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TCCC Practice Test
What Is The Principle of TCCC? -
ANS Treat the Casualty, Prevent Additional
Casualties and Complete the Mission.
Which of the Following is the three phases of TCCC? -
ANS Care Under Fire,
Tactical Field Care, Tactical Evac Care.
What Pain Medication is preferred for someone who has moderately painful
wounds that are NOT life threatening who still has to operate as a combatant? -
ANS Meloxicam and Tylenol ER
The most common cause of preventable death on the battle field is blood loss
from non-compressible (massive) hemorrhage? [T:F] -
ANS True
What are the BEST indicators for shock during Tactical Field Care? -
ANS
State of Consciousness and quality of the radial pulse
All Combat casualties should have an IV started as soon as possible. [T:F] -
ANS False
Pt has a gunshot wound to the chest; She should be allowed to drink fluids if
conscious and able to swallow. [T:F] -
ANS True
Giving large amounts of fluids to a casualty who has bleeding located on/in the
abdomen or chest may worsen their hemorrhage by diluting clotting factors. [T:F]
-
ANS True
Antibiotics should be given to all combatants who sustain open wounds. [T:F] -
ANS True
During the Care Under Fire phase of TCCC what are the appropriate steps of
care? -
ANS Control life-threatening extremity bleeding with a tourniquet and
return fire as necessary.
Moxifloxacin should be given how rapidly after a wound is sustained in order to
be most effective at preventing infection? -
ANS As soon as possible
During the Tactical Field Care phase, after a corpsman has performed the
chin-lift/jaw-thrust to open the airway of an unconscious Pt, what is the next step
in airway management? -
ANS Insert a Nasopharyngeal Adjunct
Which casualty should be cared for first?
A-Shot in the head/Unconscious
B-Heavy Bleeding, thigh wound
C-Shot in the abdomen/Awake and Alert -
ANS B- Heavy Bleeding, Thigh
Wound
The best way to manage a casualty in a combat setting is not necessarily the
same for a civilian setting. [T:F] -
ANS True
The TCCC guidelines presented should be followed exactly, no matter the tactical
context, in which the casualties must be treated. [T:F] -
ANS False
Pt suffered GSW to the chest, you watch him have more and more trouble
breathing. What is the next best step? -
ANS Needle-D for suspected tension
pneumothorax
Pt suffered GSW to the face. As the corpsman arriving on the scene, you note he
is conscious and maintaining his airway by sitting up and leaning forward. How
would you manage his airway? -
ANS Let him continue to sit up and lean
forward as care is rendered
What is the best and quickest way to check for an adequate airway? -
ANS Ask
a question that requires them to respond
The minimal amount of time needed for a Pt to bleed out from a heavy femoral
wound (hemorrhage) -
ANS 3 minutes
A Pt who has suffered 1 litre of blood is in danger of dying from hemorrhagic
shock/ [T:F] -
ANS False
In an average adult male, how much blood loss is likely to result in hemorrhagic
shock? -
ANS 2.5 liters
During the Tactical Field Care phase, the preferred antibiotic is moxifloxacin.
Why? -
ANS Is effective against most bacteria, has relatively mild side effects,
can be taken by mouth and is inexpensive
In the largest study done to date; Giving rapid infusions of IV fluids to Pt's with
hemorrhaging was shown to increase the mortality rate. [T:F] -
ANS True
Which Pt has the greatest need of an emergency CASEVAC?
A- Land mine/Amputation of the leg; controlled bleeding by tourniquet
B- GSW Head/Unconscious; Significant brain tissue exposed
C- GSW Abdomen/No radial pulse -
ANS C- GSW Abdomen/No radial pulse
The most important thing after splinting an open fracture is: -
ANS Check to
make sure the distal pulse is not reduced by the splinting
When considering whether or not to give a casualty morphine what are some
reasons to not give it to them? -
ANS His wounds are minor and he can still
fight, He is in shock or He has a chest wound and is in respiratory distress.
