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1. A pilot declines a medevac flight due to rapidly deteriorating weather
conditions. This decision demonstrates which core component of a Safety
Management System (SMS)?
• A. Standardization
• B. Risk Management
• C. Quality Assurance
• D. Logistics Coordination
Answer: B. Risk Management
2. Which of the following injuries would require urgent fasciotomy due to elevated
compartment pressures?
• A. Pelvic fracture
• B. Tibia-fibula fracture with severe swelling
• C. Isolated femur fracture
• D. Metatarsal fracture Answer: B. Tibia-fibula fracture with severe swelling
3. After administering a neuromuscular blocker, what is the most critical action
the provider must ensure?
• A. Blood pressure monitoring
• B. Cervical spine immobilization
• C. Pain control
, • D. Airway protection and sedation Answer: D. Airway protection and
sedation
4. A tactical medic observes a casualty with altered mental status, systolic BP of
80, and HR of 132. What is the most likely condition?
• A. Neurogenic shock
• B. Hemorrhagic shock
• C. Obstructive shock
• D. Cardiogenic shock Answer: B. Hemorrhagic shock
5. Which lactate value suggests successful resuscitation and adequate tissue
perfusion?
• A. 4.5 mmol/L
• B. 3.2 mmol/L
• C. 2.1 mmol/L
• D. 1.0 mmol/L Answer: D. 1.0 mmol/L
5. Which type of respiratory burn injury is typically caused by chemical exposure
rather than heat?
• A. Upper airway edema
• B. Nasal hair singeing
• C. Subglottic inflammation
• D. Bronchospasm from smoke Answer: C. Subglottic inflammation
6. Which triage practice improves efficiency at a casualty collection point during a
mass casualty incident?
• A. Treating critical patients first
• B. Grouping by injury mechanism
, • C. Sorting by triage category before treatment
• D. Evacuating all patients immediately Answer: C. Sorting by triage category
before treatment
7. A pregnant trauma patient at 32 weeks gestation is being evacuated. Which
transport position best protects maternal and fetal circulation?
• A. Supine with C-collar
• B. Left lateral tilt
• C. Semi-Fowler's
• D. Prone with padding Answer: B. Left lateral tilt
8. During a blast event, blunt trauma sustained from being thrown into a wall is
categorized under which blast phase?
• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary Answer: C. Tertiary
9. Which of the following is NOT a biological agent?
• A. Ricin
• B. VX
• C. Anthrax
• D. Botulinum toxin Answer: B. VX
10. Which CBRNE agent is most likely to cause symptoms including pinpoint
pupils, diaphoresis, and bronchorrhea?
• A. Sarin gas
• B. Botulism toxin
, • C. Radiation
• D. Cyanide Answer: A. Sarin gas
11. What tactical field intervention is appropriate for a sucking chest wound with
suspected tension pneumothorax?
• A. Occlusive dressing only
• B. Chest decompression with needle thoracostomy
• C. Chest tube placement in the field
• D. Lateral decubitus positioning Answer: B. Chest decompression with
needle thoracostomy
12.
13. What is the correct treatment sequence for massive hemorrhage under TECC
guidelines?
• A. CPR, tourniquet, airway
• B. Direct pressure, IV fluids, airway
• C. Tourniquet, airway, chest seals
• D. Oxygen, IV, splinting Answer: C. Tourniquet, airway, chest seals
14. What is the role of a medic during a prolonged field care (PFC) scenario?
• A. Deliver medications and await evacuation
• B. Initiate CPR on all patients in cardiac arrest
• C. Monitor trends, perform serial assessments, and manage complications
• D. Perform surgery if necessary Answer: C. Monitor trends, perform serial
assessments, and manage complications
15. What CBRNE-related symptom is most consistent with radiation sickness?
• A. Visual hallucinations