EMT-B Chapter 46: Special Considerations in Emergency Care – Assessment, Treatment, and
Patient Management Study Guide
You are teaching an EMT class about the role of the EMS response to a terror attack involving
weapons of mass destruction (WMD). A student asks you what constitutes a WMD. How would
you define a WMD? - correct answer ✔✔Any agent used to cause indiscriminate death and
destruction
A chemical agent used by terrorists is described as having volatility. You should recognize this
descriptor as meaning that the chemical is: - correct answer ✔✔Easily evaporated
Which item best describes use of a weapon of mass destruction? - correct answer ✔✔Death of
49 people in a crowded mall following international dispersal of an unknown bacterial agent
Which classification of WMD are combined in the same category when using the mnemonic B-
NICE? - correct answer ✔✔Radiological and nuclear
Multiple EMS agencies are involved in a WMD incident involving hundreds of patients. Which
statement regarding the different protocols and medical direction used by those different
agencies is most accurate? - correct answer ✔✔Most protocols involving on-line medical
direction should convert to standing orders during the event
When planning for a terrorist attack, which concept makes the best use of resources that are
locally available? - correct answer ✔✔Mutual assistance
At the scene of a multiple-casualty incident caused by a weapon of mass destruction, what is
your first priority as an EMT? - correct answer ✔✔Ensuring the safety of yourself and your
partner
If you are first on the scene of an MCI, it is imperative that you: - correct answer ✔✔Recognize
whether it is a terrorist attack early on
, How can an EMT best protect herself, as well as get the most appropriated resources, at the
scene of a multiple-casualty incident involving a weapon of mass destruction? - correct answer
✔✔Identify the specific agent or mechanism used
When you are first on the scene of a terrorist incident involving WMD, which role in of the
utmost importance? - correct answer ✔✔Scene size-up
A triage officer at the scene of a suicide bombing assigns you to a patient who has been injured
from the secondary effects of the blast. Which type of injuries would you expect in this patient?
- correct answer ✔✔Facial lacerations caused by flying glass and debris
An example of a quinary effect of an explosion is: - correct answer ✔✔Toxic contaminants
In planning for a response to an attack with a weapon of mass destruction involving an
incendiary device, the EMT should be prepared to handle which type of injuries? - correct
answer ✔✔Burns
The type of injury most commonly associated with an incendiary device is: - correct answer
✔✔Burns
Which chemical agent will generally kill a person most quickly? - correct answer ✔✔Aerosolized
vesicant agent that is inhaled into the lungs
Which characteristic do hypergolic substances display when they are combined with a WMD? -
correct answer ✔✔They spontaneously ignite when combined
You are participating in a training exercise for an attack with a weapon of mass destruction
involving the release of a nerve agent. In the triage area, you are presented with a patient who
responds to painful stimuli and has an open airway. He is breathing 8 times per minute and has
Patient Management Study Guide
You are teaching an EMT class about the role of the EMS response to a terror attack involving
weapons of mass destruction (WMD). A student asks you what constitutes a WMD. How would
you define a WMD? - correct answer ✔✔Any agent used to cause indiscriminate death and
destruction
A chemical agent used by terrorists is described as having volatility. You should recognize this
descriptor as meaning that the chemical is: - correct answer ✔✔Easily evaporated
Which item best describes use of a weapon of mass destruction? - correct answer ✔✔Death of
49 people in a crowded mall following international dispersal of an unknown bacterial agent
Which classification of WMD are combined in the same category when using the mnemonic B-
NICE? - correct answer ✔✔Radiological and nuclear
Multiple EMS agencies are involved in a WMD incident involving hundreds of patients. Which
statement regarding the different protocols and medical direction used by those different
agencies is most accurate? - correct answer ✔✔Most protocols involving on-line medical
direction should convert to standing orders during the event
When planning for a terrorist attack, which concept makes the best use of resources that are
locally available? - correct answer ✔✔Mutual assistance
At the scene of a multiple-casualty incident caused by a weapon of mass destruction, what is
your first priority as an EMT? - correct answer ✔✔Ensuring the safety of yourself and your
partner
If you are first on the scene of an MCI, it is imperative that you: - correct answer ✔✔Recognize
whether it is a terrorist attack early on
, How can an EMT best protect herself, as well as get the most appropriated resources, at the
scene of a multiple-casualty incident involving a weapon of mass destruction? - correct answer
✔✔Identify the specific agent or mechanism used
When you are first on the scene of a terrorist incident involving WMD, which role in of the
utmost importance? - correct answer ✔✔Scene size-up
A triage officer at the scene of a suicide bombing assigns you to a patient who has been injured
from the secondary effects of the blast. Which type of injuries would you expect in this patient?
- correct answer ✔✔Facial lacerations caused by flying glass and debris
An example of a quinary effect of an explosion is: - correct answer ✔✔Toxic contaminants
In planning for a response to an attack with a weapon of mass destruction involving an
incendiary device, the EMT should be prepared to handle which type of injuries? - correct
answer ✔✔Burns
The type of injury most commonly associated with an incendiary device is: - correct answer
✔✔Burns
Which chemical agent will generally kill a person most quickly? - correct answer ✔✔Aerosolized
vesicant agent that is inhaled into the lungs
Which characteristic do hypergolic substances display when they are combined with a WMD? -
correct answer ✔✔They spontaneously ignite when combined
You are participating in a training exercise for an attack with a weapon of mass destruction
involving the release of a nerve agent. In the triage area, you are presented with a patient who
responds to painful stimuli and has an open airway. He is breathing 8 times per minute and has
