Combat medic 68w FIELDCRAFT 2 EXAM C168W144 EXAM
2023-2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT
DETAILED ANSWERS|AGRADE
Type of fracture in which the casualty presents asymmetrical or flattened face - ANSWER- Mid-face fractures
Contraindication for nasopharyngeal airway? - ANSWER- Evidence of head injury
What should be avoided when managing breathing for casualties with suspected head injuries? - ANSWER- Hyperventilation
What is the ventilation rate of a casualty with suspected increased intracranial pressure? - ANSWER- 20 breaths per minute
What can hyperventilation do to casualties with a TBI? - ANSWER- Can contribute to ischemia through vasoconstriction
If the patient can vocalize their head pain should the medic give pain medication? - ANSWER- Yes, if they can vocalize pain then the TBI is not severe enough to be further damaged by pain meds
Pain medication that should be avoided with TBI casualties - ANSWER- Morphine 1 / 3
Two pain medications that can make a moderate to severe TBI worse but can be used for mild TBI? - ANSWER- Fentanyl and Ketamine
Type of bandage that can be used to keep pressure off of a depressed or open skull fracture - ANSWER- A kerlix "Donut"
"Raccoon eyes" indicates what kind of skull fracture? - ANSWER- Basilar
Difference in pupil size that is considered abnormal? - ANSWER- Greater than 1 mm
Position to transport a casualty with suspected TBI? - ANSWER- Supine position and tilt the casualty towards the side of injury to allow for drainage
What type of classification should a casualty be if they have suspected TBI? - ANSWER- Urgent Surgical
Definition of a traumatic brain injury - ANSWER- An injury to the brain resulting from an external force and/or acceleration/deceleration mechanism from an event
Is loss of consciousness required to diagnose a concussion - ANSWER- No 2 / 3
What is required to make a definitive diagnosis of a TBI level? - ANSWER- CT or MRI scan
What type of problems can a TBI cause in a casualty? - ANSWER- Physical, cognitive, emotional, and social
Components of a Mild TBI - ANSWER- Confused and disoriented state for *less* *than* 24 hours, loss of consciousness for *up* *to* 30 minutes, memory loss lasting *less* *than* 24 hours
Components of a Moderate TBI - ANSWER- Confused and disoriented state for *more* *than* 24 hours, loss of consciousness for *more* *than* 30 minutes but *less* *than* 24 hours, memory loss lasting *more* *than* 24 hours but *less* *than* 7 days
Components of a Severe TBI - ANSWER- *Closed* or *Open* injuries, Confused and disoriented state for *more* *than* 24 hours, loss of consciousness lasting *more* *than* 7 days
Intracranial hematoma, epidural hematoma, subdural hematoma, cerebral contusions, and subarachnoid hemorrhage are considered what?
- ANSWER- Traumatic brain injuries
What is MACE? - ANSWER- Military Acute Concussion Evaluation
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