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B Co Aeromedical
Exogenous factors/ Stress and Fatigue (AR 40-8, TC 3-04.93)
72
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Professional
12/14/2011

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Deck Updated 5APR13 by Mr. Castelli
Definition

DISCLAIMER:

This study tool is to be used at your own risk! In no way has the Commander authorized this as official. Please feel free to keep your comments about the material to yourself, unless it is related to incorrect information.

Thank you, your local flashcard editor

Term
What is the definition of stress?
Definition

The nonspecific response of the body to any demand

Rate of wear and tear on the body

(TC 3-04.93 3-1)
Term
What is the definition of a stressor?
Definition
A stressor is any stimulus or event that requires an individual to adjust or adapt in some way-- emotionally, physiologically, or behaviorally.

(TC 3-04.93 3-1)
Term
What are the four types of stressors?
Definition
Psychosocial, Environmental, Physiological, Cognitive

(TC 3-04.93 3-1)
Term
Job stress, Illness and family issues would fall under what type of stressor?
Definition
Psychosocial

(TC 3-04.93 3-1)
Term
What are the 6 causes of environmental stress?
Definition
Altitude, Speed, Hot or Cold environments, Aircraft Design, Airframe characteristics and Instrument Flight Conditions

(TC 3-04.93 3-2)
Term
What type of stressor is considered 'self imposed'.
Definition
Physiological

(TC 3-04.93 3-3)
Term
What does the acronym DEATH stand for?
Definition
Drugs, exhaustion, Alcohol, Tobacco and Hypoglycemia

(TC 3-04.93 3-3)
Term
What does the term 'Synergistic Effects' Mean?
Definition
Refers to the undesired effects resulting from the combination of two or more drugs or from stressful situations experienced while taking a prescribed drug.

(TC 3-04.93 3-5)
Term
Each ounce of alcohol consumed increases physiological altitude by ______ feet.
Definition
2,000 ft.

(TC 3-04.93 3-6)
Term
A pilot who smokes, begins flight at sea level with a physiological night-vision deficit of ______ ft.
Definition
5000 ft

(TC 3-04.93 3-7)
Term
What are the three categories of Cognitive (Mental) stressors?
Definition

Must and Shoulds

Responsbility of Choice

Failure to Focus on the Here and Now

(TC 3-04.93 3-8)
Term
How one perceives a given situation would be what kind of stressor?
Definition
Cognitive

(TC 3-04.93 3-7)
Term
How do "Musts" and "Shoulds" cause cognitive stress?
Definition
Stress results when individuals believe things must go their way or should conform to their own needs and desires. Stress results from a lack of flexibility in thinking.

(TC 3-04.93 3-7)
Term
How does Responsibility of Choice cause cognitive stress?
Definition
Some people believe in "fate" or "destiny" and see the world as the cause of their problems, which can lead to unhappiness and increased stress.

(TC 3-04.93 3-7)
Term
How does Failing to focus on the here and now cause cognitive stress?
Definition
Living in the past or future and overemphasizing what should have been or could be can increase one's overall stress and lead to missed opportunities in the present.

(TC 3-04.93 3-8)
Term
What are the four responses to stress?
Definition

Physical

Emotional

Behavioral

Cognitive

(TC 3-04.93 3-8)
Term
What are some examples of an emotional response to stress?
Definition
Increased anxiety, irritability, or hostility to depressed mood, loss of self-esteem, hopeless, and an inability to enjoy life. (internal to person)

(TC 3-04.93 3-8)
Term
External responses to stress such as decreased motivation, increased likelihood of conflict and violence in the workplace are examples of what response to stress?
Definition
Behavioral

(TC 3-04.93 3-8)
Term
Suicide risk would be an extreme example of what response to stress?
Definition
Behavioral

(TC 3-04.93 3-8)
Term
What are the three categories for Cognitive responses to stress?
Definition
Simplification Heuristic
Stress-Related Regression
Perceptual Tunneling

(TC 3-04.93 3-9)
Term
Define 'The Simplification Heuristic' cognitive response to stress
Definition
Under high-stress conditions, people tend to oversimplify problem solving, ignore important relavant information, and take the easy way out.

