Test
Disaster Medicine Jan Test MCQS- 3rd Year PMU
Preguntas del test (79)
1Shock management starts during
- ANon-physician aid
- BQualified physician Medical Aid
- CSpecalised physician Medical Aid
2Disaster Medical Management could be defined as
- AComplex decision making process in order to react adequately with available means and capabilities in case of disaster
- BComplex decision making process in order to prepare adequately with available means and capabilities in case of disaster
- CThe 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
3Area of Radiological Damage after Radiological Incident in comparison with nuclear bomb Area of Damage
- AHas less damaging factors, higher temperature, longer radiological contamination, greater variety of radioisotopes
- BHas less damaging factors, lower temperature, longer radiological contamination, greater variety of radioisotopes
- CHas less damaging factors, lower temperature, shorter radiological contamination, greater variety of radioisotopes
4What is the objective of sanitary control?
- ATo plan and execute the adequate and appropriate eradication activities to all detected health hazards
- BTo protect population and environment of possible health threats in specific regions
- CTo detect via specific activities the available and potential health hazards and to prevent their impact on population life and health
5What are the main features of the Flood?
- ADepth and speed of the water, scope of the flooded zone, water temperature
- BDepth and speed of water, time of onset, number of injured, time for arriving of the tide and time for water removing
- CDepth of the water, casualties number, available and required means and capabilities
6Which particle is ionizing indirectly
- AAlpha
- BBeta
- CGamma
7Shock Management First steps in Disaster Medical Support are related to the
- APain removal
- BFluid resuscitation
- CVascular spasm removal
8Disaster Medical Support Plan could be defined as
- AA document where all activities of medical means in case of disaster occurrence are described
- BDecision making process in order to prepare the adequate reaction with available means and capabilities in case of disaster
- CThe 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
9During the second stage of the Disaster Medical Management and Support are addressed
- AAll affected in the Area of Damaged
- BAll injured in the Area of Damage
- CAll affected in the Area of Damage and its vinicity
10Qualified medical aid is performed during second stage of Disaster Medical Management and Support by
- ABy medical teams in treatment facilities in vicinity of the area of damage
- BBy medical teams in temporary medical stations established in vicinity of the area of damage
- CBy highly- readiness medical teams in vicinity of the area of damage
11Removal of all types of asphyxia is
- ANon physician Medical Aid
- BSpecialized physician Medical Aid
- CQualified physician Medical Aid
12The ionizing radiation activity is measured with unit
- AGrey
- BSievert
- CBecquerel
13The disaster relief for population could be defined as
- AComplex 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
- BScientific 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
- CEstablishing standard operating procedures, methodologies and policies for prevention and treatment of the entire spectrum probable health injuries, diseases and epidemics related to disasters
14Provision of shelter, food, water and medical support for all in need is part of the
- ARecovery group activities
- BResponse group activities
- CPreventive group activities
15Disaster Medical Management and Support objective is
- ATo 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
- BTo prevent human health and life damage and lessen the number of injured, victims and disabled, in case of disaster
- CTo minimize the impact of disaster’s damaging factors and to decrease the number of irreversible casualties and minimize the residual disability among medical casualties
16What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support
- APerform 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
- BTo 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
- CTo represent himself to medical officer in charge and report on medical team’s number and capabilities, and Individual Protective Equipment available
17Artificial Breathing should not be used in management of casualty with
- APhosphor-organic poisoning
- BAmmonia Posoining
- CCarbon monoxide poisoning
18What is the first step in Chemical Area of Disaster Medical Management and Support?
