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323 Cards in this Set

  • Front
  • Back

All message MER's must be identified by what report control symbol in the subject line?

MED 6220-3

In an operational unit must send an urgent MER by message, it should be sent as what classification?

Unclassified

Commanding Officer, NAVENVIRHLTHCEN shall validate, on what basis, a sample of MER's as directed by NAVENVIRHLTHCEN?

Annually

Who shall perform global medical event surveillance and monitoring of reportable medical events?

Commanding Officer,NAVENNIRHLTHCEN

What must be submitted by the medical department of the command with primary responsibility for the health of the affected individual?

MER

NAVENPVNTMEDUs will submit routine reports toNAVENVIRHLTHCEN no later than what day of each month?

15?

Who shall maintain an effective command medical event surveillance program?

Commanding officers

Commanding officers shall submit what type of naval message when a medical event may attract high level Navy interest or affect operation readiness?

OPREP-3 Navy Blue

NAVENPVTNTMEDU's must keep all MER's on file for how many years?

Five

A successful communicable disease and injury control program depends on what of suspected or confirmed cases?

Early notification

Human Immunodeficiency Virus (HIV) reporting is not performed using MER. HIV infections should be reported to whom and to appropriate state authorities?

BUMED

After local confirmation of Malaria and in the absence of confirmation capability, forward what to the nearest NAVENPVNTMEDU for confirmation following local interpretation?

Smears

Reports are submitted electronically via internet or by mailing a what to the cognizant NAVENPVNTMEDU?

3.5 diskette

What a reportable medical event is suspected or confirmed, unit senior medical department representatives shall submit MER's using what system?

Naval Disease Reporting System (NDRS)

A suspected outbreak occurring among military personnel is considered an urgent reportable medical event and must be reported within what time frame to the cognizant NAVENPVNTMEDU by whatever means available?

24 hours

Most reportable medical events are routine, and must be submitted no later than the what day of each month to the cognizant NAVENPVNTMEDU?

1st

The Medical Event Reports replaced which Report?

Disease Alert

What will be submitted for specific medical events that include selected communicable diseases, injuries, and outbreaks?

MER's

What is MER's short for?

Medical Event Reports

Seemingly unrelated cases of disease and injury occurring on differnet ships or stations may be medically significant when viewed on what basis?

Regional

What is defined as a communicable condition with a suspected common source, or which occurs in one or more clusters among personnel in a particular location , work center, berthing compartment, day care, or involving more than an expected number of individuals?

A reportable outbreak

What software program is the preferred method of reporting?

NDRS

NAVENPVNTMEDUs will submit urgent reports to NAVENVIRHLTHCEN no later than how many fours after receipt?

24 hours

Medical event disease surveillance is particularly important in military populations where medical events can have what type of effects?

Mission-degrading

In situations when timeliness is critical, what method of reporting with follow on correspondence to the cognizant NAVENPVNTMEDU is acceptable?

Direct telephone or E-Mail

Who is the primary action addressee on MER's?

Cognizant NAVENPVNTMEDU

in general, to minimize injection-site discomfort, not more than how many vaccine injections will be given on the same day?

5

What for is prepared upon request for each member of the Armed Forces and for nonmilitary personnel receiving immunizations, including date, immunization given, dose, and initials of person administering. The for contains valid certificates of immunization for international travel and quarantine purposes in accordance with WHO international health regulations?

PHS Form 731

for military personnel, civilian employees, and other health care beneficiaries, the DOD-approved what is the preferred record for immunization data, including date immunization given, dose, and identification of the person administering?

Electronic immunization tracking systems

What will not be used beyond the manufacturer's potency expiration date, unless the appropriate surgeon general or CG-11, USCG authorizes extension in exceptional circumstances?

Immunizing agents

Who will prescribe specific immunization and chemoprophylatic requirements for their units per requirements established by this publication and additional guidance provided by the appropriate surgeon general or United States Coast Guard (USCG), Goast Guard, Director of Health and Safety (CG-11)?

Command medical authority

There are 2 types of exemptions form immunizations. What are they?

Medical and Administrative

Recommended immunization schedules will not be what?

Compressed

Entries based on prior official records will include what following statement?

"Transcribed from official records."

Breastfeeding women may be immunized in accordance with what current guidelines?

ACIP guidelines

the DOD policy concerning immunizations follows the recommendations of who and the Advisory Committee on Immunization Practices (ACIP), unless there is a militarily relevant reason to do otherwise?

CDC

What does ACIP stand for?

Advisory Committee on Immunization Practices

Air Force: military members with permanent medical exemptions require a medical evaluation board and/or a flying waiver in accordance with what instruction?

AFI 48-123

Permanent exemptions for religious reasons will not be granted in what branch?

Air Force

Electronic ITS must incorporate DOD-directed levels of security, certification, and redundancy, and the requirements of what act to preclude unauthorized access to personal medical information and to survive hardware or software malfunction?

Health Insurance Portability and Privacy Act of 1986

Exemptions apply to civilian employees and contractor personnel who will leave a position subject to immunization how may days or less?

30

The DOD and SUCG withdrew needle-free multi-use nozzle jet injectors (MUNJIs) capable of 600 or mor injections per hour, formerly identified within DOD supply systems as "hypodermic injection apparatus jet automatic: 115 volt or foot operated," in what year due to safety concerns?

1997

With regard to smallpox (vaccinia) vaccine, a specific pre-immunization screening form that assesses the date of the last menstrual period is required. For women whose last menstrual period was more than how many days, a pregnancy test is recommended?

