Ch. 48 Flashcards

1
Q

A small truck has gone over an embankment. The driver has suffered a head injury and is confused, but is able to tell you that he is hauling N-Acetyl-para-Aminophenol. Which one of the following resources provides the AEMT with the BEST initial information regarding this chemical?

A) TREC-CHEM EMS Guidebook
B) Truck driver
C) Emergency Response Guidebook
D) Medical direction

A

C) Emergency Response Guidebook

Page Ref: 1044-1046

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2
Q

A reference tool that should be placed in every emergency vehicle for use when responding to a possible hazmat incident is:

A) MSDS sheets from local chemical users and suppliers.
B) The Emergency Response Guidebook.
C) The Merck manual.
D) The Physician’s Desk Reference.

A

B) The Emergency Response Guidebook.

Page Ref: 1044-1046

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3
Q

A poisonous substance NOT derived from the metabolism of an organism is referred to as:

A) a toxicant.
B) toxicology.
C) a toxidrome.
D) toxicodynamics.

A

A) a toxicant.

Page Ref: 1051

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4
Q

________ are abrupt, high-dose single exposures.

A) Toxicants
B) Acute exposures
C) Toxidromes
D) Chronic exposures

A

B) Acute exposures

Page Ref: 1051

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5
Q

________ are longer-term exposures, typically a month or more, of a low dose with decreased intensity.

A) Toxicants
B) Acute exposures
C) Toxidromes
D) Chronic exposures

A

D) Chronic exposures

Page Ref: 1051

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6
Q

You have been trained to the level of OSHA “First Responder Awareness.” In relation to this level of training, which one of the following activities are you qualified to perform?

A) Direct the operations at a hazardous materials emergency until the chemical is identified.
B) Recognize a potential hazardous materials emergency and call for the appropriate resources.
C) Stop and patch a leak in a broken valve emitting an unknown gas.
D) Provide detailed instructions on how to contain a spill of an unknown liquid.

A

B) Recognize a potential hazardous materials emergency and call for the appropriate resources.

Page Ref: 1050

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7
Q

You are the first emergency personnel on the scene of an overturned tanker truck. The driver is in the cab and appears motionless. It also appears that a liquid is leaking from the rear-valve assembly of the tanker. After properly positioning your ambulance, your immediate priority should be to:

A) attempt to determine what chemical is contained in the tanker.
B) take manual inline spinal stabilization.
C) prevent exposing yourself to the hazardous material.
D) perform the primary assessment on the truck driver.

A

C) prevent exposing yourself to the hazardous material.

Page Ref: 1043

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8
Q

You have arrived on the scene where a tractor trailer has overturned. As you pull onto the scene, the driver of the truck approaches and informs you that he is hauling radioactive medical wastes and warns you that there is a car underneath the overturned trailer. Which one of the following should you do immediately?

A) Attempt to identify the material and type of rays being emitted.
B) Determine if any radioactive material has been released.
C) Position the ambulance in front of the vehicle to block oncoming traffic.
D) Move the ambulance upwind of the scene.

A

D) Move the ambulance upwind of the scene.

Page Ref: 1048

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9
Q

You are the first to arrive on the scene of a motor-vehicle collision. Your scene size-up reveals a tanker truck on its side with an unresponsive driver in the cab. Multiple bystanders are around the cab waving for you to come over and help the driver. Your immediate action should be to:

A) order the bystanders away from the truck.
B) assess and extricate the patient.
C) determine what material the truck is carrying.
D) make certain the tanker is not leaking.

A

A) order the bystanders away from the truck.

Page Ref: 1043

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10
Q

For your safety and that of your crew, you should:

A) evaluate every scene for dangers before entering.
B) request police assistance on all calls.
C) ensure the availability of a paramedic for all medical calls.
D) search each and every patient for weapons.

A

A) evaluate every scene for dangers before entering.

Page Ref: 1043-1044

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11
Q

While he is moving a container of a radioactive liquid, some of the liquid splashed onto the technician’s arm. This situation is BEST be described as:

A) primary contamination.
B) exposure.
C) exposure with secondary contamination.
D) exposure with beta injury.

A

A) primary contamination.

Page Ref: 1051

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12
Q

If you notice signs of a hazardous material after you have entered a scene, you should FIRST:

A) notify the EMS supervisor and medical director.
B) remove yourself and your crew from the scene.
C) attempt to neutralize the threat.
D) call for assistance on the radio.

A

B) remove yourself and your crew from the scene.

Page Ref: 1043-1044

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13
Q

On the National Fire Protection Association hazardous materials classification placard, the blue diamond represents:

A) reactivity.
B) fire hazard.
C) specific hazard.
D) health hazard.

A

D) health hazard.

Page Ref: 1045

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14
Q

If the red diamond on a National Fire Protection Association placard contains a “4,” the EMT should recognize that the material contained within is:

A) very flammable.
B) liquid.
C) radioactive.
D) a gas.

A

A) very flammable.

