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EMERGENCY PREPAREDNESS
AND RESPONSE COURSE
EXAM 100% VERIFIED
ANSWERS 2024/
CORRECT STUDY SET
1) A PATIENT WHO WORKS AT AN INSECTICIDE MANUFACTURING PLANT IS ADMITTED TO THE
EMERGENCY ROOM. HE STATES HE WAS SPLASHED WITH A LARGE QUANTITY OF LIQUID AND IS
NOW EXHIBITING SYMPTOMS OF VOMITING, DIARRHEA, DIFFICULTY BREATHING, BODY
TWITCHING AND IS GENERALLY VERY WEAK. WHAT IS THE PREFERRED TREATMENT TO BLOCK THE
EFFECTS OF EXCESSIVE ACH? [REMEDIATION ACCESSED :N]
ADMINISTER ADDITIONAL 2-PAM CL (CORRECT)
2) WHAT TYPES OF CBRNE AGENTS ARE MAN-MADE AND ACT RAPIDLY, BURN AND BLISTER SKIN,
MUCOUS MEMBRANES, AIRWAYS AND GASTROINTESTINAL SYSTEMS?
VESICANTS (CORRECT)
3) A GROUP OF PEOPLE IS PRESENTING WITH A DELAYED ONSET OF BLISTERS AND A DRY
PRODUCTIVE COUGH THAT LATER TURNS PRODUCTIVE. WHAT IS THE LIKELY CULPRIT?
MUSTARD (CORRECT)
4) WHICH OF THE FOLLOWING DECONTAMINATION METHOD IS NOT RECOMMENDED FOR
REMOVING VESICANTS FROM CASUALTIES?
WASH PATIENT WITH THEIR CLOTHING STILL ON. (CORRECT)
5) A GROUP OF VICTIMS HAS BEEN ADMITTED TO YOUR TRIAGE UNIT. ALL VICTIMS HAVE RECENTLY
BEEN IN AN AREA WHERE CANISTERS EXPLODED SPRAYING THEM WITH AN AMBER COLORED
LIQUID THAT SMELLS LIKE FLOWERS AND BURNS INTENSELY. YOU SUSPECT LEWISITE. WHICH OF
THE FOLLOWING IS NOT A CONSIDERATION DURING TREATMENT OF THE VICTIMS?
UNROOFING OF BLISTERS. (CORRECT)
6) IN INDUSTRY, CYANIDE COMPOUNDS ARE WIDELY USED DURING: [REMEDIATION ACCESSED :N]
ALL OF THE ABOVE (CORRECT)
7) WHICH OF THESE ARE FAST-ACTING COMPOUNDS THAT ATTACK OXYGEN-DEPENDENT TISSUES
KNOWN TO BE PARTICULARLY SENSITIVE TO THESE COMPOUNDS? [REMEDIATION ACCESSED :N]
CYANIDE COMPOUNDS (CORRECT)
8) HOW DOES CYANIDE CAUSE CELL DEATH IN THE BODY? [REMEDIATION ACCESSED :N]
INTERFERES WITH ANAEROBIC METABOLISM OF THE CELL (CORRECT)
9) A METALLIC TASTE IN THE MOUTH, EPIGASTRIC DISTRESS, AND POSSIBLE NAUSEA AND
VOMITING ARE INGESTION SYMPTOMS FOR WHICH CHEMICAL AGENT? [REMEDIATION ACCESSED
:N]
CYANIDE (CORRECT)
10) YOU APPROACH THE SCENE OF A TERRORIST INCIDENT THAT OCCURRED 2 MINUTES PRIOR IN
AN ENCLOSED ROOM. IT IS REPORTED THAT THE SMELL OF BITTER ALMONDS IS IN THE AIR. THE
DOOR IS OPEN; MANY VICTIMS ARE LYING ON THE FLOOR. WHAT DO YOU DO FIRST?
[REMEDIATION ACCESSED :N]
DON YOUR MASK BEFORE GOING INTO THE ROOM (CORRECT)
11) VICTIMS CAUGHT IN A FIRE HAVE INHALED TOXIC SMOKE FROM FURNISHINGS AND PLASTICS
THAT HAVE RELEASED CYANIDE IN THE BURNING PROCESS. WHAT PRECAUTION/SIDE EFFECTS
SHOULD YOU BE AWARE OF WHEN ADMINISTERING CYANIDE ANTIDOTES?
