Medical Ethics and Detainee Operations Basic Course (5hrs)

1. Who is entitled to see a detainee's medical records?
a. Only medical personnel involved in the patients treatment
b. Anyone with a military ID
c. Anyone in the detention center Chain of Command (correct)
d. Anyone who request to see the detainees medical records

2. Which of the following is TRUE regarding detainee identification numbers?
a. Identification numbers are required to order medical test and provide prescriptions
b. No detainee will be refused care because of an identification number cannot be provided up front
c. The Military Police unit in charge of in-processing governs identification numbers
d. All of the above (correct)

3. Non-Muslim male physicians are not allowed to treat women in many Islamic societies. Please note that for many Muslims treating the illness takes precedence, and seeking permission from the patient and male guardian, will likely result In allowing treatment for illness.
a. True (correct)
b. False

4. Which of the following statements is NOT true regarding separation of medical care and security responsibilities?
a. Personnel providing detainee healthcare will not provide detainee security
b. Healthcare personnel will not conduct physical searches of detainees except to prevent the commission of a crime
c. Designated Security personnel will be present when healthcare personnel are providing care for detainees
d. Detainee security will be provided by designated medical personnel (correct)

5. The detaining forces have an obligation to provide certain groups with either medical care or to ensure that they have access to medical care. Which group should be ensured access to care?
a. Enemy Prisoners of War (EPWs)
b. Retained Personnel (RP)
c. Civilian Internees
d. Other Detainees
e. Civilian Population (correct)

6. Before a detainee can be transferred from a Role 2 to a Role 3 medical unit, what conditions must be met? Select all that apply.
a. Physician's documents on detainee capture information has been received
b. Detainee must be medically stable (correct)
c. Accepting physician is not required to document the detainee's capture information
d. Each medical treatment facility commander certifies that the transfer documentation for the detainee is complete (correct)
e. Transfer must be authorized by accepting physician (correct)

7. Per AR 190-8 Paragraph 1-5a (4), inhumane treatment of EPW, CI or RP is a serious and punishable violation under the international law and the Uniform Code of Military Justice (UCMJ).
a. True (correct)
b. False

8. When a detainee dies, the attending medical officer is responsible for which of the following? Select all that apply.
a. Furnishing a statement detailing whether or not the detainee’s death was caused by his own misconduct (correct)
b. Reporting the death to the responsible investigating agency
c. Determining whether an autopsy will be performed
d. Completing DA Form 2669 (certificate of Death) (correct)

9. MPs provide valuable input regarding the medical care and concerns of detainees. Which statement below is TRUE?
a. Military Police know which detainees repeatedly do not come up for head count and can point them out for medical evaluation (correct)
b. Military police usually do not assist during the medical distribution or sick call

10. Detainees who have been physically or sexually abused must receive a through medical examination before being released to CID or MPs.
a. True (correct)
b. False

11. You are the triage officer for a detention camp which has just taken a mortar attack. There are a large number of wounded (Coalition Forces and EPWs) and the supply of painkilling drugs is getting low. What should you do?
a. Dispense the drugs on a first come, first serve basis
b. Ensure all the Coalition Forces who need it are given the drugs first, and then take care of the EPWs
c. Ensure the most seriously wounded Coalition Forces and EPWs are given drugs first, and give any remaining drugs to Coalition Forces who need it
d. Ensure the most seriously wounded, regardless of whether they are Coalition Forces or EPWs, are given the drug (correct)

12. Which of the following stipulations is TRUE regarding the verification of a detainee as being impaired?
a. Any member of the medical staff may take this determination
b. The senior medical officer must approve the verification
c. Only a behavioral science specialist may make the determination
d. Two members of the medical staff must agree to the determination (correct)

13. After the interrogation, you conduct and an examination. You notice several new lacerations and bruises that were not present before the interrogation. Do you add the new injuries to the detainee's medical record?
a. Yes (correct)
b. No

14. When visiting detainee compounds, the International Committee of the Red Cross looks for all of the following EXCEPT:
a. Treatment of detainees
b. Completeness of Medical Records (correct)
c. Overall legal framework of detention
d. Material conditions of detention

