EMR: First Responder Exam (with 100% Accurate Solution
m m m m m m m
s)
Whilemenmroutemtomthemscenemof mamcarmexplosion,mthemdispatchermadvisesmyoumthat mthemexplosionmm
aymhavembeenmcaused mbymamdirtymbomb.mYoumshould:mcorrect manswersmsuspect mamradiationmincident
mand mwait mformspeciallymtrained mpersonnel.
Themleadingmcausemof mdeathminmthemUnited mStatesmis:mcorrect manswersmheart mdisease.
Tomdate,mthempreferred mWMDmformterroristsmhasmbeen:mcorrect manswersmexplosivemdevices.
Amweaponmof mmassmdestructionm(WMD)mismMOSTmaccuratelymdefined mas:mcorrect manswersmanymag
ent mdesigned mtomcausemmassmdeath,mcasualties,mand/ormmassivemdamagemtompropertymand minfrastruc
ture.
AccordingmtomthemSTARTmtriagemsystem,mamgreenmtagmismused mtomidentifymthosemwho:mcorrect mans
wersmcanmhavemcaremdelayed mformupmtom3mhours.
Manymof mthemsafetymprecautionsmused minmaccidentalmemergencies:mcorrect manswersmaremthemsamemp
recautionsmneeded mduringmamterrorist mevent.
Amnervemagent mismamformmof:mcorrect manswersmchemicalmwarfare.
If myoummust mrescuempatientsmfrommambuildingmthat mhasmexploded,mit mismMOSTmimportant mto:mcorrec
t manswersmbemalert mformthempresencemof mamsecond mexplosivemdevice.
Sarin,msoman,mtabun,mand mVmagent maremthemmost mcommon:mcorrect manswersmnervemagents.
Am50-year-
old mmanmbeginsmexperiencingmshortnessmof mbreathmand manxietymabout m2mhoursmaftermturningmhismre
sidentialmairmconditionermon.mAsmyoumentermhismhome,myoumnotemthemsmellmof mfreshlym cut mgrass.m Th
ismpatient mhasmMOSTmlikelymbeenmexposed mto:mcorrect manswersmphosgene.
TerrorismmismMOSTmaccurately mdefined mas:mcorrect manswersmthemsystematicmusemof mviolencembyma m
groupmtomintimidatemampopulationmormgovernment mtomachievemamgoal.
ThemFIRSTmindicationmthat manmincendiarymdevicemismpresent mismusually:mcorrect manswers mthemexplo
sionmormfiremthat mthemdevicemcauses.
Inmadditionmtomthemamount mof mpropertymdamagemand mnumbermof mlivesmlost,mthemsuccessmof mterrorist
meventsmismmeasured mbymthe:mcorrect manswersmlevelmof mintimidationmproduced.
Whichmof mthemfollowingmstatementsmregardingmblistermagentsmismcorrect?mcorrect manswersmSulfurm
mustard mand mLewisitemaremexamplesmof mblistermagents.
,Most mfatalitiesmand mseriousminjuriesmsustained minmHazMat mincidentsmresult mfrom:mcorrect manswersm
breathingmproblems.
Youmarrivemat mthemscenemof mamcommercialmbusmwreckmshortlym aftermit moccurred.mThemscenemismsafem
and mtheremismnomgasmleakagemormodor.mMost mof mthempatientsmaremout mof mthembus,mbut msomemaremstillm
insidemand maremapparentlymentrapped.mBased monmanmestimatemof m35mpatients,myoumshould:mcorrect ma
nswersmrequest mthemfiremdepartment mand msevenmambulancesmand mthenmbeginmtriagingmthempatientsmt
omthembest mof myourmability.
Whichmof mthemfollowingmstatementsmregardingmterrorismmismcorrect?mcorrect manswers mThembombin
gmof manmabortionmclinicmbymAmericanmcitizensmismconsidered mamdomesticmterrorist mevent.
ThemSTARTmtriagemsystem:mcorrect manswersmallowsmpersonnelmtomtriagemampatient minm60 msecondsm
ormless.
Commonmsignsmof macutemradiationmsicknessmincludemallmof mthemfollowing,mEXCEPT:mcorrect mansw
ersmred mblood mcellmdeath.
