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Prehospital Emergency Care Practice Test: Basics of Responding To Terrorism Involving Weapons of Mass Destruction
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When responding to a Weapons of Mass Destruction (WMD) incident, EMTs should consider the agent and the route of dispersal. The route of dispersal can affect operations, including PPE, decontamination, and the number of victims. The ideal model of transmission depends on the agent's properties. The route of dispersal can be through: aerosolization, thermal detonation, contamination of water and food supply, and human-to-human contact. 

Initial management of chemical exposures includes: Protection of providers, Triage, Stabilization, and Decontamination.

Prehospital Emergency Care Practice Test: Basics of Responding To Terrorism Involving Weapons of Mass Destruction
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25 Questions

1. A patient has inhaled cyanide gas. He is alert and complaining of shortness of breath. His airway is patent, his breathing is adequate, and his radial pulse is strong. His skin is warm and dry, and his breath sounds are clear. Given these assessment findings, what should the EMT do first?
2. A patient has an injury to his arm caused by an unknown vesicant. After assessing the patient's airway, breathing, and circulation, you should:
3. At a community meeting about preparations for a biological terror attack, an attendee asks you how anthrax acquired naturally differs from anthrax acquired via terrorism. What is your best response?
4. A patient who has been exposed to an encephalitis-like agent most likely will complain of:
5. Your service has acquired the antidote for a nerve agent attack. By which route will this antidote most likely be given?
6. Sheltering of patients from radiation can be accomplished with:
7. How does the EMT's role in an 'active shooter' incident vary from any other unsecured 'shots fired' scene?
8. Which type of radiation will travel the farthest and penetrate the human body with the greatest ease?
9. If you are first on the scene of an MCI, it is imperative that you:
10. The secondary radiation exposure from a nuclear blast is the result of:
11. An example of a quinary effect of an explosion is:
12. An example of an injury that results from the primary exposure in a nuclear explosion is:
13. You are participating in a training exercise for an attack with a weapon of mass destruction involving the release of a nerve agent. In the triage area, you are presented with a patient who responds to painful stimuli and has an open airway. He is breathing 8 times per minute and has a weak radial pulse. He is wheezing and has pinpoint pupils. In his pocket, you see a metered-dose inhaler containing albuterol. When caring for this patient, you should first:
14. Why would iodine tablets be a benefit to administer to the general public after a nuclear bomb detonation?
15. Which statement concerning the biological agents used in terrorist attacks is true?
16. The type of injury most commonly associated with an incendiary device is:
17. A triage officer at the scene of a suicide bombing assigns you to a patient who has been injured from the secondary effects of the blast. Which type of injuries would you expect in this patient?
18. When planning for a terrorist attack, which concept makes the best use of resources that are locally available?
19. Nerve agents typically cause death by triggering which type of organ or system failure?
20. Which statement regarding the different protocols and medical direction used by those different agencies is most accurate?
21. Beta radiation represents the greatest threat to a person's well-being when the:
22. Which statement is true regarding tactical EMS?
23. How can an EMT best protect herself, as well as get the most appropriate resources, at the scene of a multiple-casualty incident involving a weapon of mass destruction?
24. When you are first on the scene of a terrorist incident involving WMD, which role is of the utmost importance?
25. An alert and oriented patient has been exposed to the biological toxin ricin. He presents with a fever, cough, mild dyspnea, and generalized weakness. His airway is patent and his breathing is adequate. His skin is warm and dry, and his radial pulse is weak. Which intervention is most appropriate when caring for this patient?

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