FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL CASUALTIES HANDBOOK (5th EDITION - 2016)

Question 1

CHAPTER 1 - NERVE AGNETS

What is chapter 1 of the Field Management of Chemical and Nerve agents handbook ?

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Answer 1

NEVRE AGENTS

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 2

CHAPTER 1 - NERVE AGNETS

What are the NATO codes for Nerve Agents ?

The nerve agents begin with “G”

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 2

GA
GB
GD
VX

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Question 3

CHAPTER 1 - NERVE AGNETS

The signs and symptoms of miosis, rhinorrhea, mild dyspnea indicates what from and dose never-agent being used ?

Think: These sxs are small in nature

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 3

(Vapor form)
small dose

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Question 4

CHAPTER 1 - NERVE AGNETS

Sxs: of localized sweating,nausea, vomitting, feeling of weakness are the indication of which form and dose of nerve-agent being used ?

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Answer 4

(Liquid form) Small to moderate dose

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Question 5

CHAPTER 1 - NERVE AGNETS

For the treatment of serve causaltites in respiratory distress to have known exposure to Nerve-agents, how many Autoinjectors should you administer ?

note: also use how many anti-convulsive antidote ?

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Answer 5

(3) - ATNAAs
(1) - convulisive antidote

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Question 6

CHAPTER 1 - NERVE AGNETS

How are nerve agents absorbed by the body ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 6

Eyes, Respiratory tract, and skin

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 7

CHAPTER 1 - NERVE AGNETS

What is used to calculate the dose of vapor or aersol somone has been exposed to ?

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Answer 7

Ct product
(concentration x time)

a marker of the vapor or aersol doses to whihc someone has been exposed

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Question 8

CHAPTER 1 - NERVE AGNETS

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 8

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Question 9

CHAPTER 1 - NERVE AGNETS

The Leathal Concentration-TIme, LCt-50. Is leathal to what percentage of the poopulation it is exposed to ?

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Answer 9

50% - Half the population it is exposed to

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Question 10

CHAPTER 1 - NERVE AGNETS

Nerve-agent posions block the action of what enzyme in the body ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 10

Acetylcholinesterase

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Question 11

CHAPTER 1 - NERVE AGNETS

What is the primary fucntion of Acetylcholinesterase is to breakdown (hydrolyze) what chemical messenger ?

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Answer 11

Acetylcholine (ACh)

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Question 12

CHAPTER 1 - NERVE AGNETS

When an electric signal reaches the end of the neuron, the information must be convyed to the next cell by what mean ?

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Answer 12

Neurotransmitter

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Question 13

CHAPTER 1 - NERVE AGNETS

What is the primary concern of the health care provider when treating patients poisoned by nerve agents ?

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Answer 13

Provide correct, timely, and life saving care

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Question 14

CHAPTER 1 - NERVE AGNETS

When the nerve agent’s route of entry is through the skin or by ingestion, the effect on which part of the body is delayed or may not occur ?

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Answer 14

The EYES

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Question 15

CHAPTER 1 - NERVE AGNETS

What is the mian effect of the nerve agent on the eyes ?

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Answer 15

Miosis -
Pinpoint pupils

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Question 16

CHAPTER 1 - NERVE AGNETS

Which sign and symptoms of a nerve agent maybe noticed through a protective mask ?

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Answer 16

Twitching of the eyelid and maybe reddend

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Question 17

CHAPTER 1 - NERVE AGNETS

Which area of the nose and mouth is as sensitive or more sensitive than the eyes to nerve agent vapor or aersol ?

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Answer 17

Secretory Glands

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Question 18

CHAPTER 1 - NERVE AGNETS

Is a soilder is poisned by a nerve agent liquid on the skin or through ingestion, the nose will become affected, but only in response to which bodily involvement ?

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Answer 18

Systemic

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Question 19

CHAPTER 1 - NERVE AGNETS

1- 2 breathes of a high concentration of nerve agent vapor will cause gasping and irregular respirations within how much time ?

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Answer 19

Seconds to minutes

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Question 20

CHAPTER 1 - NERVE AGNETS

After exposure to a large but sublethal concentraion of vapor, the patient will complin of which symptoms ?

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Answer 20

Nausea and Vomitting

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Question 21

CHAPTER 1 - NERVE AGNETS

After contact from liquid exposure on the skin, the patient may complain of which symptoms ?

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Answer 21

Heartburn or pain in the ABD

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Question 22

CHAPTER 1 - NERVE AGNETS

After a sublethal exposure to a liquid nerve agent, the effects may last for as long as how many hours ?

