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WorksheetsMTR Chapter 08: Emergency and All-Hazard Situations
Total questions: 58
Worksheet time: 29mins
Name
Class
Date
1.
The PRIMARY role of the surgical technologist in an intraoperative cardiac arrest would be to:
a)
break scrub and dial 911.
b)
break scrub and quickly pull an open-heart setup.
c)
perform chest compressions on the patient.
d)
protect the sterile field unless directed otherwise.
2.
Exposure of the population to anthrax and smallpox would be a result of:
a)
bioterrorism.
b)
a chemical release accident.
c)
infrastructure incidents.
d)
natural disasters.
3.
Which of the following members of the U.S. government makes a federal disaster declaration and mobilizes FEMA?
a)
governor
b)
president
c)
secretary of state
d)
surgeon general
4.
Which of the following processes does the human body use to achieve natural hemostasis?
a)
coagulation
b)
compensation
c)
transfusion
d)
transmission
5.
Which of the following types of natural disasters is the traveling of seismic waves outward from an epicenter?
a)
earthquake
b)
hurricane
c)
tornado
d)
volcanic eruption
6.
The first-line drug used in the treatment of severe anaphylactic reaction is:
a)
adenosine diphosphate.
b)
epinephrine.
c)
oxidized cellulose.
d)
thrombin.
7.
Which of the following terms describes a life-threatening condition if not immediately treated?
a)
heat cramps
b)
heat exhaustion
c)
heat stroke
d)
heat wave
8.
The depth of compressions for adults should be:
a)
one inch.
b)
one and a half inches.
c)
two inches.
d)
three inches.
9.
In reference to the chain-of-survival concept in cardiopulmonary resuscitation, the letter D stands for:
a)
death reduction.
b)
definitive treatment.
c)
depth of compression.
d)
destination planning.
10.
DIC leads to the consumption of coagulation factors and:
a)
plasma.
b)
platelets.
c)
red cells.
d)
white cells.
11.
Which of the following choices is an emergent pathological process that creates systemic hypercoagulation followed by hypocoagulability and internal hemorrhaging?
a)
anaphylactic reactions
b)
coronary heart disease
c)
disseminated intravascular coagulation (DIC)
d)
malignant hyperthermia
12.
Which of the following choices is the clinical term for the lesions that appear on the skin of a patient experiencing an allergic reaction?
a)
abrasions
b)
carbuncles
c)
plaque
d)
urticaria
13.
Which of the following terms BEST describes the broad emergency response plans in place applicable to any area of the country or any category of disaster?
a)
all-hazards
b)
emergency action plan
c)
hot zoning
d)
triage systems
14.
The treatment for DIC includes:
a)
transfusion of fresh frozen plasma.
b)
cryoprecipitate.
c)
heparin.
d)
all of the above.
15.
The Delayed, Immediate, Minimal, and Expectant (DIME) categories are used in:
a)
disaster triage.
b)
labor and delivery triage.
c)
surgical triage.
d)
pre-op setting.
16.
In which of the following types of disasters would hot, warm, and cold zone triage protocols be used?
a)
airline crash
b)
interstate highway pileup
c)
nuclear plant meltdown
d)
storm surge flooding
17.
Which of the following types of man-made disasters would cause the most varied physical trauma requiring surgical treatment?
a)
bioterrorist attack
b)
chemical gas spill
c)
factory explosion
d)
nuclear plant leak
18.
The Joint Commission requires health care facilities to practice their __________ twice a year.
a)
National Incident Management System (NIMS)
b)
Emergency Action Plan (EAP)
c)
Point of Distribution (POD)
d)
Simple Triage and Rapid Treatment (START)
19.
Which of the following choices accounts for up to 90% of contamination and should be removed as soon as possible after exposure to a radiological disaster?
a)
ash
b)
clothing
c)
dust
d)
hair
20.
Which of the following disaster response units would include surgical technologists as volunteer members?
a)
Disaster Medical Assistance Teams (DMAT)
b)
Disaster Mortuary Operations Response Team (DMORT)
c)
Incident Command System (ICS)
d)
National Pharmacy Response Team (NPRT)
21.
Health care workers can focus better on their job of patient care in disaster situations if they have done their own personal disaster planning in advance with their family members.
a)
"True"
b)
"False"
22.
The 2010 AHA Guidelines for CPR stress activation of the ERS and follow with:
a)
CAB (chest compressions, airway, breathing).
b)
ABC (airway, breathing, chest compressions).
c)
BCA (breathing, chest compressions, airway).
d)
none of the above.
23.
All of the following choices are examples of man-made disasters EXCEPT:
a)
chemical or radiation release.
b)
hurricane.
c)
infrastructure incidents.
d)
transportation accidents.
24.
Injuries associated with an exploded nuclear device include:
a)
blast injuries.
b)
thermal/flash burns.
c)
retinal injuries.
d)
all of the above.
25.
Which of the following biological diseases poses to be one of the highest risks to nations?
a)
anthrax
b)
HIV
c)
hepatitis
d)
MRSA (methicillin-resistant Staphylococcus aureus)
26.
All of the following organizations are emergency response agencies EXCEPT:
a)
NIMS.
b)
LEMA.
c)
ICS.
d)
CDC.
27.
The lead federal agency that coordinates treatment to victims and food and shelter during a nationally declared emergency is called:
a)
CDC.
b)
NDMS.
c)
FEMA.
d)
EPA.
