Transcript EFMB Jeopardy 68W

EFMB
JEOPARDY
Prepared by Expert Field Medical Badge Test Control Office
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68W ONE
100 pts
• The things you check when evaluating
a patient’s respirations.
• What is depth and quality?
68W ONE
1000 pts
• When measuring a patient’s pulse you
count the pulse rate for one minute and
evaluate what three things (include how
each may be evaluated)?
• What is pulse rate, pulse rhythm,
(regular or irregular / intermittent), and
pulse strength (strong or full pulse,
bounding, and weak / thready)?
68W ONE
200 pts
• Word for temporary absence of
breathing.
• What is apnea?
68W ONE
300 pts
• The normal pulse rate range for an
adult patient.
• What is 60 – 100 beats per minute?
68W ONE
400 pts
• How much more you would inflate a
blood pressure cuff if pulsation was
heard after reaching 140 mm Hg.
• What is 20 mm Hg beyond the point the
last pulsation was heard?
68W ONE
500 pts
• The normal blood pressure range for an
adult male.
• What is 90– 140 mm Hg (systolic)
• 60 – 90 mm Hg (diastolic)?
68W ONE
600 pts
• How often you would move sensing
probes and adhesive sensors when
continuously measuring a patients
pulse oxygen saturation.
• What is every 2 hours (sensing probes)
and every 4 hours (adhesive sensors)?
68W ONE
700 pts
• Type of thermometer used when taking an
axillary temperature, where taken, how long
left in place, normal temperature range, how
you would label a axillary temperature
reading, and how you would label the
reading.
• What is with an oral thermometer (blue tip
and may be labeled oral), in the patient’s dry
armpit, left in place at least ten minutes, and
96 – 98 degrees, and labeled with an “A”?
68W ONE
800 pts
• The blood pressure cuff shouldn’t be
left inflated on a patient’s arm for
longer than this amount of time.
• What is not more than 2 minutes?
DOUBLE
JEOPARDY!
BID FIRST, THEN
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68W ONE-DJ
???? pts
• How a rectal thermometer may be labeled
and is colored, how far it is inserted into
rectum, how long it is left in place after
insertion, and the normal rectal
temperature range.
• What has a red tip and may be labeled
rectal, inserted one or two inches, 98 –
100 degree temperature range, and left in
place for at least two minutes?
68W TWO
100 pts
• Methods used to open (establish) a
patient’s airway, which one is used if
there is a suspected neck or spinal
injury, and how long you would check
for breathing after opening the airway.
• What is the head-tilt / chin lift method
and the jaw thrust method (used for
suspected neck or spinal injury), and
look, listen, and feel for 3 – 5 seconds?
68W TWO
1000 pts
• You are performing CPR on a patient.
You note signs of gastric distention.
You should do these things and not do
this.
• What is recheck and reposition the
airway, watch for the rise and fall of the
chest, and ventilate only enough to
cause the chest to rise? What is do not
push on the abdomen?
68W TWO
200 pts
• The two types of thrusts used to clear
an upper airway obstruction and which
one is used if a patient is in the
advanced stages of pregnancy or very
obese.
• What is the abdominal thrust and the
chest thrust (used on the pregnant or
obese patient)?
68W TWO
300 pts
• You are administering external chest
compressions on a patient with no
pulse. This is how far you would
depress straight down on the sternum,
the number of compressions you would
do, and the rate you would perform
them per minute.
• What is 1.5 to 2 inches, 30
compressions, and at a rate of 100 per
minute.
68W TWO
400 pts
• The number of breaths per minute
given when performing rescue
breathing on an adult patient, and for
how long and where you would check
for a pulse after giving them.
• What is 12 to 20 rescue breaths per
minute and 5 sec. but no longer then 10
sec. to check carotid pulse?
68W TWO
500 pts
• The arterial pressure point used to
control bleeding from the distal end of
an upper extremity, and the one used to
control bleeding from a lower
extremity.
• What is the brachial artery (upper
extremity) and the femoral artery (lower
extremity)?
68W TWO
600 pts
• An unresponsive, apneic, and
pulseless patient is a candidate for an
AED. AED stands for this and these are
the locations that the pads are placed.
