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HM Manual Fall 2014
HM Manual 14295B
| Question | Answer |
|---|---|
| On March 2, 1799, Congress mandated that all new ships have ________. | Cockpit/sickbay |
| Who was the first Loblolly boy? | John Wall |
| What is the Corpsman birthday? | June 17, 1898 |
| Who signed the Act of Congress deciding this date? | William Mckinley |
| What were some other names of Loblolly boys? | Baymen, Apothecaries, Male Nurses |
| Who was the first HM to be given the Medal of Honor? | HA Robert Stanley |
| When was the current HM rank structure put in effect? | April 2, 1948 |
| When did the Dental Tech rating merge with the Hospital Corps? | 2005 |
| How many Medals of Honor have HM’s received? Navy Crosses? Distinguished Service Medals? | Medal of Honor: 22. Navy Cross:174. Distinguished Service Medal: 31 |
| How many ships are named after HMs? | 14 |
| What is the location of all our reports as HMs? | MANMED NAVMED P-117 |
| Severe injuries, conditions which may affect health of the crew, and damage/loss of equipment are all items which _______. | Must be reported |
| What is a management tool used to track dental/medical readiness of Sailors? | MRRS - Medical Readiness Reporting System |
| What are two types of directives? | Temporary and Permanent |
| How long may a notice be in effect? | Up to 12 months |
| What is a change transmittal for? | To issue instructions and notices |
| How are change transmittals numbered? | Consecutively (1, 2, 3…) |
| How many sub-groups are the SSICs divided into? | 3 |
| Individual medical readiness is composed of what? | Medical equip., Imms, Readiness Lab Studies, Deployment Limiting Conditions, PHA, Dental |
| An oral condition which will cause a dental emergency within 12 months is Class __. | 3 |
| Needing a dental exam or having an unknown oral condition is Class __. | 4 |
| Fleet hospitals are made to be used in operations greater than __ in length. | 60 days |
| What does AHLTA stand for? | Armed Forces Health Longitudinal Technology Application |
| Emergency dental care is authorized for whom? | All personnel worldwide |
| What is the purpose of the Family Advocacy Plan? | To identify and monitor spouse/child abuse |
| What are two types of consent? | Expressed (informed) and implied |
| Who should NOT be a witness to consent? | A staff member involved in the procedure or a family member |
| What report should not be put in a patient’s medical record? | Quality care report |
| DoN will give to any person all documents requested, as long as the person does what? (Personnel files are EXEMPT) | Reasonably describes the records and pays for search/photocopy costs. |
| What does HIPAA stand for? | Health Information Portability & Accountability Act |
| What year was it enacted? | 1996 |
| What are the 3 types of secondary medical records? | Convenience, Ancillary, Temporary |
| Death, retirement, discharge, MIA, desertion and transfer to inactive duty are all reasons to ____. | Close a medical record. |
| Where should a retiree’s dental record be sent? | National Personnel Records Center |
| How must a record be sent to the VA to be considered as a primary source of evidence in a claim for VA’s benefits? | Directly from the MTF |
| Where are alcohol & tobacco use recorded in the medical record? | Medical Alert: Chronic Illness |
| Should one or both sides of an SF 600 be used when a person is seen at a different MTF? | Both sides |
| When a person has a med board, should the evaluation be transcribed onto the SF600, or should the report be put in the medical record? | Put report in the medical record. |
| On the inside front cover of the dental record, forms should be filed as follows, front to back: | Unmounted radiographs in envelops, sequential bitewing radiograph, pantographic radiograph. |
| What is a source for the purchase of non-medical admin material (ex. Cleaning gear)? | SERVMART |
| Requisitions exceeding the current competitive threshold of $____ must get quotes from at least __ vendors. | $3,000; 3 vendors |
| Controls established to ensure one person does not award, initiate, and receive materials are called what? | Separation of functions |
| What does NIIN stand for? | National item identification number |