- ATo perform Medical Intelligence
- BTo decontaminate the casualties
- CTo use protective equipment in order to assure you and the other team members safety and security
19During the First Stage of the Disaster Medical Management and Support are addressed
- ABy medical teams in temporary medical stations established in area closest to the area of damage
- BBy medical teams in the area of damage
- CBy everyone in the area of damage
20Passive immunization is performed to:
- Ato those who were in contact with the people demonstrating symptoms of the disease
- Bthose with symptoms of the disease
- Cto entire population at risk
21Toxic allergic edema surrounding necrotic changes in the tissues is observed in:
- Aintoxication with NH3
- Bintoxication with chlorine
- Cintoxication with CN
22The consequence of the CN intoxicated casualty treatment to:
- Aamyl nitrate. sodium thiosulfate, hydroxocobolamin
- Bsodium thiosulfate, amyl nitrate. hydroxocobolamin
- Camyl nitrate, hydroxocobolamin, sodium thiosulfate
23The main elements of the Bulgarian Unified Rescue System are:
- ADirectorate National Police, Directorate "Civil Protection", Directorate "Fire Safety", Centres for Emergency Medical Help
- BDirectorate "Civil Protection", Directorate "Fire Safety". Centres tor Emergency Medical Help
- CDirectorate National Police, Directorate "Fire Safety and Civil Protection" Centres for Emergency Medical Help
24Disaster Medical Support Plan is:
- Adescription of the medical activities sequence in case of disaster along with description of the medical teams and resources needed for these activities
- Bdocument where the medical activities in case of disaster are described
- Cactivities 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
25Disaster's main factor leading to humans life and health threat is:
- Athe disparity between required and available medical means and capabilities for lifesaving aid
- Bdisaster's type, magnitude and scope
- Csudden onset
26 Sanitary control is performed during:
- Aprodrome phase
- Brecovery phase
- Call phases
27The eradication measures after the sanitary expertise are:
- Adisinfection, disinsection. deratization
- Bdegazation, detoxification, disinfection
- Cburning, burying
28Scope of the medical activities in the treatment and rehabilitation of the injured in case of Disasters are:
- ADisaster Medicine Objective
- BDisaster Medicine Topic
- CDisaster Medicine Task
29Toxic allergic oedema is one of the main characteristics for
- AChlorine
- BCarbon monoxide poisoning
- CAmmonia poisoning
30When you could protect yourself by breathing through handkerchief with Na2CO3
- AIn case of CO poisoning
- BIn case of NH3 poisoning
- CIn case of Cl2 Poisoning
31If the casualty has pulse, but does not breath, what you do you have to do
- APerform artificial breathing 10 times
- BLiberate the airways and perform artificial breathing 5 times
- CLiberate the airways and perform artificial breathing 10 times
32Alpha particles features:
- AHigh mass, High Ionizing Activity, Highly penetrating, High speed, Travel long distances
- BHigh mass, High Ionizing Activity, Highly penetrating, Low speed, Travel short distances
- CHigh mass, High Ionizing Activity, Low penetrating, Low speed, Travel short distances
33What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support
- ATo represent himself to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available
- BTo 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
- CTo 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
34When is the MEDINT performed?
- AMEDINT is the first medical activity to be performed. It is performed during entire disaster medical support operation planning and execution
- BMEDINT 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
- CMEDINT 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
35What are the principles of Disaster Medical Support Planning
- AUnity, Particularity, Continuity, Actuality
- BOperability, Flexibility, Continuity, Centralization, Autonomy
- COperability, Particularity, Continuity, Actuality, Flexibility
36Acute Radiation Syndrome is
- AAggregation of Haematopoetic, Gastro-Intestinal and Neuro-vascular Syndromes
- BAggregation of Haematopoetic, Gastro-Intestinal, Hemorrhagic and Neuro-vascular Syndromes
- CAggregation of Hemorrhagic, Gastro-Intestinal and Neuro-vascular Syndromes
37When Contingency Plan is revised
- ADuring 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
- BDuring execution of Disaster medical support activities based on the data of Medical Intelligence regarding medical situation and on medical reports
- CWith 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
38Where usually the Temporary Medical situations are located for earthquake medical support provision
- AIn the zone of moderate and zone of light destructions
- BClose to the Area of Damage- 1-2 km out of the Area
