Summary Army Service Corps School, Nowshera Cantt > JFC 100 J2OP: Emergency Preparedness Response Course pretest 2023

Summary Army Service Corps School, Nowshera Cantt > JFC 100 J2OP: Emergency Preparedness Response Course pretest 2023Army Service Corps School, Nowshera Cantt > JFC 100 J2OP: Emergency Preparedness Response Course pretest.2022/23. 1) Radiation burns, which cause delayed, irreversible changes of the skin, can be caused by high doses of what form of ionizing radiation? Neutron s Bet a Photo n Alph a 2) What is the role of the liaison officer within the Hospital Incident Command System (HICS)? Provide information to the media Function as the incident contact person for representatives from other agencies Carry out the response activities described in the Emergency Response Plan. Monitor the safety of rescue operations and hazardous conditions 3) What type of care is a stress management component that fosters a mourning process and helps treat psychological stress reactions? Clinicians care EMS care Pastoral care Reverend care 4) What type of biological toxin is predominantly derived from the bean of the castor plant? Rici n T-2 MycotoxinsBotulinum Neurotoxin Staphylococcal Enterotoxin B 5) Which of the following bacterial diseases is contagious person to person? Pneumonic plague Q fever Brucellosi s Anthra x 6) __________ occurs outside of the incident area when people come in contact with a contaminated person or object. Secondary Contamination Exposur e Contaminatio n 7) What blood test is available that will give an accurate estimate of radiation dose? Platelet count Monocyte count Lymphocytes count Red Blood Cell count 8) What is the purpose of a secondary device? Inhibit evidence collection Destroy evidence from the primarydevice Injure or kill first responders Disperse contamination over a greater area 9) How do nerve agents produce effects in the body? They inhibit cell aerobic metabolism causing death They react to water in the body to form an acid They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate They effect receptor cells in the brain causing seizures 10) Which phase of CBRN response synchronizes planning and execution efforts with the efforts of the supported civil authorities? Phase I - Anticipate Phase III - Operate Phase II - Response Phase IV - Stabilize 11) An explosion victim was admitted to your facility approximately 4 hours ago with chest pain, normal oxygenation and radial pulse. His condition continues to worsen with symptoms that include labored, rapid breathing, low blood pressure, and semi-consciousness. What emergency treatment would be appropriate? [Remediation Accessed :N] Intubate and provide assisted ventilation with Positive End Expiratory Pressure (PEEP). Intubate and administer corticosteroids. Intubate and sedate. Administer a 200-mL bolus of isotonic sodium chloride solution.12) 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? Aggressive fluid management. Unroofing of blisters. If available, administer antidote BAL. Decontaminate victims by washing, flush eyes for at least 5 minutes. 13) A bomb blast victim presents with nausea and abdominal pain. A Computed Tomography (CT) scan shows no hemorrhage. What treatment should be recommended? Admit patient for observation for 12 to 24 hours in case a hematoma develops. Order more x-rays and discharge patient if no hematoma is found. Instruct patient and to go home and return in 1 week for followup exam. Admit patient and conduct exploratory surgery to locate possible intestinal hematoma. 14) 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? Provide comfort and place in expectant category. Immediately evaluate for radiation exposure. Debride wounds and administer antibiotics. Treat all life-threatening injuries first. 15) 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?T-2 mycotoxins, supportive care and poison therapy. Ricin, supportive care and vigorous gastric lavage. Staphylococcal Enterotoxin B, supportive care and observe for pulmonary edema. Botulinum toxin, supportive care and antitoxin. 