• What is Automatic External Defibrillator
and the right pad is placed below the
right midclavicular and the left pad is
placed over the lower left ribs?
68W TWO
700 pts
• You are under hostile fire and are very
limited as to the care you can provide.
• What is the care under fire phase of
Tactical Combat Casualty Care?
68W TWO
800 pts
• When using a tourniquet to treat life
threatening injuries, if the source of
bleeding was due to a traumatic
amputation, wrap the amputated part in
a sterile dressing and wrap or bag it in
a plastic bag, label it, and transport it
how.
• What is transport the amputated part
along with the patient in a cool
container?
68W TWO
900 pts
• This is how long each rescue breath is
given by mouth to mouth or mouth to
nose methods. Also, if a BVM with
reservoir supply is used, this is the
amount of oxygen concentration that
can be reached.
• What is one full breathe lasting 1
second, and what is almost 100%?
68W THREE
100 pts
• DD Form 1380 is called this and these
are the minimum required blocks that
must be completed.
• What is the Field Medical Card and
blocks 1, 3, 4, 7, 9, and 11?
68W THREE
1000 pts
• A "D" size oxygen cylinder is being
used. There is 2000 psi remaining
pressure. How many liters of oxygen
are available for use.
• What is a .16 conversion factor x 1800
psi available pressure (2000 psi – 200
safe residual level)= 288 liters of
oxygen available for use?
68W THREE
200 pts
• This block of a DD Form 1380 is
completed if a tourniquet was applied,
along with the date and time applied. If
you are a combat medic, you do this in
the far right side of block 11 when
completing the FMC.
• What is block 6 for tourniquet? What is
initial in the far right side of block 11?
68W THREE
300 pts
• You have a patient who has had
restraints applied. This is how often
you would remove and replace the
mitts and how often you would change
the patient’s position.
• What is remove and replace mitts every
8 hours and change the patient’s
position every 2 hours?
68W THREE
400 pts
• You are orally suctioning a Adult
patient. Ensure that you suction no
longer than this long, because it
removes oxygen as well as secretions.
• What is suction no longer than 15
seconds?
68W THREE
500 pts
• A blue, yellow, amber, red, or pink
eardrum indicates this abnormality.
• What is disease or infection of the
eardrum?
68W THREE
600 pts
• You are observing a patient’s heart rhythm
on an EKG. This is a ventricular arrhythmia
characterized by broad QRS complexes and
a regular rate that falls between 100 to 200
beats per minute.
• What is Ventricular Tachycardia (V-Tach)?
68W THREE
700 pts
• A J-tube is also known as this. This is
how would determine the correct size
of one after placing along the outside
of the casualty’s jaw with the mouth
closed.
• What is an oropharyngeal airway?
What is measure it from the corner of
the casualty’s closed mouth to the
corner of the earlobe?
68W THREE
800 pts
• The name (letters) of the oxygen cylinders
are what and should be cracked/opened only
with what.
1
2
3
• What is D (#1), E (#2), and M (#3) oxygen
cylinders? What is a handwheel or nonsparking wrench?
68W THREE
900 pts
• The method you could use to select the
appropriate size of a nasopharyngeal
airway. Also, most nasopharyngeal
airways are designed to be placed in
this nostril.
• What is measure the tip of the patient's
nose to earlobe? What is the right
nostril?
68W FOUR
100 pts
• A casualty has a total upper airway
obstruction and his airway cannot be
opened using manual methods or an
endotracheal tube. You are performing
a needle cricothyroidotomy. This is
where you would insert the large bore
needle into.
• What is the cricothyroid membrane?
68W FOUR
1000 pts
• Dizziness, nausea, and/or headache;
cherry-red colored skin and mucous
membranes; tachycardia or tachypnea;
respiratory distress or arrest are signs
and symptoms of what?
• What is carbon monoxide poisoning?
68W FOUR
200 pts
• Condition in which air enters the chest
cavity (pleural space) through a hole in
the lung, expanding the space with
every breath the casualty takes. The air
becomes trapped and cannot escape.
• What is a tension pneumothorax?
68W FOUR
300 pts
• You are inspecting your equipment
prior to initiating an IV. This is how far
you would clamp the tubing below the
drip chamber.
