2025 Emergency Preparedness and Response Course

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

2ndary contamination (correct)

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: -Plastic production -Gold and silver extraction -Hide tanning

All of the Above (correct)

Smallpox can spread from one person to another by the following routes: -Aerosols generated by a patient sneezing or coughing -Droplets during face-to-face contact with a patient -Direct contact with the patient's scabs

All of the Above (correct)

The amount of radiation that an individual absorbs depends on ____? -Time exposed to a radioactive source -Distance a person is from a radioactive source -Type and amount of shielding between a person and a radioactive source

All of the Above (correct)

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? -Provide ventilator assistance, oxygen, and IV fluids -Administer more atropine to reduce secretions and relax the airway -Give more diazepam to prevent seizures

All of the above (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)

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? symptoms?

Bubonic (correct)

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

Cells that are actively dividing (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)

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

Hyperactivity (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)

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? white blood cell count is elevated. Which type of anthrax is responsible for the patient? symptoms?

Inhalation (correct)

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

Inhalation (correct)

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell (correct)

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

Latent (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 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)

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

Nerve (correct)

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

Neurovascular (correct)

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

Photon (correct)

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

Pneumonic Plague

A patient is exhibiting the following symptoms: Fever, Cough, Dyspnea, Prominent gastrointestinal symptoms, Absence of buboes. Which form of plague is responsible?

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)

Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal? [Remediation Accessed :N]

Q Fever (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

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)

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

Ricin (correct)

Vesicant (blister) agents include all of the following, EXCEPT: Nitrogen Mustard (HN) Sarin (GB) Lewisite (L) Phosgene oxime (CX)

Sarin (GB) (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)

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)

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

Staphylococcal Enterotoxin B (SEB) (correct)

Which of the following statements does NOT describe Brucellosis?

The brucellae are highly infectious via the aerosol route and brucellosis is associated with a high mortality rate. (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? [Remediation Accessed :N]

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)

1) Which type of nerve agent is the MOST persistent?

VX (correct)

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

VX (correct)

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

Vesicants (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)

Decontamination will be conducted in the __________ hazard zone.

Warm (correct)

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

Wash patient with their clothing still on. (correct)

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

airways, inhalation (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)

A patient is suffering from painful, highly corrosive burns similar to acid, and wheals have begun to appear on the skin. Which vesicant (blister agent) is suspected?

phosgene (correct)