28

What agents are requisitioned in accordance with medical supply procedures?

Immunizing and chemoprophylaxis

A printed report form the electronic ITS, in PHS Form 731, SF 601 (Health Record Immunization Record), or DD Form 2766C format, accompanied by an official clinic stamp and the authorized signature and printed name of an authenticating official, will qualify as what type of immunization record?

Official paper

Whenever vaccines are administered, at least how many people must be trained and current in basic Cardio Pulmonary Resuscitation, oral pharyngeal airway management, and recognition and initial treatment of anaphylaxis with epinephrine.

1

Cases warranting what type of medical exemption due to a vaccine-related adverse event will be reported to the Vaccine Adverse Events Reporting System (VAERS)?

Permanent

What licensed by the Food and Drug Administration (FDA) or the department of Health and Human Services (DHHS) may be used, as well as immunizing agents compliant with applicable DOD investigational new drug (IND) or emergency use authorization (EUA) process?

Any immunizing agent

For Service personnel, immunization exemptions for religious reasons may be granted according to Service-specific policies to accommodate doctrinal religious beliefs. Whose decision is this ultimately?

Command decision made with medical and chaplain advice

Immunizations given at an internal shorter than the recommended interval may not provide adequate immune response and should not be counted as part of a primary series, unless part of what schedules accepted by the CDC?

Catchup

Within how many days before separation or retirement, Service personnel may be exempt from deployment (mobility) immunizations if certain conditions are met?

180 days

Live-virus immunizations typically are given simultaneously or at an interval of how many or more weeks?

4 weeks

Enlisted accessions may be scheduled for immunizations in how many or more clusters, as long as all appropriate immunizations are administered?

Two

Yellow fever immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine Operation Forces. Additionally, yellow fever immunization in required for Navy personnel assigned to Navy units subject to deployment within how many days of notification into land areas where yellow fever is endemic?

10 days

What have been shown to increase survival when used after exposure to anthrax and before onset of symptoms?

Antibiotics

Health care personnel must report adverse events resulting in hospitalization, a life-threatening event, time lost from duty more than how many hours, an event related to suspected contamination of a vaccine vial, and an event warranting permanent medical exemption (that is, a contraindicating event)?

24 hours

In what year did the WHO declare the global eradication of naturally occurring smallpox?

1980

The ACIP general recommendations suggest that persons be observed for how many minutes after being immunized?

15-20 minutes

Who will receive country-specific immunizations without charge at military activities upon presentation of official orders or authorization?

Federal civilian employees

In general, the FDA may grant an EUA for up to how many months, with potential renewal?

12 months

In accordance with what instruction, emergency-essential employees will be notified that they may be required to take immunizations as a condition of employment?

DODD 1404.10

Japanese encephalitis, is a viral disease of what type? During deployments and travel to endemic areal in Eastern Asia and certain western Pacific Islands. Japanese encephalitis virus can cause an acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death.

Mosquito borne

What is acquired by person-to-person transmission through the fecal-oral route?

Poliomyelitis

What is spread by the bite of infective larval mites and may be a source of morbidity in populations encountering primitive field conditions?

Scrub typhus

A vaccine, antibiotic, or other product in an IND status may not be mandatory for military members, if who has approve a waiver of the requirement for informed consent.

President of the United States

What causative agent of plague has been identified as a potential biological warfare agent?

Yersinia pestis

Combatant commanders must request approval from who to use Investigational New Drugs for force health protection?

Secretary of Defense

Military treatment facilities and commands will conduct a review of the adequacy of immunization coverage among supported populations at least how often?

Annually

What is almost uniformly fatal once symptoms develop?

Inhalational anthrax

Who may decide that potential recipients of a drug under an EUA should have the option to refuse? The President may waive this option for military personnel.

FDA

Immunization of civilian employees and contracted workers for biological warfare defense are addressed in what instruction?

DODI 6205.4

Hepatitis B, is an acute or potentially chronic infection of the what? Acquired through percutaneous, sexual, and other permucosal exposure to blood and body fluids form people infected with the hepatitis B virus.

Liver

Hepatitis A, is an acute infection of the what? Acquired by consuming food or water contaminated with the hepatitis A virus during deployment or travel to areas with poor food, water and sewage sanitation. Hepatitis A is endemic worldwide.

Liver

Influenza A and B, are acute viral infections of what type? That can cause epidemics within military population, especially under condition of crowding, such as initial entry training, aboard ship, extended air transport, or deployment settings. Influenza A has the potential for pandemic spread.

Febrile respiratory

What is an acute illness caused by an exotoxin of Clostridium tetani, a bacteria that grows at the site of wounds contaminated with its spores?

Tetanus

Aviation personnel typically will be grounded for how many hours after immunization, or as specified by their flight surgeon?

12 hours

Under what section of the Food Drug and Cosmetic Act (21 USC 360), some drugs, vaccines, or devices that have not been approved or licensed by the FDA through the regular drug approval process (or not approved for an intended use) may be used as medical countermeasures to chemical , biological, radiological, or nuclear (CMRNE) agents or threats if the FDA grants an emergency use authorization (EUA)?

Section 564

What does EUA stand for?

Emergency Use Authorization

Within how many days of receiving the validated and prioritized biological warfare threat list for the Chairman of the Joint Chefs of Staff, the DOD Executive Agent, in consultation with the Secretaries of the military departments and the President of the Armed Forces Epidemiological Board, provides recommendations to the ASD(HA) on vaccines and immunization protocols necessary to enhance protection against validated biological warfare treat agents?

