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

Which type of nerve agent is the most persistent?

-VX (correct)

Which of the following decontamination method is not recommended for removing vesicante from casualties?

-wash patients with their clothing still on (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 depend on ___?

All of the above (correct)

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

Beta (correct)

A patient presents to the emergency room all exhibiting the following symptoms: nausea, comforting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness...

Botulinum Toxin (correct)

A patient was admitted to the hospital suffering from the following symptoms for the past week: fever, chills, and weakness, very swollen tender lymph nodes of bubo, and skin ulcerations. He states the ulcerations are exactly where very small insects bit him. Which type of plague is responsible for the patients symptoms?

Bubonic (correct)

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

Cells that are actively dividing

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

Expectant (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

How does cyanide causes cell death in the body ?

Interferes with anaerobic metabolism of the cell (correct)

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

Lymphocytes count

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

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

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

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

Secondary Contamination (correct)

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

Staphylococcal Enterotoxin B (SEB) (correct)

Cyanide is historically found in the following except:

Teflon (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)

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

The decontamination site should not be located:

Near waterways and drainage systems (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.

Decontamination will be ____ hazard zone.

Warm

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

photon (correct)

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

smallpox (correct)

Which of the following is considered a pulmonary chocking agent?

-Chlorine (correct )

______ occurs when people comes in direct contact with a harmful agent or near an incident

-Contamination

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)

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

-Latent

A patient is suffering from painful, highly corrosive burns similar to acid...

-Phosgene oxime (correct)

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

-Pneumonic plague (correct)

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

Cyanide compounds (correct)

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)

What CBRNE agent inhibits the enzyme AChE allowing Ach to accumulate affecting the way cells transmit signals to the body?

Nerve agents

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 (correct )

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)

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

Tularemia (Correct)

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

Vesicants (correct)

What is the best method of decontamination?

-Removing clothing only -washing with 5% hydrochlorite solution -remove clothing and washing with warm soapy water (guess) -using sand to absorb the chemical

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

-Ricin (Correct)

A patient presents to the hospital. He has been feeling I'll since his return from safari in Africa a few days ago. He exhibits symptoms of fever, mild hypertension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding on spots. What type of viral infection do you suspect?

-Viral Hemorrhage Fever (correct)

The primary toxicity of pulmonary agents is to the _____ and follows _____ of smoke, particles, vapors, or gases.

-airways, inhalation (correct)

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

-biodosimetry

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

-musculoskeletal -cardiovascular -intestinal -Neurovascular (guess)

Which of the following statement does not describe spores produced by Bacillus anthracis...

-sensitive to UV Light (Correct)

Patient presents with 5-day-old blisters/rash

-smallpox, because the rash is centrifugal on the patient (correct)

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

Ability to handle emergency condition;

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 weak. What is the preferred treatment to block the effects of excessive ACh?

Administer additional 2-Pam Ci (correct)

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

Cyanide (correct)