Page Ref: 1045

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15
Q

An intoxicated driver drove his car into the side of a slow-moving train, hitting a tanker car. To get information on what is contained in the tanker, you are going to call CHEMTREC. What piece of information is it critical to provide this agency so they can help identify the material inside the tanker car?

A) Name of the railroad carrier
B) Description of the leaking material
C) Type of railroad car involved
D) UN number

A

D) UN number

Page Ref: 1048

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16
Q

You have arrived on the scene of a chemical leak at an industrial park. The placard has a “1” in the blue diamond and a “4” in the red diamond, which means the material is:

A) flammable but represents a low health hazard.
B) a flammable liquid with radioactive properties.
C) explosive with a high health hazard associated.
D) a solid that is very flammable.

A

A) flammable but represents a low health hazard.

Page Ref: 1045

17
Q

You are working the scene of a collision involving a tractor trailer that is hauling an unknown chemical. After it has been determined that no material has been spilled, what paperwork should you look for in the cab of the truck?

A) NFPA 704 placards
B) UN numbers
C) Shipping papers
D) Material data safety sheets

A

C) Shipping papers

Page Ref: 1048

18
Q

On the scene of a hazardous materials emergency, which one of the following individuals is BEST suited to provide command of the incident?

A) Fire service rescue technician
B) Hazardous materials technician
C) Paramedic
D) Hazmat specialist

A

D) Hazmat specialist

Page Ref: 1050

19
Q

What is the level of training for those who respond to the release of hazardous materials in order to protect people and property after completing an 8-16 hour training session?

A) Hazardous material specialist
B) First responder awareness
C) Hazardous materials technician
D) First responder operations

A

D) First responder operations

Page Ref: 1050

20
Q

Which one of the following statements shows that the AEMT has a proper understanding of basic operations at the scene of a hazardous materials emergency?

A) “The AEMT should never risk life or health to rescue a patient from a contaminated scene.”
B) “If you cannot see or smell a chemical, the chance of one being present is very low.”
C) “It is critical to remove the patients as quickly as possible from the incident site.”
D) “Identification of the material is not important, since the approach is the same for all materials.”

A

A) “The AEMT should never risk life or health to rescue a patient from a contaminated scene.”

Page Ref: 1049

21
Q

At the scene of a hazardous materials emergency, you have been assigned to the cold zone. In this zone, which one of the following activities will you be performing or assisting with?

A) Rescue and initial decontamination
B) Triage, vital signs, and medical histories
C) Removal of contaminated rescue gear
D) Initial decontamination and triage

A

B) Triage, vital signs, and medical histories

Page Ref: 1049

22
Q

When working in the warm zone, the AEMT MUST remember that:

A) protective gear must be worn.
B) patient care is not performed.
C) contamination is no longer a threat.
D) water used does not have to be contained.

A

A) protective gear must be worn.

Page Ref: 1049

23
Q

The driver of a truck carrying a radioactive substance has accidentally come into contact with the material. You are first on the scene and a quick observation indicates that he still has the powder on his arm. Which one of the following should you do immediately?

A) Rinse the powder off the arm and wrap with a sterile dressing and roller gauze.
B) Provide basic care, but avoid touching the patient’s arm.
C) Instruct the patient to remain still until proper removal of product can be accomplished.
D) Place the patient in the ambulance, but avoid touching him en route to the hospital.

A

C) Instruct the patient to remain still until proper removal of product can be accomplished.

Page Ref: 1049, 1052

24
Q

A worker has been exposed to beta rays given off by a radioactive material. Which one of the following should you do FIRST?

A) Assess his level of consciousness and ABCs.
B) Determine the exact material he was exposed to.
C) Decontaminate the patient.
D) Quickly assess for any radiation burns.

A

A) Assess his level of consciousness and ABCs.

Page Ref: 1051-1053

25
Q

A train carrying radioactive materials has derailed. The radiation safety officer informs you that you will be receiving a 31-year-old man who was exposed to the radioactive material. As such, you should recognize that:

A) the patient will be vomiting and will have lost his hair.
B) the patient will require immediate decontamination.
C) the patient represents no contamination threat to you.
D) you will need special clothing to protect yourself from radiation.

A

C) the patient represents no contamination threat to you.

Page Ref: 1052

26
Q

You are on a scene in which a radioactive material is emitting alpha rays. As a knowledgeable AEMT, you recognize that the MOST appropriate shielding for this material is:

A) concrete.
B) aluminum.
C) lead.
D) clothing.

A

D) clothing.

Page Ref: 1052

27
Q

A document provided by the chemical’s manufacturer that may be beneficial when dealing with a hazardous materials situation is the:

A) material safety data sheet.
B) UN number.
C) shipping papers.
D) Emergency Response Guidebook.

A

A) material safety data sheet.

Page Ref: 1046-1047

28
Q

Hazmat PPE is classified into four different levels of protection. Which suit level includes breathing protection (SCBA) but is NOT fully encapsulated?

A) Level A
B) Level B
C) Level C
D) Level D

A

B) Level B

Page Ref: 1050