Bomb blast victim presents with nausea and abdominal pain. A Computed Tomography (CT) scan shows no hemorrhage. What treatment should be recommended?

Answer 1

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

Answer 2

watch for hematoma to develop

Answer 3

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