Withmregard mtomhazardousmmaterials,mfederalmlaw mrequiresmthat:mcorrect manswersmallmvehiclesmcont
ainingmcertainmquantitiesmof mhazardousmmaterialsmmust mdisplaymamHazMat mplacard.
Whichmof mthemfollowingmismNOTmammajormareamaddressed mwithinmthemscopemof mNIMS?mcorrect mans
wersmFinancialmAid
Whichmof mthemfollowingmismNOTmamkeympoint mtomcommunicatemtomthemdispatchermduringmyourminiti
almradiomreport muponmarrivingmat mthemscenemof mammultiple-
casualtymincident?mcorrect manswersmspecificmtypemof minjuriesminvolved
Ecoterroristsmwould mMOSTmlikelymtarget:mcorrect manswersmhousingmdevelopments.
ThemattacksmonmthemWorld mTrademCentermand mPentagonmonmSeptemberm11,m2001,mweremthemresult m
of:mcorrect manswersminternationalmterrorism.
Metabolicmagentsmaffect mthembody'smabilitymto:mcorrect manswersmusemoxygenmat mthemcellularmlevel.
Youmaremthemfirst mmedicallymtrained mpersonmtomarrivemat mamsmallmbusinessmwheremseveralmpeoplemar
emexperiencingmshortnessmof mbreath,mflushed mskin,mand mseizures.mYoumshould:mcorrect manswersm re
mainmat mamsafemdistancemand mnotifymthemHazMat mteam.
Ampatient mshould mreceivemamred mtagmif mhismormhermrespiratorymratemismgreatermthanm_____mbreaths/m
in.mcorrect manswersm30
AccordingmtomthemSTARTmtriagemsystem,massessment mof mampatient'smmentalmstatusmismconducted maf
ter:mcorrect manswersmadequatembreathingmand mcirculationmhavembeenmestablished.
Thempurposemof mtriagemismto:mcorrect manswersmprioritizempatientsmbymordermof minjurym severity.
,Duringmthemtriagemprocessmat mammultiple-
casualtymincident,myoumassessmamconsciousmpatient mwhomismbreathingmat mamratemof m40mbreaths/min.m
AccordingmtomthemSTARTmtriagemprocess,myourmMOSTmappropriatemactionmwould mbemto:mcorrect ma
nswersmattachmamred mtagmtomthempatient mand mmovemtomthemnext mpatient.
Whenmrequestingmadditionalmambulancesmat mthemscenemof mammultiple-
casualtymincident,mamgood mrulemof mthumbmismtomrequest monemambulancemformeverym_____mpatients.m
correct manswersmfive
Ammass-
casualtymincident mismMOSTmaccuratelymdefined masmamsituationminmwhichmtheremare:mcorrect manswer
smmorempatientsmthanmyourminitialmresourcesmcanmhandle.
Themfirst mstepminmthemSTARTmtriagemsystemmismto:mcorrect manswersmhavemallmof mthemwalking mpatien
tsmmovemtomamspecificmarea.
ThemBESTmmethod mformcheckingmcirculationminmamtriagemsituationmismto:mcorrect manswersmcheckmth
emcarotid mpulse.
Inmanymdiscussionmof mthemrisksmof mterrorist mattacks,mit mismimportant mto:mcorrect manswersmconsidermth
emnumbermof mterror-related mdeathsmwithmothermmajormcausesmof mdeath,msuchmasmaccidents.
Approximatelym20mpatientsmwereminjured mwhenmambuildingmexploded.mAftermassessingmamyoungmw
omanmwithmamrespiratorymratemof m24mbreaths/minmand mamstrongmradialmpulse,myoum should:mcorrect ma
nswersmassessmhermmentalmstatus.
Whenmtreatingmpatientsmwhomweremexposed mtomamnervemagent,myoumshould mfollow mthemappropriatem
personalmprotectivemprecautionsmand mrecallmthat:mcorrect manswersmamMARK m1mkit mmaymcounteract m
themnervemagent.
Chlorinemand mphosgenemaremcommon:mcorrect manswersmpulmonarym agents.
