EMERGENCY PREPAREDNESS RESPONSE COURSE (EPRC)- OPERATOR
All-hazards are often categorized as:
Accidents Industrial Man-made: technological (correct) Terrorist attacks
What is the value of verification or confirmation of biological agents?
Agent confirmation can provide little additional value for protection and medical treatment Determination of genetic differences in pathogens may allow determination of source laboratories (correct) Different production lots of explosives may determine the production companies There is no need to verify biological agents
Which of the following is NOT a physical requirement of those expected to wear PPE?
Agility Cardiovascular conditioning Good physical condition Ability to handle emergency conditions (correct)
The immediate concern of chlorine exposure is the effects on the _________.
Airway and lungs (correct) Skin Brain Conjunctiva
Which of the following is a cyanide antidote?
Atropine CANA 2-prolidoximine chloride Nitrite (correct)
Which of the following cell types are least sensitive to ionizing radiation damage?
Cells that do not divide Cells that are actively dividing Cells that do not have a nucleus Cells that divide slowly (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?
Chickenpox, because the rash is centrifugal on the patient Smallpox, because there are several blisters on the torso as well Smallpox, because the rash is centrifugal on the patient (correct) Chickenpox, because the fever presented prior to the rash
__________ occurs outside of the incident area when people come in contact with a contaminated person or object.
Contamination Secondary Contamination (correct) Exposure
Your patient is recovering from injuries sustained in a terrorist incident and is exhibiting stress symptoms. Which of the following is a common behavior reaction associated with severe short-term stress reactions?
Decreased problem-solving abilities Depression Substance abuse (correct) Anxiety disorders
This form of detection provides warning in sufficient time to implement protective and/or treatment measures before exposure to agent.
Detection to warn (correct) Source detection Standoff detection Detection to protect or treat
Which post disaster phase is generally characterized by optimism due to an infusion of resources?
Disillusionment phase Restabilization phase Heroic phase Honeymoon phase (correct)
Smallpox can spread from one person to another by the following routes:
Droplets during face-to-face contact with a patient Direct contact with the patient's scabs Aerosols generated by a patient sneezing or coughing All of the above (correct)
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:
Emphasize building on strengths and positive coping strategies Reduce initial stress caused by traumatic event Focus on resilience Provide professional psychological treatment (correct)
Acute Radiation Syndrome results from high-level external exposure to ionizing radiation. Which sub-syndrome is normally seen at the lower range of exposure?
Gastrointestinal Syndrome Hematopoietic Syndrome (correct) Cutaneous Syndrome Neurovascular Syndrome
Area immediately surrounding a hazardous material incident which extends far enough to protect personnel outside the zone from contamination.
Hot Hazard Zone (correct) Cold Hazard Zone Warm Hazard Zone Corridor Reduction Zone
How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified?
Immediate Minimal Expectant (correct) Delayed
Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the lowest level possible.
Immediate Thorough (correct) Operational Clearance
How is the victim of nerve agent exposure presenting with convulsions classified?
Immediate (correct) Expectant Delayed Minimal
Which of the following is a way to organize chemical agents that manifest most of their symptoms for several hours to days?
Immediate effect Fast effect Slow effect (correct) Rapid effect
An all-hazards approach affects preparedness by allowing communities to:
Increase the speed, effectiveness, and efficiency of incident management. (correct) Quickly involve FEMA to assist with casualties resulting from a natural disaster. Identify terrorists prior to them striking. Handle casualties resulting only from terrorist attacks
What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination?
Level D with no mask Level C (correct) Level A Level B
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?
Mild Traumatic Brain Injury (TBI) Intestinal rupture (correct) Tympanic membrane rupture and middle ear damage Pneumothorax
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 (correct) Expectant Delayed Immediate
The decontamination site should NOT be located:
Near waterways and drainage systems (correct) Uphill from the hot zone On a hard, non-porous surface Upwind of the hot zone
What form of ionizing radiation is the least penetrating?
Neutrons Beta Gamma Alpha (correct)
What form of ionizing radiation can penetrate deeply into body tissue?