During Tactical Field Care a Pt with a GSW to his lower jaw suddenly develops a
complete airway obstruction, then loses consciousness. What is the best way to
secure their airway? -
ANS Surgical intervention using the Cric-Key method.
During a firefight 15 minutes ago you sustained a GSW with heavy arterial
bleeding to your thigh. Bleeding was controlled via CAT and you are the only
medic, CASEVAC is 30 min out and the MTF is 20 minutes away. What is the
best course of action in regards to the tourniquet on your leg? -
ANS Leave it in
Place
which of the following are true?
A- F.A.S.T.-1 is a good way to secure fluid access when an IV fails.
B-Casualties Alert and able to swallow should not be given fluids oraly.
C-All combat wounds produce severe pain
D- Pulse Ox and other electronic monitoring devices are not useful during
TacEvac in a helicopter. -
ANS A- F.A.S.T.-1 is a good way to secure fluid
access when an IV fails.
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Which of the following statements best applies to caring for hostile wounded
combatants?
A-Wounded combatants can still inflict deadly harm.
B-No care should be given until the combatant has surrendered all weapons and
been searched and secured.
C-Once able to do so, render the same care as any U.S. or friendly forces.
D-All the Above -
ANS D-All the Above
Fluid resuscitation to treat shock is considered part of Care Under Fire. [T:F] -
ANS False
You may only give a Pt Moxifloxacin once per day. [T:F] -
ANS True
Hextend is preferred when compared to Plasma-Lyte A and Lactated Ringer's for
any combatants who have a prolonged delay before evac. Why? -
ANS The
intravascular volume expansion lasts much longer with Hextend compared to
others.
What is not included when gathering information and writing up a nine-line
report? -
ANS Age of the Casualty(s)
What is NOT an advantage when using a fentanyl lozenge over morphine in a
tactical setting? -
ANS Both hold the potential for respiratory depression
When performing Needle-D what is the correct landmark to use if the 5th
intercostal space fails? -
ANS 2nd intercostal space, Mid-Clavicular
What is the best initial treatment for stopping extremity hemorrhage in a tactical
environment? -
ANS A Tourniquet
What is Combat Guaze used for? -
ANS Controlling severe external bleeding
(not initial hemorrhage)
During Tactical Field Care your Pt is suffering severe external bleeding from a
injury to the groin. You apply Combat Gauze deep into the wound however it is
unsuccessful at stopping the bleed, What is the next step in care? -
ANS Use a
second roll of Combat Gauze on the bleeding site.
Your Pt has a palpable radial pulse, this means their systolic BP is at least 80mm
Hg. [T:F] -
ANS True
Your Pt has a sever crushing injury to the right knee. During Tactical Field Care
the pain makes it so he can barely concentrate, he is answering questions
appropriately despite this. His radial pulse is 120, strong, and you are in a secure
area. Evac is about 20 minutes away, what is the best way to treat his pain? -
ANS OTFC (fentanyl pop) 800 ug. Repeat after 15 minutes if necessary.
You administered one unit of whole blood, however, your Pt's radial pulse
remains absent and mental status hasn't improved. Next you should? -
ANS
Administer a second unit of whole blood.
After treating a sucking chest wound your Pt begins showing signs of difficulty
breathing and you suspect tension pneumothorax is developing. What is the
preferred first step to manage this condition during Tactical Field Care? -
ANS
Lift one side of the occlusive dressing to allow air to escape. (Burping the wound)
You should apply at least 3 minutes of direct pressure when using Combat
Gauze. [T:F] -
ANS True
What is the preferred antibiotic given via IV/IM in TCCC? -
ANS Ertapenem
The leading cause of Late morbidity in combat casualties may be the delay in
administering antibiotics. [T:F] -
ANS True
Meloxicam (Mobic) is preferred over other NSAIDs such as aspirin and ibuprofen.
