2. You will need to have paper and pencil. One
question will be presented per slide. When you
think you know the answer write it down then
proceed to the next slide until complete.
The final slide presents an answer key. If you
miss more than 4 questions, please review the
material and try again.
This will give you a good general knowledge of
how anthrax can be used as a biological
weapon and what to do if you suspect anthrax.

3. 1. Regarding the history of anthrax, which of the following
events occurred in 1915? (Learning Objective 1.1)
a. In Iraq, approximately one million sheep were
killed by anthrax.
b. German agents injected horses, mules, and cattle
with anthrax on their return to Europe from the United States.
c. An anthrax epidemic occurred in Zimbabwe that
infected over 6,000 people, killing well over 100 people.
d. Great Britain experimented with anthrax on
Gruinard Island off the coast of Scotland.
e. The Japanese began biological weapons testing in
Manchuria that included the use of anthrax.

4. 2. Regarding the history of anthrax, which of the following
events occurred in 1937? (Learning Objective 1.2)
a. In Iraq, approximately one million sheep were
killed by anthrax.
b. German agents injected horses, mules, and cattle
with anthrax on their return to Europe from the United States.
c. An anthrax epidemic occurred in Zimbabwe that
infected over 6,000 people, killing well over 100 people.
d. Great Britain experimented with anthrax on
Gruinard Island off the coast of Scotland.
e. The Japanese began biological weapons testing in
Manchuria that included the use of anthrax.

5. 3. Regarding the history of anthrax, which of the following
events occurred in the 1950s and 1960s? (Learning Objective 1.3)
a. With information gathered from the Japanese and
our allies, the United States worked on our own biological warfare
program at Fort Detrick, Maryland.
b. An anthrax epidemic occurred in Zimbabwe that
infected over 6,000 people, killing well over 100 people.
c. In Iraq, approximately one million sheep were
killed by anthrax.
d. Great Britain experimented with anthrax on
Gruinard Island off the coast of Scotland.
e. The fifth and sixth plagues of Egypt.

6. 4. Regarding the history of anthrax, which of the following
events occurred in the 1969? (Learning Objective 1.4)
a. An anthrax epidemic occurred in Zimbabwe that
infected over 6,000 people, killing well over 100 people.
b. The Food and Drug administration approved a
vaccine for anthrax that was primarily intended for those working
with livestock that might be at risk.
c. President Richard Nixon put an end to our
offensive biological weapons program.
d. The Soviet Union accidentally released aerosolized
anthrax that spread from a military facility into a neighboring
community killing 68 people.
e. An international convention outlawed stockpiling
of biological weapons.

7. 5. Which of the following is the correct definition of bacteria?
(Learning Objective 2.1)
a. Round, spiral, or rod shaped single-celled micro-
organisms that may be gram positive or gram negative.
b. Round, spiral, or rod shaped multi-celled micro-
organisms that may be gram positive or gram negative.
c. A type of virus.
d. Spores.
e. Politicians.

8. 6. Which of the following characteristics belong to anthrax?
(Learning Objective 2.2)
a. Anthrax is a bacteria that is a gram-positive, non-
motile (unable to move around on its own), spore forming rod-shaped
organism.
b. Anthrax is a bacteria that is a gram-negative, motile
(able to move around on its own), spore forming rod-shaped
organism.
c. Anthrax is a bacteria that is a gram-positive, non-
motile (unable to move around on its own), non-spore forming spiral-
shaped organism.
d. Anthrax is a genetically engineered virus.
e. They play heavy metal and speak with a New York
City accent.

9. 7. What are spores? (Learning Objective 2.3)
a. Bacteria.
b. Fungus.
c. Virus.
d. Bacteria.
e. Reproductive structures.

10. 8. Which of the following signs and symptoms describe
cutaneous anthrax? (Learning Objective 3.1)
a. A papule that progresses through a vesicular stage
before becoming a depressed black necrotic ulcer called an eschar.
b. Severe abdominal pain follows along with the
possibility of vomiting with blood and a buildup of fluid in the
abdominal cavity.
c. Non-specific symptoms that include malaise,
fatigue, muscle aches, and fever.
d. Sudden onset of respiratory distress with labored
breathing, stridor (a shrill noise), bluing of the skin, increased chest
pain, and severe sweating.
e. All of the above.

