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Disaster Medicine Jan Test MCQS- 3rd Year PMU

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Disaster Medicine Jan Test MCQS- 3rd Year PMU

Question 1 of 79

1

Shock management starts during

Select one of the following:

  • Non-physician aid

  • Qualified physician Medical Aid

  • Specalised physician Medical Aid

Explanation

Question 2 of 79

1

Disaster Medical Management could be defined as

Select one of the following:

  • Complex decision making process in order to react adequately with available means and capabilities in case of disaster

  • Complex decision making process in order to prepare adequately with available means and capabilities in case of disaster

  • The process of optimization of the Disaster Medical Organisation and structure in order to respond more effectively to the disaster consequences with the available means and capabilities

Explanation

Question 3 of 79

1

Area of Radiological Damage after Radiological Incident in comparison with nuclear bomb Area of Damage

Select one of the following:

  • Has less damaging factors, higher temperature, longer radiological contamination, greater variety of radioisotopes

  • Has less damaging factors, lower temperature, longer radiological contamination, greater variety of radioisotopes

  • Has less damaging factors, lower temperature, shorter radiological contamination, greater variety of radioisotopes

Explanation

Question 4 of 79

1

What is the objective of sanitary control?

Select one of the following:

  • To plan and execute the adequate and appropriate eradication activities to all detected health hazards

  • To protect population and environment of possible health threats in specific regions

  • To detect via specific activities the available and potential health hazards and to prevent their impact on population life and health

Explanation

Question 5 of 79

1

What are the main features of the Flood?

Select one of the following:

  • Depth and speed of the water, scope of the flooded zone, water temperature

  • Depth and speed of water, time of onset, number of injured, time for arriving of the tide and time for water removing

  • Depth of the water, casualties number, available and required means and capabilities

Explanation

Question 6 of 79

1

Which particle is ionizing indirectly

Select one of the following:

  • Alpha

  • Beta

  • Gamma

Explanation

Question 7 of 79

1

Shock Management First steps in Disaster Medical Support are related to the

Select one of the following:

  • Pain removal

  • Fluid resuscitation

  • Vascular spasm removal

Explanation

Question 8 of 79

1

Disaster Medical Support Plan could be defined as

Select one of the following:

  • A document where all activities of medical means in case of disaster occurrence are described

  • Decision making process in order to prepare the adequate reaction with available means and capabilities in case of disaster

  • The process of optimization of the Disaster Medical Organisation and structure in order to respond more effectively to the disaster consequences with the available means and capabilities

Explanation

Question 9 of 79

1

During the second stage of the Disaster Medical Management and Support are addressed

Select one of the following:

  • All affected in the Area of Damaged

  • All injured in the Area of Damage

  • All affected in the Area of Damage and its vinicity

Explanation

Question 10 of 79

1

Qualified medical aid is performed during second stage of Disaster Medical Management and Support by

Select one of the following:

  • By medical teams in treatment facilities in vicinity of the area of damage

  • By medical teams in temporary medical stations established in vicinity of the area of damage

  • By highly- readiness medical teams in vicinity of the area of damage

Explanation

Question 11 of 79

1

Removal of all types of asphyxia is

Select one of the following:

  • Non physician Medical Aid

  • Specialized physician Medical Aid

  • Qualified physician Medical Aid

Explanation

Question 12 of 79

1

The ionizing radiation activity is measured with unit

Select one of the following:

  • Grey

  • Sievert

  • Becquerel

Explanation

Question 13 of 79

1

The disaster relief for population could be defined as

Select one of the following:

  • Complex of specific activities in order to minimize the impact of disaster's damaging factors and to decrease the number of irreversible casualties and minimize the residual disability among medical casualties

  • Scientific and practical activities of disaster medical management and support to the population in order to protect, secure and assure the human life, health and ability in case of disastrous events

  • Establishing standard operating procedures, methodologies and policies for prevention and treatment of the entire spectrum probable health injuries, diseases and epidemics related to disasters