| What are items ordered by a customer that are to be issued to the customer? | Direct turnover items |
| What is suspended “J” stock? | Storage for material unsuitable for issue. |
| What are three types of maintenance? | Scheduled, unscheduled, and no maintenance required. |
| Who has primary responsibility for management of medical equipment? | Command Equipment Manager |
| What are 2 basic expectations of a BIOMED tech? | Recognize major components of equipment and perform routine (level I) maintenance. |
| What is level III maintenance considered? | Depot-level/manufacturer service center level. |
| What is the study of body structures & the relationship of one part to another? | Anatomy |
| What is the study of how the body works and how the parts function? | Physiology |
| What is near or toward the midline of the body? Away from it? | Medial; Lateral |
| What is toward the lower end of the body? | Caudal |
| What is the position of lying on either side? | Lateral recumbent |
| What are the 3 characteristic functions for survival? | Digestion, metabolism, homeostasis |
| What is a unicellular animal? | Amoeba |
| Where is genetic material stored in the cell? | Nucleus |
| What are the 3 types of muscle tissue? | Skeletal, smooth, cardiac |
| What is the thin outer membrane of the bone? | Periosteum |
| What is the elongated, cylindrical part of the bone? | Diaphysis |
| What are the ends of the bone? | Epiphysis |
| What are the 4 types of bones? Give an example of each. | Long/femur, short/wrist, flat/sternum, irregular/pelvic bones |
| What does the axial skeleton include? | Skull, vertebrae, thorax |
| What does the Appendicular skeleton include? | Upper & lower extremities. |
| What are the seams where the skull bones meet called? | Sutures |
| Men have __ million RBCs/mm3. | Five million |
| Women have __ million RBCs/mm3. | 4.5 million |
| What allows RBCs to carry O2 and CO2? | Hemoglobin |
| What is a condition where a muscle cramps and refuses to move? | Fatigue |
| What is the longest muscle in the body? | Sartorius |
| What are the types of joint movement? | Gliding, angular, rotation, circumduction |
| What are the names of the two processes at the proximal end of the femur? | Greater and lesser trochanters |
| What are the 3 types of joints? | Immovable, slightly moveable, freely moveable |
| What are the 3 parts composing the innominate? | Ilium, ischium, pubis |
| What is the cuplike structure into which the head of the femur fits? | Acetabulum |
| How many carpal bones are there? | Eight |
| Is the thumb the first or the fifth finger? | First |
| How many phalanges does each finger have? | 3, except the thumb which has two |
| The sacrum is composed of how many vertebrae which fuse together between the ages of 18-30? | Five |
| What is the pectoral girdle composed of? | The clavicles and scapulae |
| How many vertebrae are in the vertebral column? | 24 |
| How many are cervical vertebrae? Thoracic? Lumbar? | 7 cervical, 12 thoracic, 5 lumbar |
| What are the names of the first and second cervical vertebrae? | Atlas and axis |
| What is the mental protuberance? | Chin |
| What is a common area to inject anesthetic in dental procedures? | Mandibular foramen |
| What forms the floor and sides of the orbits? | Sphenoid bone |
| What forms the posterior section of the hard palate and the floor of the nasal cavity? | Palatine bone |
| What forms the nasal septum? | Vomer |
| How long to RBCs live? | 100-120 days |
| What is a normal WBC count? | 6,000-8,000/mm3 |
| What is a normal WBC count during infection? | 15,000-20,000/mm3 |
| What is the average platelet count? | 250,000/mm3 |
| What is the name of the top number in a BP reading? Bottom number? | Systolic/diastolic |
| What is the name of the fibers which stimulate the cardiac muscle of the ventricles? | Purkinje fibers |
| How many miles of capillaries are in the body? | 60,000 miles |
| What is the function of valves in the veins? | Prevent backflow |
| What is the largest artery in the body? | Aorta |
| What are the only veins which carry oxygenated blood? | Pulmonary |
| What is the most commonly used vein for venipuncture? | Median cubital |
| Which vein is used for injections in the ankle? | Great saphenous |
| What is the fluid which all tissues in the body are bathed in? | Interstitial fluid |
