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Chapter 12: Terrorism

Description

Paramedic Care Principles and Practice; 6th edition
Jake Anderson
Quiz by Jake Anderson, updated more than 1 year ago
Jake Anderson
Created by Jake Anderson almost 2 years ago
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Resource summary

Question 1

Question
A biotoxin​ is:
Answer
  • a toxin that is produced by living organisms but that is itself not alive.
  • a toxin that can be spread only through inhalation.
  • a toxin that is specifically selected to incapacitate but not injure or harm the recipient.
  • a toxin that is best described as an acetylcholine derivative.

Question 2

Question
The primary purpose of the Mark I kit is to treat both military and first responders for the effects​ of:
Answer
  • pulmonary agents such as phosgene or chlorine.
  • biotoxin agents such as ricin and trichothecene enterotoxin.
  • nerve agents including soman or tabun.
  • vesicants including lewisite and phosgene oxime.

Question 3

Question
Agents consisting of either living organisms or toxins produced by living organisms are known​ as:
Answer
  • pulmonary agents.
  • biological agents.
  • incapacitating agents.
  • nerve agents.

Question 4

Question
A patient who has been exposed to a nerve agent with miosis is​ experiencing:
Answer
  • nonresponsive pupils.
  • normal pupils.
  • constricted pupils.
  • dilated pupils.

Question 5

Question
What is the primary objective of the foreign or domestic terrorist using​ chemical, biological,​ radiologic, nuclear, and explosive​ (CBRNE) weapons?
Answer
  • Kill responders with secondary acts.
  • Damage infrastructure.
  • Kill large groups of the general population.
  • Incite terror in the public.

Question 6

Question
What type of injuries should be expected from a blast pressure wave created by an explosive​ agent?
Answer
  • Crush injuries
  • Burn injuries
  • Penetrating or blunt force injuries
  • ​Compression/decompression injuries

Question 7

Question
Nuclear​ radiation:
Answer
  • can be tasted.
  • can be felt.
  • cannot be detected by the senses.
  • can be seen.

Question 8

Question
What is an example of an incendiary​ agent?
Answer
  • A Molotov cocktail made with gasoline
  • Fertilizer and diesel fuel mixture
  • Plastic explosives
  • Dynamite

Question 9

Question
If a chemical agent release is small and​ contained, then:
Answer
  • the area does not need to be evacuated.
  • evacuate the immediate area.
  • evacuate the general populace to a radius of​ 2,000 feet.
  • evacuate the general populace to a distance of 1.5 miles downwind.

Question 10

Question
You have been dispatched to an office complex with a report of multiple victims complaining of similar signs and symptoms of respiratory distress and nausea. What would you do​ first?
Answer
  • Immediately begin triaging victims who have evacuated the complex.
  • Avoid entering until the scene has been made safe.
  • Quickly enter the complex to assist in evacuating occupants to safety outdoors.
  • Begin providing treatment for the most critical patients.

Question 11

Question
If you become aware of your own exposure to a biological​ agent, you​ should:
Answer
  • report the exposure to the proper health resource.
  • retreat to an isolated location and assess vital signs.
  • keep working at the scene.
  • ask your partner to assess your vital signs.

Question 12

Question
The local post office has called 911 to report that a letter with white powder has been opened and two postal workers were exposed. When you support the hazardous materials​ team, you should take precautions​ for:
Answer
  • capsaicin
  • tabun.
  • sarin
  • anthrax.

Question 13

Question
Following a nuclear​ explosion, a female patient presents with​ nausea, fatigue, and malaise. You​ should:
Answer
  • keep the patient cool and give her something to eat.
  • induce vomiting.
  • withhold all care because the​ patient's radiation exposure is terminal.
  • keep the patient warm and hydrated.

