EFMB JEOPARDY

1. EFMB JEOPARDY Prepared by Expert Field Medical Badge Test Control Office

2. 68W ONE 100 pts • The things you check when evaluating a patient’s respirations. • What is depth and quality?

3. 68W ONE1000 pts • When measuring a patient’s pulse you count the pulse rate for one minute and evaluate what three things (include how each may be evaluated)? • What is pulse rate, pulse rhythm, (regular or irregular / intermittent), and pulse strength (strong or full pulse, bounding, and weak / thready)?

4. 68W ONE200 pts • Word for temporary absence of breathing. • What is apnea?

5. 68W ONE 300 pts • The normal pulse rate range for an adult patient. • What is 60 – 100 beats per minute?

6. 68W ONE400 pts • How much more you would inflate a blood pressure cuff if pulsation was heard after reaching 140 mm Hg. • What is 20 mm Hg beyond the point the last pulsation was heard?

7. 68W ONE 500 pts • The normal blood pressure range for an adult male. • What is 90– 140 mm Hg (systolic) • 60 – 90 mm Hg (diastolic)?

8. 68W ONE600 pts • How often you would move sensing probes and adhesive sensors when continuously measuring a patients pulse oxygen saturation. • What is every 2 hours (sensing probes) and every 4 hours (adhesive sensors)?

9. 68W ONE700 pts • Type of thermometer used when taking an axillary temperature, where taken, how long left in place, normal temperature range, how you would label a axillary temperature reading, and how you would label the reading. • What is with an oral thermometer (blue tip and may be labeled oral), in the patient’s dry armpit, left in place at least ten minutes, and 96 – 98 degrees, and labeled with an “A”?

10. 68W ONE800 pts • The blood pressure cuff shouldn’t be left inflated on a patient’s arm for longer than this amount of time. • What is not more than 2 minutes?

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12. 68W ONE-DJ???? pts • How a rectal thermometer may be labeled and is colored, how far it is inserted into rectum, how long it is left in place after insertion, and the normal rectal temperature range. • What has a red tip and may be labeled rectal, inserted one or two inches, 98 – 100 degree temperature range, and left in place for at least two minutes?

13. 68W TWO 100 pts • Methods used to open (establish) a patient’s airway, which one is used if there is a suspected neck or spinal injury, and how long you would check for breathing after opening the airway. • What is the head-tilt / chin lift method and the jaw thrust method (used for suspected neck or spinal injury), and look, listen, and feel for 3 – 5 seconds?

14. 68W TWO 1000 pts • You are performing CPR on a patient. You note signs of gastric distention. You should do these things and not do this. • What is recheck and reposition the airway, watch for the rise and fall of the chest, and ventilate only enough to cause the chest to rise? What is do not push on the abdomen?

15. 68W TWO 200 pts • The two types of thrusts used to clear an upper airway obstruction and which one is used if a patient is in the advanced stages of pregnancy or very obese. • What is the abdominal thrust and the chest thrust (used on the pregnant or obese patient)?

16. 68W TWO 300 pts • You are administering external chest compressions on a patient with no pulse. This is how far you would depress straight down on the sternum, the number of compressions you would do, and the rate you would perform them per minute. • What is 1.5 to 2 inches, 30 compressions, and at a rate of 100 per minute.

17. 68W TWO 400 pts • The number of breaths per minute given when performing rescue breathing on an adult patient, and for how long and where you would check for a pulse after giving them. • What is 12 to 20 rescue breaths per minute and 5 sec. but no longer then 10 sec. to check carotid pulse?

18. 68W TWO500 pts • The arterial pressure point used to control bleeding from the distal end of an upper extremity, and the one used to control bleeding from a lower extremity. • What is the brachial artery (upper extremity) and the femoral artery (lower extremity)?

19. 68W TWO 600 pts • An unresponsive, apneic, and pulseless patient is a candidate for an AED. AED stands for this and these are the locations that the pads are placed. • What is Automatic External Defibrillator and the right pad is placed below the right midclavicular and the left pad is placed over the lower left ribs?

20. 68W TWO 700 pts • You are under hostile fire and are very limited as to the care you can provide. • What is the care under fire phase of Tactical Combat Casualty Care?

