Cbrne Agents Include

A CBRNE agent might be involved in which of the following incidents? A. A building receives structural damage during a storm. B. A parked vehicle explodes. C. A roadway becomes pitted and cracked from weather. D. An old and weakened building collapses.

Why would a chemical incident create thermal harm? A. A chemical reaction produces heat. B. a chemical reaction weakens the elements of a structure. C. A chemical reaction depletes oxygen. D. A chemical reaction produces a corrosive effect.

Hand signals or preprinted index cards may be effective means of communicating with patients with what type of injury from a blast? A. Lung B. Abdominal C. Brain D. Ear

Which of the following is NOT an OTTO sign? A. Occupancy or location B. Operational use C. Type of event D. Timing of the even

For an ingested weapon to be effective, it would: A. have a very high pH level. B. have to survive in an acidic environment. C. need to deliver a lethal dose within two hours. D. require a very alkaline environment.

Biological doses are measured in: A. milligrams per kilogram of body weight. B. parts per million. C. fractions of micrograms per kilogram of body weight. D. pounds per square inch.

Victims at an unexplained mass casualty incident report seeing an odd mist coming from the building's ventilation system. You should suspect: A. a radiological incident. B. a nuclear incident. C. a chemical incident. D. an explosive incident.

A zoonotic disease: A. affects humans only. B. can only be spread through close contact. C. can cross from animals to humans. D. affects animals only.

Which of the following statements is TRUE about self-protection at a radiological event? A. Every person reacts differently to radiation, and duration of exposure is not a factor. B. Minimizing time in the affected area will reduce the potential for injury. C. Longer exposure increases the body's defense mechanisms. D. Injury from radiation is immediate, and duration is not a factor.

In anticipating the potential damage from a radiological attack, what penetrating power do alpha particles have? A. Alpha particles can penetrate multiple layers of clothing. B. Alpha particles can penetrate lead. C. Alpha particles have little penetrating ability. D. Alpha particles can penetrate the skin.

Why do emergency response planners prefer the term "multiple devices" to "secondary devices"? A. There are five CBRNE agents, not just two. B. Thinking in terms of multiple devices promotes danger awareness. C. Terrorists use many different types of devices, not just two. D. Terrorist incidents always involve more than two devices.

Proper shielding for a chemical incident includes: A. a lead-lined structure. B. a HEPA mask. C. fire-protection clothing. D. a self-contained breathing apparatus.

What role does time play in reducing exposure to harm from a terrorist incident? A. Leaving as late as possible B. Reducing time on scene C. Prioritizing time spent on patients D. Arriving as early as possible

Who is responsible for perimeter control at a terrorism incident? A. Law enforcement personnel B. Fire department personnel C. EMS personnel D. FEMA personnel

Another name for CBRNE agents is: A. contaminants. B. weapons of mass destruction. C. secondary devices. D. tactics.

Which of the following is a symbolic target? A. School B. U.S. Capitol C. Park D. Power plant

Which agents cause chemical changes in the cells of exposed tissues almost immediately upon contact? A. Riot control B. Vesicating C. Choking D. Nerve

Dissemination of a weapon of mass destruction is particularly important to consider for all of the following CBRNE materials EXCEPT which one? A. Radiological/Nuclear B. Chemical C. Explosive D. Biological

"Blast lung" is a consequence of: A. a high-energy overpressurization wave. B. thermal burns. C. blunt trauma. D. penetrating shrapnel injuries.

Who is a secondary device intended to target? A. First responders B. Personnel in infrastructure roles C. Random passersby D. Politicians

CBRNE agents include: A. commercial agents. B. clandestine agents. C. condemned agents. D. chemical agents.

Which of the following is a common physiological reaction to a nerve agent? A. Tachycardia B. Pupillary dilation C. Hypertension D. Excessive salivation

What is the best method of determining whether your self-protection measures against radiation are appropriate and effective? A. Use of radiological detection equipment B. Listening for signs of radiation C. Palpating for signs of radiation D. Looking for signs of radiation

The relative ease with which the microorganisms involved in a biological agent establish themselves in a host species is that agent's: A. incubation period. B. virulence. C. infectivity. D. toxicity.

The Emergency Response Guidebook can BEST help you determine: A. how to survive following a nuclear blast. B. how to avoid contact with hazardous material. C. how to identify terrorists. D. how to neutralize radiological threats.

