What CBRNE agent are microorganisms and/or biologically derived compounds or molecules that cause disease in personnel, plants, or animals?

Biological

A systematic approach to the immediate assessment and treatment of critically ill or injured persons is represented by the acronym ABCDE, which stands for:

Airway, breathing, circulation, disability, exposure

_______ is (are) a collection of various intentional threats and unintentional contamination hazards.

All-Hazards

What type of hazard tends to occur repeatedly in the same geographical location because it is related to weather patterns or physical characteristics of an area?

Natural Hazards

What CBRNE agent typically intended for use in military operations to kill, seriously injured, or incapacitate mainly through their physiological effects?

Chemical

Burned or Reddened skin, nausea, vomiting, and diarrhea, and convulsions may be symptoms of what type of CBRNE exposure?

Radiological/Nuclear

The greater our distance from the source of harm, the less your ___________.

Exposure

What common characteristic is NOT associated with terrorist activities known around the world?

Terrorist organizations are always associated with gangs

A truck explodes downtown during rush hour near a government building. There are more than 100 casualties. Many more victims are injured by the blast. In what hazard category would this incident be categorized?

Threat or Human-caused

What measure should you NOT take to protect yourself during a CBRNE incident?

Get downhill and downwind of the source of contamination

Radiation burns, which cause delayed, irreversible changes of the skin, can be caused by high doses of what form of ionizing radiation?

Beta (correct)

Who is responsible for directing the command and control of all operations.

Incident Commander (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

Provide professional psychological treatment (correct)

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

Ricin (correct)

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

Pneumonic plague (correct)

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

Secondary Contamination (correct)

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

Lymphocytes count (correct)

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. (correct)

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

Nerve (correct)

Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities?

Phase III - Operate (correct)

An explosion casualty suffering from crush injuries of the lower extremities has been admitted to your hospital with severe hyperkalemia. What emergency treatment is NOT recommended?

Limit fluids. (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)

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

Wash patient with their clothing still on. (correct)

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

Admit patient for observation for 12 to 24 hours in case a hematoma develops. (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)

Which of the following is NOT relevant to a laboratory diagnosis of smallpox (variola)?

A positive Tzank smear (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 planning and operation of the Central City annual Labor Day celebration, including a parade and fair. (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 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)

The decontamination site should NOT be located:

Near waterways and drainage systems (correct)

What type of laboratory test(s) would NOT be conducted if you suspect a patient has contracted plague?

Gas Chromatography-Mass Spectrometry (correct)

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

Immediate (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)

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)

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)

Decontamination will be conducted in the __________ hazard zone.

Warm (correct)

The amount of radiation that an individual absorbs depends on ____?

All of the Above (correct)

The majority of the injuries to gas-containing organs is usually attributed to which of the following?

Primary blast effect (correct)

What technique may be used to test for T-2 Mycotoxins in environmental and clinical samples?

Gas Chromatography-Mass Spectrometry (correct)

Cyanide is historically found in the following EXCEPT:

Teflon (correct)

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

Sarin (GB) (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)

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

Recognizing which compartment(s) are damaged and minimizing that damage. (correct)

How does cyanide cause cell death in the body?

Interferes with anaerobic metabolism of the cell (correct)

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 (correct)

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

Expectant (correct)

Secretary of Defense has the responsibility to provide defense support to civil authorities when the actions:

are legal (correct)

What directive establishes a single comprehensive national incident management system that allows all levels of government to work efficiently and effectively together?

Homeland Security Presidential Directive-5 (correct)

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

Smallpox (correct)

Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure.

Amyl nitrite, sodium nitrite, sodium thiosulfate (correct)

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

VX (correct)

An all-hazards approach affects preparedness by allowing communities to:

Increase the speed, effectiveness, and efficiency of incident management. (correct)

Experts anticipate that biological incidents are ________________.

the most likely to occur, and will have the greatest impact on the greatest number of people. (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)

Which of the following is NOT a challenge in gaining access and acceptance?

similar cultural values (correct)

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?

Substance abuse (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 oxime (correct)

All-hazards are often categorized as:

Man-made: technological (correct)

When conducting a medical assessment, what status is checked first?

Respiratory Status (correct)

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

Pneumonic (correct)

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

Latent (correct)

What Mission Oriented Protective Posture (MOPP) level provides the greatest level of protection?

IV (correct)

What is the most available explosive agent?

Nitroglycerin (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)

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?

Inhalational (correct)

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?

Prior disaster experience (correct)

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 (correct)