HCB TCCC EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
250 mL of Hypertonic Saline (3-5%), elevate the head 30 degrees, and hyperventilate -
Answer- How is intracranial pressure reduced in the case of a TBI?
A eye shield and administer a rapid field test for visual acuity - Answer- How is a
penetrating eye injury treated?
They are active blood thinners and reduce blood clots potentially causing a PT to
hemorrhage without reduction - Answer- Why are NSAID's not used in combat?
Hypovolemic shock, respiratory distress, unconsciousness, and severe head injury -
Answer- What are the four contraindications of morphine and fentanyl?
TACEVAC only - Answer- When is CPR given in the three phases of TCCC?
20% TBSA or greater - Answer- How large of a surface area is fluid resuscitation
initiated in burn PT's?
%TBSA x 10cc/ hr (adults 40-80 kg) (for every 10 kg over 80, increase rate by 100 mL/
hr) - Answer- What is the TFC burn guideline formula for initiating fluid resuscitation?
1 gram (IM or IV) q24 hours
IM: 3.2 mL of 1% lidocaine without epinephrine
IV: reconstitute with 10 mL of NS over 30 minutes - Answer- How is Ertapenem (Invanz)
administered?
90% - Answer- What percentage of combat deaths occur prior to reaching a MTF?
Massive hemorrhage
Tension Pneumothorax
Airway problems - Answer- What are the three main causes of preventable death on the
battlefield?
Hostile fire, darkness, environmental extremes, different wounding epidemiology, limited
equipment, need for tactical maneuver, long days to hospital care, different medical
training and experience - Answer- List the differences that military medical personnel
deal with opposed to the civilian atmosphere
Treat the casualty, prevent additional casualties, complete the mission - Answer- What
are the three objectives of TCCC?
, Care under fire, tactical field care, tactical evacuation care - Answer- What are the three
phases of TCCC?
Better PPE, TCCC, faster evac time, and better trained medic - Answer- List 4
improvements to medical care
P-MARCH-P - Answer- What is the "Framework for all TCCC interventions"?
Point of injury (the "X") using a tourniquet - Answer- When is the massive hemorrhage
controlled and what is used?
DCAPBTLSC, IV - Answer- What interventions are used for circulation treatment?
at least 3 minutes - Answer- How long does it take a massive hemorrhage take to kill a
PT?
Not using one when you should, using one for minimal bleeding putting it too proximally,
Not taking it off when indicated during TFC, taking it off when the PT is in shock or when
there is a short trip to the MTF, Not being tight enough (it should eliminate the distal
pulse), putting it on too late, and loosening it to allow blood flow to the extremity -
Answer- What are 8 common mistakes to avoid when treating with a tourniquet?
One person drag with or without line
Two person drag with or without line
SEAL team three carry: one/two person
Hawes carry - Answer- What are the 4 types of PT carries for care under fire?
Blunt trauma only (not penetrating to head/neck) if the danger of hostile fire does not
constitute a greater threat - Answer- What injuries should C-spine be held?
TBI
Shock
Hypoxia
Pain medication - Answer- List the 4 main causes of altered status of consciousness
33% - Answer- What is the military failure rate of a cric?
34 seconds vs. 65 seconds - Answer- What is the difference in performance time with a
cric-key opposed to the standard kit?
Pnuemothorax - Answer- Collection of air between the lung and chest wall
Burping - Answer- how should a tension pnemothorax be treated if the PT develops
increasing hypoxia, respiratory distress, or hypotention?
COMPLETE SOLUTIONS
250 mL of Hypertonic Saline (3-5%), elevate the head 30 degrees, and hyperventilate -
Answer- How is intracranial pressure reduced in the case of a TBI?
A eye shield and administer a rapid field test for visual acuity - Answer- How is a
penetrating eye injury treated?
They are active blood thinners and reduce blood clots potentially causing a PT to
hemorrhage without reduction - Answer- Why are NSAID's not used in combat?
Hypovolemic shock, respiratory distress, unconsciousness, and severe head injury -
Answer- What are the four contraindications of morphine and fentanyl?
TACEVAC only - Answer- When is CPR given in the three phases of TCCC?
20% TBSA or greater - Answer- How large of a surface area is fluid resuscitation
initiated in burn PT's?
%TBSA x 10cc/ hr (adults 40-80 kg) (for every 10 kg over 80, increase rate by 100 mL/
hr) - Answer- What is the TFC burn guideline formula for initiating fluid resuscitation?
1 gram (IM or IV) q24 hours
IM: 3.2 mL of 1% lidocaine without epinephrine
IV: reconstitute with 10 mL of NS over 30 minutes - Answer- How is Ertapenem (Invanz)
administered?
90% - Answer- What percentage of combat deaths occur prior to reaching a MTF?
Massive hemorrhage
Tension Pneumothorax
Airway problems - Answer- What are the three main causes of preventable death on the
battlefield?
Hostile fire, darkness, environmental extremes, different wounding epidemiology, limited
equipment, need for tactical maneuver, long days to hospital care, different medical
training and experience - Answer- List the differences that military medical personnel
deal with opposed to the civilian atmosphere
Treat the casualty, prevent additional casualties, complete the mission - Answer- What
are the three objectives of TCCC?
, Care under fire, tactical field care, tactical evacuation care - Answer- What are the three
phases of TCCC?
Better PPE, TCCC, faster evac time, and better trained medic - Answer- List 4
improvements to medical care
P-MARCH-P - Answer- What is the "Framework for all TCCC interventions"?
Point of injury (the "X") using a tourniquet - Answer- When is the massive hemorrhage
controlled and what is used?
DCAPBTLSC, IV - Answer- What interventions are used for circulation treatment?
at least 3 minutes - Answer- How long does it take a massive hemorrhage take to kill a
PT?
Not using one when you should, using one for minimal bleeding putting it too proximally,
Not taking it off when indicated during TFC, taking it off when the PT is in shock or when
there is a short trip to the MTF, Not being tight enough (it should eliminate the distal
pulse), putting it on too late, and loosening it to allow blood flow to the extremity -
Answer- What are 8 common mistakes to avoid when treating with a tourniquet?
One person drag with or without line
Two person drag with or without line
SEAL team three carry: one/two person
Hawes carry - Answer- What are the 4 types of PT carries for care under fire?
Blunt trauma only (not penetrating to head/neck) if the danger of hostile fire does not
constitute a greater threat - Answer- What injuries should C-spine be held?
TBI
Shock
Hypoxia
Pain medication - Answer- List the 4 main causes of altered status of consciousness
33% - Answer- What is the military failure rate of a cric?
34 seconds vs. 65 seconds - Answer- What is the difference in performance time with a
cric-key opposed to the standard kit?
Pnuemothorax - Answer- Collection of air between the lung and chest wall
Burping - Answer- how should a tension pnemothorax be treated if the PT develops
increasing hypoxia, respiratory distress, or hypotention?
