Deck 12: Major Incident Preparedness and Management

Question 1

As any occurrence that presents a serious threat to the health of the community or disruption to the health services:

A) Disaster
B) Mass-casualty incident
C) Catastrophe
D) All are correct

Answer 1

Mass-casualty incident

Question 2

A type of MCI, that happens suddenly with little or no warning:

A) No-notice incident
B) Rising tide incident
C) No-notice incident and Rising tide incident
D) None are correct

Answer 2

No-notice incident

Question 3

In New Zealand, it is referred to as the structure that systematically manages emergency incidents:

A) Co-ordinated Incident Management System (CIMS)
B) Civil Defence Emergency Management Group (CDEMG)
C) College of Emergency Room Nurses (NZNO)
D) All are correct

Answer 3

Co-ordinated Incident Management System (CIMS)

Question 4

In the New Zealand series of codes, according to the CIMS, what does a code red mean?

A) Activation
B) Standby
C) Stand down
D) Information

Question 5

Under what category will you classify service interruption?

A) Physical
B) Biological
C) Fire and flood
D) Major community

Question 6

Which of the following provides a description on how triaging groups patients in an MCI:

A) Victims that need immediate attention and those with less-serious injury
B) Victims that are unconscious and not breathing
C) Victims that are mildly injured and get treated in the scene
D) All are correct.

Question 7

Which of the following was NOT considered part of the traditional military triage in the battlefield:

A) Those who are likely to live, regardless of treatment
B) Those who are likely to die, regardless of treatment
C) Those for whom immediate treatment can potentially save the patient's life.
D) Those for whom immediate treatment can worsen the patient's life

Question 8

The first triage decision made in an MCI, when a decision is made at the scene where the victim is found:

A) First priority
B) Sieve
C) Coding
D) All are correct

Question 9

The sieve system in triage, described as those victims who require urgent intervention and immediate treatment, is labelled as:

A) Red
B) Yellow
C) Green
D) All

Question 10

In using the Triage Revised Trauma Score (TRTS), which of the following is NOT an important clinical parameter to consider?

A) GCS
B) Respiratory rate
C) Systolic blood pressure
D) Temperature

Question 11

All of the following are components of major incident preparedness, EXCEPT:

A) Prevention
B) Response
C) Replacement
D) Recovery

Question 12

In Australia the agency responsible for overall responsibility of a major incident is:

A) Police service
B) Fire Service
C) Ambulance Service
D) State Emergency Service

Question 13

In response to a chemical, biological or radiation (CBR) incident where the agent is unknown, the most appropriate level of personal protective equipment (PPE) to be worn is:

A) Level D
B) Level C
C) Level B
D) Level A

Question 14

At the scene of a CBR incident, in which zone does the majority of the medical treatment of victims take place?

A) Hot zone
B) Cold zone
C) Warm zone
D) Recovery zone

Question 15

In Australia, the antidote used in the management of victims affected by nerve gas agents contains:

A) Obidoxime 220 mg and Atropine 2 mg
B) Obidoxime 220 mg and Midazolam 5 mg
C) Atropine 2 mg and Midazolam 5 mg
D) Phentolamine 5 mg and Atropine 2 mg

Question 16

Nicotinic effects of nerve agents include all of the following, EXCEPT:

A) Miosis
B) Hypertension
C) Tachycardia
D) Fasciculation

Question 17

In a CBR incidents having the victim/s remove contaminated clothing is important in reducing the risk of contaminating rescuers as this simple step can reduce the quantity of contaminant by:

A) 10-20%
B) 25-50%
C) 60-75%
D) 75-90%

Question 18

Based on casualty statistics from previous large scale multi-casualty incident events, the percentage of victims severely injured is typically around:

A) 5-10%
B) 10-15%
C) 15-20%
D) 25-30%

Question 19

Biological agents consist of:

A) Viruses, bacteria, toxins
B) Viruses, bacteria, vesicants
C) Vesicants, toxins, bacteria
D) Toxins, vesicants, viruses

Question 20

Using the Simple Triage and Rapid Treatment (START) triage system victims who require urgent intervention and treatment are colour-coded:

A) Black
B) Green
C) Yellow
D) Red