The more volatile a chemical agent is, the greater the: A. time it will remain on a surface area. B. airborne concentration that will be released. C. explosive potential. D. thermal and mechanical harm.

Specific operational actions to accomplish assigned tasks are: A. strategies. B. earmarks. C. tactics. D. proposals.

You are told that a number of victims at a terrorism event have suffered severe physical trauma including soft tissue and musculoskeletal injuries. In addition to this mechanical harm, you also suspect: A. radiological harm. B. psychological harm. C. chemical harm. D. etiological harm.

Emergency responders respond to a bomb attack and begin rescuing, assessing, and treating the wounded. Responders should be on the alert for: A. signs that clearly indicate a political motive. B. clues to what organization mounted the attack. C. suspicious-looking people. D. other explosive devices.

Radioactive material exposure relates most strongly to which letter of CBRNE? A. E B. R C. B D. C

Executing rapid entries into a danger zone to perform rescues is an example of: A. using appropriate shielding. B. maximizing distance from the hazard area. C. identifying the scope of a hazard. D. using time constraints.

Many radiological substances are also: A. psychological hazards. B. chemical hazards. C. mechanical hazards. D. thermal hazards.

Your municipality's water supply has been contaminated by a possible terrorist attack. This poses a possible health danger through: A. absorption. B. ingestion. C. inhalation. D. oxidation.

Broad general plans designed to achieve desired outcomes are: A. targets. B. strategies. C. tactics. D. objectives.

A nuclear device has exploded in the center of a city. You would LEAST to expect which type of harm in the immediate aftermath of this event? A. Thermal B. Radiological C. Etiological D. Mechanical

A secondary device targets: A. responders and patients. B. the military. C. communications structures. D. politicians.

Which of the following should be done FIRST if you are the first arriving unit to a suspected weapons of mass destruction incident? A. Evaluating the incident area B. Determining the exact agent or device involved C. Triaging all patients D. Decontaminating patients

Which of the following types of weapon of mass destruction is MOST likely to involve the threat of infection? A. Nuclear B. Radiological C. Biological D. Chemical

An event involving which of the following would create a high index of suspicion for a terrorist incident? A. Property damage B. Casualties C. Psychological effects D. Explosives

Which of the following types of terrorist targets should be anticipated in planning for weapons of mass destruction incidents? A. Schools B. Rural areas C. Personal vehicles D. Individual homes

What is a mechanism of injury for a blast other than the blast wave? A. Burns B. A low-energy blast wind C. Lacerating trauma D. Penetrating trauma

The most effective way to disseminate most CBRNE materials is through: A. absorption. B. ingestion. C. injection. D. inhalation.

Which of the following is MOST important at a terrorism incident? A. Organizational functional continuity B. Protection of property C. Life safety D. Incident stabilization

Signs of blast lung usually present: A. hours after the blast. B. at the time of secondary assessment or triage. C. at the time of primary assessment or triage. D. days after the blast.

You are on an ambulance responding to a mass-casualty incident at a shopping mall on a warm Saturday afternoon. En route, you listen to the incident commander broadcast information to dispatch and all inbound units about 20 patients complaining of respiratory difficulty and a burning sensation in their eyes. Your suspicions of a potential terrorist incident are the result of: A. the timing of the event. B. on-scene warning signs. C. the type of event. D. the location of the call.

The form of anthrax that is of greatest concern is the: A. inhalational form. B. absorbable form. C. ingestible form. D. injectable form.

If a nuclear device has been detonated near your area, and you are considering the type of protective shielding you might need, you would use lead shielding for protection against which type of radiation? A. Alpha B. Beta C. Delta D. GammaD

To avoid or minimize your exposure to a harmful incident, you would NOT: A. protect yourself from known hazards by using the appropriate personal protective equipment. B. maximize the efficiency of your time management while on scene. C. carefully investigate the scene to see if you can determine the specific materials involved. D. attempt at all times to maximize your distance from any perceptible hazards.

