chapter 39

Early signs and symptoms of smallpox include all of the following, EXCEPT:

skin blisters

Nerve agents, a class of chemicals called organophosphates, were first discovered while in search of a superior:

pesticide

A 52-year-old male presents with a fever of 102.5�F and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consist

smallpox

As the first arriving emergency responder at the scene of a suspected terrorist or WMD incident, you should request additional resources as needed and then:

function as the incident commander until additional personnel arrive

At present, the likelihood of a nuclear attack against the United States is very low because:

terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb

The skin lesions associated with smallpox:

are identical in there development

Which of the following statements regarding the persistency and volatility of a chemical agent is correct?

VX, a highly persistent nerve agent, can remain in the environment for weeks to months.

Initial signs and symptoms associated with viral hemorrhagic fevers include:

headache and sore throat

The primary route of exposure of vesicant agents is the:

skin

Signs and symptoms of exposure to a nerve agent include:

salivation, pinpoint pupils, and diarrhea.

In determining the potential for a terrorist attack, you should routinely observe all of the following on every call, EXCEPT:

weather conditions

Unlike viruses and bacteria, neurotoxins

are not contagious

Which of the following is NOT a factor in determining how to protect oneself against the effects of radiation?

body size

Pulmonary hemorrhage and inner ear damage are examples of __________ blast injuries.

primary

You and your partner arrive at the scene of a fire at a large office complex. Witnesses tell you that they heard a loud explosion shortly before the building caught fire. You should

ensure that your ambulance is parked upwind and uphill from the building

Botulinum is:

a potent bacterial neurotoxin

When multiple patients present with an acute onset of difficulty breathing, chest tightness, and hoarseness or stridor, you should be MOST suspicious of exposure to

phosgene or chlorine

Which of the following statements regarding a "dirty bomb" is correct?

Dirty bombs could injure victims with both radioactive material and the explosive material used to deliver it

Which of the following statements regarding anthrax is correct?

Pulmonary anthrax is the most deadly form

Which of the following chemicals is a nerve agent?

soman

You are treating a patient who experienced a significant exposure to cyanide. He is semiconscious and is breathing inadequately. The MOST appropriate method of providing assisted ventilations to this patient is to:

use a bag-mask device

The process performed to artificially maximize the target population's exposure to a biologic agent, thereby exposing the greatest number of people and achieving the desired effect, is called:

weaponization

All of the following are vesicant agents, EXCEPT

sarin

Continual reassessment of the scene at a suspected terrorist or WMD incident is MOST important because

a secondary explosive device may detonate.

A disease vector is defined as:

any agent that acts as a carrier or transporter

The primary clinical feature associated with exposure to phosgene oxime is:

skin blistering

According to the Department of Homeland Security Security Advisory System, the color orange indicates a _______ risk of terrorist attacks.

high

To date, the preferred weapons of mass destruction for terrorists have been

explosive weapons

An attack on an abortion clinic would MOST likely be carried out by a

single-issue group

A weapon of mass destruction (WMD) is MOST accurately defined as:

any agent used to bring about mass death, casualties, or massive infrastructural damage.

Most terrorist attacks:

require multiple terrorists working together

Viral hemorrhagic fevers (VHF), such as Ebola, cause the blood to

seep out of the blood vessels and tissues.

A persistent or nonvolatile chemical agent can:

remain on a surface for more than 24 hours

Points of distribution (PODs) are strategically placed facilities where

antidotes, antibiotics, and vaccines are distributed.

Unlike bacterial agents, viral agents:

are usually not treatable

If the incident command system (ICS) is already established at the scene of a WMD or terrorist attack, the EMT should:

locate the medical staging officer to obtain his or her assignment.

The Centennial Park bombing during the 1996 Summer Olympics is an example of:

domestic terrorism

The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the:

patient's distance from the epicenter of the explosion.

After eating at a local restaurant, a 20-year-old male complains of blurred vision, difficulty speaking, and difficulty breathing. He is conscious; however, his respirations are profoundly labored and producing minimal tidal volume. You should:

assist his ventilations with 100% oxygen.

Multiple people in a small town began experiencing abdominal cramps, excessive salivation and urination, and muscle twitching shortly after a small crop duster plane made several passes over the community. As you are assessing the patients, you further de

atropine and pralidoxime chloride (2-PAM).

All of the following biologic agents or diseases can be transmitted from person to person, EXCEPT:

ricin

Which of the following statements regarding blast injuries is correct?

Solid organs are relatively protected from shock wave injury but may be injured during the secondary or tertiary blast

Exposure to _____ would MOST likely result in immediate respiratory distress?

chlorine

The LEAST harmful form of ionizing radiation is?

Alpha

When introduced into the body, ricin causes?

pulmonary edema and circulatory failure.

The chemical attacks that occurred in Tokyo between 1994 qnd 1995 were carried out by a:

A violent religious group

A severe risk of terrorist attacks is indicated by the color ______ by the Department of Homeland Security Advisory System?

red

Which of the following agents blocks the body's ability to use oxygen and possesses an odor similar to almonds

hydrogen cyanide

symptoms of both inhaled and ingested ricin include

fever and headache

The means by which a terrorist will spread a particular agent is called

dissemination

You are dispatched to the scene of a building explosion. Upon your arrival, you see people frantically fleeing the building, screaming, "Everyone is passing out!" You should:

carefully assess the situation and ensure your own safety

Most cases of anthrax begin with:

flulike symptoms

Cross contamination occurs when:

an EMT is exposed to a victim who has not yet been decontaminated

____ rays easily penetrate through the human body and require several inches of lead or concrete to prevent penetration

Gamma

As you and your partner report for duty, you check your ambulance and begin talking about the possibility of a terrorist attack. the MOST effective and appropriate way to determine the likelihood of this happening is to:

know the current threat level issues by the Department of Homeland Security