What mtypemof mweaponmismused mtomproducemamconcussionmthat mdestroysmpropertymand minflictsminjury
mand mdeath?mcorrect manswersmexplosive
Whilemtriagingmanmunconsciousmmanmat mammultiple-
casualtymincident,myoumopenmhismairwaymand mdeterminemthat mhemismnot mbreathing.mAftermrepositioni
ngmhismairwaymand mdeterminingmthat mhemismstillmnot mbreathing,myoumshould:mcorrect manswersmtagmth
empatient masmamPrioritymFour.
AccordingmtomthemSTARTmtriagemsystem,mampatient mwhomrequiresmurgent mcaremthat mcanmbemdelayed
mformupmtom1mhourmwould mbemassigned mam_______mtag.mcorrect manswersmyellow
Themtimemfrommexposuremtomamdiseasemorganismmtomthemtimemthempersonmbeginsmtomshowmsymptom
smof mthemdiseasemismcalled mthem___________mperiod.mcorrect manswersmincubation
, If mterroristsmintentionallymdispersed mambiologicmagent,mthemorganismmwould:mcorrect manswersmhave
mtomcomeminmcontact mwithmpeopleminmsufficient mquantitiesmtomproducemanmillness.
AccordingmtomthemSTARTmtriagemsystem,mwhichmof mthemfollowingmassessment mfindingsmwould mnec
essitatemtriagingmampatient masmamPrioritymOnem(red mtag)mstatus?mcorrect manswersmrespiratorymratemof m
14mbreaths/min,mweakmand mirregularmradialmpulse,mand mnot mablemtomanswermsimplemquestions
ThemStatuemof mLibertymismampotentialmtarget mformterroristsmbecausemof mits:mcorrect manswersmsymboli
cmvalue.
Whenmrespondingmtomamscenemwheremmultiplempeoplemaremsufferingmfrommunexplained msymptoms, m
themEMRmshould:mcorrect manswersmsuspect mamcommonmagent masmthemcausemof mthemsymptoms.
Whenmrespondingmtomamsceneminmwhichmpatientsmmaymhavembeenmexposed mtomamblistermagent,mit mism
MOSTmimportant mto:mcorrect manswersmnot mentermthemscenemwithout mamself-
contained mbreathingmapparatus.
Manympreviousmterrorist mattemptsmtomusemeithermchemicalmormbiologicmweaponsmtomtheirmfullmcapac
ity:mcorrect manswersmhavembeenmunsuccessful.
Signsmand msymptomsmof mexposuremtomanmorganophosphatemincludemallmof mthemfollowing,mEXCEPT
:mcorrect manswersmdifficultymurinating.
ThemNationalmIncident mManagement mSystemm(NIMS)mwasmdesigned mto:mcorrect manswersmhandlemt
hemimmediatemresponse,mmitigation,mand mlong-
termmrecoverymof msmallmand mmassivemnaturalmand mman-mademincidents.
What mparametersmdoesmthemSTARTmtriagemsystemmassessmtomdeterminemampatient'smpriorityminmam m
ultiple-casualtymsituation?mcorrect manswersmbreathing,mcirculation,mand mmentalmstatus
Oncemthemtrained mHazMat mrescuersmhavembeenmprotected mproperly,mtheymshould mnext:mcorrect mans
wersmidentifymvictimsmwhomhavemsustained manmacuteminjurymasmamresult mof mexposuremtomhazardousm
materials.
Amverymimportant mstepmtomremembermwhenmhandlingmanymhazardousmmaterialsm(HazMat)m incident m
ismto:mcorrect manswersmidentifymthemsubstance(s)minvolved minmthemincident.
Whichmof mthemfollowingmstatementsmregardingmradiationmismcorrect?mcorrect manswersmRadiationmca
nnot mbemseen,mfelt,mormdetected mwithmnormalmbodymsenses.
ThemEMR'smgoalmduringmammultiple-
casualtymincident mismto:mcorrect manswersmprovidemthemgreatest mmedicalmbenefit mformthemgreatest mnu
mbermof mpeople.