11. 9. Which of the following signs and symptoms describe
gastrointestinal anthrax? (Learning Objective 3.2)
a. A papule that progresses through a vesicular stage
before becoming a depressed black necrotic ulcer called an eschar.
b. Severe abdominal pain follows along with the
possibility of vomiting with blood and a buildup of fluid in the
abdominal cavity.
c. Non-specific symptoms that include malaise,
fatigue, muscle aches, and fever.
d. Sudden onset of respiratory distress with labored
breathing, stridor (a shrill noise), bluing of the skin, increased chest
pain, and severe sweating.
e. All of the above.

12. 10. Which of the following signs and symptoms describe
inhalational anthrax? (Learning Objective 3.3)
a. A papule that progresses through a vesicular stage
before becoming a depressed black necrotic ulcer called an eschar.
b. Severe abdominal pain follows along with the
possibility of vomiting with blood and a buildup of fluid in the
abdominal cavity.
c. Non-specific symptoms that include malaise,
fatigue, muscle aches, and fever.
d. Sudden onset of respiratory distress with labored
breathing, stridor (a shrill noise), bluing of the skin, increased chest
pain, and severe sweating.
e. Both c and d.

13. 11. Which of the following mortality rates belongs to
cutaneous anthrax? (Learning Objective 3.4)
a. 25-60%.
b. 20% when untreated and 1% when treated with
antibiotics.
c. 97% when untreated and 75% when treated with
antibiotics.
d. 60% when untreated and 20% when treated with
antibiotics.
e. Too scary to think about.

14. 12. Which of the following mortality rates belongs to
gastrointestinal anthrax? (Learning Objective 3.5)
a. 25-60%.
b. 20% when untreated and 1% when treated with
antibiotics.
c. 97% when untreated and 75% when treated with
antibiotics.
d. 60% when untreated and 20% when treated with
antibiotics.
e. Too scary to think about.

15. 13. Which of the following mortality rates belongs to
inhalational anthrax? (Learning Objective 3.6)
a. 25-60%.
b. 20% when untreated and 1% when treated with
antibiotics.
c. 97% when untreated and 75% when treated with
antibiotics.
d. 60% when untreated and 20% when treated with
antibiotics.
e. Too scary to think about.

16. 14. Which of the following is not a genetic enhancement that
could be made to anthrax? (Learning Objective 4.1)
a. Genetic enhancements to make it more resistant to
antibiotics.
b. Genetic enhancements to make it easier to handle.
c. Genetic enhancements to make it deadlier.
d. Genetic enhancements to make it easier to deliver in
the mail.
e. Genetic enhancements to make them politicians.

17. 15. Which of the following descriptions could be powderized
anthrax? (Learning Objective 4.2)
a. Yellowish powder.
b. Black powder.
c. Brown powder.
d. Grayish-white powder.
e. Any of the above if coloring was added.

18. 16. Which of the following could be used as an aerosolized
delivery system for anthrax? (Learning Objective 4.3)
a. A bomb.
b. A crop duster.
c. A fire extinguisher
d. A heating and ventilation system of a building.
e. All of the above.

19. 17. Which of the following could be used as a delivery system
for anthrax? (Learning Objective 4.4)
a. Mail.
b. Cigarettes.
c. Makeup.
d. Food.
e. All of the above.

20. 18. Which of the following are key elements for reporting
suspected anthrax exposure? (Learning Objective 5.1)
a. Identifying yourself and your location only.
b. Identifying where the suspected anthrax is located
and a description of the suspected anthrax.
c. Identifying yourself, your location, and if you and
others have been exposed.
d. Identifying yourself, your location, where the
suspected anthrax is located, a description of the suspected anthrax,
and if you and others have been exposed.
e. Identifying yourself, your location, and where
Jimmy Hoffa is buried.

21. 19. Which of the following is the Incident Command System?
(Learning Objective 5.2)
a. The 9-1-1 system.
b. The law enforcement dispatch system.
c. The ambulance dispatch system.
d. The fire department dispatch system.
e. A flexible tool for command, control, and
coordination of emergency services.

22. 20. Which of the following is the correct sequence from lowest
to highest level of the Homeland? (Learning Objective 5.3)
a. Low, guarded, high, elevated, severe.
b. Guarded, low, elevated, high, severe.
c. Low, guarded, elevated, high, severe.
d. Low, guarded, high, elevated, severe.

23. 1. b.
2. e.
3. a.
4. c.
5. a.
6. a.
7. e.
8. a.
9. b.
10. e.
11.b.
12.a.
13.c.
14.d.
15.e.
16.e.
17.e.
18. d.
19.e.
20.c.
Correct Incorrect Score
20 0 100
19 1 95
18 2 90
17 3 85
16 4 80
Please review and retake the quiz
if you scored less than 80.