TCCC TEST STUDY QUESTIONS
CERTIFICATION EVALUATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ More facts about Ondansetron...(TFC #2). Answer: - very $$$
previously when sold under patent as Zofran
- Oral Disintegrating Tablet (ODT) works faster, not chewed/swallowed
- can be given IV, IO, IM
0 neutral or synergistic analgesis effect with opioids
- QT interval prolongation is the only significant concern (unlikely to
occur)
⩥ What are antibiotics recommended for all open combat wounds? (TFC
#3). Answer: PO meds: Moxifloxacin (CWMP) 400mg PO one a day
unable to take PO meds (shock, unconsciousness): Ertapenem 1g IV/Im
once a day (mix or reconstitute with 3.2ml of lidocaine
⩥ What do you administer the patient is they can take PO meds? (TFC
#3) Answer: Moxifloxacin 400mg, one tablet daily
- broad spectrum kills most bacteria
- take ASAP after life-threatening conditions have been addressed
,- delays in antibiotics administration increase the risk of wound
infections
⩥ What does the Combat Wound Medication Pack contain? (TFC #3)
Answer: Moxifloxacin 400mg tablet (1)
Meloxicam 15mg tablet (1)
Acetaminophen 1300mg (650mg x 2)
each of the 3 medications (in unit dosages) is contained in a blister pack
⩥ What do you administer a casualty who cannot take PO meds? (TFC
#3) Answer: - Ertapenun 1gm IV/IM once a day
- IV requires a 30-min tinfusion time (1g vial of ertapenem in 10ml of
0.9% saline. Shake well to dissolve and immediately transfer to 50ml of
0.9% saline)
- IM should be diluted with lidocaine (1gm vial ertapenem with 3.2cc
lidocaine without epinephrine
⩥ What are some medication allergies that you should be aware of?
(TFC #3) Answer: Patients with allergies to aspirin or other non-
steroidal anti-inflammatory drugs shouldn't use Mobic
- allergic reactions to acetaminophen are uncommon
- PTs with allergies to flouroquinolones, penicillins, and cephalosporins
may need alternate antibiotics which should be selected by unit medical
personnel during pre-deployment phase
, ⩥ How do you manage burns in tactical field care? (TFC #3) Answer: -
facial burns may be associated with inhalation injury
- aggressively monitor airway status/oxygen saturation in such PTs and
consider early surgical airway for respiratory distress/oxygen
desaturation
- estimate total body surface area (TBSA) burned to the nearest 10%
using the Rule of Nines
⩥ What are the degrees of burns? (TFC #3) Answer: "first degree" -
superficial burn
"second degree" - partial thickness burn
"third degree" - full-thickness burn
"fourth degree" - deep (subdermal burn)
do not count superficial (first degree) burns in calculating TBSA burned
⩥ How do you treat a burn? (TFC #3) Answer: cover the burn area with
dry, sterile dressing
- for extensive burns (>20%), consider Heat Reflective Shell or Blizzard
Survival Blanket from Hypothermia Prevention Kit in order to both
cover the burned areas and prevent hypothermia
CERTIFICATION EVALUATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ More facts about Ondansetron...(TFC #2). Answer: - very $$$
previously when sold under patent as Zofran
- Oral Disintegrating Tablet (ODT) works faster, not chewed/swallowed
- can be given IV, IO, IM
0 neutral or synergistic analgesis effect with opioids
- QT interval prolongation is the only significant concern (unlikely to
occur)
⩥ What are antibiotics recommended for all open combat wounds? (TFC
#3). Answer: PO meds: Moxifloxacin (CWMP) 400mg PO one a day
unable to take PO meds (shock, unconsciousness): Ertapenem 1g IV/Im
once a day (mix or reconstitute with 3.2ml of lidocaine
⩥ What do you administer the patient is they can take PO meds? (TFC
#3) Answer: Moxifloxacin 400mg, one tablet daily
- broad spectrum kills most bacteria
- take ASAP after life-threatening conditions have been addressed
,- delays in antibiotics administration increase the risk of wound
infections
⩥ What does the Combat Wound Medication Pack contain? (TFC #3)
Answer: Moxifloxacin 400mg tablet (1)
Meloxicam 15mg tablet (1)
Acetaminophen 1300mg (650mg x 2)
each of the 3 medications (in unit dosages) is contained in a blister pack
⩥ What do you administer a casualty who cannot take PO meds? (TFC
#3) Answer: - Ertapenun 1gm IV/IM once a day
- IV requires a 30-min tinfusion time (1g vial of ertapenem in 10ml of
0.9% saline. Shake well to dissolve and immediately transfer to 50ml of
0.9% saline)
- IM should be diluted with lidocaine (1gm vial ertapenem with 3.2cc
lidocaine without epinephrine
⩥ What are some medication allergies that you should be aware of?
(TFC #3) Answer: Patients with allergies to aspirin or other non-
steroidal anti-inflammatory drugs shouldn't use Mobic
- allergic reactions to acetaminophen are uncommon
- PTs with allergies to flouroquinolones, penicillins, and cephalosporins
may need alternate antibiotics which should be selected by unit medical
personnel during pre-deployment phase
, ⩥ How do you manage burns in tactical field care? (TFC #3) Answer: -
facial burns may be associated with inhalation injury
- aggressively monitor airway status/oxygen saturation in such PTs and
consider early surgical airway for respiratory distress/oxygen
desaturation
- estimate total body surface area (TBSA) burned to the nearest 10%
using the Rule of Nines
⩥ What are the degrees of burns? (TFC #3) Answer: "first degree" -
superficial burn
"second degree" - partial thickness burn
"third degree" - full-thickness burn
"fourth degree" - deep (subdermal burn)
do not count superficial (first degree) burns in calculating TBSA burned
⩥ How do you treat a burn? (TFC #3) Answer: cover the burn area with
dry, sterile dressing
- for extensive burns (>20%), consider Heat Reflective Shell or Blizzard
Survival Blanket from Hypothermia Prevention Kit in order to both
cover the burned areas and prevent hypothermia