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Exam & Evaluation (Biochemical Terrorism: An ER Resource)
 
Questions: Please respond to following statements.

1 The risk of cutaneous Anthrax being transmitted from person to person is:
  Extremely unlikely
  Highly probable
  Rare but can occur
2 This nerve agent kills by binding acetylcholinesterase that causes constant stimulation of the glands and voluntary muscles until ultimate fatigue and a cessation of breathing.
  GF
  Sarin
  VX
3 The chemical agent that may have a scent of onion, garlic or horseradish is:
  Lewisite
  Mustard Gas
  Titanium Tetrachloride
4 Which nerve gas is 100 times more toxic than Sarin?
  Cyclohexyl Sarin
  GF
  VX
5 Which agent is most pure?
  Distilled Mustard Gas
  Mustard Gas
6 Patients should be allowed to assist in their own decontamination.
True     False
7 Health care professionals should use the following equipment while caring for a patient exposed to a chemical or biological aqent:
  Disposable bag-valve mask ambu
  Fiberglass backboard
  Stretcher without the mattress
8 In severe cases of exposure to chemical agents, the health care provider should administer the antidote before beginning assisted ventilation.
True     False
9 You would expect a mass casualty incident victim who is triaged into the "Expectant" category to:
  Talk but not to walk
  Be recovering from antidote administration
  Be too close to death to save
10 Determination of possible bio-chemical exposure could include:
  Numerous febrile patients with a variety of signs and symptoms.
  Cases of patients with co-morbidities with logical explanations.
  Failure of patients to respond to usual therapies for common illnesses.
11 The health care provider in the emergency department should expect the dose of 2-PAM CL antidote to be which of the following for an elderly frail patient with severe symptoms.
  5 - 10 mg/kg IV slowly
  25 mg/kg IM
  1 g IV slowly
12 The chance of a rescuer being contaminated by a victim's clothes or skin is:
  Highly likely
  Moderate
  Rare
13 When administering Atropine (pre-hospital) to the adolescent patient with mild symptoms, the expected dose would be:
  1 mg/kg IM
  2 mg/kg IM
  3 mg/kg IM
14 The chemical pulmonary agents all cause:
  Atelectasis
  Endocarditis
  Lung edema
15 A patient presents with an itchy "bug bite" that is now a painless ulcer. You should suspect exposure to:
  Blister Agent
  Cutaneous Anthrax
  Smallpox
16 Biological weapons have been used against enemies around the world since:
  400 BC
  French and Indian Wars
  The 1960's
17 Seizures caused by exposure to Sarin Gas respond only to:
  Barbiturates
  Diazepam
  Phenytoin
18 Hemorrhagic mediastinitis, thoracic lymphadenitis, and meningitis are all complications of:
  Sarin Nerve Gas
  Inhalation Anthrax
  Pneumonic Plague
19 Giving the smallpox vaccine to a person who has been exposed, in attempts to lessen or prevent the illness must be given:
  Within 24 hours of diagnosis
  Within 2 days
  Within 4 days
20 A patient presents a few days after a mass casualty incident occurs in their neighborhood where bioterrorism is suspected, but the agent is still unknown. The patient complains of a few days of fever, fatique, muscle aches...and dark purple spots under her skin that you identify as petechiae. You would suspect the agent involved to be:
  Blister Agent Nerve Gas
  Cutaneous Anthrax
  Viral Hemorrhagic Fever
21 Patients with chronic Q fever which persists for greater than six months are at most risk for:
  Chronic lung disease
  Endocarditis
  Meningitis
22 Acutely swollen lymph nodes and painful lymph nodes appearing on the second day of illness are characteristic of that infection?
  Brucellosis
  Pneumonic Plague
  Tularemia
23 Which chemical agent can cause blindness within one minute of exposure?
  Lewisite
  Phosgene
  Sarin
24 One characteristic finding in inhalation Anthrax, which supports the differential diagnosis from a cold, pneumonia, or atelectasis is:
  Fever
  Gram negative bacilli
  Mediastinal widening
25 Safe handling of suspicious parcels includes:
  Lightly shaking
  Listening for ticking
  Placing in a paper bag
26 Viral type symptoms of high fever, fatigue, headache, and backaches followed in 2-3 days by a rash is most likely:
  Cutaneous Anthrax
  Q Fever
  Smallpox
27 Brucellosis has a mortality rate of:
  <2%
  10%
  25%
28 Intestinal Anthrax progresses slowly.
True     False
29 Symmetric and descending flaccid paralysis is caused by:
  Botulism
  Hydrogen Cyanide
  Q Fever
30 Incubation of foodborne Clostridium botulinum occurs in as little as:
  2 hours
  4 hours
  6 hours
31 According to the CDC, a properly fitted SCBA can reduce the hazard to the user by a factor of at least 10,000. A properly fitted full face respirator with a P100 filter or powered air-purifying respirator (PAPR) with a HEPA filter can reduce the user's exposure by a factor of _______?
32 According to the CDC, when bagging a suspicious letter or parcel, work as quickly as possible.
True     False
33 According to the CDC, standard firefighter gear is appropriate when responding to calls involving biological agents.
True     False
34 According to the CDC, protective clothing and equipment should be decontaminated before the user takes them off.
True     False
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