15. Which of the duties listed below are owed to Enemy Prisoner of War in accordance with the Geneva Conventions?
a. Duty to Protect
b. Duty to respect
c. Duty regarding abandonment
d. All of the answers are correct (correct)

16. In Middle Eastern culture, the _____ is considered the most unclean part of the body.
a. Thumb
b. Sole of the foot (correct)
c. Right hand

17. The Principles of Medical Ethics require healthcare personnel to avoid which of the following acts?
a. Provide treatment for prisoners and detainees to the same quality and standard as those who are not imprisoned or detained
b. Participate actively or passively in acts in an attempt to commit torture or other cruel, inhumane or degrading treatment or punishment (correct)
c. Maintain strictly professional relationships with detainees for the sole purpose of evaluating, protecting, or improving their physical and mental health
d. Restrain detainee patients for medical reasons as necessary for the protection of the health and safety of the detainee

18. Which of the following are TRUE regarding the rights afforded to civilians? Select all that apply.
a. Right not to have property taken even if it is a military necessity
b. Right to be relocated by the detaining power
c. Right now to be forced into labor by the enemy force (correct)
d. Right to have customs and religion respected (correct)

19. Key points about dealing with the language barriers include which of the following?
a. Use translators with some medical expertise
b. Make sure detainees understand what care you are providing to them
c. Ensure that detainees don’t agree to care they don’t understand
d. All of the answers are correct (correct)

20. When it comes to the 4 Ps of Abuse Prevention, which of the following is NOT a correct statement?
a. Practice - Continuously exercising a professional demeanor and with professional conduct
b. Procedures - A system should be in place to reduce the potential for abuse
c. Policies - Telling people to do the right thing is more important than putting the policy in writing (correct)
d. Priorities - The command philosophy must place honor and dignity at the top of its priorities

21. Which of the following is NOT true concerning the Qur'an?
a. Qur'an teaches about handling the dead
b. Known as a source of both piety and therapy in popular Muslim religion
c. It is the Islamic holy book
d. It is not the ultimate law in Muslim society (correct)

22. Healthcare personnel are authorized contact with detainees EXCEPT during:
a. Emergency medical care
b. Interrogations (correct)
c. Initial screenings
d. Routine sick calls

23. When detainees are transferred between roles of care, all these individuals are required to accompany the detainee except?
a. A chaperone (correct)
b. A medical attendant
c. One security person
d. A driver

24. 33) Which of the following makes up the general legal obligations for military operations worldwide?
a. The Law of War (correct)
b. The Martens Clause
c. The Geneva Conventions
d. The Hague Conventions

25. Detainee medical records do not need to be at the same standard as those for U.S. and coalition service members.
a. True
b. False (correct)

26. Which of the following is NOT a responsibility of Military Intelligence personnel?
a. Review detainee medical information (correct)
b. Provide direct assistance to prisoner interrogations
c. Serve as translators or interpreters
d. Clear compassionate release request

27. When specialty care is available to coalition forces, specialty care should also be available to detainees in theater.
a. True (correct)
b. False

28. Which records should be traceably mailed to the Washington National Record Center in Suitland, MD?
a. Inpatient Records
b. Both inpatient and outpatient records
c. Outpatient records upon release or final disposition of the detainee from detention (correct)

29. Which of the following actions would NOT be considered a form of physical abuse?
a. Kicking a prisoner in the back
b. Slapping, if it does not cause a bruise
c. Using physical restraint as a punitive measure
d. Using physical restraint for safety or staff (correct)

30. According to Geneva Conventions III, detainees who meet which of the following criteria can be considered an Enemy Prisoner of War?
a. Guerilla fighters who do not comply with the Law of War and wear recognized insignia prior to capture
b. Soldiers who were engaged in combat under order of their government prior to capture (correct)
c. Civilians who are detained from their own protection
d. All of the answers are correct

31. Article 3 of the Geneva Conventions protects prisoners of war and wounded combatants from all of the following EXCEPT:
a. Cruel treatment and torture
b. Murder
c. Mutilation during interrogation
d. Execution after receiving a fair trial (correct)

