PCC FMTB Exam 2026/2027: 100+ Questions & Verified Answers – Prolonged Casualty Care, MARCH-PAWS-L, Shock, Airway, Crush Injury & Burns

This PCC FMTB Exam 2026/2027 study resource is a comprehensive 15-page complete test containing 100+ questions and verified answers focused on Prolonged Casualty Care (PCC) and operational casualty management. The document covers the 13 principles of PCC, echelons of care, MARCH-PAWS-L, medical logistics, PACE communications, casualty monitoring, vital signs, Glasgow Coma Scale, shock, airway management, mechanical ventilation, crush injury, rhabdomyolysis, hyperkalemia, compartment syndrome, fluid resuscitation, burn management, end-of-life care, glucose monitoring, and range-of-motion care. The source identifies itself as the “PCC FMTB Exam, Complete Test | Questions and Answers (Verified Answers) (Latest Update 2026/2027).” The opening material introduces the 13 principles of PCC and the different echelons of care. Role 1a is associated with care at the point of need, Role 1b with a mission-specific transportation platform, Role 1c with a mission-support site, Role 1d with an evacuation platform, and Role 2 with shock trauma/forward resuscitative capability as described by the source. Students also review the three care paradigms identified in the guide: Minimal, Better, and Best. A central exam topic is the MARCH-PAWS-L framework, which organizes prolonged casualty management around massive hemorrhage, airway, respirations, circulation and communication, hypothermia/hyperthermia/head injuries, pain control, antibiotics, wounds, splinting, and logistics. The document integrates this framework with continuing reassessment, medical resupply, evacuation planning, and operational communication, making it a recurring structure for the broader PCC content. The guide includes important medical logistics and communication concepts. Resupply while in theater is associated with the Theater Lead Agent for Medical Materiel (TLAMM), while other military units are identified as a secondary resupply source. Annex Q is associated with medical planning. Students also review PACE—Primary, Alternative, Contingency, and Emergency—and the source identifies the Virtual Critical Care Consultation resource in relation to telemedicine support. A substantial section addresses casualty monitoring frequency and clinical reassessment. The source gives monitoring intervals ranging from every eight hours for a very stable casualty to increasingly frequent monitoring as the patient's condition becomes unstable or critical. Variables requiring monitoring include vital signs, intake and output, wounds, and incisions. The document also states that vital-sign collection should have a goal time of within three minutes and discusses head-to-toe assessment frequency according to casualty stability. Students review abnormal heart rate, respiratory rate, blood pressure, oxygen saturation, and temperature findings. The study guide defines bradycardia as less than 60 bpm, tachycardia as greater than 100 bpm, bradypnea as less than 12 breaths/minute, and tachypnea as greater than 20 breaths/minute. It associates these abnormalities with potential causes such as pain, dehydration, fever, anxiety, hypoxia, oversedation, shock, and traumatic brain injury. Neurological monitoring includes the Glasgow Coma Scale (GCS), with eye opening scored from 1–4, verbal response from 1–5, and motor response from 1–6. For casualties with an advanced airway preventing verbal response, the source documents the verbal score as 1T. Students also review signs of infection—including heat, redness, swelling, drainage, and worsening pain—and the distinction between escharotomy for burn-related compromise and fasciotomy for compartment syndrome as presented in the guide. Another high-yield area is shock recognition and management. Shock is defined in the document as insufficient tissue blood flow associated with failure of a cardiovascular-system component. The material distinguishes cardiogenic, obstructive, distributive, neurogenic, and hypovolemic shock, including their causes and treatments. Cardiogenic shock is associated with ineffective cardiac pumping, obstructive shock with mechanical impairment of cardiac function, distributive shock with loss of vascular tone, and neurogenic shock with spinal injury. The source also reviews resuscitation response categories. A responder demonstrates physiological improvement after resuscitation; a transient responder initially improves and then deteriorates; and a non-responder continues to deteriorate despite adequate resuscitation. Clinical indicators used to assess improvement include mental status, capillary refill, hemodynamic findings, and urine output. These concepts are useful for recognizing whether casualty resuscitation is producing a sustained response. The airway and ventilation section identifies airway compromise as a major preventable cause of death and defines a definitive airway as a cuffed tube positioned in the trachea below the vocal cords. The document identifies burns greater than 40% total body surface area (TBSA) as an indication relevant to airway management and presents cricothyroidotomy as the preferred definitive airway in the field setting. Students review the MSMAID preparation framework involving mechanical ventilation, suction, monitoring, airway