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68W COMBAT MEDIC FIELDCRAFT MODULES I-III, Exams of Nursing

Walden UniversityNursing

68W COMBAT MEDIC FIELDCRAFT MODULES I-III

Typology: Exams

2023/2024

Available from 11/09/2024

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68W COMBAT MEDIC FIELDCRAFT MODULES I-III
EXAM Questions and Answers Latest Updates 2024
TOP RATED A+
1. What are the tactical indications for spinal immobilization: Motor vehicle
accident, Fall greater than 15 ft, IED blast involving a MRAP
2. Overpressure wave (internal damage to hollow organs): Primary Blast
3. Shrapnel and debris penetrating wounds: Secondary Blast
4. Casualty is thrown into a solid object: Tertiary Blast
5. What is the leading cause of preventable death on the battlefield: Extremity
Hemorrhage
6. Why is extremity hemorrhaging the leading cause of death on the battle-
field: Not protected by body armor
7. When should CPR be considered in the combat environment?: Hypothermia,
Electrocution, near drowning
8. Factors that influence care on the battlefield?: Enemy fire, medical equipment,
variable evacuation time, tactical considerations, casualty transportation
9. What is a WALK kit?: Warrior Aid and Litter Kit
10. Where can a WALK kit be found?: several ground vehicles
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Download 68W COMBAT MEDIC FIELDCRAFT MODULES I-III and more Exams Nursing in PDF only on Docsity!