SODIUM NITRITE CAN INCREASE METHEMOGLOBIN LEVELS, WHICH WILL DECREASE BLOOD
OXYGENATION (CORRECT)
12) WHICH OF THE FOLLOWING IS CONSIDERED A PULMONARY (CHOKING) AGENT? [REMEDIATION
ACCESSED :N]
CHLORINE (CORRECT)
13) THE PRIMARY TOXICITY OF PULMONARY AGENTS IS TO THE ________ AND FOLLOWS
__________ OF SMOKE, PARTICLES, VAPORS, OR GASES. [REMEDIATION ACCESSED :N]
AIRWAYS, INHALATION (CORRECT)
14) TREATMENT OF PATIENTS SUFFERING FROM PULMONARY AGENT EXPOSURE SHOULD FOCUS
ON? [REMEDIATION ACCESSED :N]
RECOGNIZING WHICH COMPARTMENT(S) ARE DAMAGED AND MINIMIZING THAT DAMAGE.
(CORRECT)
15) WHICH OF THE FOLLOWING STATEMENTS DOES NOT DESCRIBE BRUCELLOSIS? [REMEDIATION
ACCESSED :N]
THE BRUCELLAE ARE HIGHLY INFECTIOUS VIA THE AEROSOL ROUTE AND BRUCELLOSIS IS ASSOCIATED
WITH A HIGH MORTALITY RATE. (CORRECT)
16) WHICH OF THE BACTERIAL DISEASES PRODUCES A NON-SPECIFIC ILLNESS THAT MAY PRODUCE
A PROLONGED DISABILITY BUT IS RARELY FATAL? [REMEDIATION ACCESSED :N]
Q FEVER (CORRECT)
17) WHICH OF THE FOLLOWING BACTERIAL DISEASES TYPICALLY PRODUCE ULCERS ON THE SKIN?
[REMEDIATION ACCESSED :N]
TULAREMIA (CORRECT)
18) A PATIENT WAS ADMITTED TO THE HOSPITAL SUFFERING FROM THE FOLLOWING SYMPTOMS
FOR THE PAST WEEK: FEVER, CHILLS AND WEAKNESS, VERY SWOLLEN TENDER LYMPH NODES OF
BUBO, AND SKIN ULCERATIONS. HE STATES THE ULCERATIONS ARE EXACTLY WHERE VERY SMALL
INSECTS BIT HIM. WHICH TYPE OF PLAGUE IS RESPONSIBLE FOR THE PATIENT?S SYMPTOMS?
BUBONIC (CORRECT)
19) SMALLPOX CAN SPREAD FROM ONE PERSON TO ANOTHER BY THE FOLLOWING ROUTES:
ALL OF THE ABOVE (CORRECT)
20) FOR WHICH VIRUS IS THE MOSQUITO NOT KNOWN AS A POSSIBLE VECTOR? [REMEDIATION
ACCESSED :N]
SMALLPOX (CORRECT)
21) A PATIENT PRESENTS TO THE HOSPITAL. HE HAS BEEN FEELING ILL SINCE HIS RETURN FROM
SAFARI IN AFRICA A FEW DAYS AGO. HE EXHIBITS SYMPTOMS OF FEVER, MILD HYPOTENSION,
FLUSHING, CONJUNCTIVAL INJECTION, AND NOW A BAD RASH HAS APPEARED THAT IS BLEEDING
IN SPOTS. WHAT TYPE OF VIRAL INFECTION DO YOU SUSPECT? [REMEDIATION ACCESSED :N]
VIRAL HEMORRHAGIC FEVER (CORRECT)
22) PATIENT PRESENTS WITH 5-DAY-OLD BLISTERS/RASH MOSTLY ON THE ARM, FACE, AND HANDS.
NO SCABS ARE PRESENT. PATIENT REPORTS FEVER STARTED SEVERAL DAYS BEFORE BLISTERS
APPEARED. BASED ON THE INFORMATION WOULD YOU SUSPECT CHICKENPOX OR SMALLPOX?