32. ATP 4-02.46, Army Health System Support to Detainee Operations give specific guidelines for identifying signs of abuse and procedures to follow should you suspect a detainee has been abused.
a. True (correct)
b. False

33. A group of detainees has just been escorted in for screening. A few were coughing and one is on a stretcher and had to be wheeled in. You've been asked to screen them all and that the two obviously uninjured detainees need to be interrogated. Do you complete and process the two uninjured detainees first?
a. Yes
b. No (correct)

34. When the Laws of War are broken (breached), there are simple and grave breaches, depending on the severity of the violation. Which of the following is a grave breach?
a. Poisoning wells and streams
b. Maltreatment of corpse
c. Pillaging
d. Torture (correct)

35. Which of the following statements is/are TRUE about the Behavioral Science Support (BSS) personnel? Select all that apply.
a. They will not be used as a medical monitor or safety officer, or to supervise, conduct, or direct detainee operations or intelligence interrogations (correct)
b. They will not provide training in first aid, sanitation, or other health matters (correct)
c. They are exclusively assigned as operational support to detainee operations and intelligence interrogations in the DoD (correct)
d. They can be identified to detainees as healthcare providers

36. Although your shift has just ended, before you may leave you are tasked to screen the detainees so that they can be transferred to another location. They have just knelt for mid-day prayer. The MPs tell you that this procession usually requires about half an hour. What do you do? Select all that apply.
a. Determine if it is an emergency screening before interrupting the prayer
b. Interrupt the prayer to do the screening
c. Leave a note for the next shift to do the screening after prayer (correct)
d. Wait for the prayer to be over to do the screening (correct)

37. Members of the ICRC arrive to perform an inspection of the medical treatment areas of the detainee facility and ask to visit patients and view medical data. What should you do?
a. You forward the request for access to the facilities through your chain of command (correct)
b. You deny the request for information
c. You provide the requested information and you guide them around to visit the patients

38. How often, at a minimum, should a detainee's weight be checked while in the detention facility?
a. Daily
b. Twice a week
c. Weekly
d. Monthly (correct)

39. Which of the following guidelines are applicable to body cavity searches and exams?
a. Body cavity exams may be performed for valid medical reasons with the verbal consent of the patient
b. Body cavity searches are to be conducted only when there is a reasonable belief that the detainee is concealing an item that presents a security risk
c. Both of these answers are correct (correct)

40. In accordance with Army Regulation 190-8, all detainees must receive an initial screening chest x-ray and be given any necessary immunizations. This is crucial to stopping the spread of tuberculosis and other communicable diseases.
a. True (true)
b. False

41. During the initial screening exam, it's important that you take pictures of a detainee's existing and pre-existing injuries and wounds.
a. True (correct)
b. False

42. Treat enemy casualties and detainees with the same ethics and medical standards of care as for multinational forces. Triage by medical condition only.
a. True (correct)
b. False

43. In order to be classified as an EPW, a guerilla fighter must do which of the following? Select all that apply.
a. Carry arms openly (correct)
b. Operate under a responsible command (correct)
c. Wear fixed, distinctive insignia (correct)
d. Commit war crimes

44. A large scale operation has just been conducted in your area. The detention facility needs to prepare to screen a large number of detainees. The following resources are available: a dentist, a nurse to administer immunizations, a medic for vital signs and lab specimen station, a medic to perform past medical history interviews, an NCOIC, and a provider. What resources do we need to add? Select all that apply.
a. Behavioral health providers (correct)
b. 2 more providers (correct)
c. OR Tech
d. Dental tech (correct)

45. Threatening or humiliating an individual either verbally or non-verbally can be considered what kind of abuse?
a. Sexual Abuse
b. Physical Abuse
c. Emotional Abuse (correct)

46. The following are reasons for complying with the Law of War EXCEPT:
a. It can shorten the length of conflicts
b. It can cause people to question our motives (correct)
c. It sets an example for other countries to follow
d. It is the law