ThemMOSTmsimplisticmincendiarymdevicemisma:m correct manswersmpipe mbomb.
m m m m m m m
s)
Whilemenmroutemtomthemscenemof mamcarmexplosion,mthemdispatchermadvisesmyoumthat mthemexplosionmm
aymhavembeenmcaused mbymamdirtymbomb.mYoumshould:mcorrect manswersmsuspect mamradiationmincident
mand mwait mformspeciallymtrained mpersonnel.
Themleadingmcausemof mdeathminmthemUnited mStatesmis:mcorrect manswersmheart mdisease.
Tomdate,mthempreferred mWMDmformterroristsmhasmbeen:mcorrect manswersmexplosivemdevices.
Amweaponmof mmassmdestructionm(WMD)mismMOSTmaccuratelymdefined mas:mcorrect manswersmanymag
ent mdesigned mtomcausemmassmdeath,mcasualties,mand/ormmassivemdamagemtompropertymand minfrastruc
ture.
AccordingmtomthemSTARTmtriagemsystem,mamgreenmtagmismused mtomidentifymthosemwho:mcorrect mans
wersmcanmhavemcaremdelayed mformupmtom3mhours.
Manymof mthemsafetymprecautionsmused minmaccidentalmemergencies:mcorrect manswersmaremthemsamemp
recautionsmneeded mduringmamterrorist mevent.
Amnervemagent mismamformmof:mcorrect manswersmchemicalmwarfare.
If myoummust mrescuempatientsmfrommambuildingmthat mhasmexploded,mit mismMOSTmimportant mto:mcorrec
t manswersmbemalert mformthempresencemof mamsecond mexplosivemdevice.
Sarin,msoman,mtabun,mand mVmagent maremthemmost mcommon:mcorrect manswersmnervemagents.
Am50-year-
old mmanmbeginsmexperiencingmshortnessmof mbreathmand manxietymabout m2mhoursmaftermturningmhismre
sidentialmairmconditionermon.mAsmyoumentermhismhome,myoumnotemthemsmellmof mfreshlym cut mgrass.m Th
ismpatient mhasmMOSTmlikelymbeenmexposed mto:mcorrect manswersmphosgene.
TerrorismmismMOSTmaccurately mdefined mas:mcorrect manswersmthemsystematicmusemof mviolencembyma m
groupmtomintimidatemampopulationmormgovernment mtomachievemamgoal.
ThemFIRSTmindicationmthat manmincendiarymdevicemismpresent mismusually:mcorrect manswers mthemexplo
sionmormfiremthat mthemdevicemcauses.
Inmadditionmtomthemamount mof mpropertymdamagemand mnumbermof mlivesmlost,mthemsuccessmof mterrorist
meventsmismmeasured mbymthe:mcorrect manswersmlevelmof mintimidationmproduced.
Whichmof mthemfollowingmstatementsmregardingmblistermagentsmismcorrect?mcorrect manswersmSulfurm
mustard mand mLewisitemaremexamplesmof mblistermagents.
,Most mfatalitiesmand mseriousminjuriesmsustained minmHazMat mincidentsmresult mfrom:mcorrect manswersm
breathingmproblems.
Youmarrivemat mthemscenemof mamcommercialmbusmwreckmshortlym aftermit moccurred.mThemscenemismsafem
and mtheremismnomgasmleakagemormodor.mMost mof mthempatientsmaremout mof mthembus,mbut msomemaremstillm
insidemand maremapparentlymentrapped.mBased monmanmestimatemof m35mpatients,myoumshould:mcorrect ma
nswersmrequest mthemfiremdepartment mand msevenmambulancesmand mthenmbeginmtriagingmthempatientsmt
omthembest mof myourmability.
Whichmof mthemfollowingmstatementsmregardingmterrorismmismcorrect?mcorrect manswers mThembombin
gmof manmabortionmclinicmbymAmericanmcitizensmismconsidered mamdomesticmterrorist mevent.
ThemSTARTmtriagemsystem:mcorrect manswersmallowsmpersonnelmtomtriagemampatient minm60 msecondsm
ormless.
Commonmsignsmof macutemradiationmsicknessmincludemallmof mthemfollowing,mEXCEPT:mcorrect mansw
ersmred mblood mcellmdeath.
