TCCC TIER 3 Exam Questions With Complete
Answers| Latest Update
What is a likely cause of altered mental status in a trauma casualty on the
battlefield?
a. Use of recreational drugs
b. Sleep deprivation
c. Poor nutrition
d. Blood loss
d. Blood loss
RATIONALE
Although both a Traumatic Brain Injury and Hypoxia can cause an altered mental
status on the battlefield, studies have shown that Hypovolemia is the likely
cause of altered mental status in trauma casualties.
Why is it important to communicate with a casualty throughout the delivery of
care?
a. Frank and reassuring communication can help decrease the casualty's anxiety
b. The casualty needs to understand the potential impact their injuries will have
on the mission
c. Casualties can pass on information to other first responders
,d. Casualties should understand what is being done since they are required to sign
consent forms before treatment
a. Frank and reassuring communication can help decrease the casualty's anxiety
RATIONALE The Combat Medic/Corpsman will continuously communicate with
the casualty (if possible) by encouraging, reassuring, and explaining each step of
care being rendered. Being wounded can cause significant anxiety and fear
above and beyond the psychological trauma of combat. Talking frankly with the
casualty about their injuries and offering reassurance by describing the
treatments being rendered and emphasizing that everything possible is being
done to care for them can help decrease their anxiety. Be honest about the
injuries sustained but maintain a positive attitude about treatment and timely
evacuation. Talking with the casualty helps assess their mental status, while
talking through procedures helps maintain your own focus and confidence as
well as the casualty's confidence in you.
Using the Rule of Nines, what percent of body surface area is considered burned
if the entire anterior torso and the front and back of both lower extremities are
burned?
a. 35%
b. 37%
c. 45%
d. 54%
d. 54%
RATIONALE
,Eleven areas each have 9% body surface area (head, upper extremities, front
and back of lower extremities, and front and back of the torso having two 9%
areas each). General guidelines are that the size of the palm of the hand
represents approximately 1% of the burned area. When estimating, it is easiest
to round up to the nearest 10. If half of the front or rear area is burned, the area
would be half of the area value. For example, if the entire anterior torso and the
front and back of both lower extremities are burned, it would be (9% x 4) + 18%
= 54%.
A casualty is leaning forward with her hands placed on her knees to support her
upper body. How would you describe what this casualty is doing?
a. Sternal retractions
b. Tripod respirations
c. Nasal flaring
d. Labored breathing
b. Tripod respirations
RATIONALE
Tripod respirations - The patient will sit or stand leaning forward while
supporting the upper body with the hands on the knees to facilitate breathing.
Which of the following is a benefit of communicating with the casualty during
Tactical Field Care?
a. Facilitate handoff of casualty information to medical personnel
b. Ease the casualty's fears and help explain care
, c. Expedite the casualty evacuation process
d. Provide the necessary information for the first section of the 9-Line evacuation
request
b. Ease the casualty's fears and help explain care
RATIONALE
Communicating with the casualty is vitally important for several reasons. One is
to help calm and reassure the casualty in what is likely the most stressful
situation that they have ever experienced. If they are calmer, they will follow
your instructions more closely, which may result in a better outcome.
Communicate with the casualty, if possible, to encourage, reassure, and explain
care each step of the way.
If a penetrating eye injury is suspected, you should perform a
_______________________.
a. Rapid field test of visual acuity
b. Neurological exam
c. Traumatic brain injury evaluation questionnaire
d. Gait and balance assessment
a. Rapid field test of visual acuity
RATIONALE
If a penetrating eye injury is noted or suspected, perform a rapid field test of
visual acuity and document findings. Rapid visual acuity testing includes the
ability to read print, count fingers, identity hand motion, and/or differentiate
light from dark.
Answers| Latest Update
What is a likely cause of altered mental status in a trauma casualty on the
battlefield?
a. Use of recreational drugs
b. Sleep deprivation
c. Poor nutrition
d. Blood loss
d. Blood loss
RATIONALE
Although both a Traumatic Brain Injury and Hypoxia can cause an altered mental
status on the battlefield, studies have shown that Hypovolemia is the likely
cause of altered mental status in trauma casualties.
Why is it important to communicate with a casualty throughout the delivery of
care?
a. Frank and reassuring communication can help decrease the casualty's anxiety
b. The casualty needs to understand the potential impact their injuries will have
on the mission
c. Casualties can pass on information to other first responders
,d. Casualties should understand what is being done since they are required to sign
consent forms before treatment
a. Frank and reassuring communication can help decrease the casualty's anxiety
RATIONALE The Combat Medic/Corpsman will continuously communicate with
the casualty (if possible) by encouraging, reassuring, and explaining each step of
care being rendered. Being wounded can cause significant anxiety and fear
above and beyond the psychological trauma of combat. Talking frankly with the
casualty about their injuries and offering reassurance by describing the
treatments being rendered and emphasizing that everything possible is being
done to care for them can help decrease their anxiety. Be honest about the
injuries sustained but maintain a positive attitude about treatment and timely
evacuation. Talking with the casualty helps assess their mental status, while
talking through procedures helps maintain your own focus and confidence as
well as the casualty's confidence in you.
Using the Rule of Nines, what percent of body surface area is considered burned
if the entire anterior torso and the front and back of both lower extremities are
burned?
a. 35%
b. 37%
c. 45%
d. 54%
d. 54%
RATIONALE
,Eleven areas each have 9% body surface area (head, upper extremities, front
and back of lower extremities, and front and back of the torso having two 9%
areas each). General guidelines are that the size of the palm of the hand
represents approximately 1% of the burned area. When estimating, it is easiest
to round up to the nearest 10. If half of the front or rear area is burned, the area
would be half of the area value. For example, if the entire anterior torso and the
front and back of both lower extremities are burned, it would be (9% x 4) + 18%
= 54%.
A casualty is leaning forward with her hands placed on her knees to support her
upper body. How would you describe what this casualty is doing?
a. Sternal retractions
b. Tripod respirations
c. Nasal flaring
d. Labored breathing
b. Tripod respirations
RATIONALE
Tripod respirations - The patient will sit or stand leaning forward while
supporting the upper body with the hands on the knees to facilitate breathing.
Which of the following is a benefit of communicating with the casualty during
Tactical Field Care?
a. Facilitate handoff of casualty information to medical personnel
b. Ease the casualty's fears and help explain care
, c. Expedite the casualty evacuation process
d. Provide the necessary information for the first section of the 9-Line evacuation
request
b. Ease the casualty's fears and help explain care
RATIONALE
Communicating with the casualty is vitally important for several reasons. One is
to help calm and reassure the casualty in what is likely the most stressful
situation that they have ever experienced. If they are calmer, they will follow
your instructions more closely, which may result in a better outcome.
Communicate with the casualty, if possible, to encourage, reassure, and explain
care each step of the way.
If a penetrating eye injury is suspected, you should perform a
_______________________.
a. Rapid field test of visual acuity
b. Neurological exam
c. Traumatic brain injury evaluation questionnaire
d. Gait and balance assessment
a. Rapid field test of visual acuity
RATIONALE
If a penetrating eye injury is noted or suspected, perform a rapid field test of
visual acuity and document findings. Rapid visual acuity testing includes the
ability to read print, count fingers, identity hand motion, and/or differentiate
light from dark.