16) Which of the following is NOT relevant to a laboratory diagnosis of smallpox (variola)? Electrochemiluminescence (ECL) is positive for orthopox virus Under light microscopy, aggregations of Guarnieri bodies are found A positive Tzank smear Virus is isolated for characterization of its growth on chorioallantoic membrane 17) ICS has been used to manage incidents such as fires, earthquakes, hurricanes, and acts of terrorism. Which of the following situations represents another viable application for the use of ICS? The oversight of safety issues associated with Mrs. Butler's 10th grade chemistry class throughout the school year. The management of nursing staff at the City General Hospital during weekend shifts. The oversight of the annual fiscal budget for the Brownsville Library, including the procurement of new books. The planning and operation of the Central City annual Labor Day celebration, including a parade and fair. 18) Personal Protective Equipment (PPE) is generally divided into two categories. They are: Mission Oriented Protective Posture (MOPP) Body Substance Isolation (BSI) Level D with no mask Respiratory Protection & Chemical ProtectiveGarments 19) Pulmonary (choking) agents primarily enter the victim by what means? Injectio n Inhalatio n Absorption through the skin Ingestio n 20) Which of the following cell types are most sensitive to radiation damage? Cells that do not divide Cells that are actively dividing Cells that do not have a nucleus Cells that replicate slowly 21) The decontamination site should NOT be located: On a hard, non-porous surface. Near waterways and drainage systems Upwind of the hot zone Uphill from the hot zone 22) What type of laboratory test(s) would NOT be conducted if you suspect a patient has contracted plague? Cultur e Gas Chromatography-Mass SpectrometryGram or Wright's stained smears from lymph node needle aspirate Polymerase Chain Reaction (PCR) 23) How is the victim of nerve agent exposure presenting with convulsions classified? Expectan t Minima l Delaye d Immediat e 24) 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? Smallpox, because the rash is centrifugal on the patient Chickenpox, because the rash is centrifugal on the patient Chickenpox, because the fever presented prior to the rash Smallpox, because there are several blisters on the torso as well 25) Which of the following statements does NOT describe spores produced by Bacillus anthracis, causative agent of anthrax? Can be found in animal hides. Sensitive to UV light. Remains viable in soil for years. Resistant to environmental decay. 26) A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for which chemical agent?Pulmonar y Vesicant s Nerv e Cyanid e 27) Decontamination will be conducted in the __________ hazard zone. War m Ho t Col d 28) What form of ionizing radiation is the least penetrating? Gamm a Neutron s Alph a Bet a 29) The majority of the injuries to gas-containing organs is usually attributed to which of the following? Primary blast effect Fragmentation effect Tertiary blast effect Thermal effect30) What technique may be used to test for T-2 Mycotoxins in environmental and clinical samples? Microscopic analysis Gas Chromatography-Mass Spectrometry Enzyme Linked Immunosorbent Assays Electrochemiluminesce nce 31) In industry, cyanide compounds are widely used during: Plastic production Gold and silver extraction Hide tanning All of the Above 32) What types of CBRNE agents are man-made and act rapidly, burn and blister skin, mucous membranes, airways and gastrointestinal systems? VX Cyanide Compounds Sari n Vesicant s 33) Wearing PPE can put the responder at considerable risk both physically and psychologically. Which of the following is NOT considered a risk factor? Heat Stress and increased fatigue Hyperactivi ty Tactile and dexterity difficulties Claustrophobia 34) Treatment of patients suffering from pulmonary agent exposure should focus on? Administering antibiotics Recognizing which compartment(s) are damaged and minimizing that damage. Administering antidotes Identifying the agent that caused the injury. 35) How does cyanide cause cell death in the body? Interferes with anaerobic metabolism of the cell Inhibits ability of blood to coagulate Inhibits the enzyme AChE Inhibits ability of nerves to transmit messages 36) Which post disaster phase is generally characterized by optimism due to an infusion of resources? Restabilization phase Heroic phase Honeymoon phase Disillusionment phase 37) How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? Minima l Immediat eDelaye d Expectan t 38) Secretary of Defense has the responsibility to provide defense support to civil authorities when the actions: are legal do not support military readiness can be supported by state assets exceed local need 39) What directive establishes a single comprehensive national incident management system that allows all levels of government to work efficiently and effectively together? Homeland Security Presidential Directive-21 Homeland Security Presidential Directive-6 Presidential Policy Directive-8 Homeland Security Presidential Directive-5 40) Smallpox can spread from one person to another by the following routes: Aerosols