30 days

Military treatment facilities and commands storing health records will review immunization and chemoprophylaxis practices at least how often to ensure compliance with current standards of care and documentation and as a measure of medical readiness and health promotion?

Annually

When what FDA-licensed vaccines are available, administer to military basic trainees as they arrive to prevent febrile respiratory disease outbreaks resulting from person-to-person transmission, and lost training time?

Adenovirus

Typhoid and yellow fever immunizations are require for alert forces defined by Forces Command (FORSCOM) as division-ready brigades, including attached command and control packages, combat support packages, combat service support packages, and other units approved by the FORSCOM commander for what branch?

Army

Measles, mumps, and rubella Persons born in 1957 or earlier are presumed to be immune through infection. Ensure military personnel born after 1957 have received how many lifetime doses of MMR vaccine for have positive serologic test results?

2 doses

Administer JEV to military personnel, civilian personnel, contracted workers, and other beneficiaries who are or will be stations at least how many days in rural areas of Asia where there is substantial risk of exposure to the virus, especially during prolonged field operations at night?

30 days

Administer meningococcal vaccine to military personnel traveling for more than how many days to regions subject to meningococcal outbreaks, in not administered within an appropriate booster interval?

15 days

For effective steam sterilization for microbiological infectious waste, the temperature must be maintained at 250 degrees F for at least how many minutes, at 15 lbs per square inch of gauge pressure?

90 minutes

What type of evidence shows that infectious waste is no greater threat to the environment or public health than residential solid waste, medical facilities are perceived to be a source of pollution?

Scientific

What is liquid or solid waste containing pathogens in sufficient numbers and or sufficient virultence to cause infectious disease in susceptible hosts exposed to the waste?

Infectious waste

Logistic constraints may require doing what to anatomical pathology waste before final disposal?

Freezing

You should not transport infectious waste in what two methods?

Chutes or dumbwaiters

Infectious waste shall be sterilized and rendered noninfectious before doing what?

Compacting and grinding

Infectious waste treatment is achieved through destruction, such as by incineration, or through inactivation by heat, chemicals, or radiation without disintegrating the what?

Cells

Would Sharps, including hypodermic needles, syringes, scalpel blades, suture needles, pasteur pipettes, specimen slides, cover slips, glass petri plates, and broken glass be considered noninfectious or infectious waste?

Infectious

What considerations may dictate using alternate means of disposal of Anatomical pathology waste such as cremation or burial by a licensed mortician?

Ethical

All employees with occupational exposure to infectious waste shall receive training at the time of initial assignment to tasks and how often, thereafter?

Annually

What type of blood and other potentially infectious liquid waste which cannot be safely decanted or which has not been solidified shall be placed into rigid containers that are double-lined with plastic bags for transport and incineration?

Bulk

Whose approval is required before the purchase or lease of an infectious waste treatment system?

Bureau of Medicine and Surgery

Due to biological instability of most micro-organisms commonly regarded as human pathogens, the potential for adverse environmental or public health consequences is what?

Negligible

Blood, suctioned fluids, or other potentially infectious liquid waste may be decanted into what type of sinks, unless this practice is prohibited by State or local regulations?

Clinical

For removing blood and body fluid spills use an absorbent material and disinfect the area with an Environmental Protection Agency Approved disinfectant or a solution of household bleach diluted to what ration with clear water?

1:10

Would used personal hygiene products such as diapers, facial tissues, and sanitary napkins be considered infectious or noninfectious waste?

Noninfectious

Empty containers that used to contain blood and other potentially infectious liquid wastes shall be treated as noninfectious waste. True or False?

False

Which containers shall be lined with plastic bags of sufficient thickness, durability, puncture resistance, and burst strength to prevent rupture or leaks?

Infectious waste

Any new treatment techniques submitted for approval shall be acceptable to local regulating authorities, shall have scientific evidence of efficacy, and shall have successful use elsewhere for a minimum of how many years?

2 years

Separate infectious waste for noninfectious waste at what point?

Point of orgin

Commercially available absorbent materials which form a semirigid gel when added to liquids is called what?

Gelatinization

Waste from patient diagnosis, treatment, or immunization may be subdivided into two categories, what are they?

Infectious and noninfectious

If infectious waste cannot be treated on-site, limit storage without refrigeration to how many days, except in states with stricter requirements.

7 days

Which wastes, including human tissues and organs, amputated limbs or other body parts, fetuses, placentas, and similar tissues from surgery, delivery, or autopsy procedures are classified as infectious waste?

Pathological

Infectious waste shall be placed in containers labeled with the universal biohazard symbol and the word "BIOHAZARD" or be what in color?

Red

Exposure to infectious waste that could result in disease is more likely to occur in what settings that generate, transport, store, treat, or dispose of potentially infectious materials?

Occupational

What is the process of preventing the access of micro-organisms called?

Asepsis

What test is a diagnostic test of a prevacuum sterilizer's ability to remove air from the chamber and prevent air reentrant?

Bowie-dick

An infection originating in the environment of a hospital or freestanding dental treatment facility is a what?

Nosocomial Infection

What are chemical dyes are used to determine whether the conditions required for sterilization are met?

Chemical indicators

What is the number of micro-organisms contaminating an object and is sometimes also known as bioland or microbial load?

Bioburden

Commanding officers and officers in charge must develop and implement universal protocols of infection control strategies to prevent transmission of HBV and other pathogens of what type?

Bloodborne pathogens

What are equipment or methods which isolate or remove bloodborne pathogens from the workplace?