Explanation

Question 14 of 79

1

Provision of shelter, food, water and medical support for all in need is part of the

Select one of the following:

  • Recovery group activities

  • Response group activities

  • Preventive group activities

Explanation

Question 15 of 79

1

Disaster Medical Management and Support objective is

Select one of the following:

  • To plan and execute scientific and practical activities of disaster medical management and support to population in order to protect, secure and assure the human life, health and ability in case of disastrous events

  • To prevent human health and life damage and lessen the number of injured, victims and disabled, in case of disaster

  • To minimize the impact of disaster’s damaging factors and to decrease the number of irreversible casualties and minimize the residual disability among medical casualties

Explanation

Question 16 of 79

1

What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support

Select one of the following:

  • Perform medical intelligence, then to represent himself to medical officer in charge and report on medical team's number and capabilities, and Individual Protective Equipment available

  • To perform medical intelligence, then to represent himself to incident commander and then to medical officer in charge and report on medical team’s number and capabilities, and Individual Protective Equipment available

  • To represent himself to medical officer in charge and report on medical team’s number and capabilities, and Individual Protective Equipment available

Explanation

Question 17 of 79

1

Artificial Breathing should not be used in management of casualty with

Select one of the following:

  • Phosphor-organic poisoning

  • Ammonia Posoining

  • Carbon monoxide poisoning

Explanation

Question 18 of 79

1

What is the first step in Chemical Area of Disaster Medical Management and Support?

Select one of the following:

  • To perform Medical Intelligence

  • To decontaminate the casualties

  • To use protective equipment in order to assure you and the other team members safety and security

Explanation

Question 19 of 79

1

During the First Stage of the Disaster Medical Management and Support are addressed

Select one of the following:

  • By medical teams in temporary medical stations established in area closest to the area of damage

  • By medical teams in the area of damage

  • By everyone in the area of damage

Explanation

Question 20 of 79

1

Passive immunization is performed to:

Select one of the following:

  • to those who were in contact with the people demonstrating symptoms of the disease

  • those with symptoms of the disease

  • to entire population at risk

Explanation

Question 21 of 79

1

Toxic allergic edema surrounding necrotic changes in the tissues is observed in:

Select one of the following:

  • intoxication with NH3

  • intoxication with chlorine

  • intoxication with CN

Explanation

Question 22 of 79

1

The consequence of the CN intoxicated casualty treatment to:

Select one of the following:

  • amyl nitrate. sodium thiosulfate, hydroxocobolamin

  • sodium thiosulfate, amyl nitrate. hydroxocobolamin

  • amyl nitrate, hydroxocobolamin, sodium thiosulfate

Explanation

Question 23 of 79

1

The main elements of the Bulgarian Unified Rescue System are:

Select one of the following:

  • Directorate National Police, Directorate "Civil Protection", Directorate "Fire Safety", Centres for Emergency Medical Help

  • Directorate "Civil Protection", Directorate "Fire Safety". Centres tor Emergency Medical Help

  • Directorate National Police, Directorate "Fire Safety and Civil Protection" Centres for Emergency Medical Help

Explanation

Question 24 of 79

1

Disaster Medical Support Plan is:

Select one of the following:

  • description of the medical activities sequence in case of disaster along with description of the medical teams and resources needed for these activities

  • document where the medical activities in case of disaster are described

  • activities that have to be performed by the particular medical teams with the available preplanned technical and medical equipment in order to save human lives and health in case of disaster

Explanation

Question 25 of 79

1

Disaster's main factor leading to humans life and health threat is:

Select one of the following:

  • the disparity between required and available medical means and capabilities for lifesaving aid

  • disaster's type, magnitude and scope

  • sudden onset

Explanation

Question 26 of 79

1

Sanitary control is performed during:

Select one of the following:

  • prodrome phase

  • recovery phase

  • all phases

Explanation

Question 27 of 79

1

The eradication measures after the sanitary expertise are:

