68W ALC Phase 3 LPC UPDATED ACTUAL Questions and
CORRECT Answers
1. In blast injuries there are 3 Impacts when do Baro-Trauma occurs from the concus-
they occur? sion 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.
2. Characteristics of a Mild TBI? 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"
3. S/S of a Mild TBI Transient Confusion (Bell Rung), De-
layed verbal and motor responses,
Disorientation. Slurred or incoherent
speech, any period of LOC.
4. Characteristics of Moderate/Severe TBI Easily recognized Penetrating injuries,
Initially lucid but deteriorate, Moder-
ate-Severe Symptoms.
5. S/S of Moderate/Severe TBI LOC, Personality Change, Severe or
progressively worsening headache, Re-
peated vomiting or nausea, Seizures,
Inability to awaken, Pupil dilation
one/both, Slurred speech, Weakness or
numbness in extremities, Loss of co-
ordination, increased restlessness, con-
fusion agitation, Vomiting and neuro
deficit
1/9
, 68W ALC Phase 3 LPC UPDATED ACTUAL Questions and
CORRECT Answers
6. What is MACE? a good tool to form the neurologi-
cal/cognitive baseline.
7. What should a Tracker for TBI's have? Baseline results, Mace result, Expo-
sure, Proximity, Frequency to Blasts,
Retests for comparison throughout de-
ployment.
8. How often should a MACE evaluation be Every 6 months or when mission dic-
done? tates.
9. What are the 5 domains of function examined Orientation, Immediate Memory, Neu-
in the MACE test? rological Screening, Concentration, and
Delayed Recall.
10. What is a Pronator Drift? 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)
11. List Level 2 Evacuation Red Flags for TBI 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.
12. List Level 3 Evacuation Red Flags for TBI Progressively declining levels of con-
sciousness, Pupil Asymmetry, Seizures,
Repeated vomiting.
13. Cognitive, Physical, and Behavioral..
2/9
CORRECT Answers
1. In blast injuries there are 3 Impacts when do Baro-Trauma occurs from the concus-
they occur? sion 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.
2. Characteristics of a Mild TBI? 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"
3. S/S of a Mild TBI Transient Confusion (Bell Rung), De-
layed verbal and motor responses,
Disorientation. Slurred or incoherent
speech, any period of LOC.
4. Characteristics of Moderate/Severe TBI Easily recognized Penetrating injuries,
Initially lucid but deteriorate, Moder-
ate-Severe Symptoms.
5. S/S of Moderate/Severe TBI LOC, Personality Change, Severe or
progressively worsening headache, Re-
peated vomiting or nausea, Seizures,
Inability to awaken, Pupil dilation
one/both, Slurred speech, Weakness or
numbness in extremities, Loss of co-
ordination, increased restlessness, con-
fusion agitation, Vomiting and neuro
deficit
1/9
, 68W ALC Phase 3 LPC UPDATED ACTUAL Questions and
CORRECT Answers
6. What is MACE? a good tool to form the neurologi-
cal/cognitive baseline.
7. What should a Tracker for TBI's have? Baseline results, Mace result, Expo-
sure, Proximity, Frequency to Blasts,
Retests for comparison throughout de-
ployment.
8. How often should a MACE evaluation be Every 6 months or when mission dic-
done? tates.
9. What are the 5 domains of function examined Orientation, Immediate Memory, Neu-
in the MACE test? rological Screening, Concentration, and
Delayed Recall.
10. What is a Pronator Drift? 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)
11. List Level 2 Evacuation Red Flags for TBI 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.
12. List Level 3 Evacuation Red Flags for TBI Progressively declining levels of con-
sciousness, Pupil Asymmetry, Seizures,
Repeated vomiting.
13. Cognitive, Physical, and Behavioral..
2/9