Engineering controls

Bacteria, fungi, viruses, and bacterial spores are classified as what?

Micro-organisms

A surgical entry into the tissus, cavities, organs, or repair of major traumatic injuries is what type of procedure?

Invasive

What items are instruments, equipment, or materials that do not normally penetrate or contact mucous membranes but which are exposed to splatter, spray, or splashing of blood, or are touched by contaminated hands?

Noncritical

HSS focuses on both forms of threat, what are they?

Enemy and Health

Who serves as the officer in charge of the medical section of the CSSOC during exercises or operations?

HSSO

What phrase has echoed across numerous battlefields in America's history. To answer this cry, medical personnel assigned to Marine Corps forces (MARFOR) must be knowledgeable, prepared, and able to provide responsive health service support (HSS)so that Marines can do what they do best: win battles/

"Corpsman Up!

HSS stands for what?

Health Service Support

What does HSSO stand for?

Health Service Support Officer

What is a fundamental component of command and control that aids the commander in applying combat power at the decisive time and place?

Intelligence

What warfare is derived from two principal sources: custom treaties and lawmaking treaties such as the Hague and Geneva Conventions?

Law of Land

What provides initial resuscitative HSS support to the MEF and is the only source of organic Marine Corps medical support above the aid station level?

Medical Battalion

What is a field production activity of the Defense Intelligence Agency? It is the sole producer of medical intelligence in the Department of Defense (DOD).

Armed Forces Medical Intelligence Agency (AFMIA)

What function of the medical plan must anticipate requirements for rapid movement of HSS units to support combat forces during operations?

Mobility

Which commanders are responsible for coordinating and integrating HSS within their area of operations?

Marine Corps Forces (MARFOR)

Temporary casualty holding facilities are used to hold sick, wounded, and injured personnel for a limited time, usually not to exceed what time frame?

72 hours

What function of the medical plan must provide HSS as close to combat operations as the tactical situation permits?

Proximity

The United States is a signatory to the Geneva Conventions of what year and has directed its military forces to abide by its articles?

1949

What is a process that delivers on demand to the warfighter a healthy, fit, and medically ready force; counters the health threat to the deployed force, and provides critical care and management for combat casualties?

HSS

What function of the medical plan must ensure that HSS resources in short supply are efficiently employed and used effectively to support the planned operations?

Coordination

What function of the medical plan must provide optimum, uninterrupted care and treatment to the wounded, injured, and sick?

Continuity

The MARFOR deals with matters more on the operational level of war, but the MEF is more focused toward what level?

Tactical

A MAW has how many Marine aircraft groups (MAGs)?

Four

Whose primary mission is to perform those emergency medical and surgical procedures that, if not performed, could lead to death or loss of limb or body function?

Medical Battalions

Each Surg Co contains 60 beds and how many operating rooms?

3

Who advises the commander on the health of the command and the adequacy of internal FSSG HSS?

Group Surgeon

What is often the first to receive medical intelligence from on-site care providers due to multiple communications and information links available to sections within the FSSG combat service support operations center (CSSOC)?

Health Service Support Element (HSSE)

What function of the medical plan must integrate and comply with the commander's plan?

Conformity

What function of the medical plan must shift HSS resources to meet changing requirements?

Flexibility

What requires continuous attention before, during, and after deployment to sustain maximum readiness and warfighting capability?

Wellness

Whose mission is to minimize the effects that wounds, injuries, and disease have on units' effectiveness, readiness, and morale?

HSS

The physical and chemical breakdown of the food we eat is called?

Digestion

In the microscopic examination of urine sediment, scan the slide using the low per objective and examine it in detail using which of the following objectives?


a) High Power


b) Oil Immersion


c) High Dry


d) Lower Power

High Power

To arrive at the number of RBCs per mm3, total the number of cells counted in the five fields and multiply by what?

10,000.0

Waste from patient diagnosis, treatment, or immunization may be subdivided into two categories, what are they?

Infectious and noninfectious

How often must inventory of controlled substances be conducted?

Monthly

Instructions for preparing and submitting th Medical Event Report can be found in which of the following publications?


a) NAVMED P-5010


b) NAVMED P-5038


c) Navy Supply Publication 486


d) SECNAVINST 4061.1

NAVMED P-5038

What drug incompatibility occurs when agents antagonistic to one another are prescribed together?

Therapeutic

All personnel must have a tuberculin skin test documented within what time period before separation from the naval service?

One year

The commanding officer of the transferring (parent) command will ensure service members complete medical assignment screenings no later than how many days after returning to duty following a period of medically restricted duty or a finding of "fit for continued Naval service"?

15 days

Personnel security investigations for the department of the Navy are normally conducted or controlled by which of the following organizations?

Defense Investigative Service

The Navy Environmental Health Center and its supporting activities establish and disseminate preventive medicine and environmental protection policy recommendations for whom?

BUMED

Under which of the following circumstances would a member's health record NOT be closed?


a) Transfers to the Fleet Reserve


b) Transfers to a new duty station


c) Declared missing in action


d) Placed on the retired list

Transfers to a new duty station

Duty performed in US land-based activities where service members are not required to be absent from their duty station in excess of 150 days per year is what type of duty?

Type 1-Shore Duty

For those service members failing suitability screening, attending physicians will conduct follow-up evaluations how often?

Every 2 months

All of the following are classifications of bacteria EXCEPT?


a)Temperature and moisture content


b) Gram's stain reaction and colonial morphology


c) Toxins produced and disease producing ability


d) Growth requirements and morphologic characteristics

Temperature and moisture content

Who serves as the principal senior enlisted advisor to Chief, BUMED?