47. In Middle Eastern cultures, largely Muslim, there are no rules regarding eye contact between the sexes.
a. True
b. False (correct)

48. What should you do during medical examinations to ensure the respect for dignity of the detainee?
a. Use graduated levels of privacy that are appropriate for the type of examinations
b. Make every effort to provide same gender medical examiners and security support
c. Position patients to minimize exposure of their private regions consistent with security requirements
d. All of the answers are correct (correct)

49. One of the detainees is an insulin-dependent diabetic, who has been moved from level one security to level four for misbehaving. Now he is refusing his insulin and has been admitted to the ward for monitoring. The medic needs to draw the detainee's blood for baseline results but the patient refuses citing cultural and religious conflicts. What should the medic do? Select all that apply.
a. Skip the patient and continue passing medications to the rest of the patients
b. Restrain the patient, give the insulin, and draw the blood
c. Explain to the patient the reason for drawing his blood and for administering insulin to him (correct)
d. You do not have informed consent, notify the MTF commander of the situation (correct)

50. Military Police may make the initial decision to classify a detainee as being on suicide watch. Is this statement correct?
a. Yes, Military Police may make the initial decision before a detainee is given a mental health assessment (correct)
b. No, the decision can only be made by healthcare personnel

51. Which of the following statements is FALSE regarding the duties owed civilian detainees under the Geneva Conventions?
a. They must be used as shields, if necessary (correct)
b. Their customs and religious beliefs need to be respected
c. They must be treated humanely
d. They must be protected from violence and sexual assault

52. Medical personnel have specific protections and rights under the Geneva Conventions including:
a. Protection from intentional attack and the right not to be held longer than 24 hours by the enemy if captured
b. Protection from intentional attack and the right not to be retained by the enemy
c. Protection from intentional attack and the right to continue to perform medical duties if retained by the enemy (correct)
d. All of the answers are correct

53. Which transfers require the following minimum documentation: Operative Note (SF 516), Transfer Narrative Summary of Care (SF 502), and radiographs?
a. Detainees' transfers from Role 2 b to Role 3 treatment units (correct)
b. Detainees' transfers from Role 1 to Role 2 treatment units
c. None of these documentations are required

54. Healthcare personnel and Military Police/CID both have specific roles after a sexual abuse report. Which of the following actions is the responsibility of medical personnel?
a. Question the victim and other personnel
b. Collect physical evidence from the victim (correct)
c. Collect evidence from the assault site

55. Which of the following is NOT acceptable in the Middle Eastern Culture?
a. Placing the Qur'an under the pillow of a sick individual
b. Using worry beads to relieve tension
c. Reciting the Qur'an to a sick individual
d. Taking a person's picture without their consent (correct)

56. Which of the following statements is/are TRUE about the roles between healthcare personnel and military intelligence? Select all that apply.
a. BSS Teams personnel assigned to military intelligence are allowed to review detainee medical records
b. BSS Teams personnel assigned to military intelligence are not a part of the healthcare team and will not provide care to detainees (correct)
c. Military intelligence (MI) personnel are always authorized access to detainee medical information
d. Healthcare personnel are prohibited from assisting detainee interrogation teams (correct)

57. Detainees with symptoms of infectious diseases or identified medical conditions that require daily medication should be front-loaded for processing.
a. True (correct)
b. False

58. Reprisals or acts which are usually violations of war may NEVER be taken to:
a. Force an opponent back into conformity with the law
b. Take revenge on the opponent (correct)
c. Redress harms that the opponent has committed
d. None of the answers are correct

59. Unconscious or psychotic individuals can be examined without verbal consent as long as one person verifies that the detainee is "impaired" and documents this clearly on the examination report.
a. True
b. False (correct)

60. When you are in a deployed environment, which of the following issues can hinder patient identification?
a. The detainee's name may vary from the initial to the return visit
b. The detainee was treated prior to formal processing and then returned to Level III medical unit for follow-up care
c. The detainee's initial pseudo SSN may not reconcile with the actual ISN
d. All of the answers are correct (correct)

