68w ALC Phase 3 Trauma Written Test Exam Questions with
Verified Solutions.
The nervous system two main structural divisions - ANS 1.) Central Nervous System (CNS)
2.) Peripheral Nervous System (PNS)
Central Nervous System controls what? - ANS the brain and spinal cord
What are the two sub-systems for Peripheral Nervous System? - ANS 1.) Somatic Nervous
System
2.) Autonomic Nervous System
Somatic nervous system controls what? - ANS sensory nerves and the efferent, motor nerves
(Intentional movement and sensation)
Autonomic nervous system controls what? - ANS automatic (involuntary) body functions
(unconscious body functions)
Autonomic nervous system two sub-systems? - ANS 1.) Sympathetic Nervous System
2.) Parasympathetic Nervous System
Sympathetic Nervous System is what? - ANS Fight or Flight
This system is mediated by catecholamine's including epinephrine, norepinephrine, and
dopamine
Sympathetic Nervous System effects include what? - ANS 1.) Pupil dilation
2.) Tremors
3.) Tachycardia
4.) Vasoconstriction
5.) Broncho dilation
6.) Blood shunting from the mid-brain
7.) Enhanced neural stimulation of large muscles groups
Parasympathetic Nervous System is what? - ANS Feed and Breed/ Rest and Digest
1.) Opposite effect to the SNS
Tachycardia due to what does not correlate with SNS stimulation? - ANS medication, illness or
exercise
The five conditions of physiological stimulation? - ANS White, Yellow, Red, Gray and Black
Effects of condition WHITE? - ANS 1.) Normal pulse (60-80 bpm)
2.) Normal rasp rate
3.) Fine motor skills intact
4.) Normal cognition
Effects of condition YELLOW? - ANS 1.) Pulse rate 80-115 bpm
2.) Heightened awareness and normal rasp
3.) Elevated BP and tremors
4.) Fine motor skills deteriorate at 115 bpm
Effects of condition RED? - ANS 1.) Pulse rate 115-145 bpm
2.) Complex motor skills, cognition and visual reaction peak
Effects of condition BLACK? - ANS 1. Pulse rate 145-175 bpm
2. Cognition decrease
3. Loss of depth perception
4. Auditory exclusion
What is stress inoculation? - ANS The process building a person's resistance to stress
, 5. Stressors from instructors (intimidation, scrutinization)
TCCC goals? - ANS 1. Complete the mission
2. Prevent additional casualties
3. Save preventable deaths
What is the 15% of preventable cause of death we focus on in tactical medicine? - ANS 1.
Extremity hemorrhage 9%
2. Tension pneumothorax 5%
3. Airway obstruction 1%
3 phases of TCCC? - ANS 1. Care under fire
2. Tactical field care
3. Tactical evict care
Types of Evacuations? - ANS 1. Medevac
2. Cassava
3. Stratevest (movement of large numbers of casualties, primary by the USAF)
Describe 1st degree burns - ANS 1. Superficial burns (epidermis)
2. Red and painful
Describe 2nd degree burns - ANS 1. Partial thickness burns with pain
2. Blistering and reddening
Describe 3rd degree burns - ANS 1. Full thickness burns (painless)
2. Charred skin (Escher)
3. Surrounding tissue has 1st and 2nd degree burns
Describe 4th degree burns - ANS affects all level of skin to include fat, muscle, bone and
internal organs
Rules of Nines what are they? - ANS 1. Head and neck 9%
2. Anterior trunk 18%
3. Posterior trunk 18%
4. Upper extremities 9% each
5. Lower extremities 18% each
6. Groin 1%
How are burns to the fingers and toes treated? - ANS moistened dressing between each digit
For extensive burns over 20% TBSA consider what? - ANS 1. Fluid resuscitation
2. Hypothermia management (blanket)
When do you use Silva Lon dressing and explain? - ANS 1. Delayed evict (24 hours)
2. Impregnated with a silver compound prevents infection
Oral Tran’s mucosal Fentanyl Citrate class, dosage and contraindications - ANS 1. Narcotic
analgesic
2. Adult 800 mcg lozenge PO Trans mucosal (inside cheek)
3. Head trauma maxillofacial injury
Morphine Sulfate class, dosage and contraindications - ANS 1. Analgesic
2. Adult IV/IO 4-10 mg initial / IM 8-15 mg / 10 mg auto-injector
3. Allergies to morphine, AMS, respiratory depression and shock
FYI
Combat medics administer 5mg dose every 10 min IV until pain is controlled or max dose of
20mg
Ketamine class, dosage and contraindications - ANS 1. Dissociative Anesthetic
Verified Solutions.