Select one of the following:

  • disinfection, disinsection. deratization

  • degazation, detoxification, disinfection

  • burning, burying

Explanation

Question 28 of 79

1

Scope of the medical activities in the treatment and rehabilitation of the injured in case of Disasters are:

Select one of the following:

  • Disaster Medicine Objective

  • Disaster Medicine Topic

  • Disaster Medicine Task

Explanation

Question 29 of 79

1

Toxic allergic oedema is one of the main characteristics for

Select one of the following:

  • Chlorine

  • Carbon monoxide poisoning

  • Ammonia poisoning

Explanation

Question 30 of 79

1

When you could protect yourself by breathing through handkerchief with Na2CO3

Select one of the following:

  • In case of CO poisoning

  • In case of NH3 poisoning

  • In case of Cl2 Poisoning

Explanation

Question 31 of 79

1

If the casualty has pulse, but does not breath, what you do you have to do

Select one of the following:

  • Perform artificial breathing 10 times

  • Liberate the airways and perform artificial breathing 5 times

  • Liberate the airways and perform artificial breathing 10 times

Explanation

Question 32 of 79

1

Alpha particles features:

Select one of the following:

  • High mass, High Ionizing Activity, Highly penetrating, High speed, Travel long distances

  • High mass, High Ionizing Activity, Highly penetrating, Low speed, Travel short distances

  • High mass, High Ionizing Activity, Low penetrating, Low speed, Travel short distances

Explanation

Question 33 of 79

1

What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support

Select one of the following:

  • To represent himself to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available

  • To perform medical intelligence, then to represent himself to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available

  • To perform medical intelligence, then to represent himself to incident commander and then to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available

Explanation

Question 34 of 79

1

When is the MEDINT performed?

Select one of the following:

  • MEDINT is the first medical activity to be performed. It is performed during entire disaster medical support operation planning and execution

  • MEDINT is the first medical activity to be performed. It is performed during entire medical management and support and it is continuing as monitoring the situation after the disaster medical support operation completion

  • MEDINT is the first medical activity to be performed. It is performed during entire disaster medical support operation execution and it is continuing as monitoring the situation after the disaster medical support completion

Explanation

Question 35 of 79

1

What are the principles of Disaster Medical Support Planning

Select one of the following:

  • Unity, Particularity, Continuity, Actuality

  • Operability, Flexibility, Continuity, Centralization, Autonomy

  • Operability, Particularity, Continuity, Actuality, Flexibility

Explanation

Question 36 of 79

1

Acute Radiation Syndrome is

Select one of the following:

  • Aggregation of Haematopoetic, Gastro-Intestinal and Neuro-vascular Syndromes

  • Aggregation of Haematopoetic, Gastro-Intestinal, Hemorrhagic and Neuro-vascular Syndromes

  • Aggregation of Hemorrhagic, Gastro-Intestinal and Neuro-vascular Syndromes

Explanation

Question 37 of 79

1

When Contingency Plan is revised

Select one of the following:

  • During execution of disaster medical support activities based on Disaster Manager Directions and Guidance regarding organisation and coordination of the disaster medical response and medical assets capabilities, capacities and readiness

  • During execution of Disaster medical support activities based on the data of Medical Intelligence regarding medical situation and on medical reports

  • With disaster occurrence, based on the data of the Medical Intelligence about the type of disaster, its location, number of casualties and available and required medical means and capabilities

Explanation

Question 38 of 79

1

Where usually the Temporary Medical situations are located for earthquake medical support provision

Select one of the following:

  • In the zone of moderate and zone of light destructions

  • Close to the Area of Damage- 1-2 km out of the Area

  • In the zone of light destruction and out of the area of damage

Explanation

Question 39 of 79

1

The stochastic effects of ionizing radiation are related to

Select one of the following:

  • Absorbed dose

  • Equivalent dose

  • Effective dose

Explanation

Question 40 of 79

1

Physical Absorbed dose Measurement consists of

Select one of the following:

  • Lymphocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction

  • Leukocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction

  • Number and initiation of vomiting, body temperature measurement, level of dermal reaction

Explanation

Question 41 of 79

1

What is the Standard Operating Procedure for Radiological casualty management

Select one of the following:

  • Medical Intelligence, Triage. Decontamination, Organised Evacuation, Stabilization. Medical Evacuation, Pre-hospital Triage, Hospital Treatment

  • Medical Intelligence, Triage, Organised Evacuation, Stabilization, Medical Evacuation, Pre-hospital Triage, Hospital Treatment

  • Triage, Decontamination, Organised Evacuation, Triage, Stabilization, Medical Evacuation, Pre-hospiml Triage, Hospital Treatment

Explanation

Question 42 of 79

1

The determinative effects of ionizing radiation are related to

Select one of the following:

  • Equivalent dose

  • Absorbed dose

  • Effective dose

Explanation

Question 43 of 79

1

What is the first information required for Disaster Medical Support Plan creation

Select one of the following:

  • Information about disaster type available and required medical means and number and structure of the casualties

  • Directions of the medical managers

  • Medical Intelligence data regarding the disaster and the available means and capabilities

Explanation

Question 44 of 79

1

The earthquake medical impact is directly related to the

Select one of the following:

  • Depth of the earthquake, energy released in epicenter and the distance from hypocenter

  • Depth of the earthquake, energy released in epicenter and the distance from epicenter

  • Distance between hypocenter and epicenter energy released in hypocenter and the distance from epicenter

Explanation

Question 45 of 79

1

Please list the best definition of Disaster Medicine Topic

Select one of the following:

  • The treatment process of the inured, commences in the affected area nearby, continues during the medical evacuation and finalizes in particular medical facilities, depending on type and severity of the suffered injuries

  • Optimizing the established structures and doctrines for prompt, adequate and efficient planning, organization and execution of the Disasters Medical Management and Support

  • Standard Medical Operating {Procedures in case of Disasters and scope of medical activities, treatment and rehabilitation of the injured in case of Disasters

Explanation

Question 46 of 79

1

Hypoxia, hypoxemia, hypocapnia, alkalosis and following acidosis we could find in laboratory test in case of

Select one of the following:

  • CN poisoning

  • Cl2 poisoning

  • NH3 poisoning

  • none of these

Explanation

Question 47 of 79

1

During the Directed evacuation of medical casualties the direction is

Select one of the following:

  • to medical treatment facilities

  • out of area of damage

  • to the temporary medical stations

Explanation

Question 48 of 79

1

Phosphor-organic compounds could be classified as

Select one of the following:

  • Blood poisoning

  • General Toxic Poison

  • Suffocating Poison

Explanation

Question 49 of 79

1

Phosphor-organic Compounds are

Select one of the following:

  • Heavier than air, are entering by breathing are stimulating acetylcholine esterase activity

  • Heavier than air, are entering via all routes are stimulating acetylcholine esterase activity

  • Heavier than air, are entering via all routes are deactivating acetylcholine esterase

Explanation

Question 50 of 79

1

The consequences of Cardio-respiratory resuscitation with one savior

Select one of the following:

  • Start with artificial ventilation followed by external cardiac massage. The rate has to be 1:5. There are to be made 10 such series, and then reevaluate the patient

  • Start with artificial ventilation followed by external cardiac massage. The rate ventilation/ cardiac massage has to be of 2:15. There are to be made 10 such series and then reevaluate the patient

  • Start with artificial ventilation followed by external cardiac massage. The rate ventilation/ cardiac massage has to be of 1:10. There are to be made 10 such series and then reevaluate the patient

Explanation

Question 51 of 79

1

Where the Medical Aid is performed

Select one of the following:

  • In temporary medical stations and hospitals close to the Area of Damage

  • In temporary medical stations and hospitals within Area of Damage

  • In temporary medical stations close to the Area of Damage

Explanation

Question 52 of 79

1

Early hazard detection followed by risk assessment and triage is:

