Ch. 39 Flashcards
Which of the following agents blocks the body’s ability to use oxygen and possesses an odor similar to almonds?
A. phosgene oxime B. hydrogen cyanide C. organophosphates D. carbon monoxide
B.
The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the:
A. type of material used to manufacture the device. B. patient's distance from the epicenter of the explosion. C. pressure that is generated from the explosion itself. D. size of the structure that was involved in the explosion.
B.
Exposure to _________ would MOST likely result in immediate respiratory distress.
A. lewisite B. soman C. tabun D. chlorine
D.
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:
A. a vesicant agent. B. phosgene or chlorine. C. sarin or soman. D. a nerve agent.
B.
As the first arriving emergency responder at the scene of a suspected terrorist or WMD incident, you should request additional resources as needed and then:
A. function as the incident commander until additional personnel arrive. B. direct your partner to begin triaging patients as you call medical control. C. carefully inspect the area for the presence of secondary explosive devices. D. remain where you are until additional ambulances arrive at the scene.
A.
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 effect, is called:
A. alkalinization. B. potentiation. C. weaponization. D. dissemination.
C.
Signs and symptoms of exposure to a nerve agent include:
A. dry mouth, dilated pupils, and headache. B. salivation, pinpoint pupils, and diarrhea. C. tachycardia, flushed skin, and unequal pupils. D. hypertension and severe pulmonary edema.
B.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland Security Security Advisory System.
A. red B. blue C. orange D. green
A.
The skin lesions associated with smallpox:
A. initially form on the lower trunk. B. develop early during the disease. C. are identical in their development. D. are of different shapes and sizes.
C.
To date, the preferred weapons of mass destruction for terrorists have been:
A. nuclear weapons. B. chemical weapons. C. biologic weapons. D. explosive weapons.
D.
Early signs and symptoms of smallpox include all of the following, EXCEPT:
A. body aches. B. skin blisters. C. headaches. D. high fever.
B.
Botulinum is:
A. a disease of the leukocytes. B. an acute viral infection. C. rarely associated with death. D. a potent bacterial neurotoxin.
D.
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:
A. apply oxygen via a nonrebreathing mask. B. request a paramedic to administer atropine. C. assist his ventilations with 100% oxygen. D. position him supine and elevate his legs.
C.
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:
A. a neurotoxin. B. anthrax. C. botulinum. D. Ebola.
B.
Unlike viruses and bacteria, neurotoxins:
A. cause skin blistering. B. cause high fever. C. are not contagious. D. have a slow onset of symptoms.
C.
All of the following biologic agents or diseases can be transmitted from person to person, EXCEPT:
A. smallpox. B. ricin. C. pneumonic plague. D. inhalation anthrax.
B.
The chemical attacks that occurred in Tokyo between 1994 and 1995 were carried out by a(n):
A. group of domestic terrorists. B. single-issue terrorist group. C. violent religious group. D. extremist political group.
C.
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:
A. use a bag-mask device. B. perform mouth-to-mouth ventilations. C. request a paramedic unit to intubate. D. perform mouth-to-mask ventilations.
A.
Most terrorist attacks are:
A. unplanned. B. impulsive. C. covert. D. nuclear attacks.
C.
__________ rays easily penetrate through the human body and require several inches of lead or concrete to prevent penetration.
A. Gamma B. Alpha C. Beta D. Neutron
A.
Which of the following statements regarding a “dirty bomb” is correct?
A. Dirty bombs could injure victims with both radioactive material and the explosive material used to deliver it. B. Dirty bombs contain significant amounts of radioactive material and are capable of being delivered via a missile. C. The effectiveness of a dirty bomb is solely dependent on the amount of alpha radiation that it emits. D. The dirty bomb, because of its ability to cause massive damage over a large geographic area, is an effective WMD.
A.
At present, the likelihood of a nuclear attack against the United States is very low because:
A. terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb. B. the United States has an effective early warning system to detect an incoming nuclear missile. C. all nuclear devices or weapons that different countries are in possession of are currently accounted for. D. other than the United States, no other countries are currently in possession of nuclear weapons.
A.
The primary clinical feature associated with exposure to phosgene oxime is:
A. bradycardia. B. skin blistering. C. a red rash. D. miosis.
B.
Most cases of anthrax begin with:
A. pulmonary edema. B. respiratory distress. C. signs of shock. D. flulike symptoms.
D.
