Course
TECC
Question 1: Tourniquet Application
1. Question: When is the application of a tourniquet indicated in a trauma patient?
o A) For minor lacerations
o B) For severe bleeding that cannot be controlled by direct pressure
o C) For any injury to an extremity
o D) For all traumatic injuries
Answer: B) For severe bleeding that cannot be controlled by direct pressure
Rationale: A tourniquet is indicated when there is severe, life-threatening bleeding
from an extremity that cannot be controlled by other means. It should be applied high
and tight on the affected limb.
Question 2: Airway Management
2. Question: What is the primary consideration when managing the airway of a trauma
patient?
o A) Administering oxygen
o B) Establishing an airway and ensuring ventilation
o C) Performing a cricothyrotomy
o D) Using a nasopharyngeal airway
Answer: B) Establishing an airway and ensuring ventilation
Rationale: The primary goal in airway management is to establish a patent airway
and ensure adequate ventilation. This may involve different techniques depending on
the patient's condition.
Question 3: Hemorrhagic Shock
3. Question: What is the most effective initial treatment for a patient in hemorrhagic
shock?
o A) Immediate surgical intervention
o B) Administration of intravenous fluids
o C) Administering analgesics
o D) Application of ice packs
Answer: B) Administration of intravenous fluids
, Rationale: The initial treatment for hemorrhagic shock involves rapidly restoring
intravascular volume with IV fluids to improve perfusion and stabilize the patient.
Question 4: Tension Pneumothorax
4. Question: What is the first step in the management of a tension pneumothorax?
o A) Chest tube placement
o B) Needle decompression
o C) Administering oxygen
o D) Intubation
Answer: B) Needle decompression
Rationale: Needle decompression is the immediate intervention for a tension
pneumothorax to relieve pressure in the pleural space. It is typically followed by chest
tube placement for ongoing management.
Question 5: Massive Hemorrhage Protocol
5. Question: What is the primary component of the massive hemorrhage protocol in
trauma care?
o A) Early transfusion of packed red blood cells, plasma, and platelets
o B) Delayed resuscitation until all labs are available
o C) Use of crystalloids only
o D) Administering high-dose steroids
Answer: A) Early transfusion of packed red blood cells, plasma, and platelets
Rationale: The massive hemorrhage protocol emphasizes the early and balanced
resuscitation with whole blood components to manage coagulopathy and prevent
dilutional coagulopathy.
Question 6: Hypothermia Management
6. Question: What is a key consideration when managing a trauma patient with
hypothermia?
o A) Rapid cooling of the patient
o B) Delaying transport to warm the patient
o C) Preventing further heat loss and active rewarming
o D) Administering large amounts of cold fluids
Answer: C) Preventing further heat loss and active rewarming
, Rationale: In trauma patients with hypothermia, it is crucial to prevent further heat
loss and initiate active rewarming to avoid complications and improve outcomes.
Question 7: C-spine Stabilization
7. Question: In a trauma patient with a suspected spinal injury, what is the priority
intervention?
o A) Administering pain medication
o B) Placing the patient in a comfortable position
o C) Stabilizing the cervical spine
o D) Performing a detailed neurological examination
Answer: C) Stabilizing the cervical spine
Rationale: Stabilizing the cervical spine is the first priority in a suspected spinal
injury to prevent further damage and potential neurological deficits.
Question 8: Assessing Consciousness
8. Question: Which scale is commonly used to assess a patient’s level of consciousness?
o A) APGAR score
o B) Glasgow Coma Scale (GCS)
o C) Revised Trauma Score (RTS)
o D) Abbreviated Injury Scale (AIS)
Answer: B) Glasgow Coma Scale (GCS)
Rationale: The Glasgow Coma Scale (GCS) is used to assess a patient’s level of
consciousness based on their eye, verbal, and motor responses, helping to determine
the severity of head injuries.
Question 9: Rapid Assessment
9. Question: What is the primary purpose of the primary assessment in trauma care?
o A) To gather a detailed history of the patient
o B) To perform a head-to-toe examination
o C) To identify and treat immediate life threats
o D) To prepare the patient for transport
Answer: C) To identify and treat immediate life threats
, Rationale: The primary assessment focuses on quickly identifying and addressing any
life-threatening conditions, ensuring the patient's airway, breathing, and circulation
are stable.
Question 10: Transfer Decision
10. Question: What factor is most critical when deciding to transfer a trauma patient to a
higher level of care?
o A) The patient’s vital signs
o B) The time of day
o C) Availability of transport
o D) The patient’s insurance status
Answer: A) The patient’s vital signs
Rationale: The stability of the patient’s vital signs is critical in determining whether
they require transfer to a facility with more advanced resources and care capabilities.
Question 11: Immediate Action for Severe Bleeding
11. Question: What is the immediate action to take for a patient with severe, life-
threatening bleeding?
A) Apply a pressure bandage
B) Use a tourniquet
C) Elevate the limb
D) Provide IV fluids
Answer: B) Use a tourniquet
Rationale: A tourniquet should be used immediately for severe, life-threatening bleeding
from an extremity when direct pressure fails to control the hemorrhage.
Question 12: Primary Survey Components
12. Question: Which of the following is NOT a part of the primary survey in trauma
assessment?
A) Airway
B) Breathing
C) Circulation
D) Detailed history
Answer: D) Detailed history