21. 68W TWO 800 pts • When using a tourniquet to treat life threatening injuries, if the source of bleeding was due to a traumatic amputation, wrap the amputated part in a sterile dressing and wrap or bag it in a plastic bag, label it, and transport it how. • What is transport the amputated part along with the patient in a cool container?

22. 68W TWO 900 pts • This is how long each rescue breath is given by mouth to mouth or mouth to nose methods. Also, if a BVM with reservoir supply is used, this is the amount of oxygen concentration that can be reached. • What is one full breathe lasting 1 second, and what is almost 100%?

23. 68W THREE 100 pts • DD Form 1380 is called this and these are the minimum required blocks that must be completed. • What is the Field Medical Card and blocks 1, 3, 4, 7, 9, and 11?

24. 68W THREE 1000 pts • A "D" size oxygen cylinder is being used. There is 2000 psi remaining pressure. How many liters of oxygen are available for use. • What is a .16 conversion factor x 1800 psi available pressure (2000 psi – 200 safe residual level)= 288 liters of oxygen available for use?

25. 68W THREE 200 pts • This block of a DD Form 1380 is completed if a tourniquet was applied, along with the date and time applied. If you are a combat medic, you do this in the far right side of block 11 when completing the FMC. • What is block 6 for tourniquet? What is initial in the far right side of block 11?

26. 68W THREE 300 pts • You have a patient who has had restraints applied. This is how often you would remove and replace the mitts and how often you would change the patient’s position. • What is remove and replace mitts every 8 hours and change the patient’s position every 2 hours?

27. 68W THREE400 pts • You are orally suctioning a Adult patient. Ensure that you suction no longer than this long, because it removes oxygen as well as secretions. • What is suction no longer than 15 seconds?

28. 68W THREE 500 pts • A blue, yellow, amber, red, or pink eardrum indicates this abnormality. • What is disease or infection of the eardrum?

29. 68W THREE 600 pts • You are observing a patient’s heart rhythm on an EKG. This is a ventricular arrhythmia characterized by broad QRS complexes and a regular rate that falls between 100 to 200 beats per minute. • What is Ventricular Tachycardia (V-Tach)?

30. 68W THREE 700 pts • A J-tube is also known as this. This is how would determine the correct size of one after placing along the outside of the casualty’s jaw with the mouth closed. • What is an oropharyngeal airway? What is measure it from the corner of the casualty’s closed mouth to the corner of the earlobe?

31. 68W THREE 800 pts 1 2 3 • The name (letters) of the oxygen cylinders are what and should be cracked/opened only with what. • What is D (#1), E (#2), and M (#3) oxygen cylinders? What is a handwheel or non-sparking wrench?

32. 68W THREE 900 pts • The method you could use to select the appropriate size of a nasopharyngeal airway. Also, most nasopharyngeal airways are designed to be placed in this nostril. • What is measure the tip of the patient's nose to earlobe? What is the right nostril?

33. 68W FOUR 100 pts • A casualty has a total upper airway obstruction and his airway cannot be opened using manual methods or an endotracheal tube. You are performing a needle cricothyroidotomy. This is where you would insert the large bore needle into. • What is the cricothyroid membrane?

34. 68W FOUR 1000 pts • Dizziness, nausea, and/or headache; cherry-red colored skin and mucous membranes; tachycardia or tachypnea; respiratory distress or arrest are signs and symptoms of what? • What is carbon monoxide poisoning?

35. 68W FOUR 200 pts • Condition in which air enters the chest cavity (pleural space) through a hole in the lung, expanding the space with every breath the casualty takes. The air becomes trapped and cannot escape. • What is a tension pneumothorax?

36. 68W FOUR 300 pts • You are inspecting your equipment prior to initiating an IV. This is how far you would clamp the tubing below the drip chamber. • What is clamp the tubing 6 to 8 inches below the drip chamber?

37. 68W FOUR 400 pts • This is an accumulation of fluids in the tissue surrounding an IV needle site caused by penetration of the vein wall by the needle/catheter or later dislodgement of the needle/catheter. This is an inflammation of the wall of the vein caused by injury to the vein during puncture, from later needle movement, or from irritation to the vein caused by long term therapy, incompatible additives, or use of a vein that is too small to handle the amount or type of solution • What is infiltration and what is phlebitis?