Why? -
ANS It doesn't interfere with platelet function and clotting factors
Why is preventing/treating hypothermia important to managing combat
casualties? -
ANS Shock interferes with heat production, leading to potential
hypothermia which in turn prevents blood from clotting effectively
TCCC requires good tactical decisions as well as good medicine. [T:F] -
ANS
True
What is the main thing to avoid doing for a Pt if you suspect a penetrating eye
injury? -
ANS Applying an eye patch to keep gentle pressure on the injury
For a deep, narrow junctional wound what is the best hemostatic dressing to
use? -
ANS XStat
Which analgesic we is NOT included in the TCCC-recommended Triple-Option
analgesia plan? -
ANS Morpine IM
Opioid analgesics can lower BP and depress respirations whihc in turn will
worsen hypovolemic shock. [T:F] -
ANS True
Ketamine will lower BP and suppress laryngeal reflexes if your Pt has
hypovolemic shock. [T:F] -
ANS True
What is the initial dose of ketamine (IM) recommended by TCCC? -
ANS 50 mg
What is the initial dose of fentanyl (OTFC) recommended by TCCC? -
ANS 800
ug
Increases in PTSD cases has been associated with inadequate battlefield
analgesia. [T:F] -
ANS True
Which of the following can make a TBI worse? -
ANS Hypovolemic shock,
Hypothermia and Hypoxia
What is the most readily asses-able indicator of shock on the battlefield? -
ANS
Weak or absent radial pulse
What is the target BP for a casualty WITHOUT an associated TBI? -
ANS
80-90 mm Hg
What is the target BP for a casualty WITH an associated TBI? -
ANS 90 mm
Hg or higher
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Which of the following is not a CoTCCC recommended junctional tourniquet? -
ANS AAT
As a corpsman, your first priority during Care Under Fire is? -
ANS Return fire
and take cover
Who is the BEST person to move a Pt during CUF? -
ANS The casualty
themselves
What is the top medical priority during CUF? -
ANS Control life-threatening
bleeding
A CAT should be loosened for 1 minute every 30 minutes to prevent ischemic
damage to the limb. [T:F] -
ANS False
What is the correct way to treat pain caused by a tourniquet that is controlling
life-threatening bleeding? -
ANS Analgesics following TCCC guidelines
During CUF why should you avoid using hemostatic dressings? -
ANS 3
minutes to apply direct pressure is a long time to be exposed
During CUF, you should apply C-spine when? -
ANS Never
A NPA is preferred to an OPA because: -
ANS It is unlikely to stimulate the gag
reflex in a conscious Pt
The best site(s) to insert a needle-D is: -
ANS 2nd ICS along the MCL and the
5th/4th ICS along the AAL
The most ideal dressing to put over a sucking chest wound is? -
ANS A Vented
chest seal
Training tourniquets may be issued for a mission if they have not been used for
more than 6 months. [T:F] -
ANS False
Why would you consider not starting an IV during TFC? -
ANS If Pt only has
minor wounds, it would critically delay tactical movements or you need to reserve
them for those that actually need them.
Why would you not use a F.A.S.T.-1? -
ANS Pt has a sternal fracture
What is not true regarding TXA? -
ANS It Promotes the formation of new clots
When resuscitating a Pt with hemorrhagic shock, fluids take precedence over
controlling hemorrhage. [T:F] -
ANS False
What doesn't cause inaccurate O2 readings on a pulse-Ox? -
ANS High
Altitude
When a Pt has a suspected penetrating eye injury you should absolutely never
give them ketamine. [T:F] -
ANS False
If a Pt has been given morphine or OTFC it is safe to give them a dose of
ketamine. [T:F] -
ANS True
What is NOT true about ketamine? -
ANS It presents no risk of respiratory
depression
what is NOT a sign indicating a closed fracture? -
ANS A bounding pulse distal
to the injury
What is NOT a reason to splint a fracture? -
ANS To reduce the chance of
infection
Under what circumstances during TFC would you consider starting CPR? -
ANS
Pt has Cardiac arrest due to electrocution
The TCCC card (DD1380) should only ever be filled out by medical personell.
