Emergency Preparedness Response Course (EPRC) - Clinician Course (8 hrs) DMRTI-US017

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

Immediate

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

Lymphocytes count

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

Primary blast effect

Cyanide is historically found in the following EXCEPT:

Teflon

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

Amyl nitrite, sodium nitrite, sodium thiosulfate

Advantages of adopting a comprehensive all-hazards approach includes the following EXCEPT:

Attention is directed towards a single hazard

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

Chlorine

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

Neurovascular

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

Respiratory Status

How do nerve agents produce effects in the body?

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

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

Which of the following is NOT relevant to a laboratory diagnosis of smallpox (variola)?

A positive Tzank smear

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

All of the Above

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

All of the Above

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.

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)

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

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

Respiratory Protection & Chemical Protective Garments

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

What directive establishes policies to strengthen the preparedness of the US to prevent and respond to threatened or actual domestic terrorist attack, major disasters and other emergencies by requiring a national domestic all-hazards preparedness goal?

Presidential Policy Directive-8

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

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

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

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

Sensitive to UV light.

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

Staphylococcal Enterotoxin B

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

TNT

Which type of nerve agent is the MOST persistent?

VX

Decontamination will be conducted in the __________ hazard zone.

Warm

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

Wash patient with their clothing still on

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

are legal

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

Cells that are actively dividing

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

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

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

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

Hyperactivity

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

Incident Command System

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

Intellectual

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

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

MOPP IV

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

Nuclear

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

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

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

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

Pneumonic plague

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

All-hazard preparedness

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

Beta

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

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

Phase III - Operate

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

Vesicants

What is the purpose of a secondary device?

Injure or kills first responders

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell

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

Contamination

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

Gas Chromatography- Mass Spectrometry

What type of laboratory test(s) would NOT be conducted if you suspect a patient has contracted plague?

Gas Chromatography-Mass Spectrometry

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

Incident Commander

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

The decontamination site should NOT be located:

Near waterways and drainage systems

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

Pneumonic

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

worries about others