The nervous system two main structural divisions - ANS 1.) Central Nervous System (CNS)
2.) Peripheral Nervous System (PNS)
Central Nervous System controls what? - ANS the brain and spinal cord
What are the two sub-systems for Peripheral Nervous System? - ANS 1.) Somatic Nervous
System
2.) Autonomic Nervous System
Somatic nervous system controls what? - ANS sensory nerves and the efferent, motor nerves
(Intentional movement and sensation)
Autonomic nervous system controls what? - ANS automatic (involuntary) body functions
(unconscious body functions)
Autonomic nervous system two sub-systems? - ANS 1.) Sympathetic Nervous System
2.) Parasympathetic Nervous System
Sympathetic Nervous System is what? - ANS Fight or Flight
This system is mediated by catecholamine's including epinephrine, norepinephrine, and
dopamine
Sympathetic Nervous System effects include what? - ANS 1.) Pupil dilation
2.) Tremors
3.) Tachycardia
4.) Vasoconstriction
5.) Broncho dilation
6.) Blood shunting from the mid-brain
7.) Enhanced neural stimulation of large muscles groups
Parasympathetic Nervous System is what? - ANS Feed and Breed/ Rest and Digest
1.) Opposite effect to the SNS
Tachycardia due to what does not correlate with SNS stimulation? - ANS medication, illness or
exercise
The five conditions of physiological stimulation? - ANS White, Yellow, Red, Gray and Black
Effects of condition WHITE? - ANS 1.) Normal pulse (60-80 bpm)
2.) Normal rasp rate
3.) Fine motor skills intact
4.) Normal cognition
Effects of condition YELLOW? - ANS 1.) Pulse rate 80-115 bpm
2.) Heightened awareness and normal rasp
3.) Elevated BP and tremors
4.) Fine motor skills deteriorate at 115 bpm
Effects of condition RED? - ANS 1.) Pulse rate 115-145 bpm
2.) Complex motor skills, cognition and visual reaction peak
Effects of condition BLACK? - ANS 1. Pulse rate 145-175 bpm
2. Cognition decrease
3. Loss of depth perception
4. Auditory exclusion
What is stress inoculation? - ANS The process building a person's resistance to stress
, 5. Stressors from instructors (intimidation, scrutinization)
TCCC goals? - ANS 1. Complete the mission
2. Prevent additional casualties
3. Save preventable deaths
What is the 15% of preventable cause of death we focus on in tactical medicine? - ANS 1.
Extremity hemorrhage 9%
2. Tension pneumothorax 5%
3. Airway obstruction 1%
3 phases of TCCC? - ANS 1. Care under fire
2. Tactical field care
3. Tactical evict care
Types of Evacuations? - ANS 1. Medevac
2. Cassava
3. Stratevest (movement of large numbers of casualties, primary by the USAF)
Describe 1st degree burns - ANS 1. Superficial burns (epidermis)
2. Red and painful
Describe 2nd degree burns - ANS 1. Partial thickness burns with pain
2. Blistering and reddening
Describe 3rd degree burns - ANS 1. Full thickness burns (painless)
2. Charred skin (Escher)
3. Surrounding tissue has 1st and 2nd degree burns
Describe 4th degree burns - ANS affects all level of skin to include fat, muscle, bone and
internal organs
Rules of Nines what are they? - ANS 1. Head and neck 9%
2. Anterior trunk 18%
3. Posterior trunk 18%
4. Upper extremities 9% each
5. Lower extremities 18% each
6. Groin 1%
How are burns to the fingers and toes treated? - ANS moistened dressing between each digit
For extensive burns over 20% TBSA consider what? - ANS 1. Fluid resuscitation
2. Hypothermia management (blanket)
When do you use Silva Lon dressing and explain? - ANS 1. Delayed evict (24 hours)
2. Impregnated with a silver compound prevents infection
Oral Tran’s mucosal Fentanyl Citrate class, dosage and contraindications - ANS 1. Narcotic
analgesic
2. Adult 800 mcg lozenge PO Trans mucosal (inside cheek)
3. Head trauma maxillofacial injury
Morphine Sulfate class, dosage and contraindications - ANS 1. Analgesic
2. Adult IV/IO 4-10 mg initial / IM 8-15 mg / 10 mg auto-injector
3. Allergies to morphine, AMS, respiratory depression and shock
FYI
Combat medics administer 5mg dose every 10 min IV until pain is controlled or max dose of
20mg
Ketamine class, dosage and contraindications - ANS 1. Dissociative Anesthetic
