FIELDCRAFT 2 EVALUATION EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔red flags for TBI/head injuries - ✔✔-Witnessed loss of consciousness (LOC)
-Double vision
-Two or more blast exposures within 72 hrs
-Worsening headache
-Amnesia/Memory problems
-Weakness
-Unusual behavior/combative
-Cannot recognize people
-Unequal pupils or disoriented to place
-Seizures
-Unsteady on feet
-Repeated vomiting
-Abnormal speech
✔✔what should you gather for an ocular history - ✔✔-Mechanism of Injury: Blunt,
Penetrating, Projectile? Thermal, chemical or laser burn?
-Glasses or contact lenses?
-Eye disease or previous eye trauma/surgery?
-Eye pain or loss of vision? One eye or both?
✔✔which eye injury must be flushed before conducting a visual acuity assessment -
✔✔chemical burns
✔✔What type of VA can be completed on the battlefield? - ✔✔Gross Vision
Examination
✔✔When assessing a casualty with an ocular injury, what other type of injury should
you also assess for? - ✔✔-A Head injury
-Watch the casualty's LOC
-Changes identify an underlying head injury as well
✔✔what are passive and active protection you can take for your eyes - ✔✔passive
-Take cover & wear eye pro
active
-Scan with one eye.
-Minimizing binoculars use.
-Built-in or clip on filters. Smoke screens (Risk of laser injury increases with the use of
night vision)
✔✔which antibiotic within the combat pill pack affects the eye - ✔✔moxifloxacin
(Avelox)
, ✔✔how should eyes be irrigated - ✔✔-Irrigate affected eyes and lids gently with sterile
water or IV solution. (NS or Lactated Ringers)
-When irrigating the eyes, ensure the irrigation drainage does not come into contact with
the other eye.
-How long should chemical burns be irrigated?
-*Irrigation should be maintained, for as long as supplies will allow or until the casualty
reaches a medical treatment facility*
-*irrigate chemical burns at least 20min*
✔✔what is APEL - ✔✔authorized protective eyewear list
✔✔according to DA PAM 40-506 2 June 2003, para 4.13. c when will contact lenses not
be worn - ✔✔during BCT, field exercises, gas chamber exercises, developments,
combat
-wearing contact lenses will worsen chemical exposures of eye and corneal injuries
such as corneal foreign bodies, laceration, ulcers, or infections
✔✔why is covering both eyes during combat not recommended - ✔✔casualty with both
eyes covered is rendered defenseless against the enemy and is completely dependent
on others
✔✔how to treat the 3 types of foreign bodies in an ocular injury - ✔✔Superficial Foreign
Bodies
-Irrigate and cover affected eye with a Fox Eye Shield
Embedded or Penetrating Foreign Bodies
-Do not attempt to remove the object
-Stabilize the object, if necessary
-Cover affected eye with a Fox Eye Shield, if possible
Foreign Body No Longer Present
-Cover affected eye with a Fox Eye Shield
for all, administer combat pill pack and Evacuate casualty to a MO as soon as possible
with glasses, if indicated
✔✔how to treat corneal abrasions - ✔✔-Cover the affected eye with a Fox Eye Shield.
-Administer combat pill pack.
-Evacuate casualty to a MO as soon as possible with glasses
✔✔how to treat eyelid lacerations - ✔✔-Cover the affected eye with a Fox Eye Shield.
-Administer combat pill pack.
-Evacuate casualty to a MO as soon as possible with glasses, if indicated
AND SOLUTIONS GRADED A+
✔✔red flags for TBI/head injuries - ✔✔-Witnessed loss of consciousness (LOC)
-Double vision
-Two or more blast exposures within 72 hrs
-Worsening headache
-Amnesia/Memory problems
-Weakness
-Unusual behavior/combative
-Cannot recognize people
-Unequal pupils or disoriented to place
-Seizures
-Unsteady on feet
-Repeated vomiting
-Abnormal speech
✔✔what should you gather for an ocular history - ✔✔-Mechanism of Injury: Blunt,
Penetrating, Projectile? Thermal, chemical or laser burn?
-Glasses or contact lenses?
-Eye disease or previous eye trauma/surgery?
-Eye pain or loss of vision? One eye or both?
✔✔which eye injury must be flushed before conducting a visual acuity assessment -
✔✔chemical burns
✔✔What type of VA can be completed on the battlefield? - ✔✔Gross Vision
Examination
✔✔When assessing a casualty with an ocular injury, what other type of injury should
you also assess for? - ✔✔-A Head injury
-Watch the casualty's LOC
-Changes identify an underlying head injury as well
✔✔what are passive and active protection you can take for your eyes - ✔✔passive
-Take cover & wear eye pro
active
-Scan with one eye.
-Minimizing binoculars use.
-Built-in or clip on filters. Smoke screens (Risk of laser injury increases with the use of
night vision)
✔✔which antibiotic within the combat pill pack affects the eye - ✔✔moxifloxacin
(Avelox)
, ✔✔how should eyes be irrigated - ✔✔-Irrigate affected eyes and lids gently with sterile
water or IV solution. (NS or Lactated Ringers)
-When irrigating the eyes, ensure the irrigation drainage does not come into contact with
the other eye.
-How long should chemical burns be irrigated?
-*Irrigation should be maintained, for as long as supplies will allow or until the casualty
reaches a medical treatment facility*
-*irrigate chemical burns at least 20min*
✔✔what is APEL - ✔✔authorized protective eyewear list
✔✔according to DA PAM 40-506 2 June 2003, para 4.13. c when will contact lenses not
be worn - ✔✔during BCT, field exercises, gas chamber exercises, developments,
combat
-wearing contact lenses will worsen chemical exposures of eye and corneal injuries
such as corneal foreign bodies, laceration, ulcers, or infections
✔✔why is covering both eyes during combat not recommended - ✔✔casualty with both
eyes covered is rendered defenseless against the enemy and is completely dependent
on others
✔✔how to treat the 3 types of foreign bodies in an ocular injury - ✔✔Superficial Foreign
Bodies
-Irrigate and cover affected eye with a Fox Eye Shield
Embedded or Penetrating Foreign Bodies
-Do not attempt to remove the object
-Stabilize the object, if necessary
-Cover affected eye with a Fox Eye Shield, if possible
Foreign Body No Longer Present
-Cover affected eye with a Fox Eye Shield
for all, administer combat pill pack and Evacuate casualty to a MO as soon as possible
with glasses, if indicated
✔✔how to treat corneal abrasions - ✔✔-Cover the affected eye with a Fox Eye Shield.
-Administer combat pill pack.
-Evacuate casualty to a MO as soon as possible with glasses
✔✔how to treat eyelid lacerations - ✔✔-Cover the affected eye with a Fox Eye Shield.
-Administer combat pill pack.
-Evacuate casualty to a MO as soon as possible with glasses, if indicated