| Once the above fluid enters the lymphatic system, it is then called ____? | Lymph |
| What inside the lymph nodes engulfs and destroys foreign substances? | Macrophages |
| What are molecular markers visible to the immune system? | Antigens |
| What type of cells maintain their capacity for cell division throughout adulthood? | Glia |
| What are the 3 types of neurons? | Interneuron, sensory, and motor |
| How fast can impulses in neurons move? | Up to 300 miles/hr. |
| What is the largest and top-most part of the brain? | Cerebrum |
| What part of the brain is chiefly concerned with balance and coordination? | Cerebellum |
| What are the 3 parts of the brain stem? | Medulla Oblongata, Pons, and Midbrain |
| What are the layers of the brain covering, from outside to inside? | Dura mater, arachnoid membrane, pia mater |
| What is the quantity of spinal fluid bathing the spinal cord? | 75 ml |
| How many pairs of cranial nerves are there? | 12 |
| How many pairs of spinal nerves are there? | 31 |
| What is the part of the Peripheral Nervous System that functions automatically? | Autonomic Nervous System |
| What are the 2 divisions of the ANS? | Sympathetic and Parasympathetic |
| Which part of the ANS does fight or flight come from? | Sympathetic |
| What is the tympanic membrane? | Eardrum |
| What are the 3 auditory ossicles? | Hammer, anvil, stirrup |
| What is the growth hormone? | Somatotropin |
| When there is not an adequate amount of ADH, the daily urine output increases from 1.5L to how many L? | 10-15L |
| What is this condition called? | Diabetes insipidus |
| Hypothyroidism in kids can lead to a condition characterized by retarded mental/physical development called ____. | Cretinism |
| When islet cells are destroyed, sugar stays in the blood and excess is excreted in the urine. What is this condition? | Diabetes mellitus |
| Why do more foreign objects get stuck in the right bronchi? | The right bronchi is larger and straighter than the left bronchi. |
| How many lobes does each lung have? | Right – 3, Left – 2. |
| What are airtight membranes that cover the outer surface of the lungs and line the chest wall? | Pleurae |
| How much air will the lungs hold when filled to capacity? | 6,200 ml |
| How much air is exchanged with each normal breath? | 500 ml |
| During digestion, these turn to: Complex carbs -> Fats -> Proteins-> | Simple sugars Fatty acids Amino acids |
| What are the primary and secondary digestive enzymes? | Pepsinogen and Hydrochloric acid |
| What are the 3 sections of the small intestine? | Duodenum, jejunum, ilium |
| What is the largest gland in the body? | Liver |
| Schedule I substances have what type of medical use? | No accepted medical use |
| What are the 2 types of gingiva? | Attached and unattached |
| In each quadrant, there are _ anterior and _ posterior teeth. | 3 anterior; 5 posterior |
| Humans have __ primary and __permanent teeth. | 20 primary; 32 permanent |
| What is included in the complete identification of each tooth? | Quadrant and full name of tooth |
| The tissues that surround the teeth are called the what? | Periodontium |
| What are the 3 growth phases of teeth? | Growth, calcification, eruption |
| How many years does it take for permanent teeth to go from crown completion to the tooth emerging? | 3 years |
| Enamel consists of _% inorganic material, _% organic material, and _% water. | 96% inorganic; 1% organic; 3% water |
| Enamel and dentin are both mainly composed of what? | Phosphorous and calcium |
| What is the thin layer of compact bone that forms the tooth socket? | Alveolar bone |
| What is the opening on the apex of each tooth root that allows for the passage of blood vessels and nerves into the tooth? | Apical foramen |
| What are Edward Angle’s 3 profile classes? | I – normal; II – deficient in chin length; III-excessive chin length |
| Which are the first permanent teeth to erupt? | Mandibular central incisor |
| What gives the occlusal surface of a tooth its wrinkled appearance? | Supplemental groove |
| How much saliva do our salivary glands secrete daily? | Approximately 1,500 ml |
| What is a localized collection of pus caused by a bacterial infection? | Abscess |
