TCCC Tier 4 Check on Learning Practice Test

These questions are part of the practice quiz. Start practicing

• Which statement about preventing hypothermia in trauma patients is true?
• In which phase of care is most of the Tactical Trauma Assessment performed?
• What is the initial IV/IO fluid rate for adults 40-80 kg according to the Rule of Ten?
• Which finding is an indication for initiating fluid resuscitation for hemorrhagic shock?
• For burns greater than 20% TBSA, when should fluid resuscitation begin?
• What is the preferred product for hemorrhagic fluid resuscitation?
• Which statement best describes a sign of pelvic instability?
• For IV or IO administration of ertapenem in TFC, which preparation is correct?
• For IM administration of ertapenem, which allergy is a contraindication?
• What level of evidence supports plasma outside of component therapy in resuscitation?
• What is the advantage of freeze dried plasma?
• Open fractures: identify true statement.
• Where can the casualty's TCCC Card be found?
• Which scene safety hazards are identified for a trauma casualty with burns before evaluation?
• What action helps ensure med delivery and keeps an IV saline lock patent?
• Which statement best defines the Minimal category?
• When should you inspect your JFAK, CLS bag, CMC aid bag, CPP kit and other service specific medical kits?
• In a Tactical Field Care setting, which statement indicates the need for oxygenation in suspected Traumatic Brain Injury?
• How should an amputated body part be kept for transport?
• What is Triage?
• Which statement is true regarding rigid splinting?
• What level of evidence supports prehospital blood typing and blood collection guidance (C-LD)?
• What type of shock is most common in trauma, and what are the two main causes?
• During resuscitation with blood products, what measure should accompany to prevent hypothermia?
• Which condition indicates the use of hypertonic saline for TBI in TFC?
• In Tactical Field Care, which route is NOT listed for Naloxone administration?
• Why should a CCP be near natural lines of drift?
• What is the best position for a conscious casualty that is breathing on their own?
• What is the primary purpose of a Casualty Collection Point (CCP)?
• How long should direct pressure be applied to hemostatic dressings?
• Which statement correctly describes preparation for an IM injection in Tactical Field Care?
• Which statement best describes the indication for sedation in Tactical Field Care?
• Which of the following is a thing to avoid when splinting?
• Which is a recommended intramuscular injection site in Tactical Field Care?
• What is the dosing for PO Meloxicam in TFC?
• What is the transmucosal administration route for meds in TFC?
• Which of the following lists the four Triage Categories?
• Which of the following actions is NOT part of the CUF/Threat protocol?
• When should fluid resuscitation be discontinued?
• Triage on the battlefield aims to maximize survivors by what mechanism?
• Which factors influence TCCC?
• What are the phases of care in TCCC?
• What type of tourniquet is used to control massive hemorrhage in the axilla that is too proximal for effective limb tourniquet application?
• Which statement best defines the Expectant category?
• Why is it important to check the pulse after applying a pressure bandage?
• Which statement about hypothermia in hot environments is true?
• What is the first dose of OTFC lozenges and the administration route?
• What is the evidence level for CPR in TFC?
• For IV/IO administration, what is recommended when small volumes are difficult to push?
• In absence of hemorrhagic shock, what should be continued?
• Which action is NOT included in Basic Eye Injury Care per CoTCCC guidelines?
• Which statement about casualty AAR vs TCCC Card is correct?
• When is the electronic casualty AAR intended to be completed?
• Which is a sign of impending cerebral herniation?
• What technique is used to assess respiratory rate?
• Which is a contraindication to fentanyl use in TFC?
• Which tourniquet details should be documented?
• What equipment is available in the CMC and CPP aid bag to establish access for resuscitation fluid and blood administration if IV access cannot be obtained?
• Which signs indicate fluid resuscitation should be started for hemorrhagic shock?
• What does Priority evacuation mean?
• Which of the following is a contraindication to Foley catheterization?
• In wound management for TFC, what must be reassessed prior to addressing life-threatening wounds?
• When caring for an amputated wound stump, why should you not cover any tourniquets?
• What protective feature should a CCP strive to provide?
• Which factors influence TCCC?
• In fracture management, what medications should be administered as appropriate?
• In trauma casualties, bilateral needle decompression is indicated for which condition?
• During open abdominal wound management, what is the maximum time allowed to attempt reduction of eviscerated contents?
• Which pulse is the preferred site for assessment in the field?
• Which condition is indicated for antibiotic use in Tactical Field Care?
• After applying a splint, which functions should be reassessed?
• Why is it important to assess the casualty's mental status during Tactical Trauma Assessment?
