Medical Management of Biological Casualties (MMBC) Online

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The global eradication of smallpox was:

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What can cause an epidemic in an unexpected area?

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When should hand washing be performed?

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Which of these biological agents could make an ideal bioterrorist weapon?

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Fracisella tularensis subsp. holarctica ? (Type B) is found in on what continents?

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The global eradication of smallpox was:

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What precautionary measures would you take if there is an outbreak and the causative agent is not yet determined?

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Which characteristics make alphaviruses optimal for use as potential weapons?

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An eschar is a coal-black scab associated with

Anthrax

If Burkholderia mallei suspected and/or confirmed samples or cultures are being handled in a laboratory, at what biosafety level (BSL) should personnel be working?

BSL-3

How often should airflow be check in regards to the PAPR system?

Before each use

What is the most likely natural method of human ex-posure to and acquisition of Brucella spp. infections?

Consumption of unpasteurized milk products (e.g., drinking raw milk)

All of the following are suitable environments for Burkholderia pseudomallei survival EXCEPT?

Dry, desert conditions

Naturally occurring cases of plague are never seen in the United States and laboratory-confirmation of plague is proof of a bioterrorism event.

False

Patients experiencing intoxication with few exceptions, like influenza, and/or incubating infections are not contagious.

False

In animal studies, ricin was found to have the highest potency when introduced:

Injected and inhaled

Ricin?s toxicity is caused by:

Interrupting protein synthesis

What of the following is NOT a factor that makes a particularly food more vulnerable to potential use as a vehicle for attack?

Long shelf life

Presumably, the earliest infected cells (target cells) for Filovirus (Ebola and Marburg viruses) infections are?

Lymphocytes

Current measures for prevention and control of plague include which of the following:

Minimize contact with rodents and fleas

In initial clinical exams, botulism in adults can be mis-diagnosed

More than one answer is correct

All of the following are true regarding the treatment of Burkholderia pseudomallei (melioidosis)-infections regardless of clinical severity EXCEPT:

Oral maintenance therapy for no more than 30 days following IV therapy

Clinical symptoms of oral SEB Intoxication does not include which of the following?

Paralysis

What is the biggest limitation to toxins as biological weapons?

Potency

Which of the following is not a DoD Biological identification level?

Repeat testing

In conjunction with clinical history and clinical suspi-cion, the main method of laboratory diagnosis of both acute and chronic Q fever in humans is

Serology (indirect immunofluorescent antibody, IFA)

What is the most effective and cost efficient way to prevent the spread of germs/infections?

Soap and water

In Normal Disaster Behavior these two types are the most common and rare respectively:

Stunned and bewildered" and "Panic

Which of the following is true about outbreaks of multiple unexplained symptoms (OMUS)?

Symptoms seen during OMUS includes fatigue, shortness of breath, headache, dizziness, and memory difficulties

A botulinum differential diagnosis may include brain abscess and/or bacterial meningitis.

True

Bacillus anthracis is the bacteria which causes anthrax.

True

Current CDC recommendations for PEP to aerosolized B. anthracis spores includes 60 days of oral antibiotics and a three dose series of anthrax vaccine adsorbed (AVA)

True

For treatment of anthrax disease IV ciprofloxacin or other fluoroquinolones with a similar spectrum of activity and central nervous system penetration are recommended over doxycycyline as the primary antimicrobial agent.

True

Variola major ordinary type presents in > 90% of cases among unvaccinated persons.

True

Which country deliberatively did not follow the 1972 Biological Weapons convention even after signing?

U.S.S.R

Guarnieri bodies are associated with

Variola virus


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