Withmregard mtomhazardousmmaterials,mfederalmlaw mrequiresmthat:mcorrect manswersmallmvehiclesmcont
ainingmcertainmquantitiesmof mhazardousmmaterialsmmust mdisplaymamHazMat mplacard.
Whichmof mthemfollowingmismNOTmammajormareamaddressed mwithinmthemscopemof mNIMS?mcorrect mans
wersmFinancialmAid
Whichmof mthemfollowingmismNOTmamkeympoint mtomcommunicatemtomthemdispatchermduringmyourminiti
almradiomreport muponmarrivingmat mthemscenemof mammultiple-
casualtymincident?mcorrect manswersmspecificmtypemof minjuriesminvolved
Ecoterroristsmwould mMOSTmlikelymtarget:mcorrect manswersmhousingmdevelopments.
ThemattacksmonmthemWorld mTrademCentermand mPentagonmonmSeptemberm11,m2001,mweremthemresult m
of:mcorrect manswersminternationalmterrorism.
Metabolicmagentsmaffect mthembody'smabilitymto:mcorrect manswersmusemoxygenmat mthemcellularmlevel.
Youmaremthemfirst mmedicallymtrained mpersonmtomarrivemat mamsmallmbusinessmwheremseveralmpeoplemar
emexperiencingmshortnessmof mbreath,mflushed mskin,mand mseizures.mYoumshould:mcorrect manswersm re
mainmat mamsafemdistancemand mnotifymthemHazMat mteam.
Ampatient mshould mreceivemamred mtagmif mhismormhermrespiratorymratemismgreatermthanm_____mbreaths/m
in.mcorrect manswersm30
AccordingmtomthemSTARTmtriagemsystem,massessment mof mampatient'smmentalmstatusmismconducted maf
ter:mcorrect manswersmadequatembreathingmand mcirculationmhavembeenmestablished.
Thempurposemof mtriagemismto:mcorrect manswersmprioritizempatientsmbymordermof minjurym severity.
,Duringmthemtriagemprocessmat mammultiple-
casualtymincident,myoumassessmamconsciousmpatient mwhomismbreathingmat mamratemof m40mbreaths/min.m
AccordingmtomthemSTARTmtriagemprocess,myourmMOSTmappropriatemactionmwould mbemto:mcorrect ma
nswersmattachmamred mtagmtomthempatient mand mmovemtomthemnext mpatient.
Whenmrequestingmadditionalmambulancesmat mthemscenemof mammultiple-
casualtymincident,mamgood mrulemof mthumbmismtomrequest monemambulancemformeverym_____mpatients.m
correct manswersmfive
Ammass-
casualtymincident mismMOSTmaccuratelymdefined masmamsituationminmwhichmtheremare:mcorrect manswer
smmorempatientsmthanmyourminitialmresourcesmcanmhandle.
Themfirst mstepminmthemSTARTmtriagemsystemmismto:mcorrect manswersmhavemallmof mthemwalking mpatien
tsmmovemtomamspecificmarea.
ThemBESTmmethod mformcheckingmcirculationminmamtriagemsituationmismto:mcorrect manswersmcheckmth
emcarotid mpulse.
Inmanymdiscussionmof mthemrisksmof mterrorist mattacks,mit mismimportant mto:mcorrect manswersmconsidermth
emnumbermof mterror-related mdeathsmwithmothermmajormcausesmof mdeath,msuchmasmaccidents.
Approximatelym20mpatientsmwereminjured mwhenmambuildingmexploded.mAftermassessingmamyoungmw
omanmwithmamrespiratorymratemof m24mbreaths/minmand mamstrongmradialmpulse,myoum should:mcorrect ma
nswersmassessmhermmentalmstatus.
Whenmtreatingmpatientsmwhomweremexposed mtomamnervemagent,myoumshould mfollow mthemappropriatem
personalmprotectivemprecautionsmand mrecallmthat:mcorrect manswersmamMARK m1mkit mmaymcounteract m
themnervemagent.
Chlorinemand mphosgenemaremcommon:mcorrect manswersmpulmonarym agents.
