Self Test - Mass Casualties Training

Radiological and Nuclear Terrorism: Medical Response to Mass Casualties

Self Test

The majority of self-referred patients arriving at hospitals following a Radiological Dispersal Device (dirty bomb) incident will most likely need medical attention for:

A.	Acute radiation syndrome (ARS)
B.	Internal contamination
C.	Psychological trauma
D.	Major trauma

Following an incident involving a Radiological Exposure Device, or hidden radioactive source, thousands could feasibly require:

A.	Treatment for thermal burns
B.	Post mortem decontamination
C.	Treatment for ARS
D.	Radiation exposure screening

Hospital emergency response planning for mass casualties should include consideration of:

A.	Individual hospital surge capacity
B.	Local government emergency response plans
C.	State resources for equipment and supplies
D.	All of the above

Establishing immediate medical response to a radiological event with mass casualties should include:

A.	Obtaining radiation meters
B.	Contacting in-house radiation professionals
C.	Establishing areas for decontamination
D.	All of the above

Which of the following statements about the process of radiological decontamination is true?

A.	The decontamination process can cease when all visible particles are removed.
B.	Chemical suits with N-95 masks are required for staff protection.
C.	Patients with life-threatening injury must be decontaminated before treatment.
D.	Hospitals should have policies that include performing radiological decontamination inside the facility.

The first step in radiological decontamination is:

A.	Removing the patient’s clothes
B.	Cleansing wounds
C.	Gently cleaning the skin
D.	Cleansing facial orifices

Hospital triage of mass casualties following a radiological event should take into account the expectation that:

A.	Most patients will arrive as self-referrals to the nearest hospital
B.	The majority of patients arriving at the hospital will be decontaminated at the scene
C.	External contamination will be difficult to detect
D.	Conventional triage for traumatic injury will not be used

Time to emesis following exposure to a radiological source can be used to measure:

A.	External contamination
B.	Internal contamination
C.	Radiation dose
D.	Effectiveness of decontamination

A contamination survey with a radiation meter can:

A.	Be easily performed without training
B.	Quantify the radiation dose received by the patient
C.	Produce readings in counts per minute (cpm)
D.	Only detect large amounts of contamination

10.

The most useful diagnostic test in determining significant radiation injury in the first 24 hours post radiation exposure is:

A.	Sequential CBCs with differential
B.	Bioassay testing of urine samples
C.	Bioassay testing of fecal samples
D.	Chromosomal aberration biodosimetry

11.

Acute radiation syndrome (ARS) may cause which of the following symptoms:

A.	Vomiting
B.	Headache
C.	Diarrhea
D.	All of the above

12.

Following ingestion of cesium¹³⁷, which of the following drugs would assist in eliminating the cesium from the body?

A.	Potassium Iodide
B.	Prussian Blue
C.	DTPA
D.	Filgrastim

13.

A patient arrives following exposure to a hidden radiation source. A radiological survey indicates normal background readings. Which of the following statements are accurate?

A.	In this situation, standard precautions PPE must be worn in order to protect caregivers from contamination.
B.	A surgical mask may be worn in this situation, but an N-95 mask is preferred.
C.	Patient clothes should be removed immediately and double bagged.
D.	None of the above

14.

Which of the following injuries may result following explosion of an improvised nuclear device?

A.	Blindness
B.	Radiation burns
C.	Thermal burns
D.	All of the above

15.

Which of the following actions would be appropriate in treating patients who are experiencing psychological trauma following a radiological event:

A.	Counseling patients on long-term health effects
B.	Having trained counselors on site
C.	Providing information on radiological exposure
D.	All of the above