Force Master Chief

Signature authority should be delegated to what level?

Lowest legal and practical level

What provide rapid peacetime response teams of pre-identified medical department personnel trained to augment elements of the operating forces?

MMARTs

The signs and symptoms of shock include?

Cool and moist skin, dilated pupils, weak and rapid pulse

Information requirements (reports) fall into one out of how many collection types?

Four (4)

Which of the following is NOT a way in which drugs are grouped?


a) By their brand names


b) By their source


c) By their characteristics


d) By their action on the body

By their brand names

For effective steam sterilization for microbiological infectious waste, the temperature must be maintained at 250 degrees F for at least how many minutes, at 15 lbs per square inch of gauge pressure?

90 minutes

What made from live attenuated mycobacteria strains are commonly used in some countries in an attempt to prevent vaccines from becoming infected with tuberculosis?

BCG Vaccines

What are pathogenic micro-organisms that are present in human blood and capable of causing disease in humans?

Bloodborne pathogens

Who exercises fiscal oversight of subordinate commands?

Regional Commanders

Limit using the SSN of a military member or civilian employee unless essential for identification and authorized for use by authority of which Executive Order?

9397

Some facsimile machines still use "Thermal Paper", which can deteriorate in as few as how many months?

6 months

Tuberculosis screenings are required for personnel in operational units and in units with a high risk for tuberculosis exposure or outbreaks how often?

Annually

Which Mission-Oriented Protective Posture (MOPP) levels result in body heat buildup, reducing unit effectiveness?

3 and 4

The shipboard medical OPTAR may be used to purchase all of the following items EXCEPT?


a) Medical books and publications


b) Litters and stretchers


c) gun bags


d) x-ray units and film processors

x-ray units and film processors

The CO of the transferring command will ensure each service and family member is screened within how many days of receipt of transfer orders?

30 days

Persons infected with M. tuberculosis are in the what category if the person has symptoms, signs, radiographic, or laboratory evidence of pulmonary, meningeal, miliary, or extrapulmonary tuberculosis?

Active disease

What ship was the first warfare submarine?

Turtle

What is the authority that a military commander lawfully exercises over subordinates in assigning missions and expecting accountability for attainment?

Inherent in command

What is the mission of frigates?

Open ocean escort and patrol

In the communication process, listening is a critical skill and can be improved by developing which, if any, of the following attitudes and behaviors?


a) Anticipating what the patient will say


b) Minimizing distractions


c) Taking notes


d) None of the above

Minimizing distractions

About what percent of military members experience financial difficulty during their career?

50%

The MDRI for protein is easily met when protein intake comprises what percent of total energy, and energy intake is adequate?

10 to 15 percent

Detailed information concerning MMART can be found in what directive or manual?

BUMEDINST 6440.6

Of the following, which is an appropriate treatment for a protruding abdominal wound?


a) Giving oral fluids


b) Applying a dry compress


c) Treating for shock


d) Replacing the intestines in the abdominal cavity

Treating for shock

What will not be used beyond the manufacturer's potency expiration date, unless the appropriate surgeon general or CG-11, USCG authorizes extension in exceptional circumstances?

Immunizing agents

The main reason for using the cover glass included with the hemacytometer instead of an ordinary cover glass is because the hemacytometer cover glass _______?

has an even surface

In a combat scenario, a casualty sustaining numerous superficial shrapnel wounds should be triaged into which of the following groups?


a) Class I


b) Class II


c) Class III


d) Class IV

Class III

Tuberculin reactors with no risk factors for the development of tuberculosis disease should receive how many months of continuous therapy with INH?

6 continuous months

Special Assistants report to Chief, BUMED as subject matter experts and to the Chief of Staff for issues involving what?

Staff administration

The same infection control practices must be used with all patients regardless if they show symptoms or not and this approach in known as what?

Universal Precautions

In what publication would you find examples of and instruction for the proper formatting of a naval message?

NTP 3

Where personal signing is impractical a commanding officer may authorize others to use what that duplicates his or her signature?

Signature Stamp

The prominences easily felt on the inner and outer aspects of the ankle are called what?

Medial and lateral malleolus

How many Echelon 3 Regional Commands are there?

Four (4)

Who is the principal staff advisor for Navy Medicine health services. Develops health services policy and directs the provision of medical and dental services as authorized by law or regulations for Navy and Marine Corps personnel, other uniformed Services personnel, their family members, retire members and their family members, eligible survivors of deceased members, Federal civilian employees, and other categories of persons?

m3, Deputy Chief of Staff for Operations

For letterhead stationery of the Department of the Navy the seal of the Department of Defense shall bear a diameter of what size?

1 inch

Under the Navy centralized case reporting process, the confirmatory test for HIV/AIDS for active duty members is done by a what?

HETU

What is a filed production activity of the Defense Intelligence Agency? It is the sole producer of medical intelligence in the Department of Defense (DOD).

Armed Forces Medical Intelligence Center (AFMIC)

Refined and processed sugars should make up no more than what percent of an individual's total caloric intake?

10%

Who classifies chemical disinfectants that are sporicidal as disinfectant or sterilants?

EPA

During a Saturday duty day, one of your shipmates asks you to change watches with him/her. You agree but fail to get permission from proper authority. Under what article of Navy Regs could you be charged?

Article 1134

Drinking a large amount of cough medication is a common method of abusing what type of drug?

