HMC 2015 exam Flashcards
Commanders will ensure what report on any suspected or confirmed malaria case is sent out as soon as possible to all required addresses whenever a malaria threat exists?
Disease Alert Report (DAR)
Individuals who were treated for malaria in the past must wait how long from the date treatment was finished until they are eligible to donate blood?
3 years
Individuals who visited a malaria-risk area and remained asymptomatic, but were not required to take chemoprophylaxis because of negligible risk of exposure, must wait how long until they are eligible to donate blood?
6 months
Any person who is deficient in what has a risk of hemolysis associated with taking primaquine for chemoprophylaxis or treatment?
G6 PD
Report suspected or confirmed malaria cases in a DAR via what precedence message?
Priority
Measures consist of effective mosquito control programs of what type?
Anopheles
Traditionally, malaria chemoprophylaxis has been effectively accomplished with use of chloroquine and primaquine, however, in the past several years, resistance to what has been demonstrated among malaria parasites in certain areas of the world into which Navy and Marine Corps personnel deploy or live?
Chloroquine
Because malaria, in particular what type of malaria, can progress into a rapidly fatal course, the most important aspect of malaria treatment is suspecting this disease in the differential diagnosis of the patient and beginning immediate treatment?
Plasmodium Falciparum
How long is the waiting time to achieve desired FAC
30 mins
what are the rules for super chlorination
100 PPM for four hours at which time the FAC can not drop below 50 PPM. If it does drop below 50 PPM super chlorination must be repeated.
how often do you test water in the field
daily
how often is bacteriological testing done
weekly
how often should temperature reading in refrigerators In the field be taken
at least 3 times during meal periods
how often should refrigerator spaces be emptied and cleaned
weekly
how long are fruits and vegetable
100ppm for 15 mins or 50ppm for 30
Out of the Five field dishwashing Metal GI cans (approx 32 gallons) which of those contain brushes
GI Vat CANS 2 and 3
Purpose of Field Dishwashing Metal GI CAN #1?
collecting garbage
Purpose of Field Dishwashing Metal GI CAN #2?
prewash and will contain a hot detergent solution and a brush
Parenteral chloroquine hydrochloride, quinidine gluconate, and quinine dihydrochloride can be used in the treatment of severe cases of malaria where the patient is exhibiting signs of central nervous system involvement, has a very high and life-threatening parasitemia, or cannot take what type of drugs?
Oral drugs
What is a comprehensive hardcover textbook of clinical tropical medicine?
Hunter’s Tropical Medicine
Who conducts tropical medicine research and can provide information on the epidemiology of malaria, antimalarial drug resistance, and mosquito vectors within their countries or geographic areas of research?
Naval Medical Research Units
Purpose of Field Dishwashing Metal GI CAN #3?
washing and will contain a hot detergent solution and a brush.
Purpose of Field Dishwashing Metal GI CAN #4?
rinsing and will contain clean hot water held at a rolling boil.
Purpose of Field Dishwashing Metal GI CAN #5?
final sanitizing rinse and will contain clean hot water held at a rolling boil
how long are MRE’s good for
48 months
how high can MRE’s be stacked
not more than 3 pallets high
what is the definition of rubbish
boxes, paper, plastics
Minimum distance waste must be from water
100 feet
Minimum distance waste must be from the mess hall
100 yards
Minimum distance waste must be from berthing
50 feet
how many people will a saddle trench serve
25 people
how many deep pit latrines are needed per 50 people
1 deep pit latrine that seats 4 people
when do you burn out the wastes in a burn barrel latrine
when it is 1/3 to 2/3 full
how many tubes are used for a urine
6
how many people will one pipe accommodate in a urine soakage pit
20
how many men will a urine trough serve
100
how many people will a soakage pit serve
200
for a garbage disposal pit how large and how many people does it serve
4 sq feet and 4 feet deep and serves 100 people
how long does acclimization take
3 weeks
what is the optimum temperature for drinking water
50 to 60
when does immersion foot occur?