• Which finding prohibits attempting reduction of eviscerated abdominal contents?
• In penetrating eye injuries, which factor is described as the most important predictor of overall outcomes?
• Which statement accurately describes active hypothermia management?
• Which statement describes the use of a junctional tourniquet?
• Which administration methods are listed for antibiotics in Tactical Field Care?
• What is an advantage of two-person carries?
• Define Non-compressible torso hemorrhage (NCTH).
• What is every first responder's role in CUF/Threat?
• What does MARCH-PAWS stand for?
• When applying a deliberate tourniquet in Tactical Field Care, what preparatory step is recommended?
• Blast injuries involve exposure within how many meters and may involve how many blasts?
• Which are contraindications for Ketamine in TFC?
• Which of the following is a sign of life-threatening bleeding?
• What is the purpose of performing a blood sweep during Tactical Trauma Assessment?
• Which statement best describes the purpose of the MARCH PAWS sequence in tactical field care?
• What is a disadvantage of two-person carries?
• When using IO extension sets, what should you do when the cap is opened?
• Which medication details should be recorded on the 1380?
• Which statement best defines the Delayed category?
• Which option best describes the main cause of hypovolemic shock in trauma?
• Which blood product ratio is commonly used in resuscitation for hemorrhagic shock?
• When preparing intranasal medication in Tactical Field Care, which safety check is performed first?
• What is the dosing for oral acetaminophen in TFC?
• Which phase allows for a more deliberate approach to casualty assessment and treatment due to reduced risk from enemy fire?
• In basic eye injury care, what should be done if the casualty is unable to swallow?
• Which preparation step is recommended before administering intranasal medication?
• Which transport method reduces exposure of rescuers to enemy fire?
• Care Under Fire (CUF) is performed under direct threat from enemy fire.
• Which of the following is a safety concern with portable, battery operated, IV warming devices?
• What does Routine evacuation mean?
• True or False: During Tactical Field Care, the tactical situation could change back to Care Under Fire again at any time?
• Which of the following is a warning sign of an open fracture?
• Where should findings and treatments be documented?
• What is the initial dosing range for dissociative sedation via IV push in Tactical Field Care?
• What is the difference between Tactical Field Care (TFC) and Care Under Fire (CUF)?
• Which of the following is an indication for performing a Military Acute Concussive Evaluation 2 (MACE 2) for a casualty with a suspected head injury?
• Who completes the casualty after action report (AAR) electronically?
• Non-compressible torso hemorrhage involves injury in which anatomical domains and what clinical state?
• Which statement best describes TXA protocol timing?
• Identify a step in the basic care and fracture management process.
• Which instruction should you avoid when positioning a casualty to protect the airway?
• Which document is used to capture initial casualty care details in the field and updated by subsequent providers?
• In head injuries, which term refers to injuries that occur at the time of impact?
• What vital sign information should be documented on the 1380?
• When applying a splint, which joints should be immobilized?
• Using the Rule of Nines, what TBSA percentage does the front torso contribute?
• What are the differences between high and tight/hasty tourniquets placed in CUF and the deliberate tourniquets placed in TFC?
• In refractory shock after hemorrhage control and fluid resuscitation, which unrecognized injury should be suspected, and what immediate treatment is indicated?
• Which of the following is a phase of care in TCCC?
• If bleeding is not controlled in wound management, which action is recommended?
• What is the guideline regarding hyperventilation in TBI under TFC?
• What is MARCH PAWS?
• Which sign is most suspicious for pelvic instability?
• What method is used to assess level of consciousness in tactical field care?
• The initiation of early antibiotic therapy in penetrating eye injuries during the TFC phase is supported by which level of evidence?
• Which statement best defines the Immediate category?
• What is a logistical constraint associated with LTOWB in tactical field care?
• Ketamine is the medication of choice for which scenario in TFC?
• What is a disadvantage of one-person drags?
• Which of the following is a basic step in Foley catheterization?
• Which of the following is a sign of impending cerebral herniation beyond the Cushing's Triad?
• In cases of large surface area burns, what dressing option may be used in addition to hypothermia management?
• Who updates the casualty’s TCCC Card?
• Which statement is true about documentation for optimal care?
• What is the Ondansetron administration in TFC (dose, route, and indication)?
• Should IV access be established on all casualties?
• GOAL for Adequate urine output?
• What is the dose and route for moxifloxacin in Tactical Field Care?
• According to DHA PI 6040.01, how should the casualty's card be placed and handed off?
• Inguinal junctional hemorrhage is bleeding from large vessels at the junction where the lower extremities join the torso. How is it treated when a junctional tourniquet is available or not available?