Question 14

Question
It is five hours after a nuclear​ detonation, and several patients are beginning to present with​ nausea, fatigue, and malaise. The radiation exposure for these patients should be​ considered:
Answer
  • mild
  • moderate
  • severe.
  • nonexistent

Question 15

Question
A male patient began experiencing shortness of breath along with anxiousness approximately 2 hours after turning on the air conditioner at his residence. First responders on scene report what smells like freshly cut grass as they enter the residence. The patient was most likely exposed to the chemical​ agent:
Answer
  • biotoxin
  • phosgene
  • lewisite
  • chlorine

Question 16

Question
A patient is exhibiting inappropriate​ affect, dilated​ pupils, slurred​ speech, disorientation, blurred​ vision, and facial flushing. You suspect exposure to the anticholinergic agents BZ or QNB. Treatment consists​ of:
Answer
  • administration of albuterol by nebulized inhalation.
  • administration of physostigmine.
  • administration of atropine.
  • 1 g of pralidoxime chloride every hour.

Question 17

Question
A weapon of mass destruction that is constructed to disperse radiologic contamination is best defined as​ a:
Answer
  • dirty bomb.
  • neutron bomb.
  • incendiary device.
  • fusion device.

Question 18

Question
Nitrile​ gloves, a​ well-fitting high-efficiency particulate air​ (HEPA) mask, and a Tyvek coverall are appropriate protections​ for:
Answer
  • the hot zone.
  • nuclear radiation.
  • fallout
  • a chemical release.

Question 19

Question
Pulmonary agents attack​ the:
Answer
  • circulation of the blood.
  • mucous membranes of the respiratory system.
  • integumentary system.
  • nervous system.

Question 20

Question
You are approaching the scene of a​ night-time incident involving the release of an unknown chemical from a train tank car. Several people were exposed who are complaining of burning to the​ eyes, respiratory​ tract, and skin. You​ should:
Answer
  • begin to triage potentially critical patients.
  • support​ airway, breathing, and circulation.
  • prepare to set up a decontamination corridor.
  • stage initially at least​ 2,000 feet​ away, uphill and​ upwind, until the product can be identified.

Question 21

Question
In responding to a reported terror incident involving the release of a biological​ agent, the least amount of personal protective equipment should​ be:
Answer
  • gown and face shield.
  • gloves and a​ well-fitted high-efficiency particulate air​ (HEPA) filter mask.
  • turnout gear.
  • gloves and goggles.

Question 22

Question
A chemical that remains a liquid poses a contact or absorption​ threat, and is said to​ be:
Answer
  • malleable
  • transient
  • persistent
  • volatile

Question 23

Question
Fasciculations are a symptom of nerve agent exposure best described​ as:
Answer
  • altered mental status.
  • involuntary muscle contractions.
  • complete paralysis.
  • muscle degradation.

Question 24

Question
A patient has been exposed to some sort of pulmonary agent and is​ coughing, wheezing, and exhibiting inflammation and pulmonary edema. After ensuring your safety and donning necessary personal protective equipment​ (PPE), you first need​ to:
Answer
  • expose the patient to fresh air.
  • remove the patient from the environment.
  • get the patient to rest.
  • administer​ high-concentration oxygen.

Question 25

Question
While caring for victims exposed to radiation, which of the following devices do rescuers wear to monitor the doses of radiation the victims are receiving?
Answer
  • Dosimeter
  • Mark I kit
  • CS canister
  • Geiger counter

Question 26

Question
Which of the following BEST describes incendiary agents?
Answer
  • Chemical weapons designed to paralyze the central nervous system
  • Terrorist operatives implanted in civilian society who intend to carry out acts of terror
  • A special subset of explosives with less explosive power and greater heat and burn potential
  • Any substance or material that is highly flammable

Question 27

Question
The main objective of terrorist acts is to:
Answer
  • incite fear in the public.
  • cause a mass casualty incident.
  • draw attention to a group's political agenda.
  • demonstrate a group's power and abilities.

