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TECC Exam Questions and Answers: Tactical Emergency Casualty Care Review, Exams of Clinical Medicine

United States Army Command and General Staff College (CGSC)Clinical Medicine

A series of multiple-choice questions and answers related to tactical emergency casualty care (tecc). It covers various scenarios encountered in hostile environments, focusing on immediate medical interventions such as airway management, hemorrhage control, and burn treatment. The questions assess knowledge of appropriate procedures and decision-making in high-stress situations, making it a valuable resource for medical professionals and first responders preparing for tecc certification or seeking to enhance their skills in emergency medical care. The content is structured to test comprehension of critical concepts and best practices in trauma management under challenging circumstances, providing a practical review of essential tecc principles.

Typology: Exams

2024/2025

Available from 06/03/2025

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1.
How does a nasopharyngeal airway maintain a patent airway?
A. Displaces the jaw forward
B. Keeps the tongue in an anterior position
C. Ensures complete dilation of the nares
D. Blocks salivary and secretion glands - Correct Answer-B.
2)
A 28 year old officer was struck in the head while entering a hostile environment.
Upon assessment, you note that he has an irregular respiratory pattern, elevated blood
pressure, and a decreased pulse. At what level should you maintain this patient's
capnography?
A) 45-50 mmHg
B) 36-40 mmHg
C) Less than 30 mmHg
D) 30-35 mmHg - Correct Answer-B.
3)
An unconscious casualty has suffered multiple injuries as a result of an IED blast.
Vital signs P 132, R 22. During the Indirect Threat Care phase, what should you do to
ensure the patient has a patent airway?
TECC Test Exam QUESTIONS AND ANSWERS
RATED A+ 2025|2026 UPDATE
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Download TECC Exam Questions and Answers: Tactical Emergency Casualty Care Review and more Exams Clinical Medicine in PDF only on Docsity!

  1. How does a nasopharyngeal airway maintain a patent airway? A. Displaces the jaw forward B. Keeps the tongue in an anterior position C. Ensures complete dilation of the nares D. Blocks salivary and secretion glands - Correct Answer-B.
  1. A 28 year old officer was struck in the head while entering a hostile environment. Upon assessment, you note that he has an irregular respiratory pattern, elevated blood pressure, and a decreased pulse. At what level should you maintain this patient's capnography? A) 45 - 50 mmHg B) 36 - 40 mmHg C) Less than 30 mmHg D) 30 - 35 mmHg - Correct Answer-B.
  2. An unconscious casualty has suffered multiple injuries as a result of an IED blast. Vital signs P 132, R 22. During the Indirect Threat Care phase, what should you do to ensure the patient has a patent airway?

TECC Test Exam QUESTIONS AND ANSWERS

RATED A+ 202 5 |202 6 UPDATE

A) Insert an oropharyngeal airway B) Place the patient in the recovery position C) Perform a surgical cricothyroidotomy D) Perform endotracheal intubation - Correct Answer-B.

  1. An adult patient only responds to painful stimuli. She is bleeding from multiple entrance and exit wounds. She has a weak moan and is writhing in pain. Several attempts at peripheral IV access was unsuccessful. What should you do? A) Administer morphine per oral B) Attempt IV access for a 3rd time C) Establish external jugular D) Establish I/0 access - Correct Answer-D.
  2. A 41 year old male has suffered a gunshot wound to the right shoulder. The bleeding is controlled but he begins to present with difficulty breathing and decreased chest rise on the right side. What should you suspect? A) Airway obstruction B) Hemothorax C. Tension pneumothorax D) Hypoperfusion - Correct Answer-B.
  1. After a mass casualty incident, you are re-triaging patients. A 35 year old male has a gunshot wound to the upper right chest. He was treated with a non-vented occlusive dressing. Now he is anxious and complains of difficulty breathing. What should you do? A) Place in position of comfort B) Apply a second occlusive dressing C) Manually burp the occlusive dressing D) Perform needle decompression - Correct Answer-C.
  2. A 29 year old bystander has a gunshot wound to the upper right leg. A tourniquet was applied prior to arrival at the treatment area. He complains of severe leg pain. Vital signs are BP 110/50, P 100, R 24. What should you do? A) Administer 2 acetaminophen 650 mg bilayer caplets PO and Meloxicam 15 mg PO B) Reassess tourniquet effectiveness and administer 50 mg of ketamine IM C) Continue to monitor casualty and move on to the next patient D) Initiate an IV of normal saline and administer a 500 mL fluid bolus - Correct Answer- C
  3. A 35 year old male has suffered partial thickness burns to his chest, arms, and face. He complains of severe pain. He speaks in 2 - 3 word sentences with a raspy voice. His facial hair is singed. Vital signs are BP 150/80, P 130, R 32 and shallow. What should you do? A) Establish IV access and begin fluid resuscitation

B) Manually stabilize the spine C) Administer oxygen by non-rebreather mask D) Obtain the patient's room air SpO2 - Correct Answer-A.