Trench foot occurs when feet are cold and damp while wearing constricting footwear. Unlike frostbite, trench foot does not require freezing temperatures and can occur in temperatures below 50 degrees.
Within the DoD, who is eligible for TRICARE?
Army, Navy, Air Force, Marine Corps, Coast Guard, Commissioned Corps of the U.S. Public Health Service, and the Commissioned Corps of the National Oceanic and Atmospheric Administration
When can family members of the National Guard or Reserve Member become eligible for TRICARE?
When called to active duty for more than 30 consecutive days
If you are an active duty service member, what are your program options?
Prime
If you are an active duty service member who lives and works more than 50 miles or an hour’s drive from an MTF, what are your program options?
Prime Remote
If you are an active duty family member, what are your program options?
Prime
Standard
Extra
US Family Health Plan
If you are an active duty family member with an active duty service member who lives and works more than 50 miles or an hour’s drive drive from MTF, what are your program options?
Prime Remote for Active Duty family members
Standard
Extra
US Family Health Plan
If you are a retiree and have eligible family members who are not eligible for Medicare, what are your program options?
Prime
Standard
Extra
US Family Health Plan
If you are a Medicare-eligible beneficiary under age 65, what your program options?
Prime
For Life
US Family Health Plan
If you are a Medicare- eligible beneficiary age 65 or over, what are your program options?
For Life
US Family Health Plan
If you are a Congressional Medal of Honor recipient or recipient’s family member , or a certain former spouse of an active or retired service member, what are your program options?
Prime Standard Extra For Life US Family Health Plan
What is Tricare Prime Split Enrollment?
Allows families living in separate Tricare regions to enroll in Tricare Prime together
What are the Tricare Prime Access Standards?
- The wait time for an urgent care appointment will not exceed 24 hours
- The wait time for a routine appointment will not exceed one week
- The wait time for a specialty care appointment or wellness visit will not exceed four weeks
Where is Tricare Extra not available?
Overseas
What is Tricare for Life?
Offers Medicare-wraparound coverage to Tricare beneficiaries regardless of age, provided that are entitled to Medicare Part A and also have Medicare Part B
In what ways can enrollment in Tricare be achieved?
Mail or a Tricare Service Center
Who is required to pay an annual enrollment fee?
Retired service members and their families
Eligible former spouses
Medal of Honor recipients
Who administers Tricare For Life?
Wisconsin Physicians Service
Which two program options do not have an enrollment process?
Standard and Extra
What does the catastrophic cap do?
It limits the out-of-pocket expenses on annual deductibles, cost shares, and other costs.
At an MTF, how much medication supply can be filled if the medication is on the MTF formulary?
90 days
How may refills through the Mail Order Pharmacy be order?
Mail, phone, or online
How long does it take for medications to be delivered after receiving the prescription via the mail order pharmacy?
14 days
What is the Tricare Extended Care Health Option
It provides financial assistance to active duty family members who qualify based on specific mental or physical disabilities, and offers an integrated set of services, and supplies not available through the basic Tricare program
What is the Transitional Assistance Management Program?
It provides 180 days of transitional health benefits after leaving active duty.
What is Tricare Reserve Select?
Is a premium based health plan that National Guard and Reserve members who qualify may purchase
What are the Tricare regions?
North, South, West
What is a cost-share?
he maximum out of pocket expenses for which Tricare beneficiaries will pay for inpatient and outpatient care.
HR colors 0 - O 1 - G 2 - Y 3 - G 4 - T 5 - B 6 - W 7 - B 8 - P 9 - R
Oh God you got that big whale barbara pregnant retard
What is the NAVMED 1300/1
Overseas Screening
What is the NAVMED 6150/7
Health Record Receipt
What is the NAVMED 6600/3
Dental Health Questionnaire
What is the NAVMED 6630/2
Precious Metals Issue
What is the NAVMED 6630/3
Precious Metals Inventory
What is the NAVMED 6710/6
Poly prescription
What is the EZ 603
Dental Exam Form
What is the EZ 603A
Dental Exam Continuation Form
What is the SF 522
REQUEST FOR ANESTHESIA
What is the SF 515
TISSUE EXAMINATION
What is the DD 1289
Prescription Pad
What is contained in MANMED P117 CHAPTER 23
REPORTS & FORMS
What is contained in MANMED P117 CHAPTER 21
PHARMACY
What is contained in MANMED P117 CHAPTER 6
DENTAL
Nerve agents include the following:
Tabun (GA ), Sarin (GB), Soman (GD), GF, and VX.