- CIn the zone of light destruction and out of the area of damage
39The stochastic effects of ionizing radiation are related to
- AAbsorbed dose
- BEquivalent dose
- CEffective dose
40Physical Absorbed dose Measurement consists of
- ALymphocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction
- BLeukocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction
- CNumber and initiation of vomiting, body temperature measurement, level of dermal reaction
41What is the Standard Operating Procedure for Radiological casualty management
- AMedical Intelligence, Triage. Decontamination, Organised Evacuation, Stabilization. Medical Evacuation, Pre-hospital Triage, Hospital Treatment
- BMedical Intelligence, Triage, Organised Evacuation, Stabilization, Medical Evacuation, Pre-hospital Triage, Hospital Treatment
- CTriage, Decontamination, Organised Evacuation, Triage, Stabilization, Medical Evacuation, Pre-hospiml Triage, Hospital Treatment
42The determinative effects of ionizing radiation are related to
- AEquivalent dose
- BAbsorbed dose
- CEffective dose
43What is the first information required for Disaster Medical Support Plan creation
- AInformation about disaster type available and required medical means and number and structure of the casualties
- BDirections of the medical managers
- CMedical Intelligence data regarding the disaster and the available means and capabilities
44The earthquake medical impact is directly related to the
- ADepth of the earthquake, energy released in epicenter and the distance from hypocenter
- BDepth of the earthquake, energy released in epicenter and the distance from epicenter
- CDistance between hypocenter and epicenter energy released in hypocenter and the distance from epicenter
45Please list the best definition of Disaster Medicine Topic
- AThe 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
- BOptimizing the established structures and doctrines for prompt, adequate and efficient planning, organization and execution of the Disasters Medical Management and Support
- CStandard Medical Operating {Procedures in case of Disasters and scope of medical activities, treatment and rehabilitation of the injured in case of Disasters
46Hypoxia, hypoxemia, hypocapnia, alkalosis and following acidosis we could find in laboratory test in case of
- ACN poisoning
- BCl2 poisoning
- CNH3 poisoning
- Dnone of these
47During the Directed evacuation of medical casualties the direction is
- Ato medical treatment facilities
- Bout of area of damage
- Cto the temporary medical stations
48Phosphor-organic compounds could be classified as
- ABlood poisoning
- BGeneral Toxic Poison
- CSuffocating Poison
49Phosphor-organic Compounds are
- AHeavier than air, are entering by breathing are stimulating acetylcholine esterase activity
- BHeavier than air, are entering via all routes are stimulating acetylcholine esterase activity
- CHeavier than air, are entering via all routes are deactivating acetylcholine esterase
50The consequences of Cardio-respiratory resuscitation with one savior
- AStart 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
- BStart 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
- CStart 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
51Where the Medical Aid is performed
- AIn temporary medical stations and hospitals close to the Area of Damage
- BIn temporary medical stations and hospitals within Area of Damage
- CIn temporary medical stations close to the Area of Damage
52Early hazard detection followed by risk assessment and triage is:
- ADisaster Medicine task
- BDisaster Medicine objective
- CDisaster Medicine principle
53Which casualties have to be triaged first
- ADangerous for themselves and the others
- BCasualties with life threatening injures
- CDied
54Please list the steps of the medical team when arriving as first medical team for disaster relief operation
- AReport to the Incident Commander about the capabilities of the team receiving directives; Medical Intelligence and report to the Disaster Medical Manager
- BMedical Intelligence and report to the Disaster Medical Manager; Report to the Incident Commander about the capabilities of the team, receiving directives,
- CMedical Intelligence and report to the Disaster Medical Manager; starting casualty triage, stabilization and medical evacuation
55The main characteristics of one disaster are:
- Anatural or man-made phenomenon; sudden onset; complicated general and medical situation; great material loses and number of casualties
- Bnatural 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
- Cnatural 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
56Activities performed in order to maintain the basic life functions and to prevent the severe complications are:
- Aphysician medical aid
- Bnon physician medical aid
- Cfirst aid
57When the casualty has pulse but is not breathing what has to be done
- Aliberation of the airways and 10 artificial breathings