What mtypemof mweaponmismused mtomproducemamconcussionmthat mdestroysmpropertymand minflictsminjury
mand mdeath?mcorrect manswersmexplosive
Whilemtriagingmanmunconsciousmmanmat mammultiple-
casualtymincident,myoumopenmhismairwaymand mdeterminemthat mhemismnot mbreathing.mAftermrepositioni
ngmhismairwaymand mdeterminingmthat mhemismstillmnot mbreathing,myoumshould:mcorrect manswersmtagmth
empatient masmamPrioritymFour.
AccordingmtomthemSTARTmtriagemsystem,mampatient mwhomrequiresmurgent mcaremthat mcanmbemdelayed
mformupmtom1mhourmwould mbemassigned mam_______mtag.mcorrect manswersmyellow
Themtimemfrommexposuremtomamdiseasemorganismmtomthemtimemthempersonmbeginsmtomshowmsymptom
smof mthemdiseasemismcalled mthem___________mperiod.mcorrect manswersmincubation
, If mterroristsmintentionallymdispersed mambiologicmagent,mthemorganismmwould:mcorrect manswersmhave
mtomcomeminmcontact mwithmpeopleminmsufficient mquantitiesmtomproducemanmillness.
AccordingmtomthemSTARTmtriagemsystem,mwhichmof mthemfollowingmassessment mfindingsmwould mnec
essitatemtriagingmampatient masmamPrioritymOnem(red mtag)mstatus?mcorrect manswersmrespiratorymratemof m
14mbreaths/min,mweakmand mirregularmradialmpulse,mand mnot mablemtomanswermsimplemquestions
ThemStatuemof mLibertymismampotentialmtarget mformterroristsmbecausemof mits:mcorrect manswersmsymboli
cmvalue.
Whenmrespondingmtomamscenemwheremmultiplempeoplemaremsufferingmfrommunexplained msymptoms, m
themEMRmshould:mcorrect manswersmsuspect mamcommonmagent masmthemcausemof mthemsymptoms.
Whenmrespondingmtomamsceneminmwhichmpatientsmmaymhavembeenmexposed mtomamblistermagent,mit mism
MOSTmimportant mto:mcorrect manswersmnot mentermthemscenemwithout mamself-
contained mbreathingmapparatus.
Manympreviousmterrorist mattemptsmtomusemeithermchemicalmormbiologicmweaponsmtomtheirmfullmcapac
ity:mcorrect manswersmhavembeenmunsuccessful.
Signsmand msymptomsmof mexposuremtomanmorganophosphatemincludemallmof mthemfollowing,mEXCEPT
:mcorrect manswersmdifficultymurinating.
ThemNationalmIncident mManagement mSystemm(NIMS)mwasmdesigned mto:mcorrect manswersmhandlemt
hemimmediatemresponse,mmitigation,mand mlong-
termmrecoverymof msmallmand mmassivemnaturalmand mman-mademincidents.
What mparametersmdoesmthemSTARTmtriagemsystemmassessmtomdeterminemampatient'smpriorityminmam m
ultiple-casualtymsituation?mcorrect manswersmbreathing,mcirculation,mand mmentalmstatus
Oncemthemtrained mHazMat mrescuersmhavembeenmprotected mproperly,mtheymshould mnext:mcorrect mans
wersmidentifymvictimsmwhomhavemsustained manmacuteminjurymasmamresult mof mexposuremtomhazardousm
materials.
Amverymimportant mstepmtomremembermwhenmhandlingmanymhazardousmmaterialsm(HazMat)m incident m
ismto:mcorrect manswersmidentifymthemsubstance(s)minvolved minmthemincident.
Whichmof mthemfollowingmstatementsmregardingmradiationmismcorrect?mcorrect manswersmRadiationmca
nnot mbemseen,mfelt,mormdetected mwithmnormalmbodymsenses.
ThemEMR'smgoalmduringmammultiple-
casualtymincident mismto:mcorrect manswersmprovidemthemgreatest mmedicalmbenefit mformthemgreatest mnu
mbermof mpeople.
ThemMOSTmsimplisticmincendiarymdevicemisma:m correct manswersmpipe mbomb.