equipment, IV access, and drugs. The guide also presents DOPE—Displacement, Obstruction, Pneumothorax, and Equipment—as a troubleshooting mnemonic for an acutely deteriorating ventilated casualty. Ventilation complications listed in the source include dry/cold air, respiratory acidosis, and barotrauma. The document devotes significant attention to crush injury and rhabdomyolysis. Rhabdomyolysis is described as the release of myoglobin following muscle crushing with potential kidney injury, and the guide indicates that it can develop within 1–6 hours. Fluid resuscitation is directed toward correcting hypovolemia and diluting potassium, while the stated urine-output goal for crush injury is 100–200 mL/hour. Closely related is the management of hyperkalemia and compartment syndrome. Hyperkalemia is defined as elevated blood potassium, with calcium gluconate and albuterol listed as treatments in the study material. Students are expected to recognize signs of worsening arrhythmia such as an irregular pulse, decreasing blood pressure, and changes in mental status. The guide also presents the six Ps of compartment syndrome: pain out of proportion, pallor, poikilothermia/coolness, paresthesia, paralysis, and pulselessness. The resource incorporates PCC calculations and documentation, including conversion of casualty weight from pounds to kilograms, initial burn-fluid calculations, and IV drip-rate calculations. The weight equation is presented as weight in pounds divided by 2.2, while the initial fluid rate uses TBSA percentage × 10 mL in the source. A 24-hour care plan is identified as the document used for nursing care, reinforcing the importance of longitudinal documentation during prolonged field management. A major portion of the later material focuses on burn casualty management. The guide reviews urine-output monitoring, fluid resuscitation, pain control, wound care and dressings, infection prevention, hypothermia prevention, escharotomy, and electrical burns. The stated urine-output goal for burn casualties is 30–50 mL/hour, and urine output should be checked every two hours according to the source. Under-resuscitation is addressed by increasing the fluid rate by 25%. The Rule of Tens is another important burn-management concept. The guide gives the initial rate as TBSA × 10, with an additional 100 mL/hour for every 10 kg of body weight over 80 kg. The stated goal of burn-fluid resuscitation is prevention of burn-induced hypovolemic shock. Burn care also encompasses analgesia, wound management, temperature management, infection prevention, and recognition of circumstances requiring escharotomy. Pain management for burn casualties is discussed using frequent ketamine administration with repeated reassessment and redosing intervals as specified by the document. Electrical burns require monitoring of heart rate and urine output for complications resembling those seen with crush injuries. The material therefore connects burn management with rhabdomyolysis, cardiovascular monitoring, renal perfusion, and fluid-resuscitation principles. The final portion covers end-of-life care in prolonged casualty settings. The source reviews low-survivability injuries, patient positioning to reduce pressure on bony prominences, criteria and documentation associated with declaring death, management of medical interventions after death, and temperature requirements for storage of remains. It identifies greater than 70% TBSA burns, cardiac arrest, exposed brain matter, and decapitation among the examples of low-survivability wounds presented in the study guide. Additional final-review topics include Cushing’s triad, nutrition, blood-glucose monitoring, and range-of-motion exercises. Cushing’s triad is given as widened pulse pressure, bradycardia, and irregular respirations. The source recommends checking blood glucose and providing nutrition every eight hours or according to patient need and provides thresholds for low and high blood glucose within its PCC framework. Range-of-motion exercises are also reviewed as an every-eight-hour intervention and are associated with reducing complications of prolonged immobility. Overall, this PCC FMTB Exam 2026/2027 resource offers concentrated preparation for prolonged casualty care through scenario-oriented questions, definitions, monitoring parameters, calculations, and clinical management principles. Its strongest topics include MARCH-PAWS-L, echelons of care, PACE communication, shock management, airway and ventilation, crush syndrome, rhabdomyolysis, hyperkalemia, compartment syndrome, burn resuscitation, casualty monitoring, and end-of-life care. The uploaded document identifies PCC and FMTB but does not provide a specific university name, so no unsupported university has been added to the title. Relevant Students This document is relevant for FMTB students, PCC students, Prolonged Casualty Care learners, military medical personnel, field medical trainees, operational medicine students, combat medical personnel, corpsman trainees, tactical medicine learners, prehospital trauma students, prolonged field care learners, and students preparing for assessments covering casualty stabilization, shock, airway management, burns, crush injury, resuscitation, and prolonged patient monitoring. 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