Bomb blast victim presents with nausea and abdominal pain. A Computed Tomography (CT) scan shows no hemorrhage. What treatment should be recommended?
1) How is the victim of nerve agent exposure presenting with
convulsions classified? Immediate
2) Personal Protective Equipment (PPE) is generally divided into
two categories. They are: Respiratory Protection & Chemical
Protective Garments
3) Which of the following cell types are most sensitive to
radiation damage? Cells that are actively dividing
4) 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.
5) 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 planning and operation of the Central City annual
Labor Day celebration, including a parade and fair.
6) A bomb blast victim presents with nausea and abdominal pain.
A Computed Tomography (CT) scan shows no hemorrhage. What treatment
should be recommended? [Remediation Accessed :N]
Instruct patient and to go home and return in 1 week for
follow-up exam.
Admit patient for observation for 12 to 24 hours in case a
hematoma develops.
Admit patient and conduct exploratory surgery to locate possible
intestinal hematoma.
(NOT) Order more x-rays and discharge patient if no hematoma is
found.
7) 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
8) 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?
[Remediation Accessed :N]
(NOT) Decontaminate victims by washing, flush eyes for at least
5 minutes.
Aggressive fluid management.
Unroofing of blisters.
If available, administer antidote BAL.
9) What type of explosive is widely used by the military, and is
one of the least sensitive explosives: TNT
10) 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
11) START stands for: Simple Triage and Rapid Treatment
12) ________ damage brings death very quickly so that the
consequences of exposure to other systems do not have time to
express themselves. [Remediation Accessed :N]
Musculoskeletal
(NOT) Cardiovascular
Intestinal
Neurovascular
13) 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
14) 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? [Remediation Accessed
:N]
Mustard
Cyanide
(NOT) Lewisite
Phosgene oxime
15) Experts anticipate that a ________ incident is the least
likely to occur but would have a great impact upon the environment
and people. [Remediation Accessed :N]
Nuclear
(NOT) Biological
Chemical
Radiological
16) 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
17) Which nerve agent is the most persistent, is very oily, and
will stay active in an area for several days: VX
18) An all-hazards approach affects preparedness by allowing
communities to: Increase the speed, effectiveness, and efficiency
of incident management.
19) 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
Amyl nitrite alone forms ample methemoglobin to save the life of
an unconscious victim
Sodium thiosulfate will elevate blood pressure dramatically
Definitive lab results for cyanide in the blood must be
completed before treatment
20) 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
21) Smallpox can spread from one person to another by the
following routes: All of the Above
22) How is the victim of a pulmonary agent exposure presenting
with respiratory distress less than 4 hours after exposure
classified? Expectant
23) Secretary of Defense has the responsibility to provide
defense support to civil authorities when the actions: are
legal
24) How does cyanide cause cell death in the body? [Remediation
Accessed :N]
Inhibits ability of nerves to transmit messages
(NOT) Inhibits the enzyme AChE
Inhibits ability of blood to coagulate
Interferes with anaerobic metabolism of the cell
25) 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
26) Which of the following is NOT a physical requirement of
those expected to wear PPE? Agility
27) The primary toxicity of pulmonary agents is to the ________
and follows __________ of smoke, particles, vapors, or gases:
airways, inhalation
28) A secondary explosive device has been spotted. Which of the
following options describes how to proceed? Withdraw at least 50
yards from the scene and tell the Incident Commander (IC)
immediately.
29) Processed foods and temperature-abused foods are most
commonly associated with ________ poisoning: Staphylococcal
Enterotoxin B (SEB)
30) What blood test is available that will give an accurate
estimate of radiation dose: Lymphocytes count
31) What is the role of the liaison officer within the Hospital
Incident Command System (HICS): Function as the incident contact
person for representatives from other agencies
32) __________ occurs when people come in direct contact with a
harmful agent at or near an incident: Contamination
33) What form of ionizing radiation can penetrate deeply into
body tissue: Photon
34) Which of the following bacterial diseases typically produce
ulcers on the skin: Tularemia
35) Vesicant (blister) agents include all of the following,
EXCEPT: Sarin (GB)
36) What type of care is a stress management component that
fosters a mourning process and helps treat psychological stress
reactions? Pastoral care
37) What treatment should be given to a patient exposed to T-2
mycotoxins via ingestion? Therapy for poison ingestion including
the administration of super-activated charcoal.
38) Cyanide is historically found in the following EXCEPT:
Teflon
39) The majority of the injuries to gas-containing organs is
usually attributed to which of the following? Primary blast
effect
40) Decontamination will be conducted in the __________ hazard
zone. Warm
41) What form of ionizing radiation is the least penetrating?
Alpha
42) Which of the following statements does NOT describe spores
produced by Bacillus anthracis, causative agent of anthrax?
Sensitive to UV light.
43) A metallic taste in the mouth, epigastric distress, and
possible nausea and vomiting are ingestion symptoms for which
chemical agent? [Remediation Accessed :N]
(NOT) Vesicants
Nerve
Pulmonary
Cyanide
44) What type of laboratory test(s) would NOT be conducted if
you suspect a patient has contracted plague? Gas
Chromatography-Mass Spectrometry
45) 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
________________________________________
46) Used in life-threatening situations, the goal is to remove
contaminant as quickly as possible. Immediate decontamination
47) Definitive diagnosis of Viral Hemorrhagic Fever rests on
_______________. Specific virologic diagnosis
48) 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
49) Which of the following is considered a pulmonary (choking)
agent? Chlorine
__
50) 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?
: Intubate and provide assisted ventilation with Positive End
Expiratory Pressure (PEEP).
51) Which phase of CBRN response synchronizes planning and
execution efforts with the efforts of the supported civil
authorities? Phase III - Operate
52) What CBRNE agent inhibits the enzyme AChE allowing ACh to
accumulate affecting the way cells transmit signals to the body?
Vesicant
53) 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
54) A nerve gas attack has occurred in one of the city's
underground subway stations. This is the second attack this month.
After arriving on the scene, a veteran responder, considered a
"tough guy" by his team, freezes up and is unable to continue.
After talking to him, you determine he responded to the previous
attack. What personal situation stressor is this veteran
exhibiting? [Remediation Accessed :N]
Over-identification with victims
Difficult choices
Prior disaster experience
(NOT) Previous traumatization
55) A patient is exhibiting the following symptoms: fever,
cough, dyspnea, prominent gastrointestinal symptoms, and absence of
buboes. Which form of plague is responsible? [Remediation Accessed
:N]
Secondary pneumonic
Bubonic
Pneumonic
(NOT) Septicemic
56) What level of civilian chemical equipment would healthcare
providers don when providing initial medical treatment after an
incident but not involved with decontamination? [Remediation
Accessed :N]
Level D with no mask
Level A
(NOT) Level B
Level C
57) 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? [Remediation Accessed :N]
Decreased problem-solving abilities
Substance abuse
Anxiety disorders
(NOT) Depression
58) All-hazards are often categorized as: Man-made:
technological
