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TCCC- Tier 3 Questions and Correct
Answers/ Latest Update / Already Graded
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
Ans: 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
All rights reserved © 2025/ 2026 |
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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
Ans: 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 confidenc e in
you.
All rights reserved © 2025/ 2026 |
, Page |3
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%
Ans: 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%.
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
TCCC- Tier 3 Questions and Correct
Answers/ Latest Update / Already Graded
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
Ans: 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
All rights reserved © 2025/ 2026 |
, Page |2
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
Ans: 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 confidenc e in
you.
All rights reserved © 2025/ 2026 |
, Page |3
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%
Ans: 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%.
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: 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
All rights reserved © 2025/ 2026 |