  1. Which of the following is true of IV fluid administration? A) Initial fluid bolus begins with 1 liter B) Administered to all casualties with traumatic injuries C) Preferred method over PO fluids D) Titrated to maintain a systolic BP of 80 - 90 mmH - Correct Answer-D.
  2. A 24 year old male police officer has a gunshot wound to right upper thigh with profuse bleeding. After application of a tourniquet, the bleeding is controlled. His skin is clammy and he has weak radial pulses with a respiratory rate of 28. He complains of severe pain from the tourniquet. What should you administer to manage the pain? A) Ketamine 20 mg IV B) Oral transmucosal fentanyl lozenge at 800 mcg C) Morphine 10 mg IM D) Fentanyl 50 mg IV - Correct Answer-A.
  3. A 26 ear old female has multiple puncture wounds to the thoracic cavity. Vital signs are BP 160/100, P 100 and regular, R 30 short and shallow, Sp02 94% on room air. What should you do?

C) The tourniquet was applied to a completely amputated limb, but is not actively bleeding now D) The patient exhibits signs of compensation for hemorrhagic shock - Correct Answer- B.

  1. 36 year old male was a casualty during an explosion at a bank. He is responsive with burns to at least 20 percent of his total body surface area. His clothing is still smoldering. What should you do? A) Assess for airway compromise B) Stop the burning process C) Wrap burn injuries in dry sterile dressings D) Assess for massive hemorrhage - Correct Answer-B.
  2. A 33 year old responder is bleeding heavily from a gunshot wound to the right chest. He complains of difficulty breathing and pain to the injured site. An active shooter is in the vicinity. What should you do? A) Perform needle decompression, mid clavicular, between the 2nd and 3rd intercostal space B) Apply a gloved hand over the injury then apply an occlusive dressing C) Start the chain of survival D) Extract to a treatment area - Correct Answer-D.
  1. Why should hemostatic dressings be avoided during Direct Threat Care? A) Time constraints make the procedure unsafe B) A tourniquet can control any life-threatening bleeding C) Assuring a patent airway is a greater priority than hemorrhage control in the hot zone D) They take up too much space - Correct Answer-A.
  1. When should foreign bodies be removed from the eye? A) After evacuation B) Anytime there is a free moment C) During the ITC phase D) During the DTC phase - Correct Answer-A.
  2. A casualty has a penetrating wound high on the right thigh. You expose the wound and see bright red blood spurting out. The wound is too high for a tourniquet to be effective. How should you control the bleeding? A) Apply a pressure dressing to the wound B) Pack the wound with a hemostatic dressing C). Attempt applying a tourniquet D) Pack the wound with standard gauze - Correct Answer-B.
  1. Law enforcement was called to the scene of a barricaded suspect. Suddenly, the suspect begins shooting with a rifle from his front window. An officer is shot in the neck. He yells, "I'm hit!" What should you do? A) Wait for help from other officers B) Stop the bleeding with direct pressure C) Stop the bleeding with a hemostatic dressing D) Move off the X to cover - Correct Answer-D.
  2. A confused 42 year old female is lying prone on the floor after an improvised explosive device (IED) was detonated near her and several others. She is repeatedly asking "What happened?" You note minor bleeding from the mouth. What should you do? A) Insert a nasal airway B) Sit the patient up and move to the next patient C) Perform a jaw thrust D) Place the patient in the recovery position - Correct Answer-D.
  3. A 30 year old female was involved in a building explosion and extracted by law enforcement. As they lay her down on the ground, you note she is unconscious and her clothes are "smoldering". What should you do? A) Obtain a set of vital signs and SAMPLE history B) Quickly load her into the transporting unit C) Remove any jewelry and clothing from her body

D) Stop the burning process with copious amounts of water - Correct Answer-D.