61. Which of the following is NOT prohibited under the Geneva Conventions?
a. Participating in the prisoner interrogations
b. Conducting medical and scientific experimentation on detained personnel
c. Transplant procedures for blood and skin grafts with informed consent (correct)
d. Photographing detainees without informed consent

62. Which of the 4 Ps of Abuse Prevention states that a system should be in place to reduce the potential for abuse.
a. Procedures
b. Priorities (correct)
c. Practice
d. Policies

63. Which of the persons below does NOT qualify as a protected person under the Geneva Conventions?
a. Paratroopers existing aircraft (correct)
b. Non-aggressive civilians
c. Parachutists escaping disabled aircraft
d. Enemy Prisoners of War

64. Which of the following are the responsibilities of the healthcare providers? Select all that apply.
a. Restrain violent detainees
b. Control detainees
c. Report detainee discipline problems
d. Apply approved discipline measures
e. Restrain detainee patients for medical purposes
f. Administer care

65. Which of the following is NOT true about the International Committee of the Red Cross?
a. They provide assistance to the victims of war and internal violence
b. They direct and coordinate international relief activates
c. They carry out their mission under the direction of the host country (correct)
d. They are delegated by the Geneva Conventions to accomplish their mission

66. Sick call at detention facilities must be held:
a. Once a day (correct)
b. Every other week
c. Once a week
d. Two times a week

67. Who is entitled to see a detainee’s medical records?
a. Anyone in the detention center Chain of Command
b. Anyone who request to see the detainee’s medical records
c. Only medical personnel involved in the patient’s treatment
d. Anyone with a military ID

68. You challenge an unlawful order, but your Supervisor refuses to rescind the order. What do you do?
a. Follow the Chain of Command, proceed to Senior Leadership with the request to rescind the order (correct)
b. Treat the patient for the new injuries, but don't say anything to anyone about the injuries or the superior's refusal to rescind the order

69. Only Geneva Conventions III has an Article 3 that states that the following acts are, and shall remain, prohibited at any time and in any place whatsoever: violence to life and person, in particular cruel treatment and torture, and outrages upon personal dignity, in particular humiliating and degrading treatment.
a. True
b. False (correct)

70. Which of the following are considered physical abuse? Select all that apply.
a. Slapping a detainee intentionally to cause physical abuse (correct)
b. Forcing medical care when a detainee would otherwise perish
c. Insults and threats of harm, including verbal and non-verbal communication
d. Engaging in sexual activity with a detainee
e. Threatening or humiliating a detainee
f. Physically stopping a detainee attempting to escape
g. Using restraints to punish a detainee (correct)

71. During a detainee ground transfer, healthcare personnel are in charge of a detainee's restraints.
a. True
b. False (correct)

72. Which of the following statements is TRUE about inpatient services for detainees?
a. When possible, keep detainee patients separate from Coalition and civilian patients (correct)
b. Detainee patients do not have the right to refuse medications
c. Detainees must never be treated at the same medical treatment facility as Coalition forces
d. Specialty care available to Coalition Forces in Iraq does not have to be available to detainees

73. Under what circumstances does the medical treatment facility Commander need to report the death of a detainee to the responsible Army, Navy, or Air Force investigative agency?
a. Only if the death is of an unknown or suspicious cause
b. Only in the case of a civilian detainee's death
c. For all detainees, regardless of circumstances (correct)
d. For civilian detainees: all cases, for Enemy Prisoners of War: only suspicious cases

74. Upon release, detainees are entitled to copies of their medical record. The medical documentation provided must be de-identified of the following: Select all that apply.
a. All U.S. military unit designation (correct)
b. The detainee's general state of health throughout confinement
c. Information alluding to detainee abuse
d. Healthcare personnel and other medical support personnel's information (correct)

75. Which of the following individuals is considered a civilian?
a. Small boy around the age of 5 (civilian)
b. Elderly man appears to be in his 60s and has a limo
c. Young man, early 20s, appears angry
d. Middle aged man, mid 40s dressed like a field worker

76. _____ is a holy month in which fasting from dawn until sunset for 29/30 days is required of all able-bodied Muslims.
a. Ramadan (correct)
b. Hadith
c. Qur’an
d. Passover