generated by a patient sneezing or coughing Droplets during face-to-face contact with a patient Direct contact with the patient's scabs All of the Above 41) 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 cyanideantidotes? Sodium nitrite can increase methemoglobin levels, which will decrease blood oxygenation Amyl nitrite alone forms ample methemoglobin to save the life of an unconscious victim Sodium thiosulfate will elevate blood pressure dramatically Definitive lab results for cyanide in the blood must be completed before treatment 42) Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? Tabu n VX Soma n Sari n 43) An all-hazards approach affects preparedness by allowing communities to: Identify terrorists prior to them striking. Quickly involve FEMA to assist with casualties resulting from a natural disaster. Increase the speed, effectiveness, and efficiency of incident management. Handle casualties resulting only from terrorist attacks. 44) Experts anticipate that a ________ incident is the least likely to occur but would have a great impact upon the environment and people. Biologic al Chemica l Nuclea r Radiologic al45) 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? Botulinum toxin Rici n T-2 mycotoxins Staphylococcal Enterotoxin B (SEB) 46) One of the five intervention principles in the management of the stress response is promoting the sense of safety. How can this be accomplished? Help individuals to identify and link with loved ones Leadership provide an accurate, organized voice to help circumvent threat Provide training and structure for problem-focused coping Restoration of the school community 47) Your patient is recovering from injuries sustained in a terrorist incident and is exhibiting stress symptoms. Which of the following is a common behavior reaction associated with severe short-term stress reactions? Anxiety disorders Decreased problem-solving abilities Depressio n Substance abuse 48) A patient is suffering from painful, highly corrosive burns similar to acid, and wheals have begun to appear on the skin. Which vesicant (blister agent) is suspected? Phosgene oximeLewisit e Cyanid e Mustar d 49) What is the comprehensive preparedness required to manage the casualties resulting from the host of possible hazards? Disaster response All-hazard preparedness Disaster preparedness All-hazard response 50) When conducting a medical assessment, what status is checked first? Respiratory Status Mental Status Perfusion & Pulse 51) Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal? Anthra x Plagu e Tularemi a Q Fever 52) What phase is characterized by improvement of symptoms but becomes shorter with increasing doses. Latent Prodrom al Manifes t Recover y 53) What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination? Level C Level B Level A Level D with no mask 54) What type of explosive is widely used by the military, and is one of the least sensitive explosives. [Remediation Accessed :N] RD X C-4 TN T Nitroglyceri n 55) You are certain that your patient, who is now convulsing from nerve agent exposure, has already received three MARK 1/ATNAA kits and their diazepam. What else should be done? Provide ventilator assistance, oxygen, and IV fluids Administer more atropine to reduce secretions and relax the airway Give more diazepam to prevent seizures All of the Above56) A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. Chest x-rays reveal a widened mediastinum and the patient's white blood cell count is elevated. Which type of anthrax is responsible for the patient's symptoms? Septicemi c Gastrointestin al Cutaneou s Inhalation al 57) One of the contributing factors to stress reactions is the physical factor. Which of the following is associated with this factor? [Remediation Accessed :N] dehydratio n worries about others sleep loss preexisting medical conditions 58) All of the following are procedures for activating the Hospital Incident Command System (HICS) EXCEPT: Personnel activated to respond attend disaster briefing at Medical Treatment Facility (MTF) Emergency Operations Center (EOC) Activate the Emergency Management Plan and appropriate HICS sections Refer to your Job Action Sheet (JAS) for response duties Supervisor on duty determines that day-to-day activities of Medical Treatment Facility (MTF) are disrupted 2) What type of explosive is widely used by the military, and is one of the least sensitive explosives.RD X TN T Nitroglyceri n C-4 2) A nerve gas attack has occurred in one of the city's underground subway stations. This is the second attack this month. After arriving on the scene, a veteran responder, considered a [Show less]