Codeine

Agents that inhibit the growth of microorganisms without necessarily killing them are know as?

Antiseptics

Autotrophic bacteria require an environment that supplies them with nourishment. (T/F)

False

The report of the NAS-NRC Committee on Biological Effects of Ionizing Radiation was issued in what year?

1972

What is a floating surgical hospital?

T-AH

Infectious waste shall be sterilized and rendered noninfectious before doing what?

Compacting or grinding

Use dosage indicators inside and process indicators outside each what?

Instrument pack

Fixed MTF's and DTF's meeting applicable criteria must gain and maintain what by the Joint Commission on Accreditation of Healthcare Organizations?

Accreditation

What minimum amount of water does your body need per day?

2 quarts

If you are using a word processing package, you should set an automatic save at what intervals?

5-10 minutes

In a trauma related incident where a patient has multiple injuries, you should treat which of the following first?


a) Most obvious injury


b) Most life-threatening condition


c) Most painful condition


d) Fractures

Most life-threatening condition

The pharmacy department will assist in determining the availability of required medications at the gaining MTF or operational pharmacy and will dispense, by prescription, sufficient quantities for the en route period of transfer or period needed by the gaining pharmacy to obtain the required medications (up to how many day)?

180 days

Normally, correspondence should be answered within the time set by the incoming correspondence or within how many working day?

10 days

An effective process of casualty sorting, also referred to as what, is basic to the successful operation of a patient movement system?

Triage

Someone in a command position makes sexual advances towards you, making it impossible to do your job. You are being sexually harassed. (T/F)

True

How should a suspected spinal fracture victim be transported?


a) Ensure immobilization on a rigid backboard


b) Place a pillow or adequate padding under the neck


c) Transport in the shock position


d) Do all of the above

Ensure immobilization on a rigid backboard

Which of the following is for parenteral administration only?


a) Penicillin G


b) Ampicillin


c) Dicloxicillin


d) Penicillin V

Penicillin G

Which of the following is/are (a) function(s) of the kidneys?


a) To maintain acid-base balance


b) To remove certain toxic substances


c) To remove excess sugar


d) All of the above

All of the above

What is a bacterial endospore test designed to assess whether sterilization has actually occurred?


a) Biological Control


b) Biological Test


c) Biological Monitor


d) Sterilization Test

Biological Monitor

Which of the following is/are a recommended step(s) in treating deep frostbite?


a) Comfort victim with hot tea or coffee


b) Gently rub injured areas to promote blood circulation


c) Break blisters to speed healing


d) Slowly rewarm frozen areas

Comfort victim with hot tea or coffe

All elements of a message-type directive are prepared per standard instructions for regular messages per what?

DMS/NTP 3

The purpose of what is to establish patient accountability and to provide a means to document assessment of condition and treatment rendered by HSS personnel?

FMC

All pharmacies that dispense medications are required to have what Class balance?

A

What combines joint policies, procedures, personnel, training, and a reporting structure supported by automated data processing on GCCS?

JOPES

Fried foods, as long as they are not too crisp, may be included in a soft diet. (T/F)

False

The plan for a PMI exchange system and the return of AE equipment and PMI to the originating MTF should be addressed in the what respective plan?

Operation Plan (OPLAN)

What does OPLAN stand for?

Operation Plan

What is a process that delivers on demand to the warfighter a healthy, fit, and medically ready force; counters the health threat to the deployed force; and provides critical care and management for combat casualties?

HSS

If you have to go over the side and the ships' propellers are turning, you should leave from what point on the ship?

From the bow

In addition to maintaining and promoting good health, personal hygiene is important for which of the following reasons?


a) Inhibits the spread of disease


b) Promotes good morale


c) Decreases the risk of disabling disease


d) All of the above

All of the above

To open a partially obstructed airway of a victim with a cervical spine injury, which of the following is considered the safest method?


a) Abdominal trust


b) Jaw thrust


c) Head tilt


d) Chest thrust

Jaw thrust

Homeostasis is defined as?

Self-regulated control of the body's internal environment

The most frequent cause of marginal gingivitis is?

Poor oral hygiene

Identifying, assessing, and decreasing risk to patients and staff are objectives of the QA program to reduce exposure to what?

Liability

Duty performed in commissioned vessels and deployable squadrons home ported in the US or duty performed in the US land based activity and embarked staffs, which require service members to operate away form their duty stations in excess of 150 days per year is what type of duty?

Type 2- Sea Duty

In cases where tuberculin reactors are known to be close contacts of a person or persons with demonstrated INH-resistant tuberculosis, what may be substituted for INH?

Rifampin

What equipment and supplies will not be used aboard ship unless authorized by the MAGTF commander in support of an overwhelming emergency?

LF Class VIIIA

Once authorization has been obtained for burial at sea, who coordinate the arrangements?

Appropriate Fleet Commanders in Chief

After scrubbing a prosthetic device, place the prosthesis in a container filled with an EPA-registered disinfectant such as an iodophor, cholorine dioxide, or a synthetic phenol compound. Place the container in an ultrasonic cleaner for how long?

10 min

A Corpsman may administer morphine to which of the following patients?


a) In shock


b) Hemorrhaging


c) With Burns from inhaled chemicals


d) With a head injury

In Shock

A single pus-filled cavity in the true skin of the nape of the neck would be classified as a?

Furuncle

Which of the following tools does a supervisor use to identify and develop solutions to eliminate hazards?


a) Incidental observation


b) Deliberate observation


c) Job safety analysis


d) Job inventory

Job safety analysis

DD. Established for DoD-wide use are what level forms?

