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FMTB Block 4 PCC Flashcards | StudBud
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FMTB Block 4 PCC
FMTB Block 4 PCC
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1
Your patient is covered in 40% of burns, they should have vital signs collected every
1-2 hrs
8 hrs
4 hrs
6 hrs
2
What is the BEST tool to communicate with a provider during telemedicine
MACE
VC3 Guide
AAR
DD 1380 TCCC Card
3
Shock from damage to myocardial muscle of the heart, patient experiences heart attack or cardiac contusion
Obstructive shock
Hypovolemic shock
Distributive shock
Cardiogenic shock
4
Your patient tumbles down B**ch hill, and has large open wounds, how often should you perform vital signs
1 hr
8 hrs
4 hrs
2 hrs
5
A life and limb threatening condition, occurs due to entrapment of the extremities and by extensive damage to musclemass
Hyperkalemia
Rhabdomyolysis
Crush syndrome
Compartment syndrome
6
How do you document temperature on the PCC vitals flow sheet
O
X
^
V
7
Treat Hyperkalemia with
NSAIDS/ Moxifloxacin
Epinephrine
Calcium gluconate/ albuterol
Calcium gluconate/epinephrine
8
Tertiary lines for supply may be established to include
AMAL and MEDLOG
TLAMM and MED LOG
EMF and fleet hospitals
Local national support from hospitals and clinics
9
What is the maximum Glasgow score for each category?
Motor: 4, Eye: 5, Verbal: 6
Verbal: 3, Eye: 4, Motor: 5
Verbal: 4, Eye:5, Motor: 6
Eye: 4, Verbal: 5, Motor: 6
10
How do you document systolic on the vitals PCC flow sheet
X
O
^
V
11
TLAMM is an example of what type of supply
Secondary
Tertiary
None of the above
Primary
12
A SAT kid fell off their top rack, they have a Hr of 116, respirations of 22, have numbness in legs, what type of shock
Obstructive
distributive
cardiogenic
hypovolemic
13
What is the maintenance dose for 3% hypertonic saline? (SMOG)
250 ml
10 ml
500 ml
50 ml
14
Your patient does one too many pull-ups and starts experiencing muscle pain, pallor, Poikilo, paresthesia. You suspect:
Crush syndrome
Compartment syndrome
Hyperkalemia
Rhabdomyolysis
15
Treatment for distributive shock due to anaphylaxis
1mg epinephrine
1L lactated ringer bolus
100 mL normal saline bolus
Burr hole
16
Condition from release of myoglobin into blood stream, following breakdown of skeletal muscle, causing kidney damage
Compartment Syndrome
Hyperkalemia
Rhabdomyolysis
Crush Syndrome
17
What does VCCC stand for
Vacuum Cats Caterpillars and Cantalopes
Virtual Casualty Care Consultation
Virtual Casualty Care Completion
Virtual critical care consultation
18
Which of the following does not negatively affect a patient being ventilated with a BVM
Acidosis
Dry Air
Cold climate
PEEP valve
19
Your patient has 16 respirations, BP of 120/70, and a pulse rate of 80. How often should you perform your assessment?
Every 16 hours
Every 8 hours
Every 4 hours
Every 2 hours
20
Normal patients with no signs of rhabdo should void
30-50 mL/hour
5-10 mL/hour
100-200 mL/hour
10-20 mL/hour
21
Treatment for Cardiogenic shock from a myocardial infarction/cardiac contusion
250ml fluid bolus of normal saline
500 ml Lactated Ringer bolus
1mg epinephrine
250ml slow drip normal saline
22
Best treatment for intracranial pressure
2L normal saline bolus over 30 min
3% hypertonic saline 250 mL bolus over 15 min
3% hypertonic saline 500 mL bolus over 30 min
1L normal saline bolus over 30 min
23
Respiratory rate changes during mechanical ventilation affects CO2 levels, changing pH and results in
Sepsis
Barotrauma
Respiratory acidosis/alkalosis
Rhabdomyolysis/Hyperkalemia
24
For the HEAD TO TOE assessment, unstable patients should be reassessed at a minimum of
8 hours
10-15 minutes
2 hours
4 hours
25
What is the primary treatment of crush syndrome
Potassium management
Protecting from infection
Aggressive fluid administration
Airway adjuncts
26
Goal urinary output during crush syndrome
20-30 mL per hour
100-200 mL per hour
200-500 mL per hour
50-100 mL per hour
27
CPG stands for
Clinical performance guidelines
Category Program Goals
Clinical practice guidelines
Control patrol group
28
Primary supply will be from ____ ordered via ________
EMF, MEDLOG
AMAL, MEDLOG
BAS, STP
AMAL, BAS
29
What role is Ruck
1a
1C
1b
1d
30
Casualties with a GSC score of 13-15 may be experiencing
severe TBI
loss of airway
mild eye trauma
mild TBI
31
For a patient with a temp of 101.8, HR of 118 reassess the head to Toe assessment every
1 hour
4 hours
2 hours
8 hours
32
Secondary supply lines may include what units within proximity?