• What is clamp the tubing 6 to 8 inches
below the drip chamber?
68W FOUR
400 pts
• This is an accumulation of fluids in the tissue
surrounding an IV needle site caused by
penetration of the vein wall by the
needle/catheter or later dislodgement of the
needle/catheter. This is an inflammation of the
wall of the vein caused by injury to the vein
during puncture, from later needle movement,
or from irritation to the vein caused by long
term therapy, incompatible additives, or use of
a vein that is too small to handle the amount or
type of solution
• What is infiltration and what is phlebitis?
68W FOUR
500 pts
• This type of seizure may be preceeded
by an aura, has two distinct phases,
and may involve incontinence,
cyanosis, mental confusion, and biting
of the tongue (rare). What type of
seizure is it and what are the two
distinct phases.
• What is a Grand Mal (generalized)
seizure and what are tonic/colonic, and
postictal?
68W FOUR
600 pts
• Grand Mal is one type of seizure. Name
the two other types listed in the 68W
manual. Also, which one is
characterized by two or more seizures
without an intervening period of
consciousness.
• What is Petit Mal, Status Epilepticus
(two or more seizures)?
68W FOUR
700 pts
• The acronym AVPU is used for
assessing a patient’s level of
consciousness and stands for this.
The acronym DCAP-BTLS is used
during casualty assessment and stands
for this.
• What is Alert, Verbal, Pain,
Unresponsive (AVPU), and Deformities,
Contusions, Abrasions,
Punctures/Penetrations, Burns,
Tenderness, Lacerations, Swelling
(DCAP-BTLS)?
68W FOUR
800 pts
• What term explains each of the following:
– The motion of the injured segment of a flail chest,
opposite to the normal motion of the chest wall.
– Shift of the trachea from the midline toward the
unaffected side due to pressure buildup on the
injured side.
• What is
– Paradoxical breathing?
– Tracheal deviation?
68W FOUR
900 pts
• Which closed chest injury goes with:
– Caused by the bleeding from lacerated blood
vessels in the chest cavity and/or lungs. It results
in the accumulation of blood in the chest cavity but
outside the lungs.
– Involves two or more ribs fractured in two or more
places or a fractured sternum.
– Condition in which air enters the chest cavity
through a hole in the lung(s), expanding the space
with every breath the casualty takes. Air becomes
trapped and cannot escape.
• What is:
– Hemothorax?
– Flail chest?
– Tension pneumothorax?
68W FIVE
100 pts
• Using the Rule of Nines, what is the
percentage of BSA burned on a patient
with burns to the anterior of chest, both
arms, and head and neck.
• What is 45 % BSA?
68W FIVE
1000 pts
• You are immobilizing a patient to a long spine
board with a suspected spinal injury. You already
immobilized the head and head supports with
straps. At a minimum you must also secure the
patient with straps across where. Also, what are
the two techniques for placing the patient on the
spine board.
• What is across the chest, hips, thighs, and lower
legs? Include the arms if the straps are long
enough. What are the log roll and straddle slide
techniques?
68W FIVE
200 pts
• You have a casualty with white
phosphorus (WP) burns. You want to
deprive it from oxygen by doing what
and remove the WP particles with what.
• What is submerge the entire area, cover
with a moistened cloth or mud, and
remove the WP particles by brushing
with wet cloth or with a stick, forceps, or
knife?
68W FIVE
300 pts
• The acronym “RICE” is a method used
for remembering how to treat soldiers
with extremity injuries. What does
“RICE” stand for?
• What is Rest, Ice, Compression,
Elevation?
68W FIVE
400 pts
• Low blood sugar and High blood sugar are
also known as these terms. Which one could
have a sweet, fruity breath odor and which
one would have an intoxicated appearance.
Also, you would give a hypoglycemia patient
oral glucose. Where and how would you give
it?
• What is Hypoglycemia (intoxicated
appearance) and Hyperglycemia (sweet, fruity
breath)? Apply glucose to a tongue depressor
and place it in the patient's mouth between the
cheek and gum.
68W FIVE
500 pts
• You are obtaining a SAMPLE history
while performing a medical patient
assessment. You will use the acronym
OPQRST. It stands for this.