Select one of the following:

  • Disaster Medicine task

  • Disaster Medicine objective

  • Disaster Medicine principle

Explanation

Question 53 of 79

1

Which casualties have to be triaged first

Select one of the following:

  • Dangerous for themselves and the others

  • Casualties with life threatening injures

  • Died

Explanation

Question 54 of 79

1

Please list the steps of the medical team when arriving as first medical team for disaster relief operation

Select one of the following:

  • Report to the Incident Commander about the capabilities of the team receiving directives; Medical Intelligence and report to the Disaster Medical Manager

  • Medical Intelligence and report to the Disaster Medical Manager; Report to the Incident Commander about the capabilities of the team, receiving directives,

  • Medical Intelligence and report to the Disaster Medical Manager; starting casualty triage, stabilization and medical evacuation

Explanation

Question 55 of 79

1

The main characteristics of one disaster are:

Select one of the following:

  • natural or man-made phenomenon; sudden onset; complicated general and medical situation; great material loses and number of casualties

  • natural or man-made phenomenon; sudden onset; great material loses and number of casualties; requiring medical assistance far beyond the routine daily needs and imposing mobilization of available resources, which is sufficient for adequate response

  • natural or man-made phenomenon; sudden onset; great material loses and number of casualties; requiring medical assistance far beyond the routine daily needs and demanding external assistance

Explanation

Question 56 of 79

1

Activities performed in order to maintain the basic life functions and to prevent the severe complications are:

Select one of the following:

  • physician medical aid

  • non physician medical aid

  • first aid

Explanation

Question 57 of 79

1

When the casualty has pulse but is not breathing what has to be done

Select one of the following:

  • liberation of the airways and 10 artificial breathings

  • liberation of the airways and 2 artificial breathings and 30 external cardiac massage

  • 10 Artificial breathings

Explanation

Question 58 of 79

1

Disaster Medical Support Management principles are:

Select one of the following:

  • continuity, adequacy, unity, particularity, centralization

  • flexibility, particularity, centralization, autonomy, unity

  • operability, centralization, autonomy, flexibility, continuity

Explanation

Question 59 of 79

1

Absorbed Dose is

Select one of the following:

  • unit of ionizing radiation and measures the amount of radiation required to deposit 1 joule of energy in 1 kilogram mass

  • unit of ionizing radiation and measures the amount of radiation required to create 1 coulomb charge in 1 kilogram mass

  • unit of ionizing radiation and measures the amount of radiation required to create biological effect in the human body

Explanation

Question 60 of 79

1

When you could protect yourself by breathing through handkerchief with vinegar

Select one of the following:

  • In case of CO poisoning

  • In case of Cl2 poisoning

  • In case of NH3 poisoning

Explanation

Question 61 of 79

1

URS main elements are

Select one of the following:

  • - From Ministry of Internal Affairs:
    National Agency Fire Safety and Civil Protection of population

    - From Ministry of Health:
    Centers for Emergency Medical Help

  • - From Ministry of Internal Affairs:
    National Agency Civil Protection
    National Agency Fire Safety and Civil Protection of population

    - From Ministry of Health: Centers for Emergency Medical Help

  • - From Ministry of Internal Affairs:
    Police
    Fire Safety and Protection
    Civil Protection
    Gendarmerie

    - From MH:
    Centers for Emergency Medical Help
    Head of regional center for Community Health Preservation or his/her representative
    Head of the major hospital in the region
    Subjects Experts- Engineers, Communications, Disaster Medicine

Explanation

Question 62 of 79

1

The medical support consists of

Select one of the following:

  • First medical aid, triage, evacuation, treatment, directed medical evacuation, hospital treatment

  • Treatment and evacuation, hygiene and anti-epidemics support, medical means and capabilities

