PCP COPR EXAM Questions and
Answers
Consent and refusal and its 4 prerequisites - answer Basic principle that every
person has the right to be free from unwanted interference or touching, including
medical treatment, and no one may administer such contrary to the person's wish, even
if it may be necessary to preserve that person's life or health.
Consent:
1. It must be voluntary
2. The pt must have legal and mental capacity
3. Must be specific to both the treatment and the person administering it
4. It must be informed
Treatment may be provided w/o pt's consent in an emergency if provider is not aware of
any contrary wish having been expressed by the pt.
Implied consent - answer
Mass-Casualty Incicend MCI - answer An event in which the number of patients
exceeds the resources available to the initial responders.
It could be an open (uncontained) or closed (contained) incident.
Incident Command System (ICS) - answer A system implemented to manage
disasters and mass-casualty incidents in which section chiefs, including finance,
logistics, operations, and planning, report to the incident commander.
Incident Commander IC - answer The person in charge of the overall incident. They
will assess the incident, establish the strategic objectives and priorities and develop a
plan to manage it.
Safety Officer - answer in incident command, the safety officer monitors the scene
for conditions or operations that may present a hazard to responders and patients.
Public Information Officer - answer Provides the public and media with clear and
understandable information.
Liaison Officer (LNO) - answer In incident command, the person who relays
information, concerns, and requests among responding agencies.
Medical Incident Command - answer The medical branch of the ICS, group of
operations in a unified command system, whose three designated sector positions are
triage, treatment, and transport.
,Triage Officer - answer In charge of counting and prioritizing patients. Ensuring every
pt receives an initial assessment of their condition.
Treatment Officer - answer In incident command, the person responsible for locating,
setting up, requesting supplies and supervising the treatment area
Transportation Officer - answer Coordinates the transportation and distribution of
patients to appropriate receiving hospitals.
Staging Officer - answer Locates an area to stage equipment and responders, tracks
unit arrivals and sends out vehicles as necessary.
Rehabilitation Officer - answer In incident command, the person who establishes an
area that provides protection for responders from the elements and the situation.
Immediate (red tag) - answer first priority pts, problems with ABCs, head trauma or
s/s of shock.
Delayed (yellow tag) - answer will need treatment and transport but it can be
delayed, pts usually have multiple injuries to bones or joints including back injuries with
or without spinal cord injury.
Minimal (green tag) - answer Patients may require no prehospital or minimal
treatment. Walking wounded. Soft tissue injuries, abrasions etc.
Expectant (black tag) - answer Patients who are dead or that injuries are so severe
that they have at best, a minimal chance of survival. Cardiac arrest or respiratory, major
open head fracture
START Triage - answer A patient sorting process that stands for Simple Triage And
Rapid Treatment and uses a limited assessment of the patient's ability to walk,
respiratory status, hemodynamic status, and neurologic status.
JumpSTART - answer triage for pediatric patients. Used in children <8 or <45kg.
Assess A (patent?) B (RR 15-45?) C (distal pulse present?) AVPU (appropriate or
inappropriate for age)
Triage Special Considerations - answer -Hysterical patients should be moved out of
disaster site, even if not seriously injured.
-If a rescuer becomes sick or injured they should be handled as immediate and be
transported off the site asap to avoid negative effect on morale.
-hazardous materials and weapons of mass destruction incidents force the hazardous
material team to identify patients as contaminated or decontaminated
, CBRNE - answer Chemical, Biological, Radiological, Nuclear, Explosive incident.
unlike accidental hazardous incidents these are intentional and terrorist in nature.
Chosen due to easy availability, cheap to construct and difficult to detect in screening.
What are the common targets for CBRNE attacks? - answer Usually chosen based
on terrorist group motives and for their impact on people such as government houses,
military, transportation facilities or religious location
How to identify a chemical attack? - answer -fogs or clouds with an unusual odor
-people displaying unusual behaviors, s/s of unexplained illness
-devices/packages abandoned
-unexplained pools of fluid
-dead animals
-explosion
How to identify a biological attach? - answer difficult to identify due to not having an
odor, invisible and may take hours or days to have an effect.
-groups of ppl with flu or food poisoning-like symptoms
-unscheduled spraying in area
-abandoned spraying devices
How to identify a radiological attack? - answer -only high levels of it will cause
immediate effect
-localized burns with no apparent cause
-groups of individuals w n/v or abnormal blood counts and no noted disease cause.
Chemical Agents - answer Vesicants (blister agents);
Pulmonary Agents (choking agents);
Nerve Agents;
Metabolic Agents (cyanides);
Vesicants (blister agents) - answer Form burn-like blisters on skin and respiratory
tract. Cause most damage in damp parts of the body such as armpits, groin and
respiratory tract. Skin is the primary route of exposure but if left long enough vapors can
enter the respiratory tract.
E.g : Sulfur, Mustard Lewisite and Phosgene Oxime
S/S:
-skin irritations, burning, reddening
-large blisters
-grey discoloration of skin
-swollen or irritated eyes
-permanent eye injury (including blindness)
-if inhaled: hoarseness, cough, stridor, dyspnea, hemoptysis (coughing blood)
