Disaster Medicine Jan Test MCQS- 3rd Year PMU

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Disaster Medicine Jan Test MCQS- 3rd Year PMU

Resource summary

Question 1

Question
Shock management starts during
Answer
  • Non-physician aid
  • Qualified physician Medical Aid
  • Specalised physician Medical Aid

Question 2

Question
Disaster Medical Management could be defined as
Answer
  • 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

Question 3

Question
Area of Radiological Damage after Radiological Incident in comparison with nuclear bomb Area of Damage
Answer
  • 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

Question 4

Question
What is the objective of sanitary control?
Answer
  • 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

Question 5

Question
What are the main features of the Flood?
Answer
  • 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

Question 6

Question
Which particle is ionizing indirectly
Answer
  • Alpha
  • Beta
  • Gamma

Question 7

Question
Shock Management First steps in Disaster Medical Support are related to the
Answer
  • Pain removal
  • Fluid resuscitation
  • Vascular spasm removal

Question 8

Question
Disaster Medical Support Plan could be defined as
Answer
  • 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

Question 9

Question
During the second stage of the Disaster Medical Management and Support are addressed
Answer
  • All affected in the Area of Damaged
  • All injured in the Area of Damage
  • All affected in the Area of Damage and its vinicity

Question 10

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

Question 11

Question
Removal of all types of asphyxia is
Answer
  • Non physician Medical Aid
  • Specialized physician Medical Aid
  • Qualified physician Medical Aid

Question 12

Question
The ionizing radiation activity is measured with unit
Answer
  • Grey
  • Sievert
  • Becquerel

Question 13

Question
The disaster relief for population could be defined as
Answer
  • 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

Question 14

Question
Provision of shelter, food, water and medical support for all in need is part of the
Answer
  • Recovery group activities
  • Response group activities
  • Preventive group activities

Question 15

Question
Disaster Medical Management and Support objective is
Answer
  • 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

Question 16

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

Question 17

Question
Artificial Breathing should not be used in management of casualty with
Answer
  • Phosphor-organic poisoning
  • Ammonia Posoining
  • Carbon monoxide poisoning

Question 18

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

Question 19

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

Question 20

Question
Passive immunization is performed to:
Answer
  • 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

Question 21

Question
Toxic allergic edema surrounding necrotic changes in the tissues is observed in:
Answer
  • intoxication with NH3
  • intoxication with chlorine
  • intoxication with CN

Question 22

Question
The consequence of the CN intoxicated casualty treatment to:
Answer
  • amyl nitrate. sodium thiosulfate, hydroxocobolamin
  • sodium thiosulfate, amyl nitrate. hydroxocobolamin
  • amyl nitrate, hydroxocobolamin, sodium thiosulfate

Question 23

Question
The main elements of the Bulgarian Unified Rescue System are:
Answer
  • 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

Question 24

Question
Disaster Medical Support Plan is:
Answer
  • 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

Question 25

Question
Disaster's main factor leading to humans life and health threat is:
Answer
  • the disparity between required and available medical means and capabilities for lifesaving aid
  • disaster's type, magnitude and scope
  • sudden onset

Question 26

Question
Sanitary control is performed during:
Answer
  • prodrome phase
  • recovery phase
  • all phases

Question 27

Question
The eradication measures after the sanitary expertise are:
Answer
  • disinfection, disinsection. deratization
  • degazation, detoxification, disinfection
  • burning, burying

Question 28

Question
Scope of the medical activities in the treatment and rehabilitation of the injured in case of Disasters are:
Answer
  • Disaster Medicine Objective
  • Disaster Medicine Topic
  • Disaster Medicine Task

Question 29

Question
Toxic allergic oedema is one of the main characteristics for
Answer
  • Chlorine
  • Carbon monoxide poisoning
  • Ammonia poisoning

Question 30

Question
When you could protect yourself by breathing through handkerchief with Na2CO3
Answer
  • In case of CO poisoning
  • In case of NH3 poisoning
  • In case of Cl2 Poisoning

Question 31

Question
If the casualty has pulse, but does not breath, what you do you have to do
Answer
  • Perform artificial breathing 10 times
  • Liberate the airways and perform artificial breathing 5 times
  • Liberate the airways and perform artificial breathing 10 times

Question 32

Question
Alpha particles features:
Answer
  • 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

Question 33

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

Question 34

Question
When is the MEDINT performed?
Answer
  • 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

Question 35

Question
What are the principles of Disaster Medical Support Planning
Answer
  • Unity, Particularity, Continuity, Actuality
  • Operability, Flexibility, Continuity, Centralization, Autonomy
  • Operability, Particularity, Continuity, Actuality, Flexibility

Question 36

Question
Acute Radiation Syndrome is
Answer
  • 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

Question 37

Question
When Contingency Plan is revised
Answer
  • 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

Question 38

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

Question 39

Question
The stochastic effects of ionizing radiation are related to
Answer
  • Absorbed dose
  • Equivalent dose
  • Effective dose

Question 40

Question
Physical Absorbed dose Measurement consists of
Answer
  • 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

