NEW 68W ALC PHASE 3 LIMITED PRIMARY
CARE EXAM QUESTIONS AND ANSWERS
2025/2026 LATEST
Management of Dislocated shoulder -- ANSWER--1) Reduction
2) Sling or improvised sling
3) Analgesic; NASAID
4) Pillow placed between
5) Rest and immobilize for NO MORE THAN 5-7 days
6) Strengthen exercising for muscle repair
What is the most common type of TBI? -- ANSWER--Mild. Dead Man
Walking
S/Sx Moderate/Severe TBI -- ANSWER--LOC, Personality change, Severe
persistent
Headache, Repeating N&V, SZ, Inability to awaken, Dilation of both pupils,
Slurred speech,
Weakness or numbness in extremities, Loss of coordination, Increased
confusion,
What does MACE stand for? -- ANSWER--Military Acute Concussion
Evaluation
Page 1 of 96
,How often should Neuro testing be performed? -- ANSWER--Semiannually or
as mission dictates to ID TBIs
What are the five domains of MACE? -- ANSWER--Orientation, Immediate
Memory, Neurological Screening, Concentration, Delayed Recall
High Altitude Illness -- ANSWER--Cerebral and Pulmonary Syndromes that
can develop in UN-acclimatized persons shorty after ascent to high altitude
High Altitude Pulmonary Edema (HAPE) -- ANSWER--acute accumulation of
fluid in the alveoli due to rapid ascent in altitude
High Altitude Cerebral Edema (HACE) -- ANSWER--acute swelling of brain
due to rapid ascent in altitude
What are the ways to acclimatize a soldier? -- ANSWER--Staged and Graded
Staged Ascent -- ANSWER--Soldiers will rise to a moderate altitude and
remain there for 3 days or more before moving any higher. Should use several
stops on way up
Page 2 of 96
,Graded Ascent -- ANSWER--
Diffusion -- ANSWER--Flow of gas or liquid from an area of higher
concentration to lesser concentration
Subjective findings on Dislocated shoulder -- ANSWER--Pain (Severe),
Instability, Weakness, Inability to move shoulder, Numbness
Objective findings on Dislocated shoulder -- ANSWER--Abnormal appearance,
Positive Sulcus Sign, Swelling, Bruising
What are the mandated events that require MACE -- ANSWER--1) Involved in
vehicle associated blast event, collision, rollover
2) Within 50 meters of blast
3) Anyone who sustains a direct blow to head
4) Command directed, such as but not limited to repeated exposures
What is a Red Flag -- ANSWER--Ominous sign of a worsening condition.
Level 2 Evacuation Decision Red Flags -- ANSWER--1) Any positive answer
to MACE items V-VIII
2) Double vision
3) Worsening Headache
Page 3 of 96
, 4) Cant recognize people; Disorientation to place
5) LOC >5 min
6) Weakness/numbness in arms/legs
Level 3 Evacuation Decision Red Flags -- ANSWER--1) Progressively
declining levels of consciousness
2) Pupil asymmetry
3) SZ
4) Repeated Vomitting
Number one cause of TBI in combat -- ANSWER--Blast injuries
What are the three types of TBIs -- ANSWER--Mild, Moderate, Severe
S/Sx Mild TBI -- ANSWER--Transient confusion, Delayed verbal or motor
response, Disorientation, Slurred or coherent speech, Any period of LOC
When would you likely see Lhermitte's sign -- ANSWER--Following a
whiplash syndrome injury
When visualizing back what should you look for for injuries? -- ANSWER--
edema, erythema, ecchymosis, battle sign, neuro changes, step offs
Page 4 of 96
CARE EXAM QUESTIONS AND ANSWERS
2025/2026 LATEST
Management of Dislocated shoulder -- ANSWER--1) Reduction
2) Sling or improvised sling
3) Analgesic; NASAID
4) Pillow placed between
5) Rest and immobilize for NO MORE THAN 5-7 days
6) Strengthen exercising for muscle repair
What is the most common type of TBI? -- ANSWER--Mild. Dead Man
Walking
S/Sx Moderate/Severe TBI -- ANSWER--LOC, Personality change, Severe
persistent
Headache, Repeating N&V, SZ, Inability to awaken, Dilation of both pupils,
Slurred speech,
Weakness or numbness in extremities, Loss of coordination, Increased
confusion,
What does MACE stand for? -- ANSWER--Military Acute Concussion
Evaluation
Page 1 of 96
,How often should Neuro testing be performed? -- ANSWER--Semiannually or
as mission dictates to ID TBIs
What are the five domains of MACE? -- ANSWER--Orientation, Immediate
Memory, Neurological Screening, Concentration, Delayed Recall
High Altitude Illness -- ANSWER--Cerebral and Pulmonary Syndromes that
can develop in UN-acclimatized persons shorty after ascent to high altitude
High Altitude Pulmonary Edema (HAPE) -- ANSWER--acute accumulation of
fluid in the alveoli due to rapid ascent in altitude
High Altitude Cerebral Edema (HACE) -- ANSWER--acute swelling of brain
due to rapid ascent in altitude
What are the ways to acclimatize a soldier? -- ANSWER--Staged and Graded
Staged Ascent -- ANSWER--Soldiers will rise to a moderate altitude and
remain there for 3 days or more before moving any higher. Should use several
stops on way up
Page 2 of 96
,Graded Ascent -- ANSWER--
Diffusion -- ANSWER--Flow of gas or liquid from an area of higher
concentration to lesser concentration
Subjective findings on Dislocated shoulder -- ANSWER--Pain (Severe),
Instability, Weakness, Inability to move shoulder, Numbness
Objective findings on Dislocated shoulder -- ANSWER--Abnormal appearance,
Positive Sulcus Sign, Swelling, Bruising
What are the mandated events that require MACE -- ANSWER--1) Involved in
vehicle associated blast event, collision, rollover
2) Within 50 meters of blast
3) Anyone who sustains a direct blow to head
4) Command directed, such as but not limited to repeated exposures
What is a Red Flag -- ANSWER--Ominous sign of a worsening condition.
Level 2 Evacuation Decision Red Flags -- ANSWER--1) Any positive answer
to MACE items V-VIII
2) Double vision
3) Worsening Headache
Page 3 of 96
, 4) Cant recognize people; Disorientation to place
5) LOC >5 min
6) Weakness/numbness in arms/legs
Level 3 Evacuation Decision Red Flags -- ANSWER--1) Progressively
declining levels of consciousness
2) Pupil asymmetry
3) SZ
4) Repeated Vomitting
Number one cause of TBI in combat -- ANSWER--Blast injuries
What are the three types of TBIs -- ANSWER--Mild, Moderate, Severe
S/Sx Mild TBI -- ANSWER--Transient confusion, Delayed verbal or motor
response, Disorientation, Slurred or coherent speech, Any period of LOC
When would you likely see Lhermitte's sign -- ANSWER--Following a
whiplash syndrome injury
When visualizing back what should you look for for injuries? -- ANSWER--
edema, erythema, ecchymosis, battle sign, neuro changes, step offs
Page 4 of 96