MEDLOG, TLAMM
Local national support from hospitals and clinics
AMAL, TLAMM
BAS, STP, EMF
33
Your classmate falls looking for rocks to use as improvised tourniquets,and gets his leg crushed, what do you do
Remove him and then use the rock he found as an improvised tourniquet
Place two tourniquets AFTER removing him from the site
Remove and then use a pressure bandage
Place two tourniquets BEFORE removing him from the site
34
Patients demonstrating improvement with fluid resus: SBO more than 100mmHg, HR less than 100, cap refill less than 3 sec
Responders
Non-responders
Improvers
Transient responders
35
A definitive airway is
An established airway below the larynx
An established airway above the vocal cords
An established airway below the nasopharynx
An established airway below the vocal cords
36
Your patient is undergoing active resuscitation how often should you assess vitals
1 hr
4 hrs
5-10 minutes
15-30 minutes
37
Which of the following has the highest burn percentage
front and back of chest and abdomen, right arm anterior
entire left and right leg, anterior chest, entire right arm
anterior left and right leg, anterior chest
entire left leg, anterior chest, anterior abdomen
38
DVT prevention includes ankle plantarflexion to Dorsiflexion, held in each position for 5-10 seconds
False
True
39
Your patient has gross looking urine, and has been in a crush injury. What is a ideal UOP for this patient
50
20
220
172
40
What role is house
1d
1C
1a
1b
41
Role 1a to 1C most directly relates to whose capabilities?
MAW
STP
MLG
MARDIV
42
What can be carried or is available in the mission specific transportation platforms (AAV, LAR)
1d
1a
1b
1c
43
Your patient has 50% burns covering legs and abdomen, your next action is to
apply a NPA
give 500 ml of blood
Wrap Burns
get a definitive airway (CRIC)
44
DOPE acronym stands for
Displacement, Obstruction, Pulmonary Embolism, Education
Distress, Obstruction, Path, Evidence
Displacement, Obstruction, Pneumothorax, Equipment
Distance, Obstacle, Path, Equipment
45
Your patient had a entrapped extremity, after giving them a tourniquet and extracting you:
Initiate 2L fluid bolus followed by infusion of 1L/hr
Initiate 250mL fluid bolus followed by infusion of 500mL/hr
Initiate 1L fluid bolus followed by infusion of 1L/hr
Initiate 500mL fluid bolus followed by infusion of 2L/hr
46
For patients with a cricothyroidotomy, how is their verbal category annotated?
1
3
1T
1C
47
Plane or Role 1d revers to whose capabilities
MAW/MLG
None of the above
MARDIV
STP
48
Patients demonstrating initial improvement but decompensate after a short period (30 min - 1hr)
Partial responders
Responders
Transient responders
Non-responders
49
Lung injury, resulting from over pressurization during ventilator
Tidal volume
Pulmonary contusion
Pneumothorax
Barotrauma
50
Hypoxia is classified as less than
95%
92%
90%
88%
51
Which of the following is not a indication for brain herniation/cushings sign
Cheyenne stokes
tachypnea
bradycardia
widening pulse
52
Red flag symptoms on the MACE 2 include double vision, deteriorating consciousness, seizures, weakness in arms
True
False
53
What is the acronym for trouble shooting airway adjuncts
OOPS
MSMAID
DOPE
CRIC
54
Following an injury, blood, or edema, may accumulate inside muscle compartments causing rise in pressure
Hyperkalemia
Compartment syndrome
Rhabdomyolysis
Crush syndrome
55
Albuterol works in Hyperkalemia to
Lowers serum potassium level by driving it back into cells
Lowers serum potassium level by increasing the number of cells in the body
Increases serum potassium by driving it back into cells
Increases serum calcium to overcome effect of Hyperkalemia
56
Your patient’s respirations: 8, SPO2: 88, BP: 90/58. You suspect:
Respiratory distress
Cushings triad
Respiratory Arrest
Respiratory failure
57
Your patient was stabbed in the I-Course when their knife fell out, they are found to be very stable. Check vitals every
8 hours
4 hours
1-2 hours
6 hours
58
Rhabdomyolysis releases _____ and damages _____
red blood cells, kidneys
myoglobin, kidneys
white blood cells, gallbladder
myoglobin, pancreas
59
How many principles are there in PCC?