[REMEDIATION ACCESSED :N]
SMALLPOX, BECAUSE THE RASH IS CENTRIFUGAL ON THE PATIENT (CORRECT)
23) PROCESSED FOODS AND TEMPERATURE-ABUSED FOODS ARE MOST COMMONLY ASSOCIATED
WITH ________ POISONING. [REMEDIATION ACCESSED :N]
STAPHYLOCOCCAL ENTEROTOXIN B (SEB) (CORRECT)
24) OVER 20 PEOPLE WHO WORKED TOGETHER DEVELOPED COUGH, EXCESS FLUID IN THEIR
LUNGS, AND DIFFICULTY BREATHING. CHEST X-RAYS SHOW BILATERAL INFILTRATES WITH
BRONCHIAL ASPIRATES RICH IN PROTEIN. SEVERAL DIED. WHAT WAS THE LIKELY AGENT?
[REMEDIATION ACCESSED :N]
RICIN (CORRECT)
25) A PATIENT PRESENTS TO THE EMERGENCY ROOM ALL EXHIBITING THE FOLLOWING
SYMPTOMS: NAUSEA, VOMITING, PROBLEMS WITH EYE MOVEMENT, DRY MOUTH, SORE THROAT,
DIFFICULTY SWALLOWING, NO GAG REFLEX, AND EXTREME WEAKNESS. PATIENT IS ALERT AND
ORIENTED DURING THE EXAM. WHAT TOXIN DO YOU SUSPECT AND HOW DO YOU TREAT IT?
[REMEDIATION ACCESSED :N]
BOTULINUM TOXIN, SUPPORTIVE CARE AND ANTITOXIN. (CORRECT)
26) THE AMOUNT OF RADIATION THAT AN INDIVIDUAL ABSORBS DEPENDS ON ____?
ALL OF THE ABOVE (CORRECT)
27) WHAT FORM OF IONIZING RADIATION CAN PENETRATE DEEPLY INTO BODY TISSUE?
[REMEDIATION ACCESSED :N]
PHOTON (CORRECT)
28) WHICH TYPE OF NERVE AGENT IS THE MOST PERSISTENT? [REMEDIATION ACCESSED :N]
VX (CORRECT)
29) HOW IS THE VICTIM OF NERVE AGENT EXPOSURE PRESENTING WITH CONVULSIONS
CLASSIFIED?
IMMEDIATE (CORRECT)
30) RADIATION BURNS, WHICH CAUSES DELAYED, IRREVERSIBLE CHANGES OF THE SKIN, CAN BE
CAUSED BY HIGH DOSES OF WHAT FORM OF IONIZING RADIATION?
BETA (CORRECT)
31) WHICH OF THE FOLLOWING CELL TYPES ARE MOST SENSITIVE TO RADIATION DAMAGE?
[REMEDIATION ACCESSED :N]
CELLS THAT ARE ACTIVELY DIVIDING (CORRECT)
32) WHAT BLOOD TEST IS AVAILABLE THAT WILL GIVE AN ACCURATE ESTIMATE OF RADIATION
DOSE? [REMEDIATION ACCESSED :N]
LYMPHOCYTES COUNT (CORRECT)
33) WHAT METHOD IS USED TO ESTIMATE A RADIATION DOSE BY MEASURING THE BIOLOGICAL
RESPONSE TO AN ABSORBED DOSE OF IONIZING RADIATION? [REMEDIATION ACCESSED :N]
BIODOSIMETRY (CORRECT)
34) WHAT PHASE IS CHARACTERIZED BY IMPROVEMENT OF SYMPTOMS BUT BECOMES SHORTER
WITH INCREASING DOSES.
LATENT (CORRECT)
35) ________ DAMAGE BRINGS DEATH VERY QUICKLY SO THAT THE CONSEQUENCES OF EXPOSURE
TO OTHER SYSTEMS DO NOT HAVE TIME TO EXPRESS THEMSELVES. [REMEDIATION ACCESSED :N]
NEUROVASCULAR (CORRECT)
36) PATIENTS WITH CONCURRENT SURGICAL INJURIES AND RADIATION EXPOSURE SHOULD EITHER
BE OPERATED ON EXPEDITIOUSLY OR _____________________________.
