68W ALC Phase 3 – Test 1 Verified Questions
& Answers Study Guide
Question 1
Increase fluid gradually as needed for burn victims to ensure urine output (UOP) is at
least what?
Correct Answer
30-50 ml of urine produced hourly (may require an indwelling urinary catheter).
Question 2
Individual sutures are not attached but are tied and cut separately
Correct Answer
simple interrupted sutures
Question 3
What do you consider for delayed evacuation (24 hours) with burns?
Correct Answer
Silvalon dressings - impregnated with a silver compound, which helps prevent
infection.
Question 4
Resuscitation fluids for casualties in hemorrhagic shock is what?
Correct Answer
Whole blood; plasma, RBCs, and platelets in 1:1:1; plasma and RBCs in 1:1; plasma
or RBCs alone; Hextend; crystalloid(LR or Plasma-lyte A)
Page 1 of 184
,Question 5
Definitive treatment for a casualty with life threatening tension pneumothorax
Correct Answer
thoracostomy (chest tube)
Question 6
Ketamine - Time/Half-Life?
Correct Answer
Time/Half-Life: IV/IO onset within 30 seconds, duration is 5-10 minutes.
Question 7
Naloxone (Narcan) - Class and Therapeutic Effects?
Correct Answer
Class: Narcotic antidote
Therapeutic Effects: Used to reverse respiratory depression due to narcotic
analgesics
Question 8
Formula for calculating the oxygen flow in a "D" sized cylinder:
Correct Answer
a. PSI - 200 = usable PSI
b. Usable PSI x 0.16 = usable liters
c. Usable Liters / Flow rate in liters per minute
= minutes until O2 is expanded
Page 2 of 184
,Question 9
NPA Indications?
Correct Answer
Casualty at any level of consciousness with or without a gag reflex and spontaneous
respirations.
Question 10
What type of blood should be avoided in pregnant females?
Correct Answer
Rh+ blood if the women has Rh-
Question 11
Ketamine - Mode of Administration?
Correct Answer
Adult - 20 mg slow IV/IO push over 1 minute. Repeat dose every 20 minutes as
necessary to control moderate to severe pain or until the casualty develops
nystagmus (rhythmic eye movement back and forth).
Reassess in 5-10 minutes and continue to monitor for respiratory depression and
agitation.
Question 12
Describe Condition Red?
Correct Answer
Condition Red is significant stimulation.
1. Pulse rate approximately 115-145.
2. Complex motor skills, cognition, and visual reaction time at peak.
3. Example: Soldier in a firefight, especially at initial ambush/IED.
*Ideal Training Zone*
Page 3 of 184
, Question 13
Describe Condition Yellow?
Correct Answer
Limited stimulation.
1. Pulse rate approximately 80-115.
2. Heightened awareness, normal respiratory rate, blood pressure elevated, tremors.
3. Fine motor skills deteriorate at 115 BPM.
4. Example: Soldier locking and loading as he rolls out of the wire.
Question 14
How many ribs are there?
Correct Answer
12 pairs:
a. 10 of 12 pairs (true ribs) are attached to sternum.
b. 2 are floating ribs (false ribs) connected by cartilage to the sternum
Question 15
What does the acronym "MIST" stand for?
Correct Answer
M - Mechanism of injury
I - Injury type
S - Signs
T - Treatment
The MIST information is additional information and is sent as soon as possible after
the 9-line MEDEVAC request has been sent. MEDEVAC missions should NOT be
delayed while waiting for the MIST information.
Page 4 of 184
& Answers Study Guide
Question 1
Increase fluid gradually as needed for burn victims to ensure urine output (UOP) is at
least what?
Correct Answer
30-50 ml of urine produced hourly (may require an indwelling urinary catheter).
Question 2
Individual sutures are not attached but are tied and cut separately
Correct Answer
simple interrupted sutures
Question 3
What do you consider for delayed evacuation (24 hours) with burns?
Correct Answer
Silvalon dressings - impregnated with a silver compound, which helps prevent
infection.
Question 4
Resuscitation fluids for casualties in hemorrhagic shock is what?
Correct Answer
Whole blood; plasma, RBCs, and platelets in 1:1:1; plasma and RBCs in 1:1; plasma
or RBCs alone; Hextend; crystalloid(LR or Plasma-lyte A)
Page 1 of 184
,Question 5
Definitive treatment for a casualty with life threatening tension pneumothorax
Correct Answer
thoracostomy (chest tube)
Question 6
Ketamine - Time/Half-Life?
Correct Answer
Time/Half-Life: IV/IO onset within 30 seconds, duration is 5-10 minutes.
Question 7
Naloxone (Narcan) - Class and Therapeutic Effects?
Correct Answer
Class: Narcotic antidote
Therapeutic Effects: Used to reverse respiratory depression due to narcotic
analgesics
Question 8
Formula for calculating the oxygen flow in a "D" sized cylinder:
Correct Answer
a. PSI - 200 = usable PSI
b. Usable PSI x 0.16 = usable liters
c. Usable Liters / Flow rate in liters per minute
= minutes until O2 is expanded
Page 2 of 184
,Question 9
NPA Indications?
Correct Answer
Casualty at any level of consciousness with or without a gag reflex and spontaneous
respirations.
Question 10
What type of blood should be avoided in pregnant females?
Correct Answer
Rh+ blood if the women has Rh-
Question 11
Ketamine - Mode of Administration?
Correct Answer
Adult - 20 mg slow IV/IO push over 1 minute. Repeat dose every 20 minutes as
necessary to control moderate to severe pain or until the casualty develops
nystagmus (rhythmic eye movement back and forth).
Reassess in 5-10 minutes and continue to monitor for respiratory depression and
agitation.
Question 12
Describe Condition Red?
Correct Answer
Condition Red is significant stimulation.
1. Pulse rate approximately 115-145.
2. Complex motor skills, cognition, and visual reaction time at peak.
3. Example: Soldier in a firefight, especially at initial ambush/IED.
*Ideal Training Zone*
Page 3 of 184
, Question 13
Describe Condition Yellow?
Correct Answer
Limited stimulation.
1. Pulse rate approximately 80-115.
2. Heightened awareness, normal respiratory rate, blood pressure elevated, tremors.
3. Fine motor skills deteriorate at 115 BPM.
4. Example: Soldier locking and loading as he rolls out of the wire.
Question 14
How many ribs are there?
Correct Answer
12 pairs:
a. 10 of 12 pairs (true ribs) are attached to sternum.
b. 2 are floating ribs (false ribs) connected by cartilage to the sternum
Question 15
What does the acronym "MIST" stand for?
Correct Answer
M - Mechanism of injury
I - Injury type
S - Signs
T - Treatment
The MIST information is additional information and is sent as soon as possible after
the 9-line MEDEVAC request has been sent. MEDEVAC missions should NOT be
delayed while waiting for the MIST information.
Page 4 of 184
