68W ALC Phase 3 LPC Questions With Complete Solutions

In blast injuries there are 3 Impacts when do they occur? correct answer: Baro-Trauma occurs from the concussion of the blast. Impact Trauma occurs from the body hitting another object / brain hitting the skull. Additionally objects like shrapnel and gravel hitting the soldier after the blast causing further damage. Characteristics of a Mild TBI? correct answer: Most common type of TBI, is often missed, particularly in the presence of other more obvious injuries. Has been referred to as "Dead Man Walking" S/S of a Mild TBI correct answer: Transient Confusion (Bell Rung), Delayed verbal and motor responses, Disorientation. Slurred or incoherent speech, any period of LOC. Characteristics of Moderate/Severe TBI correct answer: Easily recognized Penetrating injuries, Initially lucid but deteriorate, Moderate-Severe Symptoms. S/S of Moderate/Severe TBI correct answer: LOC, Personality Change, Severe or progressively worsening headache, Repeated vomiting or nausea, Seizures, Inability to awaken, Pupil dilation one/both, Slurred speech, Weakness or numbness in extremities, Loss of coordination, increased restlessness, confusion agitation, Vomiting and neuro deficit What is MACE? correct answer: a good tool to form the neurological/cognitive baseline. What should a Tracker for TBI's have? correct answer: Baseline results, Mace result, Exposure, Proximity, Frequency to Blasts, Retests for comparison throughout deployment. How often should a MACE evaluation be done? correct answer: Every 6 months or when mission dictates. What are the 5 domains of function examined in the MACE test? correct answer: Orientation, Immediate Memory, Neurological Screening, Concentration, and Delayed Recall. What is a Pronator Drift? correct answer: When attempting to hold arms out in an extended position with eye closed, one arm will drift or drop downward and pronate (Palm turned downward) List Level 2 Evacuation Red Flags for TBI correct answer: Any positive answer to Mace items V-VIII Double Vision, Worsening Headache, Worsening Headache or disoriented to place, LOC greater than 5 min, Slurred speech. List Level 3 Evacuation Red Flags for TBI correct answer: Progressively declining levels of consciousness, Pupil Asymmetry, Seizures, Repeated vomiting. When approaching the possibility of a TBI it is imperative to focus on what 3 areas of evaluation? correct answer: Cognitive, Physical, and Behavioral.. What Cognitive symptoms would you look for when evaluating a TBI? correct answer: Attention difficulties, concentration problems, memory problem, and orientation problems. During a TBI evaluation what physical symptoms would you look for? correct answer: Headaches, dizziness, insomnia, fatigue, uneven gait, nausea, blurred vision, and seizures. When evaluating a TBI patient what behavioral changes should you take note of? correct answer: Irritability, depression, anxiety, sleep disturbances, problems with emotional control, loss of initiative, and multiple personal problems. TBI Airway treatment considerations? correct answer: Avoid hyperventilation unless there are signs of