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Answer 22

18 HRS

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Question 23

CHAPTER 1 - NERVE AGNETS

Which vital sign will not aid the health care provider in choosing the treatment for nerve agent posioning ?

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Answer 23

Heart Rate

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Question 24

CHAPTER 1 - NERVE AGNETS

After exposure to how much nerve agent, the pateint will complain of weakness and twitching of the muscle groups ?

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Answer 24

Moderate or Large

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Question 25

CHAPTER 1 - NERVE AGNETS

As the nerve agent effects progresses, which of the following actions will occur within the muscles ?

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Answer 25

Prolonged contration

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Question 26

CHAPTER 1 - NERVE AGNETS

Additionally, the skeletal muscles effects of the nerve agents can weken or paralyze which muscle and casue a weaking in their respiratory status ?

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Answer 26

The Diaphragm

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Question 27

CHAPTER 1 - NERVE AGNETS

What are the effects on a battlefield patient when they have a brain/spinal cord injury and have an exposure of a large inhaltion or liquid exposure of nerve agent ?

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Answer 27

Death

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Question 28

CHAPTER 1 - NERVE AGNETS

The most importnat care the casuality recieves occurs how long after exposure ?

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Answer 28

Within the first several minutes

(Self-aid, Buddy Aid)

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Question 29

CHAPTER 1 - NERVE AGNETS

If aggressive care is not given to a patient exposed to a lethal dose of nerve agent, death can result within (HOW MANY MINUTES) after the appearance of symptoms ?

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Answer 29

5 minutes

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Question 30

CHAPTER 1 - NERVE AGNETS

Tha care porvider must rapidly determine what information after exposure to a nerve agent ?

: There are two things noted

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Answer 30

The Extent of posining and medications administered

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Question 31

CHAPTER 1 - NERVE AGNETS

Nerve agent effects from liquid contact on the skin can occur how long after exposure ?

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Answer 31

Within 10minutes to 18hrs

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Question 32

CHAPTER 1 - NERVE AGNETS

Which nerve agent treatment would cause a patient to experience inhibition of sweating and heat storage in a warm climate if the patient had not been exposed to a nerve agent ?

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Answer 32

Atropine

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Question 33

CHAPTER 1 - NERVE AGNETS

Which medication is the second drug choice for nerve agent poisoning cases ?

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Answer 33

Pralidoxime chloride (2-PAM Cl)

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Question 34

CHAPTER 1 - NERVE AGNETS

Which drug was adopted by the US military for use in controlling convulsions ?

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Answer 34

Diazepam in the 10mg - Autoinjector (CANA)

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 35

CHAPTER 1 - NERVE AGNETS

Which nerve agent treatment is not intended or self-use, and must be administered by a buddy or medical provider ?

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Answer 35

Diazepam

: should only be given to severe casualties via. buddy aid

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Question 36

CHAPTER 1 - NERVE AGNETS

In a casuality with mild symptoms that appear to be clearing, how many antidodte treatment nerve agent auto-injectors should be given followed by observation for serveral hours, will normally be all that is needed ?

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Answer 36

1 ATNAA (Administered during self-aid)

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Question 37

CHAPTER 1 - NERVE AGNETS

Pain in the eyes, twitching of the eye lids, redness, and miosis may be treated at the battalion aid station with what type of eye drops ?

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Answer 37

Atropine eye drops

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Question 38

CHAPTER 1 - NERVE AGNETS

Whihc total of miligrams of atropine maybe required in the first 1 to 3 hours after the onset of symptoms of a nerve agent ?

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Answer 38

15 - 20 mg

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Question 39

CHAPTER 1 - NERVE AGNETS

If the pateint is stil experiencing signs and symptoms one hour after using 3 ATNAA and CANA, how many additonal doses of 2-PAM CL injectors can you use ?

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Answer 39

3

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Question 40

CHAPTER 1 - NERVE AGNETS

Which total miligrams of 2-PAM CL may be administered when avliable ?

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Answer 40

3,600 mg

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Question 41

CHAPTER 1 - NERVE AGNETS

You should never give how much of 2-PAM CL per hour ? (as well as intravenosuly)

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Answer 41

No more than 3 auto injectors or 2000mg IV

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Question 42

CHAPTER 1 - NERVE AGNETS

If the patient is still convulsing after how many minutes should you give CANA to stop the seizures ?

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Answer 42

2 minutes

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Question 43

CHAPTER 1 - NERVE AGNETS

Pyridostigmine enhances the effectiveness of the ATNNA aginst what nerve agent only ???

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Answer 43

GD (Soman)

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Question 44

CHAPTER 1 - NERVE AGNETS

What is a common sie effect of pyridostigmine bromide ?

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Answer 44

Increased BMs and ABD cramping

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