77. Which of the following groups of people are NOT entitled to both medical and dental care?
a. Enemy Prisoners of War
b. Retained Personnel
c. Civilian Population (correct)
d. Other Detainees

78. If you are given an unlawful order, what is the process to follow?
a. Challenge the order. If the order is not revoked, report through the Chain of Command (correct)
b. Disobey the order. Then, immediately report it to your Chain of Command
c. Obey the order once, but challenge if given the same order again
d. Obey the order. Then, immediately report it to your Chain of Command

79. According to the Hague and Geneva Conventions, American Soldiers are required to:
a. Obey unlawful orders
b. All of the answers are correct
c. Treat Enemy Prisoners of War humanely (correct)
d. Inflict unnecessary destruction to accomplish your mission

80. Which of the following behaviors WOULD be considered rude or socially unacceptable in Middle Eastern cultures?
a. Lowering your eyes when you are speaking
b. Public displays of affection between a man and woman (correct)
c. Staring at someone who is speaking to you
d. Men holding hands with each other

81. Which of the following statements is/are TRUE about the role healthcare personnel would play in interrogations? Select all that apply.
a. Healthcare personnel are prohibited from assisting detainee interrogation teams (correct)
b. Healthcare personnel are encouraged to assist detainee interrogation teams
c. Healthcare personnel can serve as medical provider and as part of the Behavioral Science Support (BSS) team at the same time
d. Medical personnel who help interrogation team should not be a part of the healthcare team (correct)

82. Which of the following responsibilities are roles for security personnel? Select all that apply.
a. Restrain detainee patients for medical purposes
b. Control detainees (correct)
c. Discipline detainees (correct)
d. Administer care
e. Report detainee discipline problems (correct)

83. Prolong handshakes, kissing of the face, grasping elbows, and even prolonged hand holding by two men in public is a sign of friendship and respect.
a. True (correct)
b. False

84. Which of the following statements are TRUE regarding ICRC visits to detainee compounds. Select all that apply.
a. The ICRC inspects the treatment of detainees and the material conditions of the detention facility (correct)
b. Guards are allowed to listen into ICRC interviews with detainees for security reasons
c. All ICRC personnel are prohibited from talking freely with detainees
d. Individuals from ICRC require the protection of military escorts during their visits
e. All ICRC findings are given to the authorities in charge of the detainee compound (correct)

85. Being thorough with detainee records helps provide the best care and it helps us to comply with our legal and ethical obligations.
a. True (correct)
b. False

86. Per AR 190-8 Paragraph 1-5a (4), inhumane treatment of EPW, CI or RP is a serious and punishable violation under the international law and the Uniform Code of Military Justice (UCMJ).
a. True
b. False

87. A detainee comes to the clinic with severe abdominal pain. The physician orders a catheter urine specimen and an IV insertion. The female medic attempts to communicate these orders to the patient, but the patient doesn't understand and refuses the procedures. He becomes angry with the medic. She calls for the interpreter to translate, but he is busy. What should she do?
a. She restraints the patient and places the catheter and IV
b. She waits for the interpreter and finds out that the patient didn't understand what she was going to do with the tube and why she was attempting to lift his gown 9correct)
c. She ignores the physician's order and hopes the next shift will take care of it
d. The female medic goes to find a male medic to do the catheterization because she assumes the refusal is based upon her gender

88. Which of the following statements regarding the Health Insurance Portability and Accountability Act (HIPAA) is TRUE?
a. Detainees are not covered under HIPAA, so there is no need to maintain detainee records in accordance with its guidance
b. The rules and regulations contained in the HIPAA also apply to detainees
c. Detainees are not covered under HIPAA, but they are guaranteed the same standards of care, so this should apply to medical records as well (correct)

