MSK
The most common site of an ankle sprain
What is the ATFL (anterior talofibular ligament)
What is gastroesophageal reflux disease?
Criteria for concussion or TBI diagnosis
What vital sign is most important to monitor first in suspected shock?
What is BP?
Intervention for most unconscious but breathing patients without facial trauma?
Name 2 key differences between a sprain and a strain
What is:
sprain = ligamentous injury & can cause instability
strain = tendon injury & can cause weakness
McBurney's point is anatomically located where?
What is 2/3 of the distance from the umbilicus to the RIGHT anterior superior iliac spine (ASIS)
Explain migraine vs. tension headache presentation
What is POUND vs. circumferential w/o other associated sx?
Which rhythm is most commonly associated with sudden cardiac arrest in adults?
What is V FIB?
Indications for cricothyrotomy?
What is airway obstruction not relieved by basic maneuvers, severe maxillofacial trauma, burns/swelling, or failed NPA/ET attempts?
How would you differentiate between internal vs. external knee issue?
What is mechanical symptoms, recurrent swelling
Two signs of a GI bleed
What are hematemesis or melena?
Headache red flags?
Name 5 major risk factors for coronary artery disease in service members
What is Hypertension, smoking/vaping, obesity, high cholesterol, hyperlipidemia?
Triage the following casualties by DIME:
Casualty A: Massive extremity hemorrhage, unconscious, weak radial pulse.
Casualty B: Amputated leg, tourniquet already applied, awake but screaming in pain.
Casualty C: Penetrating chest wound with labored breathing.
Casualty D: Multiple superficial lacerations, alert and walking.
What is:
Immediate: A, C
Delayed: B
Minimal: D
Expectant: None
What are saddle anesthesia, bowel/bladder incontinence or retention, fever, unexplained weight loss, bilateral radicular symptoms
What is 45; change in stool consistency, unintended weight loss, family history, blood in stool?
During neuro exam, what finding suggests increased intracranial pressure?
What is altered LOC, Cushing’s triad (bradycardia, HTN, irregular respirations), unequal pupils.
Why is exertional chest pain a “red flag,” and what immediate steps do you take?
What is angina/ACS?
Steps = stop activity, vitals, O2, aspirin (if available/allowed), evac.
Indications for pelvic binder
What is a severe blunt force or blast injury with one or more: pelvic pain, any major lower limb amputation or near amputation, PE findings suggestive of a pelvic fracture, unconsciousness, shock
During a 12-mile ruck march, a soldier develops severe lower leg pain that worsens with activity and improves with rest. Exam shows tenderness over the anterior tibia and pain with resisted dorsiflexion. Differential?
What is shin splints, stress fracture, exertional compartment syndrome
Soldier with abdominal pain in austere setting — how do you distinguish benign upset vs surgical emergency?
What is Assess severity/location, peritoneal signs (rigidity, rebound), vitals, persistent vomiting, GI bleed, fever.
Surgical = escalating pain, localized tenderness, abnormal vitals → urgent evac.
Demonstrate a thorough neuro exam
Good job!
Soldier collapses during PT — walk through assessment & interventions
What is check responsiveness, ABCs. CPR if pulseless, AED, airway, O2, monitor vitals, IV/IO access, fluids if hypotensive. Evacuate.
You are the only medic in a nighttime ambush. There are 3 casualties:
Casualty A: Massive extremity hemorrhage controlled with tourniquet, now altered mental status, weak pulse.
Casualty B: Severe facial trauma, gurgling respirations, struggling to breathe.
Casualty C: Abdominal evisceration, awake, screaming in pain.
CASEVAC is delayed 1 hour.
Who do you treat first and why?
What sequence of interventions do you perform?
What resource limitations or tactical considerations might change your approach?
Prioritize B (airway compromise = most immediately life-threatening). Secure airway (NPA if possible, cric if necessary).
Casualty A: Manage shock → fluids (blood if available), TXA, reassess tourniquet, hypothermia prevention.
Casualty C: Cover evisceration with moist, sterile dressing; analgesia; prevent hypothermia; prepare for evac.
Resource/Tactical considerations: Limited supplies may force prioritization of survivable injuries; maintain cover, fire superiority, move casualties if needed.