  1. Which of the following is considered cover from bullets? A) Engine block of a vehicle B) Wall made of drywall and wood studs C) Hollow-core door D) Brush, trees, and topography - Correct Answer-A.
  2. Law enforcement officers have been on foot in pursuit of a suspect throughout the night. The suspect was hiding in a shallow river basin for 12 hours. He has a weak shiver, circumoral cyanosis, and icicles forming on his hair. He looks blankly ahead and nods his head to questions. He has several dog bite wounds on his arms and hands. What should you do first? A) Remove his clothing and actively warm B) Clean and bandage the punctures wounds C) Immediately warm his hands and feet D) Provide him with a blanket - Correct Answer-A.
  3. A 17 year old male was a victim of a blast injury. He is unconscious and moaning. He has multiple superficial lacerations along with a scalp laceration. What is an ideal systolic blood pressure to maintain for this patient?
  1. A 29 year old male has a single gunshot wound to the pelvis. A junctional tourniquet was placed and appears to be effective. He is pale, has a weak radial pulse, and is screaming in pain. You have decided to provide pain management via IV/IO. What should you administer? A) Morphine, 5 mg B) Ketamine, 50 mg C) Ketamine, 20 mg D) Morphine, 10 mg - Correct Answer-C.
  2. A 39 year old female is shot in the upper right chest. The wound bubbles with blood during inhalation. What should you do? A. Utilize pressure point to stop the bleeding from the GSW B. Perform needle decompression C. Apply an occlusive dressing to the wound D. Apply combat gauze to the wound - Correct Answer-C.
  3. A 23 year old male presents with obvious distress and dyspnea, unilateral chest movement, and decreased Sp02 at 87% following a suspected blast injury from a pipe bomb. He is speaking in 1 - to- 2 word sentences. what should vou do?

A. Provide positive pressure ventilations B. Place in the recovery position C. Begin needle decompression D. Apply non-rebreather mask at 15 lom - Correct Answer-C.

  1. In the warm zone/indirect threat care, you have just finished your MARCH algorithm and patient assessment on your wounded partner. As you are preparing for evacuation, you notice that the patient is cold. What should you do? A. Splint extremities B. Cover with a blanket C. Administer antibiotics D. Complete a triage tag - Correct Answer-B.
  2. What is the initial airway management of a non-traumatic patient? A) Insert a supraglottic airway B) Perform a cricothyroidotomy C) Insert an endotracheal tube D) Perform a head tilt chin lift - Correct Answer-D.
  3. A 28 year old male was stabbed in his upper right chest and is short of breath. He has a 1 - centimeter entrance immediately below the clavicle. He complains of pain

D) Closed humeral fracture - Correct Answer-D.

  1. A police officer was shot in the neck and arm while investigating a suspicious person at a convenience store. The officer was able to walk back from his patrol car and call for help. The suspect has been apprehended by other responding officers. As you approach the wounded officer, he appears to be disoriented. What should you do? A) Ensure the officer's weapons are secured B) Initiate IV access C) Treat the junctional wound D) Treat the extremity wound - Correct Answer-A.
  2. A police officer is wounded and unable to self-extract from the point of injury. The nearest cover is approximately 10 feet away. The officer appears to have a broken leg in addition to multiple penetrating wounds. Which casualty movement technique is appropriate? A) Pack-strap carry B) One-person drag C) Rigid litter D) Poleless litter - Correct Answer-B.
  3. What side-effect does morphine have on the cardiovascular system?

A) Dromotropic B) Vasoconstriction C) Increases cardiac output D) Vasodilation - Correct Answer-D.

  1. A 25 year old male has a gunshot wound to the left leg. A tourniquet was applied to control bleeding and he is managing his airway. In the Casualty Collection Point, he is anxious with a weak radial pulse and is shivering. What should you do? A) Administer warmed 1,000 mL IV infusion B) Initiate skin-to-skin contact warming C) Administer warmed blood product with a disposable blanket D) Remove wet clothing and apply a thermal barrier - Correct Answer-D.
  2. Which parameters are appropriate for adult needle decompression and are documented to have a high success rate, especially in patients with higher body mass index (BMI)? A) Fifth intercostal space, midaxillary line, 14 - gauge, 1.25 needle B) Second intercostal space, midaxillary line, 14 - gauge, 3.25 needle C) Second intercostal space, midclavicular line, 14 - gauge, 1.25 needle D) Fifth intercostal space, anterior axillary line, 14 - gauge, 3.25 needle - Correct Answer- D.

D) Tightly wrap pressure patches around both eyes - Correct Answer-C.

  1. What is a sign that your patient has a thoracic injury? A) Wheezing B) Clammy skin C) Increased breath sound on the right side D) Crepitus to the left side of the chest wall - Correct Answer-D.
  2. What size catheter should you use for needle decompression on an adult? A) 16 - gauge, 1.25 inch (3.2 cm) B) 14 - gauge, 3.25 inch (8.3 cm) C) 10 - gauge, 2 inch (5.1 cm) D) 18 - gauge, 1.25 inch (3.2 cm) - Correct Answer-B.