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1C > Advanced Dive Medicine Assumed Test Questions > Flashcards

Advanced Dive Medicine Assumed Test Questions Flashcards

1
Q

Sea Urchins have a Venomous stinging Organ Called

A

Gobiferous Pedicellariae, or stinging spine

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2
Q

The most deadly Octopus

A

Blue Ringed -No Antivenin

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3
Q

Steroids for Dive treatment

A

Not recommended, worsens CNS injuries

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4
Q

Lidocaine for Dive treatment

A

Used for AGE, not recommended in DCS.

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5
Q

Fluids for DCS II Patients

A

Fluids are contradicted when patient is suffering from the chokes

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6
Q

Urine output for patient

A

.5cc Hour

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7
Q

Drip Chamber on Descent/Ascent

A

Chamber Fills on decent/Emptys on ascent

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8
Q

D5W Electrolyte IV fluid

A

Use @ DMO’s Discretion due to cerebral and pulmonary edema.

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9
Q

Chest tube site

A

2nd or 3rd intercostal space midclavicular line over the affected lung

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10
Q

Chest tube secondary site

A

5th intercostal space anterior axillary line. Hand under the armpit

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11
Q

Endotracheal intubation ventilation stop time, Vent time

A

Do not stop for more than ::30, Ventilate for ::60

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12
Q

Endo tracheal Bradycardia

A

Can slow during intubation from vagus nerve stimulation

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13
Q

Inside tender responsibilities

A

Releaseing Door Latchs, Communicateing with outside personnel, Provideing first Aid, Administering treatment gas @ depth, Normal assistance, Donning/doffing hearing protection, Paitient is lying down to permit adequate blood flow.

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14
Q

NON Diving Personnel as IT

A

Completion of Navy IT PQS, Current Physical Exam, Conform to Navy physical standards, Passed a pressure test

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15
Q

Clinical HBO2 Therapy TX Disorders

A

Cyanide poisoning, Carbon Monoxide, Gas gangrene, Smoke inhalation, Necrotizing soft tissue infection, Iatrogenic embolism, thermal burns, chronic refractory osteomyelitis, intracranial abscess.

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16
Q

Rationale for HBO in bubble disorders

A

Increase in pressure decrease in bubble size, Reduce bubble by maximizing inert gas off-gassing gradient, Increase O2 to the tissues.

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17
Q

Candidate Pressure test

A

Navy Certified Chamber -60 FSW for :10, Must remain on site for :15 and facility for 1 hour

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18
Q

Re compression Chamber extinguishing means

A

Wetted towels, Bucket of water, Pressurized water extinguisher, Hand held hose system, suppression deluge system

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19
Q

Abort Procedure - Natural Disaster - Mechanical failure

A

Ascend to 60FSW AT 30 FPM, All on O2, Follow AIR/O2 Table for max depth breathing O2 continuously, Breath 02 for the sum of deeper deco stops prior to deco from that depth, No more time bring chamber to surface @ 10FPM on 100 O2. NO symptoms follow TT6 asap.

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20
Q

Post Chamber Treatment observation time

A

TT-5 - 2 hours TT-6 6 hours , All others at DMO discretion

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21
Q

Treatments administered more than 5 days require

A

1 day break

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22
Q

Re-compression at altitude Gauge’s

A

Zero gauges

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23
Q

First Decompression Theories published by

A

J.s Haldane theory of half times

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24
Q

Maximum chamber co2 sev at depths

A

.78 30fsw

.53 60fsw

.25 165fsw

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25
Q

IV Drip rate

A

75/100 cc per hour

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26
Q

Urinary catheterization

A

Inability to void, bladder distension, unconscious, monitor fluids

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27
Q

Chamber fire hazard 02 levels

A

19-25% never allow to exceed 25%

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28
Q

Pressure Test Chamber

A

2 years, initial installation, overhaul, repair

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29
Q

Chamber categories

A

1 - :5 2- 1:00 3- 6:00

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30
Q

Post TX TT-5 / TT-6 Observation times

A

TT5 2:00/ TT6 6:00 remain @ Facility, DMO modify if less than :30 from chamber

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31
Q

Tender Post TX observation

A

1:00 @ facility, TT4/7/8 1:00 away for 24:00

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32
Q

Patient flying after treatment

A

DMO concurrence 72:00 wait after DCS/AGE resolution

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33
Q

Tender Flying after treatment

A

TT 5/6/6A/1A/2A/3 24:00, TT 4/7/8 72:00

34
Q

Aircraft pressurization for EVAC

A

1 ATA, stay below 1000 FT altitude

35
Q

Return to diving No Symptoms/Symptoms

A

30 days/ Residual symptoms obtain Waiver

36
Q

Tender S/I after treatment before diving

A

18:00 NoD/ 24:00 Deco TT 4/7/8 48:00

37
Q

Chamber Co2/O2 SEV max

A

1.5 SEV C02 / 25% 02

38
Q

Vent ACFM Requirements for Air/02

A

2 Paitient/4 tender Air / 12.5 Paitient/ 25 Tender

39
Q

Chamber Temperature unlimited time all treatments

A

85 and below

40
Q

Chamber Temperature 85-94

A

6:00 / TT5/6/6A/1A/9

41
Q

Chamber Temperature 95-104

A

2:00 / TT5/9

42
Q

Patient Sleep/Eat/Drink

A

Sleep except when breathing 02 deeper than 30FSW, Eat anytime

43
Q

Modify a treatment

A

DMO OIC/CO permission/ or UMO 16U0 16U1

44
Q

Purpose of HBO

A

Decrease Bubble, restart blood flow, relieve local pressure, Reduce bubble by maximizeing inert off gassing gradient, Allow time to reabsorb bubble, Increase 02 to injured tissue

