TECC Combined Exam Set Questions With Revised Correct Detailed Answers
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Course
TECC
Institution
TECC
TECC Combined Exam Set Questions With
Revised Correct Detailed Answers
1. A cricothyrotomy incision is made to the: - ANSWER Cricothyroid membrane
2. Which of these is an important anatomical difference to consider with airway
control in pediatric patient? - ANSWER Larger tongue
3...
- ANSWER Intact chest wall
4. A causality with an open pneumothorax always:
- ANSWER Has an injury to the underlying lung
5. Which is a classic sign with tension pneumothorax?
- ANSWER Distended jugular veins
Rationale: Distended neck veins are described as a classic sign of tension
pneumothorax. When tracheal deviation occurs, it moves away from the side of
the injury. Tracheal deviation is, however, a rare and very late finding not typically
encountered or appreciated in the prehospital arena. Pulse rate below 60 can
occur with a myriad of conditions including normal variation; however, most
patients with a tension pneumothorax with have tachycardia until very late in the
course of injury. Distended jugular veins are considered the most classic finding,
yet keep in mind that they too may be absent in the context of significant
hypovolemia.
6. A needle/catheter size appropriate for decompression is _________ gauge.
,- ANSWER Cause loss of blood to the general circulation.
8. Shock is define as:
- ANSWER Inadequate tissue perfusion at the cellular level.
9. How is the transition from compensated to decompensated hypovolemic shock
identified?
- ANSWER Blood pressure drops
10. The sympathetic nervous system is capable of handling a Class _________
hemorrhage situation.
- ANSWER II
11. What is the goal in fluid resuscitation of hemorrhagic shock?
- ANSWER Provide just enough fluid to maintain perfusion and continue to
provide oxygenated RBC's to the heart, brain, and lungs.
12. Narrow pulse pressure distinguishes __________________ shock from
__________________ shock.
- ANSWER Hypovolemic; neurogenic
13. You are treating a patient in the indirect threat care/warm zone who has a
gunshot wound to the gut and systolic blood pressure of 90 by palpation. There
will be a 15- to 20-minute delay in moving the patient to the evacuation care/cold
zone. What is the most appropriate fluid resuscitation?
- ANSWER 18-gauge needle with saline lock
14. You are administering an IV dose of TXA and the patient complains of dizziness
and vomits. You should: - ANSWER
Slow down the rate of TXA infusion.
A casualty with signs of traumatic brain injury and hypotension:
Requires fluid resuscitation to maintain a normal radial pulse.
, 15. A moderate traumatic brain injury would have a Glasgow Coma Scale score of:
- ANSWER 9 to 12
16. The initial blood pressure is taken:
- ANSWER During the secondary survey.
17. TECC choices for analgesics include all of the following, except:
- ANSWER Aspirin
18. Which is an issue with fire-based terror attack? - ANSWER
- Intense smoke
- Threat explosives
- Low-to-no visibility
(ALL OF THE ABOVE)
A secondary surgery reveals a small piece of shrapnel imbedded in the patient's
eye. TECC guidelines call for the caregiver to:
Tape a rigid eye shield over the injured eye.
When preparing to move casualties from the indirect threat care/warm zone to
the evacuation care/cold zone:
Coordinate with the incident management team.
While triaging patients in the indirect threat care/warm zone you encounter a
casualty with multiple system trauma who has no pulse. The TECC
recommendation is to:
Perform bilateral needle chest decompressions, and then check for a pulse.
Evacuation care means medical care:
Provided while the casualty is in the cold zone.
A significant difference in evacuation care/cold zone is:
More caregivers are resources available.
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