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68W ALC Phase 3 Test 2 LPC Latest Exam Questions with Verified Answers
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68W ALC Phase 3 Test 2 LPC Latest Exam Questions withVerified Answers.
When would you likely see Thermite’s sign - ANS Following a whiplash syndrome injury?
When visualizing back what should you look for injuries? - ANS edema, erythema, ecchymosis,
battle sign, neuron changes, step offs
Primary spinal cord injury - ANS Results from cord being cut, torn, or crushed or by its blood
supply being cut off
Secondary Spinal Cord injury - ANS Caused by secondary effects from injury. Occurs from
hypotension, generalized hypoxia, injury to blood vessels, edema, compression of cord from
surrounding hemorrhage
What are some causes of sciatica? - ANS Caused by injury to or compression of sciatic nerve.
Usually due to intervertebral disk herniation causing compression of nerve roots
Special Test for Sciatica - ANS Straight Leg Raise
How much PT can usually manage Sciatica - ANS 3-4 weeks with medication for pox
Common exam findings with Sciatica - ANS Abnormal Posturing
< ROM
< Muscle strength
What is the difference between muscle spasm and cramp? - ANS Force of the contraction. If it
is quick contraction and release of muscle without pox it is spasm. Cramp is prolonged with pox
Special Test for Muscle Strain - ANS MRI
Special Test for muscle spasm - ANS Blood test
Why do you use a blood test for muscle spasms? - ANS Check Na and other electrolytes for
causing factors
Number one cause of TBI in combat - ANS Blast injuries
What are the three types of TBIs - ANS Mild, Moderate, and Severe?
S/Six Mild TBI - ANS Transient confusion, delayed verbal or motor response, Disorientation,
Slurred or coherent speech, any period of LOC
What is the most common type of TBI? - ANS Mild. Dead Man Walking
S/Six Moderate/Severe TBI - ANS LOC, Personality change, Severe persistent Headache,
Repeating N&V, SZ, Inability to awaken, Dilation of both pupils, Slurred speech, Weakness or
numbness in extremities, Loss of coordination, Increased confusion,
What does MACE stand for? - ANS Military Acute Concussion Evaluation
How often should Neuron testing be performed? - ANS Semiannually or as mission dictates to
ID TBIs
What are the five domains of MACE? - ANS Orientation, Immediate Memory, Neurological
Screening, Concentration, Delayed Recall
What are the mandated events that require MACE - ANS 1) Involved in vehicle associated blast
event, collision, rollover
, 3) Worsening Headache
4) Can’t recognize people; Disorientation to place
5) LOC >5 min
6) Weakness/numbness in arms/legs
Level 3 Evacuation Decision Red Flags - ANS 1) Progressively declining levels of
consciousness
2) Pupil asymmetry
3) SZ
4) Repeated Vomiting
High Altitude Illness - ANS Cerebral and Pulmonary Syndromes that can develop in UN-
acclimatized person’s shorty after ascent to high altitude
High Altitude Pulmonary Edema (HAPE) - ANS acute accumulation of fluid in the alveoli due to
rapid ascent in altitude
High Altitude Cerebral Edema (HACE) - ANS acute swelling of brain due to rapid ascent in
altitude
What are the ways to acclimatize a soldier? - ANS Staged and Graded
Staged Ascent - ANS Soldiers will rise to a moderate altitude and remain there for 3 days or
more before moving any higher. Should use several stops on way up
Graded Ascent - ANS
Diffusion - ANS Flow of gas or liquid from an area of higher concentration to lesser
concentration
Subjective findings on dislocated shoulder - ANS Pain (Severe), Instability, Weakness, Inability
to move shoulder, Numbness
Objective findings on Dislocated shoulder - ANS Abnormal appearance, Positive Sulcus Sign,
Swelling, Bruising
Management of Dislocated shoulder - ANS 1) Reduction
2) Sling or improvised sling
3) Analgesic; NASAID
4) Pillow placed between
5) Rest and immobilize for NO MORE THAN 5-7 days
6) Strengthen exercising for muscle repair
Subjective findings on Rotator Cuff - ANS Pain and tenderness, Shoulder weakness, Loss of
shoulder ROM, Inclination to keep shoulder inactive, Atrophy or thinning of muscles surrounding
Objective findings on Rotator Cuff - ANS Special tests: Drop Arm Exam and Jobs Exam
(Supraspinatus Exam)
Management and Interventions on Rotator Cuff - ANS Referral if unable to use arm or shoulder
pox has lasted more than 1 week.
Use of sling
Analgesic; NASAID
Steroid injection
Surgery
Therapeutic Interventions on Rotator Cuff - ANS Rest and limited overhead activates
Strengthening Exercises
With TBI, it is imperative to focus on what three areas of evaluation? - ANS Cognitive, Physical,
and Behavioral
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