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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 4

(Liquid form) Small to moderate dose

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 5

(3) - ATNAAs
(1) - convulisive antidote

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 7

Ct product
(concentration x time)

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 8

CHAPTER 1 - NERVE AGNETS

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 8

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 9

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 9

50% - Half the population it is exposed to

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 11

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 11

Acetylcholine (ACh)

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 12

Neurotransmitter

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 13

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 13

Provide correct, timely, and life saving care

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 14

The EYES

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 15

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 15

Miosis -
Pinpoint pupils

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 16

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 16

Twitching of the eyelid and maybe reddend

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 17

Secretory Glands

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 18

Systemic

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 19

Seconds to minutes

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 20

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 20

Nausea and Vomitting

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 21

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 21

Heartburn or pain in the ABD

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 22

18 HRS

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 23

CHAPTER 1 - NERVE AGNETS

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

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 23

Heart Rate

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ?

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 24

Moderate or Large

FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 25

# CHAPTER 1 - NERVE AGNETS As the nerve agent effects progresses, which of the following actions will occur within the muscles ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 25

**Prolonged contration** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 26

**The Diaphragm** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 27

**Death** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 28

# CHAPTER 1 - NERVE AGNETS The most importnat care the casuality recieves occurs how long after exposure ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 28

**Within the first several minutes** | (Self-aid, Buddy Aid) ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 29

**5 minutes** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 30

**The Extent of posining and medications administered** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 31

# CHAPTER 1 - NERVE AGNETS Nerve agent effects from liquid contact on the skin can occur how long after exposure ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 31

**Within 10minutes to 18hrs** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 32

**Atropine** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 33

# CHAPTER 1 - NERVE AGNETS Which medication is the second drug choice for nerve agent poisoning cases ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 33

**Pralidoxime chloride (2-PAM Cl)** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 34

# CHAPTER 1 - NERVE AGNETS Which drug was adopted by the US military for use in controlling convulsions ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 34

**Diazepam in the 10mg - Autoinjector (CANA)** ## Footnote 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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 35

Diazepam | : should only be given to severe casualties via. buddy aid ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 36

**1 ATNAA (Administered during self-aid)** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 37

**Atropine eye drops** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 38

**15 - 20 mg** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

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 ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 39

**3** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 40

# CHAPTER 1 - NERVE AGNETS Which total miligrams of 2-PAM CL may be administered when avliable ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 40

**3,600 mg** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 41

# CHAPTER 1 - NERVE AGNETS You should never give how much of 2-PAM CL per hour ? (as well as intravenosuly) ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 41

**No more than 3 auto injectors or 2000mg IV** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 42

# CHAPTER 1 - NERVE AGNETS If the patient is still convulsing after how many minutes should you give CANA to stop the seizures ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 42

**2 minutes** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 43

# CHAPTER 1 - NERVE AGNETS Pyridostigmine enhances the effectiveness of the ATNNA aginst what nerve agent only ??? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 43

**GD (Soman)** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Question 44

# CHAPTER 1 - NERVE AGNETS What is a common sie effect of pyridostigmine bromide ? ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.

Answer 44

**Increased BMs and ABD cramping** ## Footnote FIELD MANAGEMENT OF CHEMICAL AND BIOLOGICAL AGENTS HANDBOOK.