| What are round, pinpoint, flat, purplish-red spots caused by mucosal or dermal hemorrhage? | Petechiae |
| What type of caries develop in hard to clean depressions of teeth surfaces? | Pit and fissure type |
| What type of caries develop on proximal and lingual surfaces? | Smooth surface type |
| What condition is caused by a bacterial infection resulting from dental caries or fractured teeth? | Pulpitis |
| What is the condition which results when the pulp is inflamed and a small pus-like abscess forms in the pulpal canal? | Periapical abscess |
| What is it called when a tooth is blocked by a physical barrier? | Impaction |
| Diuretics increase the formation of what? | Urine |
| What type of meds produce a rhythmic contraction of the uterus? | Oxytocics |
| What is the study of weights and measures? | Metrology |
| What is the formula to solve percentage problems? | (Amount active ingredient x 100%)/amount total preparation |
| What is an aromatic, sweet, hydroalcoholic solution? | An elixir |
| What is a gelatin shell filled with liquid or solid meds? | capsule |
| What type of prescriptions is filled as: Schedule II: Schedule III, IV, V: General: | Narcotics Controlled medications All others |
| Which type of Rx can never be refilled and must be initially filled within 7 days? | Schedule II |
| Which type of Rx may be refilled 5 times within a 6 month period and must be initially filled within 30 days? | Schedule III |
| All controlled meds must be prescribed on which form? | DD1289 |
| If a controlled med must be written on a poly prescription pad, what must be done? | It must be the only med prescribed on that form |
| Ice used in/around food must be made of what? | Potable water |
| What is “the number of microorganisms contaminating an object”? | Bioburden/bioload/microbial load |
| Pathogenic protozoa live freely in nature and must be spread by a ____. | Carrier |
| What can be transmitted through saliva even if there are no active lesions present? | HSV-1/oral herpes |
| What oral disease is characterized by pain, redness, swelling, necrotic white tissue, and foul odor? | NUG/necrotizing ulcerative gingivitis |
| What condition results from a short lingual frenulum (tongue-tied)? | Ankyloglossia |
| Vaccines given to personnel to prevent diseases are called what? | Prophylactic immunizations |
| What condition results in loss of teeth supporting bone and increased tooth mobility? | Periodontitis |
| What is an animal capable of transmitting pathogens? | Vector |
| What is Recurrent Apthous Stomatitis? | Canker sores |
| What is the absence of one or more teeth? | Anodontia |
| What is the development of one or more extra teeth? | Supernumerary teeth |
| What is the most common type of gingival disease? | Marginal gingivitis |
| What are the most common areas for oral cancers? | Tongue, floor of mouth, lower lip |
| What are cancerous, dark bluish-purple lesions that involve blood vessels? | Kaposi’s sarcoma |
| Mold spores are easily destroyed by ___. | Heat |
| What are the most common human fungal infections (2)? | Ringworm and Athlete’s Foot |
| Chlorihexidine gluconate is approved as a __. | Surgical hand scrub |
| Iodophors may cause severe what of the skin? | Drying |
| Control of how many components in the chain of events of spreading disease will stop the process? | Just one |
| What type of gloves are 3x more puncture resistant than rubber? | Nitrile gloves |
| Potable water supplies may contain up to __cfu/ml, while water in dental units may end up containing more than ___ cfu/ml. | 100cfu/ml; 1,000,000cfu/ml |
| Flush the HVE with ___ of water when securing the DTR. | Greater than 1 quart |
| What is the name of the HM or nurse who is not scrubbed in during surgery and is free to grab gear? | Circulator |
| When opening a sterile wrap, the first corner should be pulled in which direction? | Away from the person opening the pack |
| How wide of a border around the edge of the sterile field is considered contaminated? | 1 inch |
| How much soap is used when scrubbing in? | 6 ml |
| What does SOAP stand for? | Subjective, Objective, Assessment, Plan |
| What is the main reason for prescribing rest as a therapeutic measure? | To prevent further damage when the demands of use exceed ability. |
| Energy from food is measured in what? | Calories |