Disaster/Abuse

Question 1

Order of priority tag color

Answer 1

1-Red. Immediate-Life Threatening Injuries
2-Yellow. Delayed-Non-life threatening injuries
3-Green. Minimal-Minor Injuries
4-Black. Expectant-deceased or expected to die (Pain Medication)

Question 2

hot zone

Answer 2

Contaminated area or site of release, entry granted only to properly attired rescuers (first responders)

Question 3

Warm zone– Level B, C, D.

Answer 3

Located uphill and upwind of hot zone, this area is designated for decontamination of victims and rescuers (first responders). Personnel performing decontamination and early medical care (first receivers) must be properly attired. From here the patient proceeds to the ER

Question 4

Cold (support) zone

Answer 4

– Clean area where victims who are free of external liquid contamination are received and transported to definitive care.

Question 5

Category A bioterrorism

Answer 5

Anthrax, Smallpox, Plague, Botulism, Tularemia, Viral Hemorrhagic Fever

Question 6

how to “treat” smallpox

Answer 6

vacciniaimmune globulin(VIG)

Question 7

anthrax cutaneous presentation

Answer 7

erythematous papular lesion occurs 2 weeks after exposure progresses to a necrotic ulceration and black eschar

Question 8

how to treat anthrax

Answer 8

cipro for mild
doxy for severe
anthrasil (MAB)

Question 9

which type of plague has potential for bioterrorism

Answer 9

pneumonic

Question 10

treatment for plague

Answer 10

cipro is 1st line
gentamycin
doxy

Question 11

viral hemorrhagic fever treatment

Answer 11

ribaviran

Question 12

category B bioterrorism

Answer 12

Q-fever, Viral Encephalitis, Staphylococcal Enterotoxin B, Salmonella

Question 13

Q fever

Answer 13

Coxiella Burnetti

transmitted by sheep and other animals

Question 14

how to treat nerve agents that affect cholinergic

Answer 14

atropine

Question 15

how to treat cyanide poisoning

Answer 15

Combination of Hydroxocobalamin, Sodium Nitrite and Sodium Thiosulfate intravenous is ideal treatment

Question 16

leading COD age 1 month-1 year

Answer 16

child abuse

Question 17

MC form of child abuse

Answer 17

neglect

Question 18

Panner’s disease

Answer 18

rapid bone growth during childhood, disruption in the blood supply to the bones

Question 19

traumagram

Answer 19

used to depict location of a rape suspect

Question 20

evidence must be collected within ( ) hours for a rape case

Answer 20

72

Question 21

what must be treated prophylactically for any rape case

Answer 21

• gonorrhea (ceftriaxone 1 IV dose)
• trichimonas/bacterial vaginosis (metronidazole I Po dose)
• chlamydia (azithromycin 1 PO dose)

Question 22

what tests should be performed on a rape victim?

Answer 22

Pregnancy, Syphillis, Chlamydia, Gonorrhea, Trichomonas, HIV, Hepatitis B/C, Bacterial Vaginosis, Giardia Lamblia/Entameoba histolytica (when anal penetration has occurred)

Question 23

HIV prophylaxis

Answer 23

Isentress (raltegravir) and Truvada (emtricitabine and tenofovir)
for one month

Question 24

what if pt is unsure of hep vaccinations?

Answer 24

give Hep B vaccine

Question 25

pregnancy prophylaxis?

Answer 25

Levonorgesterol (plan B) 1.5mg PO x 1 dose

Ullipristal