89. Which of the following is the correct order for the standard steps for challenging an unlawful order?
a. Repeat the order. Request clarification of the order. State your disagreement with the act. Present all moral arguments. Seek to get the order changed. Request rescission of the order, and finally, ask the senior leader to stop the act (correct)
b. Request rescission of the order. State your disagreement with the act. Present all moral arguments. Seek to get the order changed. Ask the senior leader to stop the act. Repeat the order. Request clarification of the order
c. State you disagreement with the act. Ask the senior leader to stop the act. Repeat the order. Request clarification of the order. Present all moral arguments. Seek to get the order changed. Request rescission of the order

90. Which of the following procedures is NOT part of the detainee in-processing medical examination?
a. Rectal cavity search (correct)
b. Height and weight check
c. Dental screening
d. Chest x-ray

91. A detainee is in critical need of care. The MPs have not given him an ISN. You rush to the MP to obtain an ISN, so that you can begin processing. Is this correct?
a. Yes
b. No (correct)

92. Threatening or humiliating an individual either verbally or non-verbally can be considered what kind of abuse?
a. Emotional Abuse (correct)
b. Physical Abuse
c. Sexual Abuse

93. Which of the below postures are considered rude in Middle Eastern culture? Select all that apply.
a. Slouching with legs open (correct)
b. Holding a handshake for an extended period of time
c. Showing the sole of your shoes (correct)
d. Crossing your legs if in the presence of an elder (correct)
e. Leaning against a wall (correct)
f. Having your hands in your pockets (correct)

94. There are 4 Geneva Conventions which cover the protections and treatment of people caught up in armed conflict. Which of these Conventions lists the rights and protections of Prisoners of War?
a. Geneva Convention I
b. Geneva Convention II
c. Geneva Convention III (correct)
d. Geneva Convention IV

95. Which of the following statements is TRUE regarding the separation of Military Police and healthcare responsibilities?
a. Healthcare personnel dictate to Military Police acceptable security procedures
b. Healthcare personnel may be alone with detainees who are not considered to be a threat
c. Healthcare personnel can discipline a detainee but only if the infraction occurs in the medical treatment facility
d. Healthcare personnel will not carry guns in the detention facility (correct)

If you are given an unlawful order, what is the process to follow?

Challenge the order. If the order is not revoked, report through the Chain of Command

The following are reasons for complying with the Law of War EXCEPT:

It can cause people to question our motives

The Principles of Medical Ethics require healthcare personnel to avoid which of the following acts?

Participate actively or passively in acts in an attempt to commit torture or other cruel, inhumane or degrading treatment or punishment

Which of the following guidelines are applicable to body cavity searches and exams?

Body cavity exams may be performed for valid medical reasons with the verbal consent of the patient

Body cavity searches are to be conducted only when there is reasonable belief that the detainee is concealing an item that presents a security risk

Both of these anwers are correct**

Unconscious or psychotic individuals can be examined without verbal consent as long as one person verifies that the detainee is "impaired" and documents this clearly on the examination report

False

Which of the following behaviors WOULD be considered rude or socially unacceptable in Middle Eastern cultures?

Public displays of affection between a man and woman

Which of the following is NOT true concerning the Qur'an?

It is not the ultimate law in Muslim society

One of the detainees is an insulin-dependent diabetic, who has been moved from level one security to level four for misbehaving. Now he is refusing his insulin and has been admitted to the ward for monitoring. The medic needs to draw the detainee's blood for baseline results but the patient refuses citing cultural and religious conflicts. What should the medic do? Select all that apply.

Explain to the patient the reason for drawing his blood and for administering insulin to him

You do not have informed consent, notify the MTF Commander of the situation

Prolong handshakes, kissing of the face, grasping elbows, and even prolonged hand holding by two men in public is a sign of friendship and respect.

True

Key points about dealing with the language barriers include which of the following?

Use translators with some medical expertise

Make sure detainees understand what care you are providing them

Ensure that detainees don't agree to care they don't understand

All of the answers are correct**

Which of the following is NOT true about the International Committee of the Red Cross?

They carry out their mission under the direction of the host country

Members of the ICRC arrive to perform an inspection of the medical treatment ares of the detainee facility and ask to visit patients and view medical data. What should you do?

You forward the request for access to the facilities through your Chain of Command

Military Police may make the initial decision to classify a detainee as being on suicide watch. Is this statement correct?

