Emergency Preparedness and Response Course- CBRN for Medical Personnel and First Responders

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

Administering antidotes

In industry, cyanide compounds are widely used during:

All of the above

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

Which of the following statements does NOT describe Brucellosis?

Brucellosis is typically presents as a non-specific flu-like illness

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

Exposure

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

Immediate

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 oxime

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

Ricin

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

Staphylococcal Enterotoxin B (SEB)

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

Beta

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

Cells that divide slowly

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?

Cutaneous

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

Cyanide compounds

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

Expectant

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

Hyperactivity

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

Immediate decontamination

How does cyanide cause cell death in the body?

Inhibits ability of blood to coagulate

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

Lymphocytes count

The decontamination site should NOT be located

Near waterways and drainage systems

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

Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal?

Q fever

What is the best method of decontamination?

Removing clothing and washing with warm soapy water

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

Secondary contamination

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

Smallpox

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

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

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

VX

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

Wash patient with their clothing still on

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

Biodosimetry

A patient presents to the emergency room all exhuming 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

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

Chlorine

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

Cyanide

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

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

Latent

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

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

Neurovascular

Vesicant (blister) agents include all of the following, EXCEPT:

Nitrogen Mustard (HN)

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

Pneumonic

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

Respiratory Protection & Chemical Protective Garments

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

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

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

Decontamination will be conducted in the _____ hazard zone

Warm