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EMT: Chapter 40 [terrorism response and disaster management]
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Terms in this set (91)
The chemical attacks that occurred in Tokyo between 1994 and 1995 were carried out by a(n):
violent religious group
The LEAST harmful form of ionizing radiation is:
A persistent or nonvolatile chemical agent can:
remain on a surface for more than 24 hours
You are assessing a 30-year-old female who presents with respiratory distress and tachycardia after she opened a package that was delivered to her home. The patient tells you that there was a fine white powder on the package, but she did not think it was important. This patient has MOST likely been exposed to:
When introduced into the body, ricin (neurotoxin) causes:
pulmonary edema and circulatory failure
Pulmonary hemorrhage and inner ear damage are examples of __________ blast injuries.
Unlike viruses and bacteria, neurotoxins:
are not contagious
You are treating a patient who experienced a significant exposure to cyanide. He is semiconscious and is breathing inadequately. The MOST appropriate method of providing assisted ventilations to this patient is to:
use a BVM
Which of the following terrorist groups poses the LEAST threat to a person's physical safety?
Which of the following is NOT a factor in determining how to protect oneself against the effects of radiation?
Most terrorist attacks are:
You are dispatched to the scene of a building explosion. Upon arrival, you see people frantically fleeing the building, screaming, "Everyone is passing out!" You should:
carefully assess the situation and ensure your own safety
Signs and symptoms of exposure to a nerve agent include:
salivation, pinpoint pupils, diarrhea
Early signs and symptoms of smallpox include all of the following, EXCEPT:
Cross-contamination occurs when:
an EMT is exposed to a victim who has not yet been decontaminated
The process performed to artificially maximize the target population's exposure to a biologic agent, thereby exposing the greatest number of people and achieving the desired result, is called:
Which of the following would you expect to encounter in a patient with moderate radiation toxicity?
hair loss and first-degree burns
A weapon of mass destruction is MOST accurately defined as:
any agent used to bring about mass death, casualties, or mass infrastructural damage
As the first-arriving emergency responder at the scene of a suspected terrorist or weapon of mass destruction incident, you should request additional resources as needed and then:
function as the incident commander until additional personnel arrive
Exposure to _________ would MOST likely result in immediate respiratory distress.
__________ rays easily penetrate through the human body and require lead or several inches of concrete to prevent penetration.
After eating at a local restaurant, a 20-year-old male complains of blurred vision, difficulty speaking, and difficulty breathing. He is conscious; however, his respirations are profoundly labored and producing minimal tidal volume. You should:
assist his ventilations with high-flow O2
All of the following are vesicant agents, EXCEPT:
An attack on an abortion clinic would MOST likely be carried out by a(n):
As you and your partner report for duty, you check your ambulance and begin talking about the possibility of a terrorist attack. The MOST effective and appropriate way to determine the likelihood of this happening is to:
know the current threat level issued by the Department of Homeland Security
At present, the likelihood of a nuclear attack against the United States is very low because:
terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb
Continual reassessment of the scene at a suspected terrorist or weapon of mass destruction incident is MOST important because:
a secondary explosive device may detonate
In determining the potential for a terrorist attack, you should routinely observe all of the following on every call, EXCEPT:
Most cases of anthrax begin with:
Multiple people in a small town began experiencing abdominal cramps, excessive salivation and urination, and muscle twitching shortly after a small crop duster plane made several passes over the community. As you are assessing the patients, you further determine that most of them are bradycardic and have miosis. In addition to high-flow oxygen, the MOST appropriate treatment for these patients includes:
atropine and pralidoxime chloride (neurotoxin)
Points of distribution (PODs) are strategically placed facilities where:
antidotes, antibiotics, and vaccines are distributed
The Centennial Park bombing during the 1996 Summer Olympics is an example of:
The EMT should expect that a patient who was exposed to cyanide will have:
a normal pulse oximetry reading
The incubation period for Ebola can be up to:
The means by which a terrorist will spread a particular agent is called:
The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the:
pt's distance from the epicenter of the explosion
To date, the preferred weapons of mass destruction for terrorists have been:
Unlike viral agents, bacterial agents:
respond to antibiotics
Which of the following statements regarding blast injuries is correct?
solid organs are relatively protected from shock wave injury but may be injured during the secondary or tertiary blast phase (ex. liver, spleen)
You and your partner arrive at the scene of a fire at a large office complex. Witnesses tell you that they heard a loud explosion shortly before the building caught fire. You should:
ensure that your ambulance is parked upwind and uphill from the building
What is a mustard gas considered to be?
In which group of agents is miosis a sign of exposure?
Which of the following requires a host to survive?
Which is the most deadly route of entry for anthrax?
