Bioterrorism
Mass Casualty
Bioterrorism
Bioterrorism
Your Guess Is As Good As Mine. . .
100

Bioterrorism is a subset of terrorism classified based upon use of (THIS) in order to cause disease, death, or fear. 

What are bacteria, viruses, or toxins? 

100

Triage should occur within X minutes. 

What is "15"?

100

Early symptoms of this (eradicated by vaccine) infection include high fever, head and body aches, and vomiting. A rash will then form, starting on the tongue. 

What is smallpox? 

100

How does Sarin eventually cause death? 

What is paralyzes the respiratory muscles?

100
These two antibiotics may be used to prevent or treat anthrax. 

What are ciprofloxacin and doxycycline?

200

This gram-positive, rod-shaped bacteria is one of the most likely agents to be used as a biologic weapon.

What is anthrax?

200
These categories are defined as "red, yellow, green, and black" in mass casualty triage.
What are (red)Immediate, (yellow)Urgent, (green)Nonurgent and (black) Dead/Little Hope of Survival? 
200

These are the 3 ways anthrax can enter the body and cause illness. 

What are inhalation, digestion, or absorption? 

200

Exposure to and infection from this spore-producing bacteria usually lead to early symptoms of weakness of the muscles that control the eyes, face, mouth, and throat. Symptoms may progress to general paralysis.

What is clostridium botulinum (Botulism is the illness)?

*1/2 credit if you inaccurately guessed Botulism.

200

Avoid giving your baby honey because of risk for this illness. 

What is botulism?

300

A significant bioterror threat to municipal water supplies, this chemical agent mixes easily with water and people can become ill after drinking contaminated water. 

What is Sarin?

300

NIMS

What is the National Incident Management System? 

300

On October 5, 2001, Bob Stevens, a photojournalist, died after a terrorist attack involving the mailing of letters to journalists was perpetrated. His was the first death from anthrax in 25 years after he waited too long to seek acute care since his symptoms resembled this common, seasonal virus. 

What is the flu?

300

Ricin is derived in waste products formed in development of this. 

What is castor oil?

300

This agent, entering the body in this way, causes painless skin ulcers with a black center that appear after small blisters or bumps. 

What are anthrax; cutaneous?

400

Ricin s/s can differentiate route of exposure. (This) is a symptom of inhalation illness, and (this) is a symptom of ingestion illness. 

Any of these are acceptable:

INHALATION: respiratory distress, fever, cough, nausea, chest tightness, heavy sweating, pulmonary edema, cyanosis, hypotension, and respiratory failure leading to death.

INGESTION: vomiting, bloody diarrhea, dehydration, seizures, blood in urine, liver failure, kidney failure

400

In an actual mass casualty event, this entity activates the EOC, which stands for this.

What is the local government, and what is "Emergency Operations Center"?

400

When absorbed through this system, anthrax may cause N/V, bloody diarrhea, abdominal swelling, or painful swallowing, and hoarseness. 

What is the GI tract?

400

Most victims of intimate partner violence fall into one of these three elevated risk categories. 

What are women, children, and older adults?

400

Which countries are approved to maintain smallpox in laboratories for research purposes? 

Russia and the United States

500

Name one drug shown to be effective in treating smallpox. 

(Any of the following:)

What is tecovirimat / cidofovir / brincidofovir? 

500

On May 18, a  5 alarm fire occurred on a busy construction site in Charlotte, NC. You were a nurse working for a local hospital that day and were assigned triage at the mass casualty event.  This is the color you would assign a conscious victim with third degree burns to his face and hands who has a RR of 26, audible wheeze, and is using accessory muscles to breath. 

What is RED? 

500

Isopropyl methylphosphanofluoridate.

What is Sarin?

500

While not an actual antidote, this drug blocks the action of acetylcholine at muscarinic receptors, thereby serving as a treatment for poisoning by sarin.

What is atropine? 

500

This is what Ms. Pohl ALWAYS suggests when you are learning about similar conditions within a category (like bioterrorism agents). 

What is MAKE A CHART with early and late s/s, route of infection, and treatments? 

***Make the dang chart. MAKE. IT.

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