TCCC MEDICATIONS LATEST EXAM
QUESTIONS AND ANSWERS|100% CORRECT AND
ACCURATE ANSWERS|2025/2026|GRADED A+
Fentanyl lozenge (OTFC) Oral transmucosal fentanyl citrate - ANSWER- 800ug btwn
cheek and gum
Reasses in 15 min
Add 2nd lozenge in other cheek, prn to control severe pain
*Monitor for resp. depression
*Fast acting/potent/ Almost fast as Morphine IV
Moderate - Severe Pain (Triple Analgesia Opt. 2)
(casualty NOT in/at risk for Shock/Resp. Distress)
Ketamine (Ketalar) - ANSWER- HAS SHOCK OR RESP DISTRESS
IM/IN 50mg q30min
IV/IO 20mg q20min
Moderate-Severe pain ( Option 3)
*stop dose with development of nystagmus OR when pain is controlled
*Stimulates cardiac function
*Less risk of Resp. Depression
*Resp Dep. & Apnea CAN occure if IV is given too rapid
Morphine - ANSWER- NO SHOCK OR RESP DISTRESS
Moderate-Severe pain
QUESTIONS AND ANSWERS|100% CORRECT AND
ACCURATE ANSWERS|2025/2026|GRADED A+
Fentanyl lozenge (OTFC) Oral transmucosal fentanyl citrate - ANSWER- 800ug btwn
cheek and gum
Reasses in 15 min
Add 2nd lozenge in other cheek, prn to control severe pain
*Monitor for resp. depression
*Fast acting/potent/ Almost fast as Morphine IV
Moderate - Severe Pain (Triple Analgesia Opt. 2)
(casualty NOT in/at risk for Shock/Resp. Distress)
Ketamine (Ketalar) - ANSWER- HAS SHOCK OR RESP DISTRESS
IM/IN 50mg q30min
IV/IO 20mg q20min
Moderate-Severe pain ( Option 3)
*stop dose with development of nystagmus OR when pain is controlled
*Stimulates cardiac function
*Less risk of Resp. Depression
*Resp Dep. & Apnea CAN occure if IV is given too rapid
Morphine - ANSWER- NO SHOCK OR RESP DISTRESS
Moderate-Severe pain