Choice and Conceptual Actual Emended Exam
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1. Which term is used to mean an explosive device that spreads radioactive
material without a nuclear detonation? - ANSWER Dirty bomb
2. Which is the cause of death of individuals near the epicenter of a nuclear
explosion? - ANSWER Blast injuries
3. Which type of injury is MOST associated with the tertiary phase of a
conventional explosive blast? - ANSWER Blunt trauma
4. Which CBRNE agent causes symptoms such as miosis, excessive salivation,
and convulsions?
Nerve agent
5. Which protective action is MOST important for SAR responders when
approaching a suspected chemical release scene?
Don appropriate PPE and approach from upwind and uphill
6. Which type of blast injury involves shrapnel penetrating the body?
Secondary blast injury
7. What is the primary danger to SAR personnel responding to a radiological
incident without proper equipment?
Invisible exposure to ionizing radiation
,8. Which WMD agent would likely cause flu-like symptoms several hours or
days after exposure?
Biological agent
9. Which of the following agents is classified as a persistent chemical threat?
Sulfur mustard (blister agent)
10.The best defense against radiological exposure during SAR operations is:
Time, distance, and shielding
11.Which triage tag color is used for expectant (mortally wounded) victims
during a mass casualty incident?
Black
12.When do you initiate decontamination procedures in a SAR scenario
involving hazardous materials?
Immediately after extraction but before transport
13.Which federal system governs response to terrorist use of WMDs and large-
scale emergencies?
National Incident Management System (NIMS)
11.In a CBRNE incident, the initial SAR priority is to:
Establish scene safety and identify contamination zones
12.What is the primary SAR role during a nuclear detonation aftermath?
Search and rescue in survivable zones outside the fallout path
13.What is the name of the system used to classify hazardous materials?
NFPA 704 (Hazard Identification System)
14.Which of the following best defines a “hot zone” in CBRNE operations?
The area with known contamination or active hazard presence
15.What is the purpose of the warm zone in a contaminated search area?
Decontamination of victims and responders
, 16.Which document provides a rapid reference for chemical hazard
identification in the field?
Emergency Response Guidebook (ERG)
17.What does SLUDGEM refer to in WMD medical response?
Symptoms of nerve agent poisoning
18.What is the first step in identifying a potential WMD incident?
Scene size-up and recognition of signs of hazardous exposure
19.What is the greatest risk to SAR personnel in an improvised explosive device
(IED) blast zone?
Secondary devices targeting responders
20.Who is responsible for coordinating multi-agency response at a WMD
incident scene?
The Incident Commander under ICS
What should be considered in the medical direction component of a response
plan for weapons of mass destruction? - ANSWER Making all protocols
standing orders.
Which sign or symptom is MOST likely an indication of high-dose radiation injury?
- ANSWER Feeling of being "on fire"
Which route of entry is the MOST common route by which biological agents enter
the body? - ANSWER Respiratory
For which type of agent would be atropine and praladoxime be MOST likely to be
effective? - ANSWER VX
, Which term is used to mean an explosive device that spreads radioactive material
without a nuclear detonation? - ANSWER Dirty bomb
Which type of injury is MOST associated with the tertiary phase of a conventional
explosive blast? - ANSWER Blunt trauma
Which substance is NOT classified as a type of biological agent? - ANSWER
Nerve agent
Which symptom is LEAST likely to be associated with radiation injury? - ANSWER
Loss of hearing
What BEST describes the EMT's first responsibility if he arrives on the scene and
determines that the situation likely involves a terrorist attack? - ANSWER
Stage a safe distance from the scene and notify dispatch.
In addition to biological, nuclear, incendiary, and explosive, what is another
recognized category of weapon of mass destruction? - ANSWER Chemical
Which factor accounts for the lethality of the heat generated from nuclear
detonation? - ANSWER Intensity of the heat
You arrive on scene at an outdoor music festival where many people have
experienced a sudden onset of dyspnea, burning eyes, and respiratory distress.
You step out of the ambulance and notice the smell of fresh-cut grass in the air.