Emergency Preparedness Response Course (EPRC)

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

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

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

All-hazard preparedness

What form of ionizing radiation is the least penetrating?

Alpha

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

Amyl nitrite, sodium nitrite, sodium thiosulfate

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

Beta

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

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 patient's symptoms?

Bubonic

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

Cells that divide slowly

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

Chlorine

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

Contamination

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

Cyandide

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

Cyanide Compounds

What technique may be used to test for T-2 Mycotoxins in environmental and clinical samples?

Gas Chromatography- Mass Spectrometry

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

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

Hyperactivity

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

Immediate

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

Immediate decontamination

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

Incident Command System

Who is responsible for directing the command and control of all operations.

Incident Commander

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

Increase the speed, effectiveness, and efficiency of incident management

An explosion victim was admitted to your facility approximately 4 hours ago with chest pain, normal oxygenation and radial pulse. His condition continues to worsen with symptoms that include labored, rapid breathing, low blood pressure, and semi-consciousness. What emergency treatment would be appropriate?

Incubate and provide assisted ventilation with Positive End Expiatory Pressure (PEEP)

What is the purpose of a secondary device?

Injure or kills first responders

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

Intellectual

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

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

Lymphocytes Count

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

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

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

Neurovascular

What is the most available explosive agent?

Nitroglycerin

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

Phase II- Response

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

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

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

Q Fever

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

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

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

Respiratory Protection & Chemical Protective Garments

When conducting a medical assessment, what status is 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

Penetrating trauma caused by shrapnel is usually attributed to which of the following?

Secondary blast effect

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

Smallpox

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

Staphylococcal Enterotoxin B

How do nerve agents produce effects in the body?

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

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

Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days?

VX

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

Vesicants

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

Worries about others

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

are legal

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

similar cultural values

Experts anticipate that biological incidents are ________________.

the most likely to occur, and will have the greatest impact on the greatest number of people

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

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

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

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

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

Thorough

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