Which of the following is true regarding a dirty bomb?
the destructive capability is limited to the explosives that are attached to it
Which type of blast injury is most likely to produce penetrating trauma?
a memory device to recall the types of weapons of mass destruction: biologic, nuclear, incendiary, chemical, explosive
You are on scene at a suspected terror attack in which a RDD has detonated. A 67-year-old patient reports tightness in his chest. The patient is coughing up blood and is in respiratory distress. During the physical assessment, you notice subcutaneous emphysema. What is the condition most likely to be?
pulmonary blast injury
ATNAA (Antidote Treatment Nerve Agent Auto-Injector)
a nerve agent antidote kit containing atropine and pralidoxmine chloride; delivered as a single dose through one needle
Nerve agents, a class of chemicals called organophosphates, were first discovered while in search of a superior:
A 52-year-old male presents with a fever of 102.5°F and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consistent with:
The skin lesions associated with smallpox:
are identical in their development
Which of the following statements regarding the persistency and volatility of a chemical agent is correct?
VX, a highly persistent nerve agent, can remain in the environment for weeks to months
Initial signs and symptoms associated with viral hemorrhagic fevers include:
headache, sore throat
The primary route of exposure of vesicant (blistering) agents is the:
a potential bacterial neurotoxin
When multiple patients present with an acute onset of difficulty breathing, chest tightness, and hoarseness or stridor, you should be MOST suspicious of exposure to
phosgene or chlorine
Which of the following statements regarding a "dirty bomb" is correct?
dirty bombs could injure victims with both radioactive material and the explosive material used to deliver it
Which of the following chemicals is a nerve agent?
A disease vector is defined as:
any agent that acts as a carrier or transporter
The primary clinical feature associated with exposure to phosgene oxime is:
skin blistering (vesicant agent)
According to the Department of Homeland Security Security Advisory System, the color orange indicates a _______ risk of terrorist attacks.
Most terrorist attacks:
require multiple terrorists working together
Viral hemorrhagic fevers (VHF), such as Ebola, cause the blood to:
seep out of the blood vessels and tissues
Unlike bacterial agents, viral agents:
are usually not treatable
If the incident command system (ICS) is already established at the scene of a WMD or terrorist attack, the EMT should:
locate the medical staging officer to obtain his/her assignment
All of the following biologic agents or diseases can be transmitted from person to person, EXCEPT:
A severe risk of terrorist attacks is indicated by the color ______ by the Department of Homeland Security Advisory System?
all of the following are examples of terrorist groups eXCEPT:
most organized religions
an example of a single-issue group is:
when were chemical agents first introduced?
during ________________, Hiroshima and Nagasaki were devastated when they were targeted with nuclear bombs.
you are called to the scene of an unexplained explosion at the local shopping mall. the reports are that there are multiple injuries. you are the first unit to arrive on scene. your first responsibility is to:
ensure scene safety
in the mall scenario, you have been informed that there are numerous agencies responding with many different types of apparatus. they are approaching the scene from all directions and will be arriving shortly. you need to:
set up a staging area
__________________ agents can remain on a surface for long periods, usually longer than 24 hours.
___________________ is a brownish/yellowish oily substance that is generally considered very persistent.
an example of a pulmonary agent is:
the most lethal of all the nerve agents is:
what two medications do DuoDote Anti-Injector antidote kits contain?
atropine and 2-PAM chloride
you are dispatched to a local farm where an unconscious 41-year-old man has been discovered. the pt's airway is open, but he has been vomiting. respirations normal and distal pulses present. pt has muscle twitches and has urinated on himself. there's a funny odor coming from the pt's clothing. you would suspect:
organophosphate (nerve agent used in pesticides) poisoning
you are dispatched to a pt who is having respiratory problems. he is awake but is working so hard to breathe that he can't answer questions. his distal pulses are present and strong. there is an odor of almonds in the air. you would suspect:
the period of time between the person becoming exposed to an agent and when symptoms begin is called:
which of the following is NOT an example of a viral hemorrhagic fever?
smallpox (EXAMPLES: ebola, rift valley, yellow fever)
which of the following statements regarding anthrax is FALSE?
pulmonary anthrax is associated with the lowest risk of death if left untreated (actually HIGHEST risk of death)
bubonic plague infects the:
the deadliest substances known to humans are:
the least toxic route for ricin is:
the EMS role in helping to determine a biologic event is to:
be aware of an unusual number of calls for unexplainable symptom calls
the most powerful of all radiation is:
to protect yourself from radiation exposure, you should do all of the following EXCEPT:
wear a mask to prevent respiratory exposure
which organ is most susceptible to pressure changes during an explosion?
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