68W ALC Phase 3 – Test 1 Study/Practice Exam Prolonged Casualty Care (PCC) & Tactical Combat Casualty Care

68W ALC Phase 3 – Test 1 Study/Practice Exam Prolonged Casualty Care (PCC) & Tactical Combat Casualty Care Question 1. What are the levels of care as defined in the PCC Guidelines? A. Tier 1: First Responder, Tier 2: EMT, Tier 3: Paramedic, Tier 4: Physician B. Tier 1: TCCC – All Service Members, Tier 2: TCCC – Combat Life Saver, Tier 3: TCCC – Combat Medic/Corpsmen, Tier 4: TCCC – Combat Paramedic/Provider C. Tier 1: Basic Life Support, Tier 2: Advanced Life Support, Tier 3: Critical Care, Tier 4: Surgical Care D. Tier 1: Field Care, Tier 2: Emergency Care, Tier 3: Intensive Care, Tier 4: Evacuation Care Correct Answer: B Rationale: The PCC Guidelines define four distinct tiers of care ranging from all service members up to combat paramedic/provider level, establishing a progressive framework for casualty care in the operational environment. Question 2. What treatment algorithm do the PCC Guidelines follow? A. MARCH-PAWS B. MARC2H3-PAWS-L C. MARCH2-PAWS D. M2ARCH-PAWS-L Correct Answer: B Rationale: The Prolonged Casualty Care Guidelines follow the MARC2H3-PAWS-L treatment algorithm, which is an expanded version of the traditional MARCH algorithm adapted for prolonged care scenarios. Question 3. What do the letters of the treatment algorithm stand for? A. Massive hemorrhage, Airway, Respirations, Circulation, Hypothermia, Head injury, Pain, Antibiotics, Wounds, Splinting B. Massive hemorrhage, Airway, Respirations, Circulation and Communication, Hypothermia, Hyperthermia, Head, Pain, Antibiotics, Wounds, Splinting, Logistics C. Massive hemorrhage, Airway, Respirations, Circulation and Communication, Hyperthermia, Hypothermia, and Head, Pain, Antibiotics, Wounds, Splinting, Logistics D. Management, Airway, Respirations, Circulation, Hyperthermia, Hypothermia, Head, Pain, Antibiotics, Wounds, Splinting, Logistics Correct Answer: C Rationale: MARC2H3-PAWS-L stands for Massive hemorrhage, Airway, Respirations, Circulation and Communication, Hyperthermia, Hypothermia, and Head, Pain, Antibiotics, Wounds, Splinting, Logistics. Question 4. Who maintains the Prolonged Casualty Care Guidelines? A. Department of Defense B. Army Medical Department C. Joint Trauma System D. Defense Health Agency Correct Answer: C Rationale: The Joint Trauma System maintains the PCC Guidelines, ensuring they reflect the most current evidence-based practices for prolonged casualty care in austere environments. Question 5. The POI TCCC AAR Form (2 pages) is filled out as part of the: A. Patient intake process B. After Action Review (AAR) C. Evacuation request D. Daily medical log Correct Answer: B Rationale: The POI TCCC AAR Form is completed as part of the After Action Review process to capture lessons learned and improve future performance. Question 6. What information is included on the POI TCCC AAR Form? A. Patient demographics only B. Treatments and who performed them, sustains, comments, and improves C. Vital signs and medication dosages D. Evacuation routes and timelines Correct Answer: B Rationale: The POI TCCC AAR Form includes treatments performed, who performed them, sustains (what went well), comments, and improves (areas for improvement). Question 7. The POI TCCC AAR Form is filled out for: A. Real casualties only B. Notional casualties only C. Real and notional casualties D. Training exercises only Correct Answer: C Rationale: The form is completed for both real and notional casualties to ensure thorough documentation and learning in all scenarios. Question 8. The TCCC PI Data Form (1 page) is filled out: A. During or after treatment B. Before treatment begins C. Only at the Role 2 facility D. Weekly during prolonged care Correct Answer: A Rationale: The TCCC PI Data Form is filled out during or after treatment to capture performance improvement data. Question 9. What does the TCCC PI Data Form capture? A. Patient satisfaction surveys B. Difficulties in treatment; check the boxes; useful for BAS C. Supply inventory counts D. Weather conditions during treatment Correct Answer: B Rationale: The TCCC PI Data Form captures difficulties encountered during treatment using a checkbox format and is useful for the Battalion Aid Station (BAS). Question 10. Why is the DD 3019 not recommended for use in a Role 1 facility? A. It is classified and cannot be used in Role 1 B. It is 5 pages long, not designed for prehospital treatment, requires proper training, and is focused on nursing/physician-level care in Role II C. It is only available in digital format D. It is outdated and no longer authorized Correct Answer: B Rationale: The DD 3019 is not recommended for Role 1 because it is 5 pages long, not designed for prehospital treatment, requires extensive training, and is focused on nursing/physician-level care appropriate for Role II facilities. Question 11. What is the purpose of the DOD Advisor Line? A. To schedule medical appointments B. Consults from providers outside the area C. To order medical supplies D. To coordinate casualty evacuation Correct Answer: B Rationale: The DOD Advisor Line provides consultation services from providers outside the operational area, offering clinical guidance to providers in austere settings. Question 12. What is the basic form for PCC? A. DD Form 1380 B. Prolonged Field Care Casualty Card (not DOD recognized, but preferred for Role 1) C. Standard Form 600 D. DA Form 7656 Correct Answer: B Rationale: The Prolonged Field Care Casualty Card is not DOD-recognized but is preferred for Role 1 facilities as it is specifically designed for prolonged care documentation.