- Bliberation of the airways and 2 artificial breathings and 30 external cardiac massage
- C10 Artificial breathings
58Disaster Medical Support Management principles are:
- Acontinuity, adequacy, unity, particularity, centralization
- Bflexibility, particularity, centralization, autonomy, unity
- Coperability, centralization, autonomy, flexibility, continuity
59Absorbed Dose is
- Aunit of ionizing radiation and measures the amount of radiation required to deposit 1 joule of energy in 1 kilogram mass
- Bunit of ionizing radiation and measures the amount of radiation required to create 1 coulomb charge in 1 kilogram mass
- Cunit of ionizing radiation and measures the amount of radiation required to create biological effect in the human body
60When you could protect yourself by breathing through handkerchief with vinegar
- AIn case of CO poisoning
- BIn case of Cl2 poisoning
- CIn case of NH3 poisoning
61URS main elements are
- A- From Ministry of Internal Affairs:
National Agency Fire Safety and Civil Protection of population
- From Ministry of Health:
Centers for Emergency Medical Help - B- 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 - C- 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
- A- From Ministry of Internal Affairs:
62The medical support consists of
- AFirst medical aid, triage, evacuation, treatment, directed medical evacuation, hospital treatment
- BTreatment and evacuation, hygiene and anti-epidemics support, medical means and capabilities
- CFirst 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
63Casualty with history of swallowing alpha emitter:
- Ait is not necessary to be decontaminated
- Bcould be decontaminated if there is time and capabilities
- Chas to be decontaminated always because is danger for the others (casualties and rescue teams)
64The equivalent dose depends on:
- Aabsorbed dose and the radiation weighting factor
- Babsorbed dose and tissue weighting factor
- Cexposure and radiation weighting factor
65For medical support to the war time affected population you have to plan medical teams consisting of:
- AEpidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
- BEpidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
- CSurgeons, orthopedics, anesthesiologists. emergency medicine
66Serbian citizens entering in Bulgaria after the 2014 heavy flood are considered:
- Apeople with status of refugee
- Bmigrants
- Crefugees
67The main damaging factor in case of mass people movement is:
- Abiological
- Bstress and panic
- Cthermal
68Terrorists objective is:
- Ato inflict as much as possible casualties amid their adversaries
- Bindirectly to influence society way of thinking
- Cto inflict as much as possible casualties amid population
69When we are observing longer environmental contamination?
- Aafter nuclear plant failure
- Bafter nuclear bomb explosion
- Cno difference
70Health risk assesment is
- AThe process of preventive measures evaluation and selection in order to minimize or eradicate assessed risks levels
- BThe 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
- CThe process of identification and analyses of entire spectrum of existing hazards with potential to cause health harm in given circumstances
71Analyzing the available hazards and risk factors is part of the
- APreventive group activities
- BResponse group activities
- CRecovery group activities
72Casualty with history of swallowing gamma emmiter
- AIt is not neccessary to be decontaminated
- BCould be decontaminated if there is time and capabilities
- Chas to be decontaminated always because is danger for the others (casualties and rescue teams)
73The effective dose depends on
- Aabsorbed dose and tissue weighting factor
- Babsorbed dose and the radiation weighting factor
- Cexposure and radiation weighting factor
74For medical support to refuggees' camp you have to plan medical teams consisting of:
- Aepidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
- Bepidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
- Csurgeons, orthopedics, anesthesiologists, emergency medicine
75Afghan citizen entering in Bulgaria in 2016 are considered
- Apeople with status of refugee
- Brefugees
- Cmigrants
76Disaster main factor threatening humans' life and health is:
- Athe disparity between required and available medical means and capabilities for lifesaving aids
- Bdisaster's type, magnitude and scope
- Csudden onset
77In accordance to the Bulgarian classification the significant ecological disorders are
- Aman-made disasters
- Bdisasters classified in group others
- Cclimate change related disasters
78How many are the zones in the AOD caused by residual radiation?
- A3
- B4
- C5
79The 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
- Amoderate
- Bhigh
- Chealth threat
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- Disaster Medicine Jan Test MCQS- 3rd Year PMU
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