28.
DIME triage categories for the "walking wounded" are color coded:
a)
green.
b)
yellow.
c)
red.
d)
black.
29.
During triage of a chemical and nuclear disaster, victims are separated to contain the contamination. The warm zone:
a)
is 300 feet from the hot zone.
b)
is 50 feet from the hot zone.
c)
is 1000 feet from the hot zone.
d)
is 500 feet from the hot zone.
30.
Clinical death begins __________ minutes after the cessation of heart action and breathing.
a)
four to six
b)
two to four
c)
three to five
d)
one to three
31.
Which of the following substances is least likely to cause an anaphylactic reaction?
a)
certain antibiotics
b)
insulin
c)
contrast media
d)
Benadryl
32.
During an anaphylactic reaction, the surgical team must maintain the airway and provide supplemental oxygen, or the patient may die of:
a)
respiratory failure.
b)
heart attack.
c)
hypovolemia.
d)
stroke.
33.
Which of the following conditions is a mild form of shock due to the increase in blood flow to the skin, thus causing a reduction of blood flow to vital organs?
a)
heat cramps
b)
heat exhaustion
c)
heat stroke
d)
hyperthermia
34.
Which of the following conditions typically compresses the inferior vena cava in pregnant women, hindering venous return and reducing cardiac output?
a)
placental abruption
b)
amniotic fluid embolism
c)
gravid uterus
d)
ectopic pregnancy
35.
The objectives of emergency care and trauma surgery are:
a)
to preserve life.
b)
to prevent deterioration of patient condition.
c)
to provide necessary care to restore the patient to their previous lifestyle.
d)
all of the above.
36.
Under which of the following circumstances may a resternotomy be performed in the ICU for a patient experiencing cardiac arrest after cardiac surgery?
a)
always, regardless of the patient condition
b)
only if the patient consent to the procedure
c)
when open-chest CPR is required.
d)
in the late stages of SCA
37.
CST may not routinely be involved in the care of patients with EIDs.
a)
"True"
b)
"False"
38.
N95 respirators are designed to filter at least 95% of airborne particles and require individual fit testing to achieve a tight facial seal.
a)
"True"
b)
"False"
39.
The four mosquito-borne viruses, chikungunya virus, dengue virus, yellow fever, and Zika virus, are NOT concerning for the US population.
a)
"True"
b)
"False"
40.
Any medical personnel can be a member of CERT without additional training.
a)
"True"
b)
"False"
41.
When performing BLS CPR, the ratio of chest compression to rescue breaths for infants, adolescents, and adults is:
a)
15 to 2.
b)
30 to 2.
c)
10 to 1.
d)
15 to 1.
42.
Disseminated intravascular coagulation (DIC) is a pathological process in which the blood within the entire body begins to clot. The CST needs to be mindful of this complication when dealing with which of the following groups?
a)
older adult patients
b)
obstetric patients
c)
pediatric patients
d)
MH patients
43.
All the following symptoms are warning signs of cardiac arrest except:
a)
hypothermia.
b)
bradycardia.
c)
tachycardia.
d)
laryngospasm.
44.
Anthrax is a chemical hazard.
a)
"True"
b)
"False"
45.
The A in the ABCs of CPR stands for airway.
a)
"True"
b)
"False"
46.
The first priority in emergency treatment of a patient is to:
a)
stop the bleeding.
b)
provide reassurance.
c)
prevent shock.
d)
check and maintain the airway.
47.
During a cardiac arrest, the surgical technologist in the scrub role (STSR) must maintain the sterile field.
a)
"True"
b)
"False"
48.
Botulism is a biological hazard.
a)
"True"
b)
"False"
49.
A sign of MH is the rapid rise in body temperature.
a)
"True"
b)
"False"
50.
DIC causes bacterial infections.
a)
"True"
b)
"False"
51.
Which of the following terms refers to a mild form of shock that occurs after prolonged exertion in a hot, humid environment?
a)
heat stroke
b)
heat cramps
c)
heat storm
d)
heat exhaustion
52.
If a patient is experiencing blisters on the skin, a burning airway, and difficulty breathing, they may have been exposed to which type of chemical agent?
a)
choking agents
b)
nerve agents
c)
gag agents
d)
vesicants
53.
The primary role of the Incident Command System is:
a)
to activate the Emergency Operations Center.
b)
to coordinate the government emergency response.
c)
to ensure all responders know their roles, duties, and how to directly report.
d)
to maintain an inventory of emergency equipment and supplies.
54.
Which of the following steps of the EAP identifies potential hazards and plans to prevent emergencies?
a)
recovery
b)
response
c)
preparedness
d)
mitigation
55.
Based on the Association of Southern California’s assigned codes, which of the following colors indicates an active shooter?
a)
silver
b)
white
c)
orange
d)
blue
56.
According to the DIME Triage Categories, a patient with a patent airway and controlled bleeding would be tagged with which color?
a)
black
b)
green
c)
red
d)
yellow
57.
A bridge collapse is an example of which of the following types of disasters?
a)
explosion
b)
infrastructure
c)
chemical
d)
transportation
58.
Based on the NIAID EID Categories, the influenza virus is classified as which of the following type of pathogen?
a)
Category A
b)
Category B
c)
Category C
d)
Category D
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