Which of the following would NOT be considered a CBRNE agent? A. Biotoxin B. Switchblade C. Dirty bomb D. Plastic explosives

Someone who has more hair than average on his body is at a higher risk than someone with less hair to be exposed to a toxin by which of the following routes? A. Absorption B. Injection C. Ingestion D. Inhalation

The BEST way for a terrorist to weaponize and disseminate a chemical nerve agent that would expose the largest possible number of people would be to: A. put it in a paper bag in a crowded mall and puncture the bag with a stick. B. steal a truck that sprays for mosquitos and aerosolize the nerve agent into a crowded subdivision. C. throw a plastic-lined paper bag loaded with nerve agent onto a busy subway train. D. throw a Molotov cocktail loaded with nerve agent into a windshield of a passenger bus.

During scene size-up of an incident for which your index of suspicion for terrorism is high, what would you look for that might be a sign that the suspicion of terrorism is accurate? A. Unconscious patients with minimal or no trauma. B. Patients with an altered mental status from trauma sustained in a vehicle collision. C. Unconscious patients with severe trauma. D. Patients with the same adverse medical condition from an apparently accidental hazardous material exposure.

Which agents cause chemical changes in the cells of exposed tissues almost immediately upon contact? A. Vesicating B. Riot control C. Choking D. Nerve

A key component of terrorism that distinguishes it from other illicit or violent activity is that it involves: A. force. B. illegality. C. political or social objectives. D. threats to people or property.

A terrorist incident is LEAST likely to have features in common with which of the following types of incidents? A. Mass casualty B. Hazardous materials C. Single casualty D. Infectious disease

CBRNE includes: A. blunt-force weapons. B. knives and other edged weapons. C. radiological agents. D. firearms.

Which of the following BEST defines domestic terrorism? A. Acts of violence perpetrated by American citizens against the government of another country B. Terrorism directed against one's own population or government without foreign influence C. Interpersonal violence between family members D. Politically motivated act of violence that occurs within the United States

Anthrax cannot infect an individual through which of the following routes of exposure? A. Absorption B. Injection C. Inhalation D. Ingestion

Which of the following chemical agents prohibits the use of oxygen in the cells? A. Cyanides B. Blister agents C. Choking agents D. Nerve agents

Which of the following features increases the appeal of an infectious agent for use in terrorist attacks? A. Low virulence B. High infectivity C. High instability D. Low transmissibility

Blast lung is characterized by all of the following EXCEPT which one? A. Low blood pressure B. Low body temperature C. Slow heart rate D. Cessation or pauses in breathing

Which of the following methods for exposing a population to a CNBECBRNE material is LEAST likely for terrorists to use? A. Contaminated water supplies B. Dirty bombs C. Spores carried on wind currents D. Fleas carrying bubonic plague

Terrorists have detonated an incendiary device in an open-air market in the downtown area of your city, causing widespread fires. You should expect what type of harm as MOST likely? A. Thermal B. Radiological C. Etiological D. Chemical

In a terrorist incident, what is NOT an EMS asset? A. Perimeter entry B. Vehicles C. People D. Equipment and supplies

Which of the following is NOT a consideration in the general protection against agents used in terrorist attacks? A. Distance from event B. Political motivations for the event C. Shielding from the agent D. Duration of exposure

Concerning the threat of nuclear devices used in terrorist attacks, which of the following is MOST likely to be used in such an attack? A. Military nuclear device B. Sabotage of facilities for nuclear research C. Improvised nuclear weapon D. Radiological dispersal device

Which of the following is LEAST likely to be a clue that an incident is the result of terrorist violence? A. Number of people present B. Multiple-system trauma injuries C. Function of the target D. Occurrence on the anniversary of a significant or symbolic historical event

Which of the following is NOT a consideration for an EMT when responding to a terrorist incident? A. Identification of the group or groups responsible B. Presence of booby traps such as secondary explosive devices C. Presence of mass casualties D. Crime scene considerations

A route of entry into the body: A. is formed by penetrating trauma. B. is any surgical incision to allow a surgical procedure. C. is any of four pathways: absorption, ingestion, injection, or inhalation. D. is either by mouth or the nasal passages.

The formula dose multiplied by time represents which of the following? A. Concentration B. Critical level C. Lethal dose D. Exposure

Signs of ear injury in a patient affected by a blast are usually present at the time of: A. secondary assessment. B. packaging for transport. C. primary assessment. D. transfer of care.

You should MOST expect that the terrorists responsible for a mass-casualty incident will: A. want to make you a casualty. B. observe the scene. C. make no further attacks. D. move on to other targets.