Second Level Forms

What is a directive that has a one-time or brief nature and has a self-canceling provision, and it has the same force and effect as an instruction?

Notice

Appropriate treatment for a sucking chest wound includes all of the following EXCEPT?


a) Giving oral fluids


b) Treating for shock


c) Placing the victim on the injured side


d) Administering oxygen therapy

Giving oral fluids

The primary purposes of first aid include all of the following EXCEPT to?


a) Provide definitive medical treatment


b) Save life


c) Prevent further injury


d) Preserve resistance and vitality

Provide definitive medical treatment

Treatment is not considered significant if taking medications of low toxicity (e.g., Prozac, Zoloft, or Paxil) for less than how many days?

90 days

Nuclear radiation casualties fall into how many categories?

Three

To minimize cellular deterioration, remains should be refrigerated at ___ C.

2.2 to 4.4

The authority and responsibilities of the Surgeon General, as an OPNAV Principal Official, are derived from the statutory authority and responsibilities of CNO and Vice Chief of Naval Operations (VCNO) and such other authority and responsibilities as assigned by whom?

Secretary of the Navy (SECNAV)

The oxygen breathing apparatus (OBA) is a valuable adjunct in rescue operations for what reason?

It generates its own oxygen

What rations are designed for military personnel in a wide variety of operations, in widely varied settings, for limited time periods?

Operational and restricted

Service members in the HIV program are governed under what series and are not included in medical assignment screening?

SECNAVINST 5300.30

If you are unable to reach the poison control center or a physician for specific instructions, how should you treat a victim who has ingested turpentine?

Give 1 to 2 ounces of vegetable oil orally

Which of the following structures provides some bacteria with a means of movement?


a) Spore


b) Spirillum


c) Capsule


d) Flagellum

Flagellum

When you influence others through the use of your specialized knowledge, you are exercising which of the following types of power?


a) Referent


b) Coercive


c) Expert


d) Informational

Expert

What color cartridge protects against radioactive materials?

Purple

Which of the following types of power do you have simply because people identify with you being a chief?


a) Expert


b) Referent


c) Coercive


d) Informational

Referent

Which of the following subjects is NOT covered during the Navy Rights and Responsibilities Workshop?


a) Enlistment skills


b) Combatant skills


c) Navy Regulations


d) Grievance and redress

Combat skills

Which of the following types of uniforms would be appropriate for a ceremonial visit to a British man-of-war moored to Pier Lima Naval Station, Charleston, South Carolina?


a) Service Dress


b) Full Dress


c) Summer Khaki


d) Service Undress

Full Dress

The maximum authorized Government allowance for expenses toward the interment of a deceased active duty member in a private cemetery can be found in which of the following publications?


a) NAVSUP P-485


b) NAVPERS 15955


c) NAVMED P-5016/NAVMC 2509A


d) NAVMEDCOMINST 5360.1

NAVMEDCOMINST 5360.1

The total T/E and AMALs/ADALs are designed to support a MEF in an estimated worst case scenario for a period of combat of how long?

60 days

Oxygenated blood is carried by which of the following vein(s)?


a) Pulmonary


b) Portal


c) Inferior vena cava


d) Superior vena cava

Pulmonary

Military treatment facilities and commands will conduct a review of the adequacy of immunization coverage among supported populations at least how often?

Annually

Which of the following is an example of a drug injected intradermally?


a) Insulin


b) Procaine hydrocloride


c) Purified protein derivative


d) 2 or 3 above

Purified protein derivative

All information requirements (reports)require a what?

Issuing document

When a HREC is opened on a service member, the member should be directed to read and sign the Privacy Act Statement inside the back cover of the HREC. (T/F)

True

Typhoid and yellow fever immunization are required for alert forces defined by Forces Command (FORSCOM) as division-ready brigades, including attached command and control packages, combat support packages, combat service support packages, and other units approved by the FORSCOM commander for what branch?

Army

Which instruction mandates that all active duty health care personnel receive HIV testing on an annual basis during each calendar year?

SECNAVINST 5300.30C

After scrubbing a prosthetic device, place the prosthesis in a container filled with an EPA-registered disinfectant such as an iodophor, cholorine dioxide, or a synthetic phenol compound. Place the container in an ultrasonic cleaner for how long?

10 minutes

Sterilization of individual strands of suture is acceptable for which of the types listed?


a) all absorbable suture material


b) all nonabsorbable suture material


c) both 1 and 2 above


d) stainless steel sutures only

Stainless steel sutures only

Fleet surgical teams (FSTs) are HSS augmentation teams assigned to the fleet CINCs. Combined, the Pacific and Atlantic fleets have how many teams that are considered the fleet CINC's assets in both peacetime and wartime?

Nine

The Casualty Assistance Calls program is administered by which of the following commands?


a) Commander, Naval Military Personnel Command


b) Commanding Officer, Naval Hospital


c) Commander, Naval Medical Command


d) Office of Medical Affairs

Commander, Naval Military Personnel Command

Which form field requirements are based on the level of form?

DD Form 67

Morphine is an acceptable analgesic in patients with which of the following symptoms?


a) Advanced Shock


b) Head injuries


c) Painful skin burns


d) Profound respiratory distress

Painful skin burns

The prevention of STDs begins with changing what that place the person at risk for infection?

Sexual behaviors

If you see the sky light up from a nuclear detonation, what is the first action you should take?

Close your eyes

For temperatures in what degree F range, energy requirements may increase 2.5 to 10 percent?