68W COMBAT MEDIC FIELDCRAFT MODULES I-III

EXAM Questions and Answers LatestUpdates 2024

TOP RATED A+

  1. What are the tactical indications for spinal immobilization: Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP
  2. Overpressure wave (internal damage to hollow organs): Primary Blast
  3. Shrapnel and debris penetrating wounds: Secondary Blast
  4. Casualty is thrown into a solid object: Tertiary Blast
  5. What is the leading cause of preventable death on the battlefield: Extremity Hemorrhage
  6. Why is extremity hemorrhaging the leading cause of death on the battle- field: Not protected by body armor
  7. When should CPR be considered in the combat environment?: Hypothermia, Electrocution, near drowning
  8. Factors that influence care on the battlefield?: Enemy fire, medical equipment, variable evacuation time, tactical considerations, casualty transportation
  9. What is a WALK kit?: Warrior Aid and Litter Kit
  10. Where can a WALK kit be found?: several ground vehicles
  1. What medication is found in the combat pill pack?: Acetaminophen, Mobic, Moxiflaxicin
  2. Which combat casualties will receive ABX?: All will eventually, ABX should not be given at the point of injury unless evac. is delayed greater than 3 hours
  3. What are the goals of TCCC: Accomplish the mission, prevent additional casu- alties, treat the casualty
  4. What are the phases of care?: Care under fire, tactical field care, tactical evacuation care
  5. What does MEDEVAC encompass?: Collecting the wounded, triage, provide a mode of transportation, provide care en route
  6. First responder capability; Battalion Aid Station, Medical Platoon, Combat Medic: Level 1
  7. Forward Resuscitative Care Capability; Forward Surgical Team (FST): Level 2
  8. Theater Hospitalization Capability; Combat Support Hospital: Level 3
  9. Definitive Care Capability Outside of the Combat Zone; CONUS and OCONUS (Germany): Level 4
  10. CONUS DOD Hospitals; DOD Hospital, VA Hospital: Level 5
  11. What are the authorized methods of documenting care on the battlefield?-
  1. What is over classification and what is the impact on the mission?: Clas- sifying casualties worse than they are; pulls medical assets that could be used else where
  2. What are the lines of the 9line MEDEVAC for wartime and peace time?: 6 and 9
  3. How do you request a 9 line MEDEVAC: "I have a MEDEVAC request"
  4. How long do you have to transmit a 9 line MEDEVAC: 25 seconds
  5. What is a Simple rescue?: Open field, no hindrances to removing casualty
  6. What makes up a complex rescue?: Vertical casualty movement, vehicle extrication, tactical search and rescue
  7. Define the term "x"?: The point of wounding
  8. Describe the proper body mechanics of casualty movement?: know your capabilities, use large leg muscles, slide or roll rather than lift
  9. What is the load capacity of a M997: 4 litter or 8 ambulatory or 2 litter and 4 ambulatory
  10. What is the load capacity of a M113: 4 litter or 10 ambulatory or a combination
  11. What is the load capacity of a Haga: 3 litter or 6 ambulatory
  12. What are the 3 most common devices used in hoist operations?: Sked, Jungle penetrator, stokes basket
  1. What is the leading cause of preventable death on the battlefield?: Extrem- ity hemorrhage
  2. Plasma: provides a fluid environment for the other components and warmth for the body
  3. Erythrocytes (RBCs): Carry oxygen to the tissue
  4. Leukocytes (WBCs): Fight infection and consume dead tissue
  5. Thrombocytes: Specialized cells that form clots
  6. What are the 5 factors that affect blood clotting?: Hypothermia, Acidosis, Hemodilution, High BP, Medication
  7. What is the difference between Compressible hemorrhage and non-com- pressible hemorrhage: Direct pressure can control the hemorrhage
  8. What are some S/S of Non-compressible hemorrhage: Bruising, hemoptysis, rectal bleeding, hematemesis
  9. How many liters of fluid can the average adult hold in the abdomen?: 10 liters
  10. How many liters of fluid can the average adult hold in 1 thigh?: 1 liter
  11. How much fluid can be held on one side of the chest?: 1500 mL
  12. How fast can the intercostals muscles bleed?: 100 mL per minute
  13. What is the only medical treatment done in the Care under fire phase?: -
  1. Describe a delibrate tourniquet?: Directly to the skin; 2-3 inches above the wound; not over a joint; tightened till bleeding stopped or distal pulse absent
  2. What are the 4 P's of packing?: Peel, Push, Pile, Pressure
  3. When should you not loosen a tourniquet?: If casualty will arrive at surgical facility less than 2 hours; TQ has been place for longer than 6 hours; Amputations; Casualties in profound shock
  4. What is the 1st step in the assessment for circulation?: Treat significant non-pulsating hemorrhage with packing and pressure
  5. What is the respiratory response to increased CO2 production: As CO increases; respiratory rate increases
  6. What is the normal respiratory rate for an adult: 12 - 20
  7. What is the normal respiratory rate for a child: 15 - 30
  8. What is the normal respiratory rate for an infant: 25 - 50
  9. What are the complications of suctioning: Will cause hypoxemia, cardiac dysrhythmia, vagus nerve stimulation
  10. What are the essential Airway skills: Positioning, manual maneuvers, suction- ing, NPA
  11. What is the "Gold Standard" in Advanced airway management?: Endotra- cheal intubation
  1. What is the perferred advanced airway in the combat environment?: Emer- gency Cricothryoidotomy
  2. What are the landmarks for an emergency cric?: Thyroid Cartilage; Cricothy- roid membrane, cricoid cartilage
  3. What are the indications for a Cric?: Severe maxillofacial trauma, airway obstruction, structural deformities, inhalation burns, unconscious and unable to secure own airway
  4. Define diagphram?: A musculofibrous partition separating the thoracic abdom- inal cavities
  5. what is the difference between visceral and parietal pleura: Visceral at- tached to lung, parietal attached to chest wall
  6. Describe inhalation: diaphragm and intercostal muscles contract; lungs ex- pand, intrathoracic pressure decreases
  7. Describe exhalation: diaphragm and intercostal muscles relax; intrathoracic pressure increases
  8. What type of wound is considered both an ABD and a thoracic injury: Pen- etrating wound below the 4th intercostals space
  9. Describe a pneumothorax: Air within the pleural space
  10. Describe a tension pneumothorax: Air builds up pressure and prevents the
  1. What are the S/S of respiratory distress?: Tachypnea, bradypnea, labored breathing, retractions, hemoptysis, one or two word sentences, agitation or air hunger