(TC 3-04.93 3-8)
Term
Individuals that forget learned procedures and skills, reverting to previously learned and often bad habits when under stress are showing what cognitive response to stress?
Definition
Stress-Related Regression

(TC 3-04.93 3-9)
Term
The phenomenon in which an individual or entire crew becomes focused on one stimulus and neglect to attend to other important tasks is defined as what cognitive response to stress?
Definition
Perceptual tunneling

(TC 3-04.93 3-9)
Term
Physical responses to stress involves overall heightened arousal of the body. What are some examples of the Physical response to stress?
Definition
Increased heart rate and blood pressure, rapid breathing, muscle tension and the "fight or flight" response.

(TC 3-04.93 3-9)
Term
What are the 4 factors that effect stress and performance?
Definition
-Mental skills required by the task
-Stress characteristics of the situation
-Physical characteristics of the individual
-Psychological makeup of the individual
Term
What are the four ways to manage stress?
Definition

Avoiding Stressors

Changing Thinking

Learning to Relax

Ventilating Stress

(TC 3-04.93 3-10)
Term
Crewmembers can avoid stressors with good planning, time management and effective problem solving as well as staying fit and eating right is a description of which stress coping mechanism?
Definition
Avoiding Stressors

(TC 3-04.93 3-10)
Term
How can one 'learn to relax?'
Definition
breathing exercises, meditation, engaging in a quiet hobby

(TC 3-04.93 3-10)
Term
Which stress coping mechanism involves "blowing off steam" in some manner, either through talking or vigorous exercise?
Definition
Ventilating stress
Term
This stress coping mechanism emphasizes practicing positive self-talk, taking responsibility for actions, avoiding perfectionism and focusing on the here and now.
Definition
Changing thinking

(TC 3-04.93 3-10)
Term
What is the definition of fatigue?
Definition
Fatigue is the state of feeling tired, weary or sleepy that results from prolonged mental or physical work, extended periods of anxiety, exposure to harsh environments, or loss of sleep.

(TC 3-04.93 3-11)
Term
What are the three types of fatigue?
Definition

Acute 

Chronic 

Motivational Exhaustion (Burnout)

(TC 3-04.93 3-11)
Term
Which type of fatigue is associated with physical or mental activity between two regular sleep periods?
Definition
Acute

(TC 3-04.93 3-11)
Term
Acute Fatigue can be identified by...
Definition

Inattention

Irritability

Distractibility

Errors in Timing

Loss of accuracy and control

Lack of awareness or error accumulation

Neglect of secondary tasks

(TC 3-04.93 3-11)
Term
How much sleep does a crewmember need to overcome acute fatigue?
Definition
One regular sleep cycle

(TC 3-04.93 3-11)
Term
Which type of fatigue occurs over a long period of time and is typically the result of inadequate recovery from successive periods of acute fatigue?
Definition
Chronic fatigue

(TC 3-04.93 3-11)
Term
Chronic Fatigue can be identified by...
Definition

Insomnia

Depressed mood

Irritability

Weight loss

Poor Judgment

Loss of appetite

Slowed reaction time

Poor motivation and performance on the job

(TC 3-04.93 3-11)
Term
What type of Fatigue causes the crewmember to "shut down"?
Definition
Motivational Exhaustion (Burnout)

(TC 3-04.93 3-12)
Term
List the effects of fatigue on performance.
Definition

Reaction-time changes

Reduced attention

Changes in mood and social interaction

Diminished memory

Impaired communication

(TC 3-04.93 3-12)
Term
What are the ways to prevent fatigue?
Definition

Control the sleep environment

Adjust to shift work

Maintain good health and physical fitness

Practice good eating habits

Practice moderate controlled use of alcohol

Plan and practice good time management

Practice realistic planning

Maintain optimal working conditions

Take naps

(TC 3-04.93 3-14)
Term
How many times does the body cycle between REM and non-REM sleep in an 8 hour sleep period?
Definition
5-6 times

(TC 3-04.93 3-13)
Term
How often does the body cycle between REM and non-REM sleep?
Definition
ever 90 minutes

(TC 3-04.93 3-13)
Term
The average person sleeps __ to __ hours per day
Definition
7 to 9

(TC 3-04.93 3-13)
Term
Sleep length can be reduced __ to __ hours without performance reduction over an extended period.
Definition
1 to 2

(TC 3-04.93 3-13)
Term
As a rule, __ Hours of sleep per night is the minimum for continuous operations, However some individuals can tolerate as little as __ hours of sleep per night for short periods.
Definition
5/4

