TECC EXAMINATION 2026 SET QUESTIONS AND
SOLUTIONS RATED A+
✔✔S&S of open pneumo - ✔✔- SOB
- shock
- trachael deviation (later stages)
- mech of injury
- Absent breath sounds during auscultation
- chest not expanding properly
- absent radial pulse
- subcutaneous emphysema ('rice krispy' sounding chest upon palpation)
- larger neck veins
✔✔S&S of hemothorax - ✔✔- flat neck veins (because blood built up in chest as
compared to pneumothorax which would result in larger neck veins)
- decrease BP
- shock
✔✔Treatment of hemothorax - ✔✔Not much can be done. Treat as open pneumothorax
(potential chest seal?) and EVAC ASAP
✔✔What to consider if blunt trauma? - ✔✔Consider cardiac complications
✔✔Define shock - ✔✔A state of inadequate oxygenation of blood
✔✔Stages of shock - ✔✔1. Compensated shock
2. Decompensated shock
3. Irreversible shock
✔✔What is the relationship of hypovolemic shock and haemorrhagic shock? -
✔✔Hypovolemic shock means too little fluid or blood in the body (can be from bleeding,
dehydration, burns, etc.).
Whereas, haemorrhagic shock is specifically from blood loss.
haemorrhagic shock is a type of hypovolemic shock.
✔✔What are the S&S of shock? - ✔✔- they look "sick"
- Decreased BP
-Increased pulse and RR
- PCC
-Decreased LOC
-Decreased urine output
✔✔What are some areas of potential non-compressible bleeds? - ✔✔- head
, - inside the chest
- abdomen
- pelvis
✔✔As part of "C" what do you check? - ✔✔- both radial pulses at the same time (rhythm
and quality)
- pelvis irregularities
- femoral irregularities
✔✔As part of "R" what do you check? - ✔✔If you didn't get the patient trauma naked
during "M", do it NOW.
Rake front and back of entire chest and back.
✔✔What to consider during "C"? - ✔✔Consider IV/IO access and prep!
If BP, pulse, etc in protocols are all met, can administer TXA and volume replacement
during "C"
*Do NOT capture all vitals - only those needed for protocols. Other vitals will be
captured during "E".
✔✔Injured C1-2 vertebrae could mean what? - ✔✔can be immediately fatal
✔✔Injured C3-5 vertebrae could mean what? - ✔✔most dangerous fractures that can
be generally survived
"C3-4-5 keep the diaphragm alive"
✔✔What incidents would you suspect a spinal injury? - ✔✔- MVI
- falls > 2 meters
- blast
- crush
✔✔What is the goal of head injury treatment? - ✔✔Control the c-spine to prevent any
further damage to the c-spine
✔✔What is the fluid called that surrounds the brain? - ✔✔Cerebrospinal fluid (CSF)
✔✔S&S of head injury - ✔✔- seizures
- nausea / vomiting
- decreased LOC
- blown pupils (one or both pupils are dilated and don't react to light)
- combativeness
SOLUTIONS RATED A+
✔✔S&S of open pneumo - ✔✔- SOB
- shock
- trachael deviation (later stages)
- mech of injury
- Absent breath sounds during auscultation
- chest not expanding properly
- absent radial pulse
- subcutaneous emphysema ('rice krispy' sounding chest upon palpation)
- larger neck veins
✔✔S&S of hemothorax - ✔✔- flat neck veins (because blood built up in chest as
compared to pneumothorax which would result in larger neck veins)
- decrease BP
- shock
✔✔Treatment of hemothorax - ✔✔Not much can be done. Treat as open pneumothorax
(potential chest seal?) and EVAC ASAP
✔✔What to consider if blunt trauma? - ✔✔Consider cardiac complications
✔✔Define shock - ✔✔A state of inadequate oxygenation of blood
✔✔Stages of shock - ✔✔1. Compensated shock
2. Decompensated shock
3. Irreversible shock
✔✔What is the relationship of hypovolemic shock and haemorrhagic shock? -
✔✔Hypovolemic shock means too little fluid or blood in the body (can be from bleeding,
dehydration, burns, etc.).
Whereas, haemorrhagic shock is specifically from blood loss.
haemorrhagic shock is a type of hypovolemic shock.
✔✔What are the S&S of shock? - ✔✔- they look "sick"
- Decreased BP
-Increased pulse and RR
- PCC
-Decreased LOC
-Decreased urine output
✔✔What are some areas of potential non-compressible bleeds? - ✔✔- head
, - inside the chest
- abdomen
- pelvis
✔✔As part of "C" what do you check? - ✔✔- both radial pulses at the same time (rhythm
and quality)
- pelvis irregularities
- femoral irregularities
✔✔As part of "R" what do you check? - ✔✔If you didn't get the patient trauma naked
during "M", do it NOW.
Rake front and back of entire chest and back.
✔✔What to consider during "C"? - ✔✔Consider IV/IO access and prep!
If BP, pulse, etc in protocols are all met, can administer TXA and volume replacement
during "C"
*Do NOT capture all vitals - only those needed for protocols. Other vitals will be
captured during "E".
✔✔Injured C1-2 vertebrae could mean what? - ✔✔can be immediately fatal
✔✔Injured C3-5 vertebrae could mean what? - ✔✔most dangerous fractures that can
be generally survived
"C3-4-5 keep the diaphragm alive"
✔✔What incidents would you suspect a spinal injury? - ✔✔- MVI
- falls > 2 meters
- blast
- crush
✔✔What is the goal of head injury treatment? - ✔✔Control the c-spine to prevent any
further damage to the c-spine
✔✔What is the fluid called that surrounds the brain? - ✔✔Cerebrospinal fluid (CSF)
✔✔S&S of head injury - ✔✔- seizures
- nausea / vomiting
- decreased LOC
- blown pupils (one or both pupils are dilated and don't react to light)
- combativeness