  2. Describe a sucking chest wound?: An open wound that is 2/3 the size of the trachea
  3. Describe the placement of a Needle Chest decompression: 2nd ICS, mid-clavicular line, over the 3rd rib
  4. What are the troubleshooting procedures for a NCD: Place 2nd needle lateral to the 1st, flush catheter with 1 - 2 ml of iv solution, burp the wound
  5. What are the 4 types of distributive shock?: Spetic, Neurogenic, anaphylac- tic, psychogenic
  6. What are the intrinsic causes of Cardiogenic shock: Heart muscle damage, dysrhythmia, vavular disruption
  7. Extrinsic causes of Cardiogenic shock: Cardiac Tampnade, pneumothorax
  8. Describe decompensated shock?: When the body can no longer compensate and casualty's BP drops
  9. How much blood must be lost to see a decrease in BP: 1500ml
  10. Systolic of at least 80: Radial
  11. Systolic of at least 70: Femoral
  1. Systolic of at least 60: Carotid
  2. Fluid of choice for burns, dehydration: Lactated Ringer
  3. used in conjunction with blood transfusion, restoring the loss of body fluid: Normal Saline
  4. Calorie replacement, hypoglycemia: D5W
  5. What are the types of Colloid Solutions?: Blood and Blood components, Hextend
  6. What is the vein order of precedence for vascular access: Median cubital, cephalic, basilic
  7. What are the indication for an intraosseuous infusion: Small children, trau- ma to the extremities, two unsuccessful IV attempts and casualty is in shock
  8. Fluid accumulation in the tissue surrounding IV site, flow rate slower, infusion site cool hard to touch, pale, swollen, pt complains of tenderness, pain burning: Infiltration
  9. Inflammation of the vein wall, sluggish flow rate, swelling, pt c/o pain and tenderness, redness and warmth of the site: Phlebitis
  10. Obstruction of a blood vessel caused by air in the bloodstream, abrupt drop in BP, weak and rapid pulse, cyanosis, chest pain: Air Embolism
  1. Teeth clenched arms and legs extended wrist flexed usually caused by secere injury to the midbrain: Decerebrate
  2. To determine if there is a change in the casualty: Why is it important to take serial GCS assessments
  3. Being dazed, confused, "saw stars" or lost consciousness, even momen- tarily as a result of an explosion/blast, fall, motor vehicle crash.: Who should the MACE assessment be administered on
  4. Unequal pupils, Deteriorating examination Decreasing or loss of consciousness: What are the RED FLAGS of a head injury
  5. An injury to the brain resulting from an external force and/or accelera- tion/deceleration mechanism from an event: Traumatic Brain injury
  6. Brain trauma can cause a broad range of physical, cognitive emotional and social problems.: Significance of TBI
  7. AMS, headache, nausea, vomiting, dizziness/balance problems, fatigue, insomnia, sleep disturbances, drowsiness, sensitivity to light and noise, blurred vision, difficulty remembering and/or difficulty concentrating.: What are the signs and symptoms of a TBI
  1. Decreased memory and attention/concentration, slower thinking, irritabil- ity, depression, impaired vision, mood swings, balance problems, headaches, and nausea.: Post concussion symptoms
  2. Mild-GCS 14-15 80% of head injuries Usually full recovery within weeks. Moderate-GCS = 9 to 10% of head injuries most are admitted/observed due to potential for deterioration. Severe- GCS = < 9 10% of head injuries Mortality approx. 40% long term: Levels of TBI
  3. massive systemic infection that includes hypotension, decreased urine output and altered mental status: Sepsis
  4. inflammation of the peritoneum or lining of the abdominal cavity: Peritoni- tis
  5. greater life threat difficult to diagnose ma not appear for hours.: Blunt Trauma
  6. organs are crushed between solid objects: Compression Injuries
  7. tearing forces exerted against the supporting ligaments of solid organs- : Shearing injuries
  8. an adult peritoneal cavity can hold up to 1.5 liters of fluid before evidence of distention is apparent: Soft Tissue injury
  1. With a Snellen Chart: How is visual acuity assessed in a clinic?
  1. Gross Vision Examination: How is visual acuity assessed under less favor- able circumstances?
  2. moxifloxacin (Avelox) is one of the few antibiotics that can affect the eye.: What is special about the antibiotic found in a combat pill pack?
  3. facial burns, singed eyebrows, carbonacous sputum: Sign of inhalation burns
  4. prevent shock, prevent infection and minimize disfiguration: what is goal of burn wound care
  5. no it will kills god bacteria: do you administer antibiotics to casualties suffer- ing only burns
  6. 2nd Degree burns >20%TBSA and 3rd or 4th degree. Burns to the face, hands, feet, genitalia, perineum or major joints.: Which burn casualties get transported as Urgent Surgical? Inhalation injuries.
  7. Increased chance of compromise to distal circulation due to swelling and edema. Constrict the chest wall to such a degree that the casualty suffocates from inability to take a deep breath.: How do circumferential burns complicate casualty
  1. damaged muscle tissue releases myoglobin and potassium: What is crush syndrome
  2. pain, paralysis, pallor, pulselessness, parethesias: What are the 5P's of compartment syndrome
  3. before and after splinting: when should PMS be completed
  4. cause when arterial blood flow continues into an extremity but venous flow is restricted from returning to the system: Compartment syndrome
  5. isolated non life threatening musculoskeletal trauma. non life threatening multisystem life threatening trauma. definite musculoskeletal life threatening injuries(pelvic and femur fracture): what are the three categories of muscu- loskeletal injury
  6. the medical sorting of casualties according to the type and seriousness of the injury; affords the greatest number of casualties the greatest chance of survival: Triage
  7. when the soldier medic has more than one seriously injured soldier to care for at one time: MASCAL
  8. survey and classify casualties for the most efficient use of available resources, number and location of the injured: Responsibilities of triage
  9. Airway obstruction

Open Pneumothorax w/ resp. distress tension pneumothorax unstable abd wounds w/ shock massive external bleeding open long bone fx hypovolemic (hemorrhagic shock) burns of face, neck, hands, feet, genitals: IMMEDIATE

  1. open chest wound no resp distress abd wounds no shock eye and CNS injuries soft tissue wounds requiring debridement other fx's other burns maxillofacial wounds w/ out airway compromise GI tract disruption: DELAYED
  2. Minor lacs contusions sprains/strains 1st/2nd deg burns less than 20%