• What is Onset, Provocation, Quality,
Radiation, Severity, Time.
68W FIVE
600 pts
• You have a conscious patient who is
complaining of chest pain. You are going to
assist him in taking his nitroglycerin. Where
do you place the tablet in the patient’s mouth?
If there is no relief, you may give additional
tablets. How long do you wait in between
giving tablets and how many tablets may be
given TOTAL?
• What is under the patient’s tongue with a
gloved hand and every five minutes up to
three tablets TOTAL?
68W FIVE
700 pts
• Helicopter landing sites should be free
of ____ ____, _____ _____, _____ _____
or _____, and similar obstructions on
the approach or departure ends of the
landing site.
• What are tall trees, telephone lines,
power lines or poles?
68W FIVE
800 pts
• You are using a roller bandage. The wrap on
the left is used on conical shaped areas like
from the ankle to knee. The wrap to right is
used to support or limit joint movement at the
hand, elbow, knee, ankle, or foot. What is each
called.
• What is the spiral reverse wrap? What is the
figure eight wrap?
68W FIVE
900 pts
• Use an __ ____ to immobilize a dislocated
shoulder. Use a _____ or an ______ splint for
a fractured forearm. Use a ___ ____ splint for
a fractured humerus, and for multiple
fractures of an arm or a forearm when the
elbow is bent. Use a ___ _____ splint for a
fractured or dislocated humerus, elbow, or
forearm when the elbow is straight.
• What is an arm sling; basswood or an
improvised splint; wire ladder splint; wire
ladder splint?
68W SIX
100 pts
• Name the three types of heat injuries.
Which is a medical emergency and has
hot, dry skin?
• What are heat cramps, heat exhaustion,
and heat stroke (med emergency)?
68W SIX
1000 pts
• The five rights for medication administration
are:
• What are:
– Right PATIENT
– Right MEDICATION
– Right DOSAGE
– Right TIME
– Right ROUTE
68W SIX
200 pts
• Name the appropriate cold injury:
– Caused by repeated prolonged exposure of bare skin
to low temperatures from 60° down to 32° F.
– Caused by exposure of the skin to cold temperatures
that are usually below 32° F depending on the
windchill factor, length of exposure, and adequacy of
protection.
– Caused by prolonged exposure to low temperatures,
especially with wind and wet conditions, and it may
be caused by immersion in cold water. the entire
body has cooled with the core temperature below 95°
F. This is a medical emergency.
• What is Chilblain; Frostbite; Generalized
hypothermia?
68W SIX
300 pts
• Hard ticks can transmit _____ and _____. The
brown recluse spider has a ______ shaped
mark on its back. The black widow spider has
a red or orange _____ shape on the underside
of the abdomen. Nonpoisonous snakes have _
- _ rows of teeth and no fangs. Poisonous
snakes have __ rows of teeth and two fangs
which cause puncture marks.
• What is Rocky Mountain Spotted Fever and
Lyme's disease; violin; hourglass; four – six;
two?
68W SIX
400 pts
• What type of chemical agent are these signs and symptoms
of:
– Vertigo, nausea, increased respirations, headache, pink
color of the skin, violent convulsions, coma, respiratory
arrest, cardiac arrest.
– Watery eyes, coughing, choking, tightness in the chest,
nausea, vomiting, headache, transient blindness,
increased salivation, tingling burning sensation on the
skin.
– Skin: Itching, redness, blisters, pain. Eyes: Extremely
sensitive to light, gritty feeling, painful, watery, involuntary
spasms of the eyelids, swelling and blistering of eyelids,
corneal lesion, permanent blindness (direct contact),
redness.
• What is blood agent (hydrogen cyanide); choking agent;
blister agent?
68W SIX
500 pts
• These are the four factors that should
be considered when selecting a
helicopter LZ. When the ground slope
is 7 – 15 degrees how must the
helicopter land. VS-17 marker panels
may be used to mark the landing site,
but MUST NOT be used any closer than
__ feet to the touchdown point
• What are size, ground slope, surface
conditions, and obstacles? Sideslope.
50 feet?
68W SIX
600 pts
• These are the priorities used for
assessing casualties and establishing
priorities for treatment. These are the
precedence categories used for
establishing MEDEVAC priorities.
