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? – ANSWERCan 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 – ANSWERMorphine
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? – ANSWERBasilar
Difference in pupil size that is considered abnormal? – ANSWERGreater 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 – ANSWERNo
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? – ANSWERPhysical, 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