Exam & Evaluation (Biochemical Terrorism: An ER Resource)
Questions: Please respond to following statements.
The risk of cutaneous Anthrax being transmitted from person to person is:
Rare but can occur
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.
The chemical agent that may have a scent of onion, garlic or horseradish is:
Which nerve gas is 100 times more toxic than Sarin?
Which agent is most pure?
Distilled Mustard Gas
Patients should be allowed to assist in their own decontamination.
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
Stretcher without the mattress
In severe cases of exposure to chemical agents, the health care provider should administer the antidote before beginning assisted ventilation.
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
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.
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
The chance of a rescuer being contaminated by a victim's clothes or skin is:
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
The chemical pulmonary agents all cause:
A patient presents with an itchy "bug bite" that is now a painless ulcer. You should suspect exposure to:
Biological weapons have been used against enemies around the world since:
French and Indian Wars
Seizures caused by exposure to Sarin Gas respond only to:
Hemorrhagic mediastinitis, thoracic lymphadenitis, and meningitis are all complications of:
Sarin Nerve Gas
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
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
Viral Hemorrhagic Fever
Patients with chronic Q fever which persists for greater than six months are at most risk for:
Chronic lung disease
Acutely swollen lymph nodes and painful lymph nodes appearing on the second day of illness are characteristic of that infection?
Which chemical agent can cause blindness within one minute of exposure?
One characteristic finding in inhalation Anthrax, which supports the differential diagnosis from a cold, pneumonia, or atelectasis is:
Gram negative bacilli
Safe handling of suspicious parcels includes:
Listening for ticking
Placing in a paper bag
Viral type symptoms of high fever, fatigue, headache, and backaches followed in 2-3 days by a rash is most likely:
Brucellosis has a mortality rate of:
Intestinal Anthrax progresses slowly.
Symmetric and descending flaccid paralysis is caused by:
Incubation of foodborne Clostridium botulinum occurs in as little as:
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 _______?
According to the CDC, when bagging a suspicious letter or parcel, work as quickly as possible.
According to the CDC, standard firefighter gear is appropriate when responding to calls involving biological agents.
According to the CDC, protective clothing and equipment should be decontaminated before the user takes them off.
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