• What are immediate, delayed, minimal,
and expectant? What are urgent, urgent
surgical, priority, routine, and
convenience?
68W SIX
700 pts
• Give the treatment priority for each injury:
– Open wounds of the chest without respiratory
distress.
– Minor lacerations and contusions.
– treatment to save life, limb or eyesight
– Burns, mostly third degree, covering more than 85%
of the total body surface area.
• What is:
–
–
–
–
Delayed
Minimal
Immediate
Expectant
68W SIX
800 pts
• The information given on each line of a MEDEVAC
request (All 9 lines).
•
•
•
•
•
•
•
•
•
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Line 6:
Line 7:
Line 8:
Line 9:
Pickup location.
Radio frequency, call sign, and suffix.
Number of patients by precedence category.
Special equipment.
Number of patients by type.
Security of the pickup site.
Method of marking the pickup.
Patients' nationality and status.
NBC contamination, if any.
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68W SIX-DJ
???? pts
• Name the MEDEVAC precedence for each:
– Open chest and/or abdominal wounds with decreased
blood pressure.
– Simple fractures.
– Burns covering 20% to 85% of the total body surface
area.
– Sprains and strains.
– Closed-chest injuries, such as rib fractures without a
flail segment, or other injuries that interfere with
respiration.
• What is:
–
–
–
–
–
Urgent surgical
Routine
Urgent
Convenience
Priority
68W SEVEN
100 pts
• You are going to give a patient a
Morphine intramuscular injection.
Name the three sites you could give it..
• What is the deltoid muscle, buttocks, or
outer thigh?
68W SEVEN
1000 pts
• The arm and hand signal shown below
is called what. It is also used when
changing from one arm and hand
signal to another.
• What is the “HOVER” signal?
68W SEVEN
200 pts
• If giving an intramuscular injection to
the buttocks, in what quadrant should
you give it to avoid hitting the sciatic
nerve or the gluteal artery.
• What is the upper outer quadrant of the
buttock?
68W SEVEN
300 pts
• In which MEDEVAC request precedence
requires evacuation within:
– 4 hours.
– 24 hours.
– 2 hours.
• What is:
– Priority.
– Routine.
– Urgent.
68W SEVEN
400 pts
• The following injuries fall under this MEDEVAC
precedence:
– Burns covering 20% to 80% of the total body
surface area if the casualty is receiving and
responding to IV therapy.
– Simple fractures.
– Open wounds including chest injuries without
respiratory distress.
– Psychiatric cases.
– Terminal cases.
• What is Routine?
68W SEVEN
500 pts
• The following injuries fall under this MEDEVAC
precedence:
– Cardiorespiratory distress.
– Shock not responding to IV therapy.
– Prolonged unconsciousness.
– Head injuries with signs of increasing
intracranial pressure.
– Burns covering 20% to 85% of the total body
surface area.
• What is Urgent?
68W SEVEN
600 pts
•
The following injuries fall under this MEDEVAC precedence:
– Closed-chest injuries, such as rib fractures without a flail
segment, or other injuries that interfere with respiration.
– Brief periods of unconsciousness.
– Soft tissue injuries and open or closed fractures.
– Abdominal injuries with no decreased blood pressure.
– Eye injuries that do not threaten eyesight.
– Spinal injuries.
– Burns on the hands, face, feet, genitalia, or perineum even if
under 20% of the total body surface area.
• What is Priority?
68W SEVEN
700 pts
• The following injuries fall under this MEDEVAC
precedence:
– Minor open wounds.
– Sprains and strains.
– Minor burns under 20% of total body surface
area.
• What is Convenience?
68W SEVEN
800 pts
• The following injuries fall under this MEDEVAC
precedence:
– Decreased circulation in the extremities.
– Open chest and/or abdominal wounds with
decreased blood pressure.
– Penetrating wounds.
– Uncontrollable bleeding or open fractures with
severe bleeding.
– Severe facial injuries.
• What is Urgent-Surgical?
68W SEVEN
900 pts
• During the approach and departure a
helicopter must fly over trees which
are 15 meters high, that means the
helicopter LZ must be how long.
• What is 150 meters?