7
10
13
4
60
Your patient is dehydrated from looking for their lost rifle, and go into hypovolemic shock. What do you treat them with
1mg epinephrine
500mL normal saline
250 mL lactated ringers
1L Normal Saline
61
Prior to utilizing telemedicine, establish what for communication?
Primary, Alternative, Back Up
Primary, Secondary, Tertiary
CO, OOD, HM2
Primary, Alternative, Contingency, Emergency
62
Amount of air that moves in or out of the lung with each respiratory cycle, expressed in mL
Barotrauma
Air pressure
Tidal Volume
Total Volume
63
Perform DVT prevention on unconscious patients every:
8 hrs
6 hrs
2 hrs
4 hrs
64
Which of the following is the correct description of MSMAID
Mechanical Ventilation, Suction, monitor vitals, adjunct, IV, Drugs
Monitor, Suction, Manage, Assess, IV, Document
Mechanical Ventilation, Suction, monitor vitals, adjunct, IV, Document
Mechanical Ventilation, Sanitize, manage resuscitation, adjunct, IV, Drugs
65
Which of the following describes brain herniation
narrowing pulse, Bradycardia, irregular respirations
irregular respirations, tachycadria, slow pulse
Hypotension, tachycardia
irregular respirations, hypertension/ widening pulse, bradycardia
66
Your patients Respirations: 22, SPO2: 92, they are in tripod position, and wheezing. You suspect:
Crush Injury
Respiratory failure
Respirator arrest
Respiratory distress
67
Calcium gluconate works in Hyperkalemia treatment by
Lowering serum potassium by driving it back into cells
Increasing serum calcium to overcome effect of Hyperkalemia
Increasing serum potassium by driving it out of cells
Increasing serum electrolytes and sending fluid to cells
68
Your patient picked up poop during the hike and decided to eat it. They show signs of shock (sepsis) What type of shock?
Hypovolemic shock
Obstructive shock
Distributive shock
Cardiogenic shock
69
When managing the casualties hemodynamics maintain systolic
under 140 mmHg
above 110 mmHg
under 90 mmHg
above 100 mmHg
70
Flush saline locks with 10 mL of NS at least every:
16 hours
8 hrs
4 hrs
2 hrs
71
The HEAD TO TOE assesment on stable patients should be performed every
10-15 min
8 hours
2 hours
4 hours
72
Elevated blood potassium level that can cause life threatening arrhythmia and muscle weakness
Alkalosis
Hypokalemia
Hyperkalemia
Tachypnea
73
Medications for end of life care until respiratory goal is met/pain is relieved
100 mg ketamine, 50 mg morphine, or 100 mcg of fentanyl Q5m
50 mg ketamine, 20 mg morphine, or 60 mcg of fentanyl Q10m
20 mg ketamine, 5mg morphine, or 50 mcg of fentanyl Q5m
50 mg ketamine, 5mg morphine, or 50 mcg of fentanyl Q5m
74
What shows adequate end-organ resuscitation
Systolic more than 100, HR less than 100bpm, urine output .5 to 1 mL/kg/hr
Systolic more than 100, HR less than 100bpm, urine output .2 to .4 mL/kg/hr
Systolic more than 80, HR less than 100bpm, urine output .1 to .3 mL/kg/hr
Systolic more than 120, HR less than 60 bpm, urine output .5 to 1 mL/kg/hr
75
Shock from restriction of the hearts ability to pump due to pressure from an external source
Hypovolemic shock
Distributive shock
Cardiogenic shock
Obstructive shock
76
Prior to deployment, corpsman will conduct medical intell briefs and assist the medical planners in completing the annex
Q
D
M
A
77
Your patient has no pulse, and you aren’t seeing any reading on the SPO2 monitor. You suspect
Respiratory failure
Respiratory arrest
Cushings Triad
The SPO2 is broken