Nerve agents are potent what?
And smell like what
Organophosphates which stimulate muscarinic and nicotinic stimulation.
Fruity
Symptoms of Nerve Agent Exposure:
Muscanaric and nicotinic overstimulation:
ABD pain, diarrhea, vomiting, excessive salivation, sweating, bronchospasms, copious bronchial secretions, muscle fasciculations, weakness and respiratory distress. Seizures, tachycardia or bradycardia may be present.
One of the most important treatments in nerve gas exposure is…
to remove the patient from the source of the
exposure.
Which vesicant has a garlic odor?
Mustard gas
Cyanides include the following:
Hydrogen Cyanide AC and
Cyanogen chloride CK
Pulmonary Agents
Phosgene CG
List the Riot Control Agents
CN -Mace,
CS and
which blood agent Smells like bitter almonds
AC Cyanogen Chloride
What are the Blister aka vesicant agents?
vesicant, Mustard Gas-HD, Nitrogen Mustard-HN, Lewisite-L, Phosgene- CX.
A latent period without symptoms is the hallmark of exposure to what type of agent.
Mustard Gas
Name a pulmonary irritant that can produce pulmonary edema when inhaled.
Phosgene
The cyanide antidote kit includes what?
amyl nitrite, sodium
thiosulfate and sodium nitrite.
Blood agent is a…? And what is the treatment?
Systemic Poison AC, CK. Treatments include amyl nitrate ampules under gas mask, and sodium thiosulfate IV 100-200mg/kg of body weight.
What is AC and what does it smell like?
Cyanogen and it smells like Almonds
What is CK and what does it smell like?
Hydrocyanic Acid and it is an irritating odor
What does CG smell like?
Phosgene- smells like New mown grass
What is DP and what does it smell like?
diphosgene smells like new mown grass
NAVMED P-5041
Treatment of chemical agents casualties and convental military chemical injuries
Where should the location of the dump be?
75 yards (meters) downwind from the MTF and living quarters.
Who advises the commander on the health of the command and the adequacy of internal FSSG HSS
Group surgeon
Which commanders are responsible for coordinating and integrating HSS within their area of operations
Marine Corps Forces (MARFOR)
A MAW has how many Marine aircraft groups (MAGs)
Four
Each Surgical Company contains 60 beds and how many operating rooms?
3
A MAW has how many Marine aircraft groups (MAGs)?
4
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
Temporary casualty holding facilities and services are used to hold
sick, wounded, and injured personnel for a limited time, usually not
to exceed what time frame?
72 hours
What provide rapid peacetime response teams of pre-identified medical department personnel trained to augment elements of the
operating forces?
MMARTs
The T-AH is designed to receive patients primarily by what means?
Helicopter
What FSSG is a supply operation directly responsible to the FSSG supply battalion commanding officer
Med Log Co, Supply Battalion
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
A unit’s what includes items necessary for basic support of the Organization?
Table of Equipment (T/E)
ATF ships suitable for use as CRTSs are what classes
LHD, LHA, and LPH
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
What have the largest medical capability of any amphibious ship in the ATF?
CRTSs
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?
Supplementary Integrated Medical Logistics Manager (SIMLM)
The primary role of a beach evacuation station is to evacuate
assault force casualties to designated what?
CRTSs
During the movement phase of amphibious operations, who has overall
responsibility for HSS services to embarked personnel?
Commander, Amphibious Task Force (CATF)
Medical material and supplies are protected under the law of land
warfare and the what?
Geneva Conventions
What is the BUMEDINST 6440.5C Health Services Augmentation Programs (HSAP) Purpose?