45
Q

Anaphylactic Shock

A

caused by severe allergic reaction

46
Q

Cardiogenic Shock

A

Caused by heart attack poor heart function

47
Q

Hemorrhagic Shock (hypovolemic)

A

Loss of large amount of blood

48
Q

Neurogenic

A

Nerve paralysis, spinal cord injury, uncontrolled dilation of blood vessels

49
Q

Psychogenic

A

Caused by fright or fear

50
Q

Stages of Shock

A

Compensated (correcting itself), Decompensated (body no longer able to compensate) irrevesible - celldamage liver kidney failure and permanent damage

51
Q

Extremity Strength 5

A

Normal - equal bilateral strength

52
Q

Extremity Strength 4

A

Mild Weakness - able to resist slight force

53
Q

Extremity Strength 3

A

Moderate Weakness - Resist gravity but not examiner

54
Q

Extremity Strength 2

A

Sever Weakness - Able to contract muscle but not overcome gravity

55
Q

Extremity Strength 1

A

Profound Weakness - Flicker or trace muscle movements

56
Q

Extremity Strength 0

A

Paralysis - No motion

57
Q

Cranial Nerve 1

A

Olfactory - Smell/Taste - rarely tested

58
Q

Cranial Nerve 2

A

Optic - Reading focusing/ Fields

59
Q

Cranial Nerve 3

A

Occulomotor - Movement in the eye/Pupil dilation

60
Q

Cranial Nerve 4

A

Trochlear - cross eyed

61
Q

Cranial Nerve 5

A

Trigeminal - Facial sense, chewing

62
Q

Cranial Nerve 6

A

Abducens - Lateral eye movement

63
Q

Cranial Nerve 7

A

Facial - Whistle, close eyes, wrinkle

64
Q

Cranial Nerve 8

A

Auditory- Hearing, balance

65
Q

Cranial Nerve 9

A

Glossopharyngeal - Gag - not normally tested

66
Q

Cranial Nerve 10

A

Vagus - Roof of mouth, vocal cords - Heart beat

67
Q

Cranial Nerve 11

A

Spinal accessory - neck shoulder shrug

68
Q

Cranial Nerve 12

A

Hypoglossal - Movement of tongue

69
Q

Coordination tests

A

Walk/Gait, Romberg, Heel toe, Rapid alternateing movement, finger to nose, Heel shin

70
Q

6 parts of a neuro

A

Mental status, Coordination, Cranial nerves, Motor/strength, Sensory, DTR

71
Q

Pulseless Diver HBO Treatment

A

Unavailable press to 60FSW CPR, :10 AED/ACLS CPR until arrival on surface, :20 deco @ 30FPM administer AED/ACLS. Regains vitals press to 60, remains pulsless continue CPR until pronounced dead. Never recompress a pulseless diver.

72
Q

Symptomatic Omitted D

A

Less than 50FSW TT6, 51 FSW or deeper 60 or DOR TT6A not to exceed 165, Greater than 165 TT8. DMO ASAP TT5 not acceptable

73
Q

CNS O2 toxicity First sign

A

Off 02, symptoms subside,:15min, resume POI

74
Q

CNS 02 toxicity second sign or first is a convulsion

A

Off 02, symptoms subside/relaxed and breathing normal, deco 10FSW 1 FPM, resume @ POI

75
Q

CNS 02 toxicity symptoms after ascent 10FSW

A

Contact DMO before resuming 02

76
Q

Loss of 02 during Treatment

A

:15, maintain depth, fixed resume 02 @ POI, :15-2:00 MAINTAIN DEPTH RESUME @ poi MAX EXTENSIONS,
Greater than 2:00 switch to comparable air table, SX worsen TT4 for greater depth

77
Q

Treatment authorization for HBO therapy waiver

A

BUMED Code M3B42

78
Q

Reoccurence 60FSW or shallower

A

Back to 60FSW, 3 :20 02 periods relieved TT6, Not TT7 or DOR not to exceed 165fsw

79
Q

Reoccurence 60FSW or deeper

A

go to DOR not to exceed 165,Air for :30, No more time needed TT6A, more time TT4.

80
Q

TT5 use

A

Complete neuro- no deficits,DCS I, Asymptomatic Omitted D, Relief W/:10 or a TT6

81
Q

TT6 use

A

AGE, Cutis,Type II, Type I :10 no relief, Symptomatic/Asymptomatic :20 no relief switch to TT6A

1C (18 decks)

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