DELAYED UNTIL PAST THE TIME OF BONE MARROW SUPPRESSION AND DELAYED WOUND HEALING
(CORRECT)
37) FOLLOWING A NUCLEAR DETONATION, SOME OF THE CASUALTIES WITH SURVIVABLE INJURIES
ARE POSSIBLY CONTAMINATED WITH RADIOLOGICAL MATERIAL. WHICH OF THE BELOW COURSES
OF ACTION IS MOST APPROPRIATE FOR THE SITUATION? [REMEDIATION ACCESSED :N]
TREAT ALL LIFE-THREATENING INJURIES FIRST. (CORRECT)
38) PERSONAL PROTECTIVE EQUIPMENT (PPE) IS GENERALLY DIVIDED INTO TWO CATEGORIES.
THEY ARE:
RESPIRATORY PROTECTION & CHEMICAL PROTECTIVE GARMENTS (CORRECT)
39) YOUR UNIT HAS RESPONDED WITHIN MINUTES TO A SUSPECTED CBRNE INCIDENT. SELECT THE
IMPORTANT STEPS THAT YOU SHOULD TAKE.
PRACTICE PROTECTIVE MEASURES OF TIME, DISTANCE, AND SHIELDING (CORRECT)
40) WHAT LEVEL OF CIVILIAN CHEMICAL EQUIPMENT WOULD HEALTHCARE PROVIDERS DON
WHEN PROVIDING INITIAL MEDICAL TREATMENT AFTER AN INCIDENT BUT NOT INVOLVED WITH
DECONTAMINATION? [REMEDIATION ACCESSED :N]
LEVEL C (CORRECT)
41) WEARING PPE CAN PUT THE RESPONDER AT CONSIDERABLE RISK BOTH PHYSICALLY AND
PSYCHOLOGICALLY. WHICH OF THE FOLLOWING IS NOT CONSIDERED A RISK FACTOR?
HYPERACTIVITY (CORRECT)
42) __________ OCCURS WHEN PEOPLE COMES IN DIRECT CONTACT WITH A HARMFUL AGENT AT
OR NEAR AN INCIDENT. [REMEDIATION ACCESSED :N]
CONTAMINATION (CORRECT)
43) __________ OCCURS OUTSIDE OF THE INCIDENT AREA WHEN PEOPLE COME IN CONTACT WITH
A CONTAMINATED PERSON OR OBJECT.
SECONDARY CONTAMINATION (CORRECT)
44) TYPE OF DECONTAMINATION THAT IS CARRIED OUT BY A UNIT TO REDUCE CONTAMINATION
EQUAL TO NATURAL BACKGROUND OR TO THE LOWEST LEVEL POSSIBLE. [REMEDIATION ACCESSED
:N]
THOROUGH (CORRECT)
45) DECONTAMINATION WILL BE CONDUCTED IN THE __________ HAZARD ZONE. [REMEDIATION
ACCESSED :N]
WARM (CORRECT)
46) USED IN LIFE-THREATENING SITUATIONS, THE GOAL IS TO REMOVE CONTAMINANT AS QUICKLY
AS POSSIBLE. [REMEDIATION ACCESSED :N]
IMMEDIATE DECONTAMINATION (CORRECT)
47) THE DECONTAMINATION SITE SHOULD NOT BE LOCATED:
NEAR WATERWAYS AND DRAINAGE SYSTEMS (CORRECT)
48) WHAT IS THE BEST METHOD OF DECONTAMINATION?
REMOVING CLOTHING AND WASHING WITH WARM SOAPY WATER (CORRECT)
49) HOW IS THE VICTIM OF A PULMONARY AGENT EXPOSURE PRESENTING WITH RESPIRATORY
DISTRESS LESS THAN 4 HOURS AFTER EXPOSURE CLASSIFIED? [REMEDIATION ACCESSED :N]
EXPECTANT (CORRECT)
50) WHAT CBRNE AGENT INHIBITS THE ENZYME ACHE ALLOWING ACH TO ACCUMULATE
AFFECTING THE WAY CELLS TRANSMIT SIGNALS TO THE BODY?
NERVE (CORRECT)