Emergency preparedness and response
course- CBRN for medical personnel
and first responders
A patient who works at an insecticide manufacturing plant is admitted to the emergency
room. he states he was splashed with a loarge quantity of liquid and is now exhibiting
symptoms of vomiting, diarrhea, difficulty breathing, body twitching and is generally very
weak. What is the preferred treatment to block the effects of excessive ACh? - answer
Administer additional 2-PAM Cl
What types of CBRNE agents are man-made and act rapidly, burn and blister skin,
mucous membranes, airways and gastrointestinal systems? - answer Vesicants
A group of people is presenting with a delayed onset of blisters and a dry productive
cough that later turns productive. What is the likely culprit? - answerMustard
Which of the following decontamination method is NOT recommended for removing
vesicants from casualties? - answerWash patient with their clothing still on
A group of victims has been admitted to your triage unit. All victims have recently been
in an area where canisters exploded spraying them with an amber colored liquid that
smells like flowers and burns intensely. You suspect Lewisite. Which of the following is
not a consideration during treatment of the victims? - answerUnroofing of blisters
In industry, cyanide compounds are widely used during - answerAll of the Above
Which of these are fast-acting compounds that attack oxygen-dependent tissues known
to be particularly sensitive to these compounds? - answerCyanide Compounds
How does cyanide cause cell death in the body? - answerInterferes with anaerobic
metabolism of the cell
A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are
ingestion symptoms for which chemical agent? - answerCyanide
You approach the scene of a terrorist incident that occurred 2 minutes prior in an
enclosed room. It is reported that the smell of bitter almonds is in the air. The door is
open; many victims are lying on the floor. What do you do first? - answerDon your mask
before going into the room
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