• Which option is NOT a progressive management strategy for suspected head injury in TFC?
• What is the recommended way to apply a dry dressing to a burn casualty according to CoTCCC guidelines?
• Which is a main drawback of Fresh Whole Blood in tactical field care?
• What is the level of evidence for field blood banking?
• Which device is recommended for controlling junctional hemorrhage when available?
• When should calcium be administered during fluid resuscitation?
• Which mechanism of injury is commonly associated with pelvic instability?
• Prior to splinting an injured extremity, what is the recommended initial action if feasible?
• What is the most essential treatment task in CUF/Threat?
• What mnemonic is used to prioritize care during the Tactical Trauma Assessment?
• Which statement correctly describes hypertonic saline use in TBI in TFC?
• When replacing a tourniquet that was placed over the uniform, where should the replacement tourniquet be placed?
• Which statement is accurate regarding the evidence base for MACE 2?
• Why is it important to consider CoTCCC recommendations on specific combat casualty care equipment?
• For mild to moderate pain in a casualty who is still able to fight, which analgesic approach is recommended?
• Which statement correctly describes passive hypothermia management?
• How far above the bleeding site should a deliberate tourniquet be placed in Tactical Field Care?
• Which condition is a contraindication to ertapenem therapy in TFC?
• What is the recommended device to protect the traumatically injured eye from further damage?
• Under what condition can a second OTFC dose be repeated, and after how long?
• Which of the following is part of Cushing's Triad indicating impending herniation?
• Which of the following are signs of airway obstruction?
• Why is it important to document findings and treatments on the casualty's DD Form 1380?
• How can external rotation of the lower extremities be prevented to reduce pelvic fragment dislocation?
• What are the end points indicating adequate resuscitation in progressive fluid resuscitation for hemorrhagic shock?
• Which scenario best describes the Indication for ertapenem in TFC?
• Which area has evidence-based support according to the material?
• Presence or absence of a radial pulse indicates what condition?
• Which statement about applying a rigid eye shield is false?
• Open head injuries are synonymous with which term?
• What should be included for first responder information on the 1380?
• Which of the following is commonly missed on the 1380?
• Which routes are approved for ertapenem administration in TFC?
• If hemorrhagic shock is also present, resuscitation for hemorrhagic shock takes precedence.
• According to evidence levels and SME consensus, which medication has a moderate level of evidence supporting its use in Tactical Field Care?
• The evidence for early antibiotic therapy in penetrating eye injuries in the TFC phase is described as what?
• For burns less than 30% TBSA, what may be considered if casualty is conscious and able to swallow?
• Which is a contraindication to antibiotic use in Tactical Field Care?
• What is the evidence level for Bilateral NDC in TFC?
• Which statement about pressure dressings and tourniquets is correct?
• Which of the following is a sign of head injury?
• Disadvantages of performing CPR in a tactical evacuation environment?
• What does Urgent evacuation mean?
• What is a key consideration when managing an impaled object wound?
• Which statement accurately describes the rapid field test of visual acuity?
• Principles of basic care and fracture management IAW CoTCCC guidelines include which primary objective?
• If two needle decompressions have not improved the casualty, what should be considered?
• Which triage category is often referred to as walking wounded and may not present until late in triage?
• If there are visible objects in the casualty's airway, what is the recommended action?
• If a junctional tourniquet is not available for inguinal junctional hemorrhage, what is the recommended intervention?
• What are the Evacuation Categories?
• What is an advantage of one-person drags?
• Which of the following is NOT a contraindication for hypertonic saline in TBI?
• Proper splint application using a malleable splint includes which practice?
• What is the typical oxygen flow rate for TBI management in tactical field care?
• Which statement about CoTCCC recommendations is true?
• Which statement correctly lists the two most reliable indicators of shock in a Tactical Field Care setting?
• If Hextend is used, no more than how many mL should be given?
• Which item is listed as number 7 in the MARCH-PAWS mnemonic?
• Which fluids are used for burn resuscitation in TFC?
• Why should a CCP be established reasonably close to the fight?
• Pelvic fracture may lacerate the rectum, perineum, or vagina and external blood loss may not be readily apparent.
• Which statement best describes CWMP administration in TFC analgesia?
• Otorrhea or rhinorrhea indicates what?
• Within the progressive resuscitation protocol, when is tranexamic acid administered?
• What must a CCP have access to for efficient evacuation?
• What is the recommended action regarding airway management for a casualty with breathing difficulties?
• How long does it take to bleed to death from a complete femoral artery and vein disruption?