To issue policy and procedure guidelines for active duty Navy Medical Department personnel assigned to augment operational platforms and/or units during contingency or wartime situations.
who Directs, coordinates, and monitors the execution of the HSAP.
Chief, Bureau of Medicine and Surgery
BUMED
Ensures coordination of official Navy message takers from higher authority.
Provides recommendation or nominations for commanding officers, executive officers, and command master chiefs for Navy medical platforms.
BUMED
BUMED
Provides input to N093 regarding augmentation platform personnel fill rates and training for the Joint Quarterly Readiness Report.
BUMED
Establishes guidelines for developing Deployment Support Centers (DSC) at sourcing commands.
NAVMED
Monitor capability of sourcing commands to meet augmentation requirements, gender ratio, and training status via Expeditionary Medicine Platform Augmentation Readiness and Training System (EMPARTS).
Assist sourcing commands within their areas of responsibility (AOR) with filling platform assignments to the maximum extent possible and support BUMED in managing shortfalls and residual personnel.
NAVMED
Employ global sourcing as a mitigating strategy within their perspective AOR to source shorfalls
NAVMED
NAVMED
Conduct quarterly readiness reviews using EMPARTS.
Provide HSAP assists visits, technical guidance, and administrative support to activities within their AOR when requested.
NAVMED
NAVMED
Provide assistance, as needed, to soucing commands in establishing HSAP augments.
Annually review the HSAP policy and procedures manuals.
NAVMED
Commanding Officers of Sourcing Commands (COSC)
Appoint in writing, a command readiness officer (CRO) or plans, operations, and medical intelligence (POMI) officer to address operational readiness issues
Command Readiness Officer (CRO )or POMI plans, operations, and medical intelligence officer.
Maintain knowledge of platform requirements as reflected in CUIC (component Unit Identification Code) billets and AMDs
CRO
Update EMPARTS to maintain readiness status of HSAP personnel.
CRO
Use the HSAP to ensure deployable personnel complete administrative requirements within 30 working days of reporting.
CRO
Conduct entry and exit interviews for staff personnel executing PCS orders and coordinate with contingency offices and military personnel (MILPERS) departments to ensure database files are correctly annotated.
Assign all qualified residual personnel to vacant platform billets.
CRO
CRO
Appoint in writing an operational support officer (OSO).
Operational support officer (OSO)
Familiar with policies and procedures governing the HSAP, DSC, and local readiness programs.
OSO
Able to assume readiness officer or POMI officer functional responsibilities, including HSAP responsibilities for sourcing commands.
Past deployment history
personnel will not deploy for a minimum of 6 months following the end of their last deployment.
Deployment history
personnel will not deploy earlier than 6 months from their report date. personnel may participate in pre-deployment or inter-deployment training beginning 60 days after reporting.
Navy Medical Personnel
complete administrative readiness requirements within 30 days of check-in
Navy Medical Personnel
Update and report results of delinquent administrative requirements to the POMI/OSO within 15 days of notification of change in A- or T- status.
CRO additional responsibilities
Establishes a DSC and develop a local policy and procedures manual implementation of DSC and execution of HSAP.
Coordinates with manpower officer/staff to ensure appropriate CUIC billets
CRO
Manning priority is based on contingency support requirements in this order:
1.Marine Forces (MARFOR)
2.Casualty Receiving and Treatment Ship (CRTS)
3.Forward Deployment Preventive Medicine Unit (FDPMU)
4.Expeditionary Medical Facility
5.Construction Battalion Unit (CPU)
6/Hospital Ships (T-AH)
7.Outside Continental United States (OCONUS) MTF
8. Blood Processi
Marine Forces (MARFOR)
HSAP billets assigned to USMC units will be filled with qualified personnel up to staffing goal (minimum of 80 percent peacetime and 95 percent wartime)
Casualty Receiving and Treatment Ships
Medical platform of 84 personnel each that provide up to Level 2 HSS (health services support)
In support of Naval Mobile Construction Battalions (NMCB) that provide up to Level 1 HSS. All Hospital Corpsman will be assigned NEC 8404 for assignment to NMCB.