Yes, Military Police may make the initial decision before a detainee is given a mental health assessment

MPs provide valuable input regarding the medical care and concerns of detainees. Which statement below is TRUE?

Military police know which detainees repeatedly do not come up for head count and can point them out for medical evaluation

Which of the following statements is/are TRUE about the role healthcare personnel would play in interrogations? Select all that apply.

Healthcare personnel are prohibited from assisting detainee interrogation teams

Medical personnel who help interrogation team should not be a part of the healthcare team

Which of the following statements is/are TRUE about the Behavioral Science Support (BSS) personnel? Select all that apply.

They will not provide training in first aid, sanitation, or other health matters

They are exclusively assigned as operational support to detainee operations and intelligence interrogations in the DoD

They will not be used as a medical monitor or safety officer, or to supervise, conduct, or direct detainee operations or intelligence interrogations

Which of the following are responsibilites of the healthcare providers? Select all that apply.

Administer care

Restrain detainee patients for medical purposes

The detaining forces have an obligation to provide certain groups with either medical care or to ensure that they have access to medical care. Which group should be ensured access to care?

Civilian Population

When recommending treatment to a detainee, they have the right to refuse treatment. If they do decline treatment, which documents does NOT need to be completed?

DD Form 93 (Record of Emergency Data)

A detainee is in critical need of care. The MPs have not given him an ISN. You rush to the MP to obtain an ISN, so that you can begin processing. Is this correct?

No

In accordance with Army Regulation 190-8, all detainees must receive an initial screening chest x-ray and be given any necessary immunizations. This is crucial to stopping the spread of tuberculosis and other communicable diseases.

False

During the initial screening exam, it's important that you take pictures of a detainee's existing and pre-existing injuries and wounds.

True

Detainee medical records do not need to be at the same standard as those for U.S. and coalition service members.

False

One of the detainees in your treatment facility is about to be release from detention and has requested a copy of his medical records. What should you do?

Give him a copy which has had the unit and healthcare provider personal information edited

Who makes the determination whether an autopsy will be conducted after the death of a detainee?

Armed Forces Medical Examiner

Which records should be traceably mailed to the Washington National Record Center in Suitland, MD?

Outpatient records upon release or final disposition of the detainee from detention

Only Geneva Convetions III has an Article 3 that states that the following acts are, and shall remain, prohibited at any time and in any place whatsoever: violence to life and person, in particular cruel treatment and torture, and outrages upon personal dignity, in particular humiliating and degrading treatment.

False

Non-consensual sexual activity can include exhibitionism, inappropriate touching, or sexual intercourse

True

While examining a young female detainee, you discover bruising to her genital area. You ask her if she has been sexually assaulted and she says no, but it is obvious she is scared. What should you do?

Report the incident immediately

Which of the 4 Ps of Abuse Prevention states that a system should be in place to reduce the potential for abuse.

Priorites

Per AR 190-8 Paragraph 1-5a (4), inhumane treatment of EPW, CI or RP is a serious and punishable violation under the international law and the Uniform Code of Military Jutice (UCMJ).

True

Which of the following makes up the general legal obligations for military operations worldwide?

Law of War

There are 4 Geneva Conventions which cover the protections and treatment of people caught up in armed conflict. Which of these Conventions lists the rights and protections of Prisoners of War?

Geneva Convention III

Which of the duties listed below are owed to Enemy Prisoner of War in accordance with the Geneva Conventions?

Duty to protect

Duty to respect

Duty regarding abandonment

All of the answers are correct**

Which of the persons below does NOT qualify as a protected person under the Geneva Conventions?

Paratroopers exiting aircraft

How long can medical personnel be retained?

Only while needed to treat wounded and sick

Before a detainee can be transferred from a Role 2 to a Role 3 medical unit, what conditions must be met? Select all that apply.

Detainee must be medically stable

Each medical treatment facility commander certifies that the transfer documentation for the detainee is complete

Transfer must be authorized by accepting physician

When detainees are transferred between roles of care, all these individuals are required to accompany the detainee except?

A chaperone