  • First medical aid, triage, evacuation, treatment and stabilization, directed medical evacuation, pre-hospital triage, hospital treatment and rehabilitation, preventive medicine measures in order to preserve population's health

Explanation

Question 63 of 79

1

Casualty with history of swallowing alpha emitter:

Select one of the following:

  • it is not necessary to be decontaminated

  • could be decontaminated if there is time and capabilities

  • has to be decontaminated always because is danger for the others (casualties and rescue teams)

Explanation

Question 64 of 79

1

The equivalent dose depends on:

Select one of the following:

  • absorbed dose and the radiation weighting factor

  • absorbed dose and tissue weighting factor

  • exposure and radiation weighting factor

Explanation

Question 65 of 79

1

For medical support to the war time affected population you have to plan medical teams consisting of:

Select one of the following:

  • Epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives

  • Epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives

  • Surgeons, orthopedics, anesthesiologists. emergency medicine

Explanation

Question 66 of 79

1

Serbian citizens entering in Bulgaria after the 2014 heavy flood are considered:

Select one of the following:

  • people with status of refugee

  • migrants

  • refugees

Explanation

Question 67 of 79

1

The main damaging factor in case of mass people movement is:

Select one of the following:

  • biological

  • stress and panic

  • thermal

Explanation

Question 68 of 79

1

Terrorists objective is:

Select one of the following:

  • to inflict as much as possible casualties amid their adversaries

  • indirectly to influence society way of thinking

  • to inflict as much as possible casualties amid population

Explanation

Question 69 of 79

1

When we are observing longer environmental contamination?

Select one of the following:

  • after nuclear plant failure

  • after nuclear bomb explosion

  • no difference

Explanation

Question 70 of 79

1

Health risk assesment is

Select one of the following:

  • The process of preventive measures evaluation and selection in order to minimize or eradicate assessed risks levels

  • The process of collecting, analyses and evaluation of the available information about available hazards, risks factors and their probability to cause acceptable or unacceptable health harm

  • The process of identification and analyses of entire spectrum of existing hazards with potential to cause health harm in given circumstances

Explanation

Question 71 of 79

1

Analyzing the available hazards and risk factors is part of the

Select one of the following:

  • Preventive group activities

  • Response group activities

  • Recovery group activities

Explanation

Question 72 of 79

1

Casualty with history of swallowing gamma emmiter

Select one of the following:

  • It is not neccessary to be decontaminated

  • Could be decontaminated if there is time and capabilities

  • has to be decontaminated always because is danger for the others (casualties and rescue teams)

Explanation

Question 73 of 79

1

The effective dose depends on

Select one of the following:

  • absorbed dose and tissue weighting factor

  • absorbed dose and the radiation weighting factor

  • exposure and radiation weighting factor

Explanation

Question 74 of 79

1

For medical support to refuggees' camp you have to plan medical teams consisting of:

Select one of the following:

  • epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives

  • epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives

  • surgeons, orthopedics, anesthesiologists, emergency medicine

Explanation

Question 75 of 79

1

Afghan citizen entering in Bulgaria in 2016 are considered

Select one of the following:

  • people with status of refugee

  • refugees

  • migrants

Explanation

Question 76 of 79

1

Disaster main factor threatening humans' life and health is:

Select one of the following:

  • the disparity between required and available medical means and capabilities for lifesaving aids

  • disaster's type, magnitude and scope

  • sudden onset

Explanation

Question 77 of 79

1

In accordance to the Bulgarian classification the significant ecological disorders are

Select one of the following:

  • man-made disasters

  • disasters classified in group others

  • climate change related disasters

Explanation

Question 78 of 79

1

How many are the zones in the AOD caused by residual radiation?

Select one of the following:

  • 3

  • 4

  • 5

Explanation

Question 79 of 79

1

The level of health risk when hazard is identified, with potential to cause distinguished negative impact on population and society and preventive measures implementation has limited possibilities through moderating factors' effects is

Select one of the following:

  • moderate

  • high

  • health threat

Explanation

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