

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

All of the Above (correct)

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

All of the Above (correct)

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

All-hazard preparedness (correct)

76) Advantages of adopting a comprehensive all-hazards approach include the following EXCEPT:

Attention is directed towards a single hazard (correct)

3) Radiation burns, which cause delayed, irreversible changes of the skin, can be caused by high doses of what form of ionizing radiation?

Beta (correct)

2) ________ may be thought of as a form of identification.

Detection to protect or treat (correct)

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

Detection to warn (correct)

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

Determination of genetic differences in pathogens may allow determination of source laboratories (correct)

37) The decontamination site should NOT be located:

Near waterways and drainage systems (correct)

45) What agent blocks enzymes resulting in a cholinergic crisis?

Nerve agent (correct)

7) Which of the following agents is considered to be a fast effect agent?

Nerve agent (correct)

87) Acute Radiation Syndrome results from high-level external exposure to ionizing radiation. Which sub-syndrome is normally seen at the higher range of exposure?

Neurovascular Syndrome (correct)

For individuals who fall within the listed categories, detaining forces have and obligation to either provide them with medical care or to ensure that they have access to medical care.

PROVIDE CARE: 1-Enemy Prisoners of War (EPWs) 2-Retained Personnel (RP) 3-Detained Persons Civilian Internes ENSURE ACCESS: 1-Civilian Population

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

Phase II - Response (correct)

46) Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities?

Phase III - Operate (correct)

51) What form of ionizing radiation can penetrate deeply into body tissue?

Photon (correct)

5) A patient is exhibiting the following symptoms: fever, cough, dyspnea, prominent gastrointestinal symptoms, absence of buboes. Which form of plague is responsible?

Pneumonic (correct)

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

Pneumonic plague (correct)

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

Potassium Iodide (correct)

13) The Disaster Mental Health Response Team can be called upon to assist victims and disaster responders. Which of the following is NOT a service that they may provide:

Provide professional psychological treatment (correct)

30) Which of the bacterial disease produces a non-specific illness that may produce a prolonged disability but is rarely fatal?

Q Fever (correct)

77) 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 (correct)

14) 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 (correct)

39) Select the two categories Personal Protective Equipment (PPE) is generally divided into.

Respiratory Protection & Chemical Protective Garments (correct)

42) 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 (correct)

78) Eyes are the most vulnerable to this agent due to their thin, moist, warm mucosa.

Sulfur mustard (correct)

35) What type of explosive is widely used by the military, and is one of the least sensitive explosives.

TNT (correct)

Which of these statements regarding ICRC visits to detainee compounds are true?

The ICRC inspects the treatment of detainees and the material conditions of the detention facility. All ICRC findings are given to the authorities in charge of the detainee compound.

17) 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. (correct)

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

worries about others (correct)