Tccc Frequently Tested Actual Exam Questions And Answers

TCCC FREQUENTLY TESTED ACTUAL EXAM QUESTIONS AND
ANSWERS

Question 1.
What are the 3 objectives of TCCC?

Correct Answer: - treat the casualty - prevent additional casualties - complete
the mission


Question 2.
Who makes the changes in TCCC?

Correct Answer: Committee on Tactical Combat Casualty Care (CoTCCC) - 42
members in DoD/civilian sector


Question 3.
What is the 2nd leading cause of preventable death on the battlefield after hemorrhage?

Correct Answer: tension pneumothorax


Question 4.
What is a junctional hemorrhage?

Correct Answer: type of wounds are often caused by IEDS and may result in
junctional hemorrhage


Question 5.
What is tension pneumothorax?

Correct Answer: - air escapes from injured lung - pressure builds up in the chest
- air pressure collapses lung & pushes on heart


Question 6.
What are the 3 phases in TCCC?

Correct Answer: Care Under Fire Tactical Field Care TACEVAC Care


Question 7.
What are some guidelines in Care Under Fire?

Correct Answer: - return fire & take cover - direct pt to move to cover/remain
engaged as a combatant - pt should be extricated from burning
vehicles/buildings, moved to safety & stop the burning process - stop
life-threatening external hemorrhage (tourniquet) - airway management is

,generally best deferred until the Tactical Field Care phase


Question 8.
What is the best medicine on the battlefield? (CUF)

Correct Answer: Fire Superiority


Question 9.
What do you do if the firefight is ongoing? (CUF)

Correct Answer: Don't try to treat your casualty in the Kill Zone!


Question 10.
If a casualty is able to move to cover when engaged in a firefight... (CUF)

Correct Answer: he should do so to avoid exposing others to enemy fire


Question 11.
If casualty is un-able to move & unresponsive when engaged in a firefight... (CUF)

Correct Answer: the casualty is likely beyond help & moving him while under fire
may not be worth the risk


Question 12.
If a casualty is responsive but can't move when engaged in a firefight... (CUF)

Correct Answer: a rescue plan should be devised if tactically feasible


Question 13.
What should you consider when you must move a casualty under fire? (CUF)

Correct Answer: location of nearest cover how best to move him to the cover the
risk to the rescuers weight of the casualty/rescuer distance to be covered use
suppression fire & smoke to best advantage recover casualty's weapons if
possible


Question 14.
What kind of injuries would you consider c-spine stabilization? (CUF)

Correct Answer: neck or spine injuries due to falls, fast-roping injuries, or motor
vehicle accidents apply only if the danger of hostile fire does not constitute a
greater threat

,Question 15.
When is c-spine stabilization not required? (CUF)

Correct Answer: penetrating head & neck injuries - gunshot wounds (GSW),
shrapnel - penetrating trauma, the spinal cord is either already compromised or
is in relatively less danger than would be the case with blunt trauma


Question 16.
What are the types of carries for Care Under Fire?

Correct Answer: - One-person drag with/without a line - Two-person drag
with/without a line - SEAL Team Three Carry ("shoulder-belt carry") - Hawes
Carry ("Modified Fireman's Carry" or "Pack Strap Carry")


Question 17.
What are the burn preventions in Care Under Fire?

Correct Answer: - remove the casualty from burning vehicles or structures ASAP
& move to cover - stop burning with any non-flammable fluids readily accessible,
by smothering, or by rolling on the ground ("stop, drop, roll")


Question 18.
What is the number one medical priority in Care Under Fire?

Correct Answer: - early control of severe hemorrhage - extremity hemorrhage
was the most frequent cause of preventable battlefield deaths - over 2,500
deaths occurred in Vietnam secondary to hemorrhage from extremity wounds -
injury to a major vessel can quickly lead to shock and death - only
life-threatening bleeding warrants intervention during CUF


Question 19.
If you can only do ONE thing for the casualty, what would it be? (CUF)

Correct Answer: stop your casualty from bleeding to death


Question 20.
What are signs of life-threaten-ing bleeding? (CUF)

Correct Answer: - when there is a pulsing or steady bleeding from the wound -
blood is pooling on the ground - the overlying clothes are soaked with blood -
bandages/makeshift bandages used to cover the wound are ineffective &
steadily becoming soaked with blood - there is a traumatic amputation of
arm/leg - there was prior bleeding & the PT is in shock (unconscious, confused,
pale)

, Question 21.
What is the first choice to control life-threaten-ing hemorrhage in Care Under Fire?

Correct Answer: where a tourniquet can be applied


Question 22.
When do you not use tourniquets? (CUF)

Correct Answer: when there is minor bleeding


Question 23.
Where do you place the tourniquet if you are not sure exactly where the major bleeding
site is on the extremity? (CUF)

Correct Answer: "high and tight" (as proximal as possible) on the arm or leg


Question 24.
What do you do if the first tourniquet fails to control the bleeding? (CUF)

Correct Answer: apply a second tourniquet just above (proximal) to the first


Question 25.
Where do you not put on a tourniquet? (CUF)

Correct Answer: - directly over the knee or elbow - over a holster or a cargo
pocket that contains bulky items


Question 26.
What are some tourniquet mistakes to avoid? (CUF)

Correct Answer: - not using one when you should, waiting too long to put it on -
using a tourniquet for minimal bleeding - putting it on too proximally if the
bleeding site is clearly visible - not taking it off when indicated during TFC - not
making it tight enough (should stop bleeding & eliminate distal pulse) -
periodically loosening the tourniquet to allow blood flow to the injured
extremity


Question 27.
What do you do after ANY tourniquet application? (CUF)

Correct Answer: monitor the casualty to ensure that the tourniquet remains
tight & that bleeding remains controlled