Neutrons Photon (correct) Alpha Beta
All of the following are procedures for activating the Hospital Incident Command System (HICS) EXCEPT:
Personnel activated to respond attend disaster briefing at Medical Treatment Facility (MTF) Emergency Operations Center (EOC) Supervisor on duty determines that day-to-day activities of Medical Treatment Facility (MTF) are disrupted Refer to your Job Action Sheet (JAS) for response duties (correct) Activate the Emergency Management Plan and appropriate HICS sections
Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities?
Phase IV - Stabilize Phase II - Response Phase III - Operate (correct) Phase I - Anticipate
Which of the bacterial disease produces a non-specific illness that may produce a prolonged disability but is rarely fatal?
Plague Q Fever (correct) Tularemia Anthrax
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) Immediately enter zone and remove casualties Do not enter zone until agent is identified Be aware of wind direction and remain downwind if possible
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 (correct) Homeland Security Presidential Directive-5 Homeland Security Presidential Directive-6 Homeland Security Presidential Directive-7
Penetrating trauma caused by shrapnel is usually attributed to which of the following?
Primary blast effect Tertiary blast effect Secondary blast effect (correct) Thermal blast effect
What is the role of the liaison officer within the Hospital Incident Command System (HICS)?
Provide information to the media Carry out the response activities described in the Emergency Response Plan. Monitor the safety of rescue operations and hazardous conditions Function as the incident contact person for representatives from other agencies (correct)
Which of the following statements does NOT describe spores produced by Bacillus anthracis, causative agent of anthrax?
Remains viable in soil for years. Can be found in animal hides. Resistant to environmental decay. Sensitive to UV light. (correct)
When conducting a medical assessment, what status is checked first?
Respiratory Status (correct) Mental Status Perfusion & Pulse
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) Botulinum toxin Staphylococcal Enterotoxin B (SEB) T-2 mycotoxins
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?
Sarin Phosgene oxime Mustard (correct) Cyanide
A patient presented with 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?
Septicemic Secondary pneumonic Pneumonic Bubonic (correct)
Processed foods and temperature-abused foods are most commonly associated with ________ poisoning
Staphylococcal Enterotoxin B (SEB) (correct) Ricin T-2 Mycotoxins Botulinum Neurotoxin
Which of the following agents is considered to be a fast effect agent?
Sulfur Mustard Chlorine Nerve agent (correct) Phosogene Oxime
What agent blocks enzymes resulting in a cholinergic crisis?
Sulfur Mustard Nerve agent (correct) Chlorine Phosogene Oxime
What is most available explosive agent?
TNT Dynamite Nitroglycerin (correct) C-4
A secondary explosive device has been spotted. Which of the following options describes how to proceed?
Tell everyone around you to be very still, remove the suspicious object as fast as you can, and bring it to the IC for inspection. Guard the suspicious object and request that the IC inspect it immediately. Withdraw at least 50 yards from the scene and tell the Incident Commander (IC) immediately. (correct)
ICS has been used to manage incidents such as fires, earthquakes, hurricanes, and acts of terrorism. Which of the following situations represents another viable application for the use of ICS?
The oversight of safety issues associated with Mrs. Butler's 10th grade chemistry class throughout the school year. The management of nursing staff at the City General Hospital during weekend shifts. The planning and operation of the Central City annual Labor Day celebration, including a parade and fair. (correct) The oversight of the annual fiscal budget for the Brownsville Library, including the procurement of new books.
Which of the following would NOT be used for the detection or collection of radiological material?
Thermoluminescent dosimeter (TLD) Radiac Detector DT-236/PDR-75 Nucleic acid amplification (correct) Geiger counter
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) Provide comfort and place in expectant category. Debride wounds and administer antibiotics. Immediately evaluate for radiation exposure.
Secretary of Defense has the responsibility to provide defense support to civil authorities when the actions:
can be supported by state assets are legal (correct) exceed local need do not support military readiness
One of the contributing factors to stress reactions is the physical factor. Which of the following is associated with this factor?
dehydration worries about others (correct) preexisting medical conditions sleep loss
Which of the following is NOT a challenge in gaining access and acceptance?
similar cultural values (correct) suspicion of government programs rejection of outside interference language barriers
Experts anticipate that biological incidents are ________________.
the most likely to occur, and will have the greatest impact on the greatest number of people. (correct) likely to have limited use due to the rapid onset of symptoms. not likely to be used because they are difficult to procure. not likely to occur due to the high cost of obtaining doses effective enough to impact a great number of people.
