NREMT Chapter 46: EMS Response to Terrorism Involving Weapons of Mass Destruction
(WMD) – CBRNE 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
define a WMD?
A) Any agent used to cause indiscriminate death and destruction
B) Any weapon used to create fear and panic among the general population
C) Any agent that is intended to kill a specific segment of the population
D) Any biological agent that kills people and animals but does not destroy property - correct
answer ✔✔A) Any agent used to cause indiscriminate death and destruction
PG Ref: 1341
Which item best describes use of a weapon of mass destruction?
A) Death of 25 people following an explosion in a chemical plant caused by faulty wiring
B) Death of 57 people following nighttime tornadoes that struck a suburban area
C) Death of 49 people in a crowded mall following intentional dispersal of an unknown bacterial
agent
D) Accidental release of radioactive gas from a nuclear power plant that impacts thousands of
people - correct answer ✔✔C) Death of 49 people in a crowded mall following intentional
dispersal of an unknown bacterial agent
PG Ref: 1341
At the scene of a multiple-casualty incident caused by a weapon of mass destruction, what is
your first priority as an EMT?
A) Identifying the agent or mechanism of the WMD
B) Establishing the number of dead and injured and needed resources
, C) Establishing a communications system
D) Ensuring the safety of yourself and your partner - correct answer ✔✔D) Ensuring the safety
of yourself and your partner
PG Ref: 1343
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?
A) EMTs should automatically be able to administer any medication that a paramedic can
administer
B) Most protocols involving on-line medical direction should convert to standing orders during
the event
C) On-line medical direction should be used for all treatment by EMS
D) All on-line medical direction should be suspended - correct answer ✔✔B) Most protocols
involving on-line medical direction should convert to standing orders during the event
PG Ref: 1343
How can an EMT best protect herself, as well as get the most appropriate resources, at the
scene of a multiple-casualty incident involving a weapon of mass destruction?
A) Estimate the number of fatalities and injuries
B) Identify the specific agent or mechanism used
C) Make an overall determination of the number and types of injuries involved
D) Turn over control of the incident to the Homeland Security Department - correct answer
✔✔B) Identify the specific agent or mechanism used
PG Ref: 1344
A triage officer at the scene of a suicide bombing assigns you to a patient who has been
(WMD) – CBRNE 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
define a WMD?
A) Any agent used to cause indiscriminate death and destruction
B) Any weapon used to create fear and panic among the general population
C) Any agent that is intended to kill a specific segment of the population
D) Any biological agent that kills people and animals but does not destroy property - correct
answer ✔✔A) Any agent used to cause indiscriminate death and destruction
PG Ref: 1341
Which item best describes use of a weapon of mass destruction?
A) Death of 25 people following an explosion in a chemical plant caused by faulty wiring
B) Death of 57 people following nighttime tornadoes that struck a suburban area
C) Death of 49 people in a crowded mall following intentional dispersal of an unknown bacterial
agent
D) Accidental release of radioactive gas from a nuclear power plant that impacts thousands of
people - correct answer ✔✔C) Death of 49 people in a crowded mall following intentional
dispersal of an unknown bacterial agent
PG Ref: 1341
At the scene of a multiple-casualty incident caused by a weapon of mass destruction, what is
your first priority as an EMT?
A) Identifying the agent or mechanism of the WMD
B) Establishing the number of dead and injured and needed resources
, C) Establishing a communications system
D) Ensuring the safety of yourself and your partner - correct answer ✔✔D) Ensuring the safety
of yourself and your partner
PG Ref: 1343
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?
A) EMTs should automatically be able to administer any medication that a paramedic can
administer
B) Most protocols involving on-line medical direction should convert to standing orders during
the event
C) On-line medical direction should be used for all treatment by EMS
D) All on-line medical direction should be suspended - correct answer ✔✔B) Most protocols
involving on-line medical direction should convert to standing orders during the event
PG Ref: 1343
How can an EMT best protect herself, as well as get the most appropriate resources, at the
scene of a multiple-casualty incident involving a weapon of mass destruction?
A) Estimate the number of fatalities and injuries
B) Identify the specific agent or mechanism used
C) Make an overall determination of the number and types of injuries involved
D) Turn over control of the incident to the Homeland Security Department - correct answer
✔✔B) Identify the specific agent or mechanism used
PG Ref: 1344
A triage officer at the scene of a suicide bombing assigns you to a patient who has been