Question 41

Question
What is the Standard Operating Procedure for Radiological casualty management
Answer
  • 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

Question 42

Question
The determinative effects of ionizing radiation are related to
Answer
  • Equivalent dose
  • Absorbed dose
  • Effective dose

Question 43

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

Question 44

Question
The earthquake medical impact is directly related to the
Answer
  • 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

Question 45

Question
Please list the best definition of Disaster Medicine Topic
Answer
  • 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

Question 46

Question
Hypoxia, hypoxemia, hypocapnia, alkalosis and following acidosis we could find in laboratory test in case of
Answer
  • CN poisoning
  • Cl2 poisoning
  • NH3 poisoning
  • none of these

Question 47

Question
During the Directed evacuation of medical casualties the direction is
Answer
  • to medical treatment facilities
  • out of area of damage
  • to the temporary medical stations

Question 48

Question
Phosphor-organic compounds could be classified as
Answer
  • Blood poisoning
  • General Toxic Poison
  • Suffocating Poison

Question 49

Question
Phosphor-organic Compounds are
Answer
  • 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

Question 50

Question
The consequences of Cardio-respiratory resuscitation with one savior
Answer
  • 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

Question 51

Question
Where the Medical Aid is performed
Answer
  • 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

Question 52

Question
Early hazard detection followed by risk assessment and triage is:
Answer
  • Disaster Medicine task
  • Disaster Medicine objective
  • Disaster Medicine principle

Question 53

Question
Which casualties have to be triaged first
Answer
  • Dangerous for themselves and the others
  • Casualties with life threatening injures
  • Died

Question 54

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

Question 55

Question
The main characteristics of one disaster are:
Answer
  • 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

Question 56

Question
Activities performed in order to maintain the basic life functions and to prevent the severe complications are:
Answer
  • physician medical aid
  • non physician medical aid
  • first aid

Question 57

Question
When the casualty has pulse but is not breathing what has to be done
Answer
  • liberation of the airways and 10 artificial breathings
  • liberation of the airways and 2 artificial breathings and 30 external cardiac massage
  • 10 Artificial breathings

Question 58

Question
Disaster Medical Support Management principles are:
Answer
  • continuity, adequacy, unity, particularity, centralization
  • flexibility, particularity, centralization, autonomy, unity
  • operability, centralization, autonomy, flexibility, continuity

Question 59

Question
Absorbed Dose is
Answer
  • 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

Question 60

Question
When you could protect yourself by breathing through handkerchief with vinegar
Answer
  • In case of CO poisoning
  • In case of Cl2 poisoning
  • In case of NH3 poisoning

Question 61

Question
URS main elements are
Answer
  • - 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

Question 62

Question
The medical support consists of
Answer
  • 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

Question 63

Question
Casualty with history of swallowing alpha emitter:
Answer
  • 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)

Question 64

Question
The equivalent dose depends on:
Answer
  • absorbed dose and the radiation weighting factor
  • absorbed dose and tissue weighting factor
  • exposure and radiation weighting factor

Question 65

Question
For medical support to the war time affected population you have to plan medical teams consisting of:
Answer
  • Epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
  • Epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
  • Surgeons, orthopedics, anesthesiologists. emergency medicine

Question 66

Question
Serbian citizens entering in Bulgaria after the 2014 heavy flood are considered:
Answer
  • people with status of refugee
  • migrants
  • refugees

Question 67

Question
The main damaging factor in case of mass people movement is:
Answer
  • biological
  • stress and panic
  • thermal

Question 68

Question
Terrorists objective is:
Answer
  • 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

Question 69

Question
When we are observing longer environmental contamination?
Answer
  • after nuclear plant failure
  • after nuclear bomb explosion
  • no difference

Question 70

Question
Health risk assesment is
Answer
  • 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

Question 71

Question
Analyzing the available hazards and risk factors is part of the
Answer
  • Preventive group activities
  • Response group activities
  • Recovery group activities

Question 72

Question
Casualty with history of swallowing gamma emmiter
Answer
  • 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)

Question 73

Question
The effective dose depends on
Answer
  • absorbed dose and tissue weighting factor
  • absorbed dose and the radiation weighting factor
  • exposure and radiation weighting factor

Question 74

Question
For medical support to refuggees' camp you have to plan medical teams consisting of:
Answer
  • epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
  • epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
  • surgeons, orthopedics, anesthesiologists, emergency medicine

Question 75

Question
Afghan citizen entering in Bulgaria in 2016 are considered
Answer
  • people with status of refugee
  • refugees
  • migrants

Question 76

Question
Disaster main factor threatening humans' life and health is:
Answer
  • the disparity between required and available medical means and capabilities for lifesaving aids
  • disaster's type, magnitude and scope
  • sudden onset

Question 77

Question
In accordance to the Bulgarian classification the significant ecological disorders are
Answer
  • man-made disasters
  • disasters classified in group others
  • climate change related disasters

Question 78

Question
How many are the zones in the AOD caused by residual radiation?
Answer
  • 3
  • 4
  • 5

Question 79

Question
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
Answer
  • moderate
  • high
  • health threat
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