68W COMBAT MEDIC FIELDCRAFT MODULES I-III
TESTS LATEST 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|AGRADE
How fast can the intercostals muscles bleed? – ANSWER- 100 mL per
minute
What are the tactical indications for spinal immobilization – ANSWERMotor vehicle accident, Fall greater than 15 ft, IED blast involving a
MRAP
Overpressure wave (internal damage to hollow organs) – ANSWERPrimary Blast
Shrapnel and debris penetrating wounds – ANSWER- Secondary Blast
Casualty is thrown into a solid object – ANSWER- Tertiary Blast
What is the leading cause of preventable death on the battlefield –
ANSWER- Extremity Hemorrhage
Why is extremity hemorrhaging the leading cause of death on the
battlefield – ANSWER- Not protected by body armor
When should CPR be considered in the combat environment? –
ANSWER- Hypothermia, Electrocution, near drowning
Factors that influence care on the battlefield? – ANSWER- Enemy fire,
medical equipment, variable evacuation time, tactical considerations,
casualty transportation
What is a WALK kit? – ANSWER- Warrior Aid and Litter Kit
Where can a WALK kit be found? – ANSWER- several ground vehicles
What medication is found in the combat pill pack? – ANSWERAcetaminophen, Mobic, Moxiflaxicin
Which combat casualties will receive ABX? – ANSWER- All will
eventually, ABX should not be given at the point of injury unless evac.
is delayed greater than 3 hours
What are the goals of TCCC – ANSWER- Accomplish the mission,
prevent additional casualties, treat the casualty
What are the phases of care? – ANSWER- Care under fire, tactical field
care, tactical evacuation care
What does MEDEVAC encompass? – ANSWER- Collecting the
wounded, triage, provide a mode of transportation, provide care en route
First responder capability; Battalion Aid Station, Medical Platoon,
Combat Medic – ANSWER- Level 1
Forward Resuscitative Care Capability; Forward Surgical Team (FST) –
ANSWER- Level 2
Theater Hospitalization Capability; Combat Support Hospital –
ANSWER- Level 3
Definitive Care Capability Outside of the Combat Zone; CONUS and
OCONUS (Germany) – ANSWER- Level 4
CONUS DOD Hospitals; DOD Hospital, VA Hospital – ANSWERLevel 5
What are the authorized methods of documenting care on the battlefield?
- ANSWER- DD1380 FMC, DA7656 TC3 Card, Sharpie on skin,
Sharpie on tape
What are the minimum blocks of the FMC? – ANSWER- 1,3,4,7,9,11
Where do we sign the FMC? – ANSWER- We don’t, we initial block 11
What is the timeframe for a Urgent/Urgent Surgical casualty –
ANSWER- 1 hour
Combat medic 68w FIELDCRAFT 3 EXAM C168W144 EXAM
2023-2024 ACTUAL EXAM 110 QUESTIONS AND CORRECT
DETAILED ANSWERS|AGRADE
Treatment for a snakebite – ANSWER- Manage ABCs, give IV, remove
watches, keep casualty calm
Where to apply an IV for a snakebite – ANSWER- Opposite arm that
was bit
What NOT to do for a snakebite – ANSWER- Delay treatment trying to
capture the snake, suck the venom, place ice on the bite
What should be suspected if the casualty has unexpected febrile illness –
ANSWER- Malaria
Medications that can affect a heat casualty – ANSWER- Nicotine and
antihistamines
The direct transfer of heat from one substance to another substance that
it is touching. – ANSWER- Conduction
The transfer of thermal energy by the circulation or movement of a
liquid or gas – ANSWER- Convection
Loss of heat at the surface of vaporization – ANSWER- Evaporation
Energy transferred by waves or rays through the air – ANSWERRadiation
Factors that make you susceptible to cold weather injuries – ANSWERClimate, season, weather
Hallmark sign of Heatstroke – ANSWER- Altered mental status
Fatality rate of heatstroke if left untreated – ANSWER- 80%
Signs of heat injury – ANSWER- Painful spasms of skeletal muscles,
headache, nausea, dehydration
How to obtain a accurate core temperature reading – ANSWER- Rectal
thermometer
Treatment for a heat casualty – ANSWER- Remove clothing, gentle
stretching of cramped muscles, provide rapid and active cooling
What temperature to not lower the core body when treating a heat
casualty – ANSWER- 102 degrees
Combat medic 68w FIELDCRAFT 2 EXAM C168W144 EXAM
2023-2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT
DETAILED ANSWERS|AGRADE
Type of fracture in which the casualty presents asymmetrical or flattened
face – ANSWER- Mid-face fractures
Contraindication for nasopharyngeal airway? – ANSWER- Evidence of
head injury
What should be avoided when managing breathing for casualties with
suspected head injuries? – ANSWER- Hyperventilation
What is the ventilation rate of a casualty with suspected increased
intracranial pressure? – ANSWER- 20 breaths per minute
What can hyperventilation do to casualties with a TBI? – ANSWERCan contribute to ischemia through vasoconstriction
If the patient can vocalize their head pain should the medic give pain
medication? – ANSWER- Yes, if they can vocalize pain then the TBI is
not severe enough to be further damaged by pain meds
Pain medication that should be avoided with TBI casualties – ANSWERMorphine
Two pain medications that can make a moderate to severe TBI worse but
can be used for mild TBI? – ANSWER- Fentanyl and Ketamine
Type of bandage that can be used to keep pressure off of a depressed or
open skull fracture – ANSWER- A kerlix “Donut”
“Raccoon eyes” indicates what kind of skull fracture? – ANSWERBasilar
Difference in pupil size that is considered abnormal? – ANSWERGreater than 1 mm
Position to transport a casualty with suspected TBI? – ANSWER- Supine
position and tilt the casualty towards the side of injury to allow for
drainage
What type of classification should a casualty be if they have suspected
TBI? – ANSWER- Urgent Surgical
Definition of a traumatic brain injury – ANSWER- An injury to the brain
resulting from an external force and/or acceleration/deceleration
mechanism from an event
Is loss of consciousness required to diagnose a concussion – ANSWERNo
What is required to make a definitive diagnosis of a TBI level? –
ANSWER- CT or MRI scan
What type of problems can a TBI cause in a casualty? – ANSWERPhysical, cognitive, emotional, and social
Components of a Mild TBI – ANSWER- Confused and disoriented state
for less than 24 hours, loss of consciousness for up to 30
minutes, memory loss lasting less than 24 hours
Components of a Moderate TBI – ANSWER- Confused and disoriented
state for more than 24 hours, loss of consciousness for more
than 30 minutes but less than 24 hours, memory loss lasting
more than 24 hours but less than 7 days
Components of a Severe TBI – ANSWER- Closed or Open injuries,
Confused and disoriented state for more than 24 hours, loss of
consciousness lasting more than 7 days
Intracranial hematoma, epidural hematoma, subdural hematoma,
cerebral contusions, and subarachnoid hemorrhage are considered what?
- ANSWER- Traumatic brain injuries
What is MACE? – ANSWER- Military Acute Concussion Evaluation
Combat medic 68w FIELDCRAFT 1 EXAM C168W144 EXAM
2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|AGRADE
What should be done prior to administering opioids or ketamine? –
ANSWER- Document mental status
What can Ketamine and OTFC potentially due to severe TBI? –
ANSWER- Worsen the injury
What are antibiotics recommended for? – ANSWER- All penetrating
wounds
Antibiotic given to patient if ABLE to take PO – ANSWERMoxifloxacin (400 mg once daily)
Antibiotic given to patient if UNABLE to take PO – ANSWERErtapenum (1 g IV/IM once daily)
What is the most important contraindication to antibiotics? – ANSWERBurn casualties
The three Tactical Combat Casualty Care phases of care – ANSWERCare under fire, tactical field care, tactical evacuation care
The three goals of Tactical Combat Casualty Care – ANSWERComplete the mission, prevent additional casualties, treat the casualties
Role 1 – ANSWER- The first medical care a soldier receives
Role 2 – ANSWER- Operations operated by the area support squad,
medical treatment platoon, or medical companies
Role 3 – ANSWER- Casualty treated at MTF
Role 4 – ANSWER- Medical care found in CONUS-based hospitals
Urgent classification evacuation time – ANSWER- 1 hour
Urgent-Surgical classification evacuation time – ANSWER- 1 hour
Priority classification evacuation time – ANSWER- 4 hours
Routine classification evacuation time – ANSWER- 24 hours
Convenience classification evacuation time – ANSWER- Whenever
convenient