Test 32/33

Question 1

Polar vs non polar molecules

Answer 1

Polar: Water soluble
Non polar: non water soluble

Question 2

Covert exposure

Answer 2

Occurs when an object or individual does not have obvious contamination or does not immediately know they have been contaminated

Question 3

% of Hazmat activations by category

Answer 3

75% are in a chemical factory
25% occur during transportation

Question 4

Prussian blue can decrease uptake of what

Answer 4

Cesium, rubidium, thallium

Question 5

Potassium Iodide most beneficial in how many hours

Answer 5

1-2 hours after exposure

Question 6

How do blistering agents cause damage

Answer 6

Alkylation and damage of tissue at cellular and DNA level, inducing necrosis and apoptosis in exposed cells

Question 7

How long for most blistering agents to work

Answer 7

4-12 hours

Question 8

Vesicants require what level of PPE

Answer 8

A

Question 9

Protocols needed when hazardous agent used at local factory

Answer 9

1. Protocols for specific classes of agents
2. Signs and symptoms of exposure
3. PPE requirements for given providers
4. Decontamination processes
5. Treatment recommendations

Question 10

Ppx for pregnant woman exposed to Chicken pox who has never had before

Answer 10

Oral acyclovir or valacylovir

Question 11

hep B tx if exposed known non responder

Answer 11

HBIG x1 and repeat vaccination series

Question 12

hep B tx if exposed and unknown responder

Answer 12

Test: if responder no tx
If non responder: HBIG and booster

Question 13

hep b tx if exposed and never vaccinated

Answer 13

HBIG and begin vaccination series

Question 14

hep B tx if exposed and known non responder despite two vaccination series

Answer 14

HBIG x2

Question 15

Why are large volume liquids not recommended during moderate intensity firefighting

Answer 15

Decreased gastric emptying time
Go for 250 ml of sports drink

Question 16

Learning importance of a procedure falls under what domain

Answer 16

Affective (attitude)

Question 17

NFPA 1917

Answer 17

Document that provides standards for US ambulances

Question 18

NFPA 473

Answer 18

EMS standards for competencies for EMS personnel responding to a hazardous material incident

Question 19

NFPA 1583

Answer 19

Firefighter fitness

Question 20

NFPA 1584

Answer 20

Firefighter rehab

Question 21

NFPA 1582

Answer 21

Requires departments to have physician providing medical oversight and development of wellness program

Question 22

NREMT verifies?

Answer 22

verification that a candidate has demonstrated the minimum knowledge and skills required for entry-level competency for each level of EMS credentialing

Question 23

Lap belt complex

Answer 23

Child in seat belt:
Abdominal bruising, hollow viscous injury, and vertebral compression fractures

Question 24

Implied consent for treatment and transport of pediatric patient without parent around

Answer 24

1. The child’s legal guardian has to be unavailable to provide consent for treatment
2. The condition from which the child is suffering has to be emergent in nature
3. There cannot be a delay in treatment in order to obtain consent

Question 25

How does measles rash spread

Answer 25

Face –> Trunk –> Legs

Question 26

LAPSS uses

Answer 26

Asymmetry of:
Facial droop
Grip strength
Arm strength (by drift)
Unilateral findings

Question 27

LAPSS patients must meet what criteria

Answer 27

Over age 45
No hx of seizures
Symptoms less than 24 hours
Baseline function not bedridden or confined to wheelchair
BG between 60 and 400

Question 28

Sharkfin ETCO2 description

Answer 28

Gradual upsloping of initial deflections

Question 29

Minimum PPE for ebola exposure

Answer 29

Two pairs of gloves
Impermeable gown
Face shield
Surgical mask