(TC 3-04.93 3-13)
Term
What is the most important action for treating fatigue?
Definition
Natural (non drug-induced) Sleep

(TC 3-04.93 3-14)
Term
When attempting to recover from 24 to 48 hours of sleep deprivation the individual should not sleep longer than __ hours.
Definition
10

(TC 3-04.93 3-14)
Term
When will an aircrew member receive Aeromedical training?
Definition
- During initial flight training
- During designated courses
- Refresher training courses
- Unit commanders are responsible for local training at an interval of every three years or less
Term
What regulation covers flight restrictions due to exogenous factors?
Definition
AR 40-8
Term
Who has the overall responsibility for temporary flying restrictions due to exongenous factors?
Definition
Surgeon General
Term
What are the conditions where an aircrew member will immediately inform their flight surgeon?
Definition
not limited to the following:
1 - medical or dental procedure requiring use of medication after treatment
2 - Medical or dental procedure requireing the use of any type of anesthesia or sedation
3 - treatment by mental health professionals counseling
4 - chiropractic or osteopathic treatment
5 - any treatment given by a homeopath, naturopath, herbalist or any type of alternative medicine
6 - any emergency room visit.
Term
What are the responsibilities of the flight surgeon?
Definition
1 - Keep the aviatiation unit commander informed of the health of the command
2 - participate in the unit safety program
3 - make the provisions of AR 40-8 known and available to flight personnel.
Term
In instances where a flight surgeon or APA is not assigned to a unit or installation or not available immediately, may a physician return aircrew members to flight status?
Definition
Yes - after remote consultation with a flight surgeon or APA
Term
Is self medication permitted?
Definition
Yes, only in accordance with the over-the-counter medication aeromedical policy letter (APL)
Term
Are aircrewmembers permitted to use dietary supplements?
Definition
All supplements, dietary aids and performance enhancers are prohibited unless cleared by the flight surgeon or APA in consultation with applicable APLs

(AR 40-8)
Term
Aircrew will be restriced from flying duty for ___ hours after general,spinal, or epidural anesthesia.
Definition
48 Hours

(AR 40-8)
Term
Aircrew will be restricted for a minimum of ___ hours after local or regional anesthesia to include dental?
Definition
12 hrs

(AR 40-8)
Term
What is the alcohol restriction?
Definition
12 hours after the last drink consumed and until no residual effects
Term
Medical restriction from flying duty will be for a minimum period of ____ hours following any immunization.
Definition
12 hours

(AR 40-8)
Term
How long will an airmen be downed if he/she has a reaction to medication?
Definition
until cleared by a flight surgeon or APA

(AR 40-8)
Term
What is the restrictions after exposure to tear gas?
Definition
no restriction as long as there are no residual effects. (2 hours per battalion SOP)

(AR 40-8)/(BN SOP)
Term
How many times per year may an airmen donate blood or plasma?
Definition
no more than two times per year

(AR 40-8)
Term
Following blood donation (200 cc or more), aircrew members will be restricted from flying duty for a period of ___ hrs.
Definition
72 hrs

(AR 40-8)
Term
Following plasma donation, aircrew members will be restricted from flying duty for a period of ___ hrs.
Definition
24 hrs

(AR 40-8)
Term
How long will bone marrow donors be restricted for?
Definition
until cleared by a flight surgeon or APA

(AR 40-8)
Term
A temporary aeromedical disqualification is a failure to meet a standard of medical fitness for flying duties due to minor self- limited condition that is likely to resolve and result in re-qualification within ______ days.
Definition
365 days

(AR 40-501 6-2)
Term
Required vision for a CM is?
Definition
20/20
Term
What are the three types of vision?
Definition
Mesopic
photopic
scotopic

(TC 3-04.93 8-3)
Term
Which type of vision:
- occurs in daylight or bright light
- produces sharp images and color
- requires use of central vision
- involves cones only
Definition
Photopic Vision

(TC 3-04.93 8-4)
Term
What type of vision:
- Occurs at dawn, dusk, and in moonlight
- Reduces color vision and visual acuity
- involves both rods and cones
Definition
Mesopic Vision

(TC 3-04.93 8-4)
Term
What type of vision:
- occurs only dimly lit nights
- decreases visual acuity
- causes loss of color perception
- causes night blind spots
- involves rods only
Definition
Scotopic Vision

(TC 3-04.93 8-5)
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