86 to 104 degrees F

Your writing should follow which pattern?

Newspaper

How many Echelon 3 Regional Commands are there?

Four

When a case of active pulmonary tuberculosis disease is discovered, the filters in the ventilation system exhausting the berthing, messing areas, work spaces, and medical spaces must be what?

Cleaned

The number of calories generated by each gram of protein, fat, and carbohydrate, respectively is?

4, 9, 4

Medical event disease surveillance is particulary important in militray populations where medical events can have what type of effects?

Mission-degrading

A successful communicable disease and injury control program depends on what of suspected or confirmed cases?

Early Notification

A fracture of the xiphoid tip of the sternum during CPR may cause significant damage to the?

Liver

Before reporting to the MARFOR, all medical department officers who are clinical providers (i.e., medical corps, dental corps, nurse corps) shall attend a course of instruction in advanced what?

Combat life support

Commanding Officers shall ensure all other fixed x-ray units afloat require evaluations at what intervals?

24 months

Within how many days before separation or retirement, Service personnel may be exempt for deployment (mobility) immunizations if certain conditions are met?

180 days

SF 522, Request for Administration of Anesthesia and for Performance of Operations and other Procedures, is normally signed by a parent, legal guardian, or spouse EXCEPT when the patient is?

A member of the Armed Forces

The prevalence of serologic markers for HBV in dental health care personnel has increased dramatically in the United States over the past several years. Each year approximately how many health care workers become infected with the virus?

18,000

A notice usually remains in effect for less than how many months, and is not permitted to remain in effect for longer than how long?

6 months - 1 year

What causative agent of plague has been identified as a potential biological warfare agent?

Yersinia pestis

HSS logistics is normally a Service responsibility. However, in joint operations, what system may be designated to provide central logistical support to all participating Services in the combatant CINC's area of responsibility?

Single Inline Medical Logistics Manager (SIMLM)

The nature of naval service dictates that members must be ready to deploy on short notice. Therefore, single parents and dual military couples with dependent children must provide which of the following documentation?


a) Family Care Plan Certificate


b) Will


c) Power of attorney


d) All of the above

Family Care Plan Certificate

At a minimum, how often should all AMALs be reviewed?

Annually

Commercially available absorbent materials which form a semirigid gel when added to liquids is called what?

Gelatinization

The Rapid Plasma Reagin test syphilis is best used with what type of specimen?

Serum

What is the most distinct advantage of the chair carry?

The ease of negotiating stairs

Who shall maintain an effective command medical event surveillance program?

Commanding Officers

Administer meningococcal vaccine to military personnel traveling for more than how many days to regions subject to meningococcal outbreaks, if not administered within an appropriate booster interval?

15 days

What is required on all Navy and Marine Corps letters, messages, directives, forms, and reports?


a) Report control symbols


b) SSIC numbers


c) Page numbers


d) Consecutive filing numbers

SSIC numbers

Which tuberculin tests produce significant numbers of both false-positive and false-negative test results, and are not to be used except on the specific recommendation of the NAVENPVNTMEDU?

Multiple-puncture

The head of the humerus is called the?

Glenoid fossa

For information on cleaning solvents, refer to which of the following chapters in the Naval Ship's Technical Manual (NSTM)?


a) 631


b) 660


c) 670


d) 630

Chapter 631

What is an area around the site of tuberculin injection that is raised and firm to the touch?

Induration

The DOD and USCG withdrew needle-free multi-use nozzle jet injectors (MUNJIs) capable of 600 or more injections per hour, formerly identified within DOD supply systems as "hypodermic injection apparatus jet automatic: 115 volt or foot operated," in what year due to safety concerns?

1997

Who, if anyone, is responsible for maintaining adequate supplies for the decontamination and treatment of CBR casualties?

Medical officer

What receive, store, and distribute blood within the theater of operations?

Blood Supply Units (BUSs)

Which forum is used to discuss career development, Senior Executive Management, Senior Operational/Major Staff slates, Total Force Integration strategy, cultural diversity strategy, and Navy Medicine leadership competencies?

Council of Corps Chiefs Forum

Determine the appropriate dose in milligrams of medication for a child weighing 30 pounds if the average dose for an adult dose is 600mg.

120mg

Which of the following characteristics of a strike force is one of its greatest assets?


a) Strength


b) Size


c) Weaponry


d) Mobility

Mobility

Which location offers intense and comprehensive drug and alcohol rehabilitation for active duty members?


a) Sick bay


b) Alcohol Treatment Facilities (ATF)


c) Alcohol Rehabilitation Centers (ARC)


d) All of the above

Alcohol Rehabilitation Centers (ARC)

Patients sensitive to penicillin may also exhibit sensitivity to cephalosporins. (T/F)

True

Support craft designations start with what letter?

Y

Of the following, which is NOT a source of dietary fat?


a) Avocados


b) Rice


c) Egg Yolks


d) Whole milk

Rice

First aid treatment for acute myocardial infarction without cardiac arrest includes all of the following EXCEPT?


a) monitoring vital signs


b) transporting to a medical treatment facility


c) Starting an intravenous infusion of only normal saline


d) giving oxygen therapy

Starting an intravenous infusion of only normal saline

What actions cause high casualty rates, material losses, obstacles to maneuver, and contamination?

NBC

All of the following are classifications of bacteria EXCEPT?


a)Gram's stain reaction and colonial morphology


b) Toxins produced and disease producing ability


c) Growth requirements and morphologic characteristics


d) Temperature and moisture content

Temperature and moisture content