Construction Battalion Units (CBU)
EMF
Provide Level 3 HSS
CO’s designated by BUMED
OCONUS MTF (USNAVHOSPs Yokosuka, okinawa, and Guam)
Provide up to Level 4 HSS
Hospital Ships (T-AH)
Provide Level 3 HSS. Ships owned by Military Sealift Command (MSC) and operated by civilian mariners. T-AH MTF CO and XO are nominated by BUMED.
Forward Deployment Preventive Medicine Unit (FDPMU)
Provide task organized preventive medicine services beyond the organic capability of the supported force.
Designated by the CO, Navy Environmental Health Center.
FDPMU OIC
Blood Program Unit (BPU)
In support of Armed Services Whole Blood Processing Laboratory (ASWBPL) and Blood Donor Centers (BDCs) whose staff increases during contingencies.
Personnel Readiness
Personnel will report to gaining command with the following:
- ID Tags
- Armed Forces ID Cards (CAC)
- DD 2766, Deployment Medical Records
- Copy of NAVPERS 1070/604, Enlisted Qualifications History
- NAVPERS 1070/602W, Dependency Application/Record of Emergency Data Worksheet
- SGLI
Combatant Commander (COCOM)
Responsible for travel and TAD expenses for the duration of the deployment.
How many SORTS Categories are there?
5 C1-C5
C1
Full wartime mission ready
C2
Capable of undertaking the bulk of its wartime mission, minor deficiencies reported.
C3
Capable of undertaking a major portion of its wartime mission, major deficiencies.
C4
Unit is unable to perform its wartime mission unless it it provided additional resources or training.
C5
Unit is not able to perform its wartime mission and it is not mission capable.
T-AH
Mercy Class Hospital Ships
Embarked Military Force
EMF
Routine Deployable
Two FDPMU maintain ready FDPMU status on a 6 month rotating basis. Ready to deploy within days.
Surge Ready
Two FDPMU deployed within 30 days
Two FDPMU deployed within 60 days of notification.
Emergency Surge
CRO (command readiness officer)
Officer identified by the command, generally from operations office, who is responsible for monitoring and advising the commander on operational readiness.
EMPARTS (Expeditionary medicine platform augmentation, readiness, and training system)
Web-based automated information system used to track the readiness status of BSO 18 personnel.
Operational Support Officer (OSO)
Formerly known as the Reserve Liaison Officer (RLO); coordinates Reserve utilization within sourcing command
infectious waste also called
regulated medical waste
containers
lined with plastic bags, labeled or color coded
anatomical pathology waste
double wall corrugated boxes or equivalent rigid container with double plastic bags
limited storage of non-pathological waste
7 days without refrigeration
transportation infx waste
refer to federal, state and local laws, regulations and sofa
treatment infx waste
destruction, incineration, inactivation by heat, chemicals or radiation without disintegration cells
sterilization infx waste
121 C (250 F) for at least 90 minutes, 15 psi
approval infx waste
bureau of medicine and surgery (med-04) approval required before purchase/lease of
pathological waste disposal
incineration/cremation
microbiology waste disposal
sanitary landfill
sharps waste disposal
steam sterilization/incineration
bulk blood waste
sanitary sewer/landfill
disinfecting spills
epa approved disinfectant or bleach diluted with 1:10 clear water
federal regs
maintain shipping paperwork/manifests for 2 years after rmw was accepted by waste carrier
pathological waste storage
refrigerated and kept frozen if more than 24 hours
frozen storage of pathological waste
no more than 30 days
segregation
separating infectious waste from noninfectious wast at its point of origin
sterilization testing
bacillus stearothermophilus spore strips
sterilize infectious waste before
compacting or grinding
Adenovirus
1 dose, po.
HBV(Hep B recombinant)
0,1,6 months
JE Vaccine
0,7,30 days
Plague
3 doses, 1ml at 0, .2ml at 1-3 months after, .2ml 3-6 months after second dose.
Rabies
5 doses, 0,3,7,14,28 days
Typhoid (VICPS)
1 dose every 2 years
Varicella
2 doses 0 and 4-8 weeks