Emergency Preparedness and Response Course - CBRN for Medical Personnel and First Responders (4 hrs)

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

Ability to handle emergency conditions (correct

A patient who works at an insecticide manufacturing plant is admitted to the emergency room. He states he was splashed with a large 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 (correct

In industry, cyanide compounds are widely used during:

All of the Above (correct

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

All of the Above (correct)

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

All of the Above (correct)

What form of ionizing radiation is the least penetrating

Alpha (correct)

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

Beta (correct

What method is used to estimate a radiation dose by measuring the biological response to an absorbed dose of ionizing radiation?

Biodosimetry (correct)

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. (correct)

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

Cells that divide slowly (correct)

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

Chlorine (correct)

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

Contamination (correct)

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

Cyanide (correct)

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

Cyanide Compounds (correct

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 (correct)

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

Expectant (correct

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

IV (correct)

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

Immediate (correct)

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

Immediate decontamination (correct)

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

Inhalation (correct)

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 (correct

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 (correct)

What blood test is available that will give an accurate estimate of radiation dose?

Lymphocytes count (correct)

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 (correct

The decontamination site should NOT be located:

Near waterways and drainage systems (correct)

________ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves.

Neurovascular (correct)

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

Pneumonic plague (correct)

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)

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

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

What is the best method of decontamination?

Removing clothing and washing with warm soapy water (correct)

Personal Protective Equipment (PPE) is generally divided into two categories. They are:

Respiratory Protection & Chemical Protective Garments (correct

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)

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

Secondary Contamination (correct)

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

Sensitive to UV light. (correct)

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

Smallpox (correct)

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)

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

Staphylococcal Enterotoxin B (SEB) (correct)

How do nerve agents produce effects in the body?

They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate

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

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

Which of the following bacterial diseases typically produce ulcers on the skin?

Tularemia (correct)

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. (correct

Which type of nerve agent is the MOST persistent?

VX (correct)

What types of CBRNE agents are man-made and act rapidly, burn and blister skin, mucous membranes, airways and gastrointestinal systems?

Vesicants (correct

Decontamination will be conducted in the __________ hazard zone.

Warm (correct)

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 (correct)

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 (correct)

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 (correct

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

Wash patient with their clothing still on. (correct