38. 68W FOUR 500 pts • This type of seizure may be preceeded by an aura, has two distinct phases, and may involve incontinence, cyanosis, mental confusion, and biting of the tongue (rare). What type of seizure is it and what are the two distinct phases. • What is a Grand Mal (generalized) seizure and what are tonic/colonic, and postictal?

39. 68W FOUR 600 pts • Grand Mal is one type of seizure. Name the two other types listed in the 68W manual. Also, which one is characterized by two or more seizures without an intervening period of consciousness. • What is Petit Mal, Status Epilepticus (two or more seizures)?

40. 68W FOUR 700 pts • The acronym AVPU is used for assessing a patient’s level of consciousness and stands for this. The acronym DCAP-BTLS is used during casualty assessment and stands for this. • What is Alert, Verbal, Pain, Unresponsive (AVPU), and Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, Swelling (DCAP-BTLS)?

41. 68W FOUR 800 pts • What term explains each of the following: • The motion of the injured segment of a flail chest, opposite to the normal motion of the chest wall. • Shift of the trachea from the midline toward the unaffected side due to pressure buildup on the injured side. • What is • Paradoxical breathing? • Tracheal deviation?

42. 68W FOUR 900 pts • Which closed chest injury goes with: • Caused by the bleeding from lacerated blood vessels in the chest cavity and/or lungs. It results in the accumulation of blood in the chest cavity but outside the lungs. • Involves two or more ribs fractured in two or more places or a fractured sternum. • Condition in which air enters the chest cavity through a hole in the lung(s), expanding the space with every breath the casualty takes. Air becomes trapped and cannot escape. • What is: • Hemothorax? • Flail chest? • Tension pneumothorax?

43. 68W FIVE 100 pts • Using the Rule of Nines, what is the percentage of BSA burned on a patient with burns to the anterior of chest, both arms, and head and neck. • What is 45 % BSA?

44. 68W FIVE 1000 pts • You are immobilizing a patient to a long spine board with a suspected spinal injury. You already immobilized the head and head supports with straps. At a minimum you must also secure the patient with straps across where. Also, what are the two techniques for placing the patient on the spine board. • What is across the chest, hips, thighs, and lower legs? Include the arms if the straps are long enough. What are the log roll and straddle slide techniques?

45. 68W FIVE 200 pts • You have a casualty with white phosphorus (WP) burns. You want to deprive it from oxygen by doing what and remove the WP particles with what. • What is submerge the entire area, cover with a moistened cloth or mud, and remove the WP particles by brushing with wet cloth or with a stick, forceps, or knife?

46. 68W FIVE 300 pts • The acronym “RICE” is a method used for remembering how to treat soldiers with extremity injuries. What does “RICE” stand for? • What is Rest, Ice, Compression, Elevation?

47. 68W FIVE 400 pts • Low blood sugar and High blood sugar are also known as these terms. Which one could have a sweet, fruity breath odor and which one would have an intoxicated appearance. Also, you would give a hypoglycemia patient oral glucose. Where and how would you give it? • What is Hypoglycemia (intoxicated appearance) and Hyperglycemia (sweet, fruity breath)? Apply glucose to a tongue depressor and place it in the patient's mouth between the cheek and gum.

48. 68W FIVE 500 pts • You are obtaining a SAMPLE history while performing a medical patient assessment. You will use the acronym OPQRST. It stands for this. • What is Onset, Provocation, Quality, Radiation, Severity, Time.

49. 68W FIVE 600 pts • You have a conscious patient who is complaining of chest pain. You are going to assist him in taking his nitroglycerin. Where do you place the tablet in the patient’s mouth? If there is no relief, you may give additional tablets. How long do you wait in between giving tablets and how many tablets may be given TOTAL? • What is under the patient’s tongue with a gloved hand and every five minutes up to three tablets TOTAL?

50. 68W FIVE 700 pts • Helicopter landing sites should be free of ____ ____, _____ _____, _____ _____ or _____, and similar obstructions on the approach or departure ends of the landing site. • What are tall trees, telephone lines, power lines or poles?