[T:F] -
ANS False
For every casualty you should complete all interventions shown on the TCCC
casualty card (DD1380). [T:F] -
ANS False
What is NOT correct in regards to Casualty Collection Points (CCP)? -
ANS
They should be far away from fighting
using JTS-recommended evac categories, which Pt should NOT be categorized
as urgent? -
ANS Extremity injury lacking a distal pulse
Soft tissue injuries, while they look bad, generally only kill when associated with
shock. [T:F] -
ANS True
What is the correct way to define TACEVAC? -
ANS Evacuation of Pt's by both
dedicated platforms and tactical vehicles of opportunity
What is the main difference between Tactical Field Care and Tactical Evacuation
Care? -
ANS Extra medical personnel and equipment allowing for a greater
level of care.
What is a concern(s) associated with high altitude evacuation? -
ANS Pulse-Ox
readings drop, Air-filled cuffs may expand further causing damage and sucking
chest wounds may develop tension pneumothorax
Some Pt may benefit from sup. O2 during evac, which Pt below would not? -
ANS below knee amp; normal mental status and bleeding controlled by
tourniquet
During TACEVAC a Pt suffering from a TBI should be monitored for? -
ANS O2
sat>90%, sys BP >90 and a decreased LOC
A Pt with a TBI may show signs of cerebral herniation. If you notice unilateral
pupil dilation along with decreased LOC what should you NOT do? -
ANS Cool
them down by stripping them as well as removing HPMK (blanket) and gear
When would you consider performing CPR during TACEVAC? -
ANS The Pt's
wounds are not obviously fatal and will get care soon, it will not deny other life
saving care and it will not compromise the mission
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When should you provide care to wounded enemy combatants aside from
life-saving interventions? -
ANS Once they have reached a POW collection
point
You should leave a tourniquet in place unless: -
ANS The casualty's vitals
remain stable and normal after 3 hours
Direct Pressure to control heavy bleeding while moving a PT has been proven
effective and practical. [T:F] -
ANS False
During CUF, while under enemy fire, the best location to apply a tourniquet is: -
ANS High & tight, over the uniform
Tourniquet Conversion is referring to what? -
ANS Transitioning from an
effective tourniquet to an effective hemostatic and pressure dressing
Once a tourniquet has been applied to a limb tight enough to stop bleeding and
eliminate the distal pulse, it is uncommon to notice re-bleeding. [T:F] -
ANS
False
When should you NOT convert a limb tourniquet? -
ANS The tourniquet has
been on for 6+ hours
What is NOT a reason ondansetron was chosen to replace promethazine? -
ANS The side-effects are about the same
Ondansetron Oral Disintegrating Tablet (ODT) works just as quickly as the oral
(PO) tablet. [T:F] -
ANS False
What is the preferred method to do a cricothyroidotomy? -
ANS The Cric-Key
technique
The Cric-Key eliminates the need for an incision through the cricothyroid
membrane. [T:F] -
ANS False
Your Pt suffered a shrapnel wound to the upper inside arm, mid axillary and
blood is flowing heavily. The wound is both deep and narrow and too close to use
a CAT, you used your only CRoC earlier and need to leave ASAP. What is the
best intervention in a TFC situation? -
ANS XStat with a pressure dressing
Your Pt suffered a deep narrow wound to the upper inner thigh and it is bleeding
heavily. The best way to treat this is what? -
ANS Pack with XStat and have
helper hold pressure while you apply a junctional tourniquet
The best time to give your first dose of TXA to a Pt with uncompressible
hemorrhage is what? -
ANS As soon as possible but within 3 hours of injury
How many members are on the CoTCCC? -
ANS 42
What percentage of CoTCCC have been deployed? -
ANS 100%