Deck 53: Terrorism and Disaster Response

Question 1

What are the main categories of weapons of mass destruction?

A) Biological, psychotropic, incendiary, explosive, and radiological
B) Psychotropic, radiological, chemical, anti-matter, and nuclear
C) Incendiary, nuclear, biological, explosive, and chemical
D) Virulent, bacterial, anti-matter, explosive, and incendiary

Answer 1

Incendiary, nuclear, biological, explosive, and chemical

Question 2

The four types of biological weapons, pictured here, are

A) toxins, poisons, microbes, and viruses.
B) fevers, rickettsia, prions, and bacteria.
C) bacteria, viruses, rickettsia, and toxins.
D) prions, fevers, microbes, and poisons.

Answer 2

bacteria, viruses, rickettsia, and toxins.

Question 3

Which is an example of a Category A disease or agent?

A) Typhus
B) Brucellosis
C) Hantavirus
D) Anthrax

Answer 3

Anthrax

Question 4

Which is an example of a Category B disease or agent?

A) Ricin
B) Nipah Virus
C) Smallpox
D) Tularemia

Question 5

A Category B disease or agent has

A) a high death rate.
B) a low death rate.
C) a 100% death rate.
D) a moderate death rate.

Question 6

Which is an example of a Category C disease or agent?

A) Hantavirus
B) Glanders
C) Viral Hemorrhagic Fever
D) Enterotoxin B

Question 7

Alpha particles

A) do not react with the human body.
B) penetrate the entire human body.
C) are dangerous when ingested.
D) cause burns to the skin.

Question 8

A dirty bomb is

A) a combination of a radioactive material and an explosive.
B) a combination of flammable materials that resist extinguishing efforts.
C) an explosive bomb filled with shrapnel and chemical gases.
D) a bomb that is purely radiological without an explosive.

Question 9

A choking chemical agent will likely cause

A) respiratory arrest by blocking oxygen absorption.
B) coughing, nausea, and vomiting.
C) nerve damage in the trachea, lungs, and bronchi.
D) pulmonary edema and result in asphyxiation.

Question 10

Sarin gas will

A) cause rapid respiratory arrest by blocking oxygen absorption.
B) interrupt nerve signals and cause a loss of consciousness.
C) cause pulmonary edema and cause asphyxiation.
D) burn the eyes, skin and respiratory tract, causing inflammation.

Question 11

Which of the following scenarios should lead you to suspect a chemical WMD?

A) 75 people become sick with a sudden onset of vomiting and diarrhea at a parade.
B) At the scene of a multiple vehicle collision, you smell an acrid odor that you cannot identify.
C) Your patient tells you that he thought he heard a loud "boom" before his home caught fire.
D) At an athletic event, you treat more than 20 people with varying signs and symptoms.

Question 12

When responding to a suspected nerve agent attack, you should consider carrying

A) smelling salts or stimulants.
B) a DuoDote or Mark 1 kit.
C) activated charcoal.
D) an anaphylaxis kit.

Question 13

Most terrorist attacks involve the use of

A) explosive devices.
B) biological agents.
C) incendiary devices.
D) chemical agents.

Question 14

What is the primary responsibility of an EMT responding to a WMD incident?

A) Family contact
B) Media contact
C) Evidence preservation
D) Property preservation

Question 15

En route to a multiple casualty incident, EMS dispatch radios that the scene has a confirmed use of a chemical agent. Your vehicle is only equipped with gloves and face shields, and you will be one of the first responders. You should

A) secure a perimeter and ensure the walking wounded remain in the hot zone.
B) enter the scene and search for evidence indicating a secondary explosive.
C) enter the scene and begin a triage assessment of victims.
D) secure a perimeter and stop people from exiting and entering the scene.

Question 16

Which is NOT a high-risk target?

A) A city bridge
B) A rural church
C) An overseas military base
D) An oil pipeline

Question 17

When you are in the hot zone, you should

A) limit emergency care to spinal stabilization, airway management, and hemorrhage control.
B) perform a primary assessment, manage visible bleeding, and expedite patient removal.
C) first approach patients that vocally or physically respond to your calls.
D) All of these are correct

Question 18

You find a number of victims who have all fallen backwards, some of whom display open fractures and obvious dislocations. You should suspect use of a(n)

A) chemical agent.
B) nerve agent.
C) incendiary device.
D) explosive device.

Question 19

When arriving on a WMD scene, you should park your vehicle in a location that

A) is on even terrain with the contaminated scene.
B) prevents an on-rush of contaminated victims.
C) has a zero or negligible wind speed.
D) is as close to the hot zone as possible.

Question 20

What is suitable personal protective equipment (PPE) for exposure to gamma rays?

A) Level B PPE
B) A lead vest
C) Plexiglas
D) Level A PPE

Question 21

Which is an example of an explosive device?