Question 28

Question
Terrorist attacks are most likely to be targeted toward which of the following?
Answer
  • Children
  • Colleges
  • Government buildings
  • Individuals

Question 29

Question
You respond to an airport for a report of several people with upper respiratory problems. As you enter the airport, you notice that there are multiple people coughing and vomiting throughout the ticketing area. This may indicate which of the following types of terrorist attack?
Answer
  • Biological
  • Chemical
  • Dirty bomb
  • Conventional

Question 30

Question
Which of the following scenarios is most likely to be a potential terrorist incident?
Answer
  • Multiple explosions in an urban subway system
  • A derailed commuter train
  • A fire in an office building
  • Multiple people sick in a restaurant

Question 31

Question
Which of the following is the weapon of choice for terrorists worldwide?
Answer
  • Conventional explosives
  • Chemical weapons
  • Biological weapons
  • Nuclear weapons

Question 32

Question
Which of the following is an example of an incendiary agent or device?
Answer
  • White phosphorus
  • Sarin gas
  • A mixture of diesel fuel and nitrogen-based fertilizer
  • Tularemia

Question 33

Question
Which of the following is the most common mechanism of action in nerve agents?
Answer
  • Inhibit degradation of acetylcholine
  • Central nervous system depression
  • Inhibition of acetylcholinesterase
  • Unopposed adrenergic stimulation

Question 34

Question
Which of the following is the cardinal sign of a toxic chemical release?
Answer
  • A low-hanging vapor cloud
  • An odor similar to rotten eggs
  • Puddles of an evaporating liquid
  • Similar signs and symptoms occurring rapidly in a group of individuals

Question 35

Question
You and your partner are responding to an explosion at a large office building that appears to be a terrorist incident. When searching the area for victims, you should be aware of:
Answer
  • the probability that nerve agents will be deployed.
  • any sensitive documents that may be lying around.
  • the likelihood of secondary explosions.
  • terrorists hiding in the building

Question 36

Question
Which of the following injuries would be the result of a pressure wave associated with the detonation of an explosive device?
Answer
  • Splenic hemorrhage
  • Ruptured eardrums
  • Burns
  • Penetrating trauma

Question 37

Question
You are involved in the initial response to a nuclear detonation. Which of the following will likely be an early priority in managing this incident?
Answer
  • Determining who is responsible for the attack
  • Moving survivors into structures to protect them from fallout
  • Administering medications designed to mitigate the effects of radiation
  • Keeping responders away from the area to prevent radiation poisoning

Question 38

Question
Which of the following is NOT a typical indication of exposure to a chemical nerve agent?
Answer
  • Blurry vision
  • Hot, dry skin
  • Rhinorrhea
  • Fasciculations

Question 39

Question
The contents of a Mark I kit are most effective when they are:
Answer
  • inhaled
  • injected subcutaneously or intramuscularly.
  • ingested
  • administered intravenously.

Question 40

Question
A group of railway passengers presents with vomiting, diarrhea, watery eyes, and salivation. Which of the following is the likely cause of their symptoms?
Answer
  • Chemical agent
  • Biologic agent
  • Radiation agent
  • Synthetic agent

Question 41

Question
Which of the following is the most effective way for EMS personnel to protect themselves against exposure to biological agents of terrorism?
Answer
  • Disinfect the ambulance.
  • Use a HEPA mask.
  • Get immunized.
  • Wear gloves.

Question 42

Question
Which of the following is NOT a chemical nerve agent?
Answer
  • Tabun
  • Lewisite
  • VX
  • GB

Question 43

Question
You are caring for a patient who has been exposed to a nerve agent. Appropriate treatment of this patient would include:
Answer
  • epinephrine
  • adenosine
  • pralidoxime chloride.
  • albuterol

Question 44

Question
Which of the following statements regarding biological weapons is TRUE?
Answer
  • Biological weapons are easily recognized
  • Biological weapons are difficult to detect right away.
  • Only governments have access to biological weapons.
  • Biological weapons are a commonly used terrorist tactic
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