A) A Molotov cocktail
B) A tear gas canister
C) A fire bomb
D) A car bomb

Question 22

On scene in a terrorism situation, which action has the highest priority?

A) Tagging and triaging all victims
B) Looking for secondary devices
C) Establishing a decontamination area
D) Extricating salvageable victims

Question 23

In a terrorist attack, you should be most concerned about

A) media workers taking pictures of the scene.
B) the reliability of identifying placards.
C) the credibility of bystander statements.
D) co-workers who cannot cope with the scene.

Question 24

With the use of a WMD, you should NEVER:

A) feel anxious or overly scared.
B) rush headlong into the scene.
C) talk to media or journalists.
D) None of these are correct.

Question 25

Tear gas is an example of a(n)

A) choking agent.
B) nerve agent.
C) irritant.
D) blood agent.

Question 26

A number of people lost their homes after a bombing and will be without shelter for an extended period. You should seek the assistance of

A) an EMS service, like the fire department or paramedics.
B) a health care agency, like a local hospital.
C) a government agency, like the state health department.
D) a disaster service, like the Red Cross or Salvation Army.

Question 27

Biological weapons involve the use of

A) ticks, fleas, rats, and birds.
B) fruits, vegetables, and fungi.
C) viruses, rickettsias, toxins, and bacteria.
D) water systems, food sources, and shipping goods.

Question 28

Which is a virus?

A) Anthrax
B) Smallpox
C) Ricin
D) Botulism

Question 29

In which situation might you likely suspect the possible use of a biological weapon?

A) Hospitals report an unusually high number of ill patients, each with different symptoms.
B) A school is quickly swept by a flu-like illness, resulting in canceled classes.
C) Residents report an alarming number of crows appearing sick or dying.
D) A resident reports that their previously healthy dog suddenly became ill and died.

Question 30

What are the three types of radiation shown in this picture?

A) Infrared, microwave, radio
B) X-ray, gamma, and ultraviolet
C) Alpha, omega, delta
D) Gamma, beta, and alpha

Question 31

Which is an example of an incendiary weapon?

A) Pipe Bombs
B) Molotov cocktails
C) Dirty Bombs
D) Grenades

Question 32

What are the categories of chemical agents?

A) Burn agents, stimulant agents, depression agents, clotting agents, and blister agents
B) Nerve agents, blood agents, burn agents, stimulant agents, and choking agents
C) Blood agents, blister agents, nerve agents, choking agents, irritants
D) Depression agents, blister agents, irritants, clotting agents, and blood agents

Question 33

Cyanide will

A) cause a rapid respiratory arrest and death.
B) interrupt nerve signals and cause a loss of consciousness.
C) cause pulmonary edema and asphyxiation.
D) burn the skin, eyes, or tissues of the respiratory tract.

Question 34

A personal protective irritant will

A) cause severe headaches and blurred vision.
B) cause seizures and a loss of movement in extremities.
C) cause burning and intense pain to exposed skin.
D) cause diarrhea and abdominal cramping.

Question 35

What is an important difference between a hazardous materials incident and a terrorist attack?

A) A hazardous materials incident does not involve the public, and a terrorist attack does involve the public.
B) A hazardous materials incident usually needs Level A PPE, and a terrorist attack usually needs Level D PPE.
C) A hazardous materials incident is accidental, and a terrorist attack is deliberate.
D) A hazardous materials incident needs NIMS, and a terrorist attack needs FBI coordination.

Question 36

Before beginning care at the scene of a terrorist attack, you must ensure that

A) there is a reasonable search for secondary explosive devices.
B) available information is gathered from the walking wounded.
C) responders are made aware of important evidence.
D) your team understands the precise layout of the location.
E) All of these are correct.

Question 37

Which is an example of a high-risk target for a terrorist attack?

A) A retail store
B) A gas station
C) A fire station
D) A celebrity's house

Question 38

Weather conditions are likely to affect

A) the terrorist's decision to detonate a bomb.
B) the dispersal and spread of airborne agents.
C) the effectiveness of disaster response.
D) the type of WMD that is used.

Question 39

Which finding would elevate your suspicion of a nerve agent attack?

A) A victim with debris on their clothes
B) A victim experiencing difficulty breathing
C) A victim with abnormal limb positioning
D) A victim experiencing a seizure

Question 40

You suspect a terrorist attack when a dozen people suddenly become ill at a courthouse. After relaying your suspicions to EMS dispatch and asking for assistance, you should first

A) establish a perimeter and determine hot, warm, and cold zones.
B) reposition your vehicle upwind and uphill from the event.
C) interview by-standers and document their description of events.
D) quickly enter the scene and determine the active agent.

Question 41

Most terrorist attacks use

A) chemical agents.
B) biological agents.
C) incendiary devices.
D) explosive devices.

Question 42

Before approaching a contaminated patient, you must

A) have established the NIMS.
B) identify the contaminant.
C) assess the mental status of the patient.
D) be equipped with proper PPE.