Free TP-C Practice Questions

Question 1

During Care Under Fire, the element is returning fire and a conscious casualty can move. Blood is rapidly pooling from one thigh, but the wound cannot yet be exposed. What should the medic direct?

Accepted Answer

Apply a high-and-tight tourniquet over the uniform, direct immediate movement to cover, and reassess there

Answer

Remain in the open while the limb is exposed and a complete MARCH assessment is performed

Answer

Place the casualty supine and insert a nasopharyngeal airway before attempting movement

Answer

Move to cover without controlling the bleeding because all treatment is deferred under fire

Question 2

In Tactical Field Care, an over-the-uniform tourniquet is controlling a mid-thigh wound that still requires tourniquet control. The casualty has no amputation and is not in shock. Select the correct repositioning sequence.

Accepted Answer

Place a second tourniquet on skin 2-3 inches above the wound, confirm bleeding control, then loosen the original over-uniform device

Answer

Loosen the original completely, expose the wound, and apply a new skin tourniquet only if brisk bleeding returns

Answer

Leave the original over clothing, add another side-by-side over the uniform, and defer reassessment until surgical care

Answer

Remove the original and convert to packing because absence of shock satisfies all conversion criteria

Question 3

In Tactical Field Care, a blast casualty has severe maxillofacial disruption. Positioning and suction have failed, bag-mask ventilation produces no chest rise, and SpO2 is 78%. The team is authorized for surgical airway management. The preferred rescue plan is:

Accepted Answer

Perform surgical cricothyroidotomy and verify placement with continuous waveform capnography

Answer

Repeat the nasopharyngeal airway and continue bag-mask ventilation despite the absent chest rise

Answer

Insert a supraglottic airway and use bilateral chest rise alone as definitive placement confirmation

Answer

Attempt oral RSI through the distorted anatomy without preparing a surgical rescue airway

Question 4

A ventilated blast casualty develops a peak inspiratory pressure of 44 cm H2O while plateau pressure remains 25 cm H2O. Blood pressure is stable, chest rise is equal, and the capnogram now has a shark-fin upstroke with bilateral expiratory wheeze. This pattern is most consistent with:

Accepted Answer

Increased airway resistance from bronchospasm or partial obstruction of the endotracheal tube

Answer

Falling respiratory-system compliance from tension pneumothorax or severe pulmonary edema

Answer

Abrupt loss of pulmonary perfusion from recurrent hemorrhagic shock or massive embolism

Answer

Excessive tidal volume causing simultaneous elevation of peak and plateau pressures

Question 5

A casualty with a penetrating abdominal wound has HR 126/min, SBP 84 mm Hg, and a positive FAST examination. The Assessment of Blood Consumption score assigns one point each for penetrating mechanism, positive FAST, SBP below 90, and HR at least 120. Whole blood is available. The correct interpretation is:

Accepted Answer

ABC score 4; activate massive transfusion and start blood-first damage-control resuscitation

Answer

ABC score 3; repeat the blood pressure before requesting blood because one abnormal value is insufficient

Answer

ABC score 2; begin crystalloid because FAST and mechanism are not counted together in the score

Answer

ABC score 4; give crystalloid first and activate blood only if shock persists

Question 6

An 80-kg casualty has a painful open femur fracture. Hemorrhage is controlled, SBP has improved to 104 mm Hg with blood, respirations are 20/min, and the casualty is alert but cannot take oral medication. Analgesia rather than dissociation is intended. Choose the current tactical regimen that best fits.

Accepted Answer

Ketamine 25 mg IV over 1 minute with airway and ventilation monitoring

Answer

Morphine 10 mg IM; a normal saturation makes capnography and airway reassessment unnecessary

Answer

Midazolam 5 mg IV; benzodiazepines alone provide reliable analgesia for a long-bone fracture

Answer

Ketamine 160 mg IV rapidly; dissociation is the routine endpoint for tactical fracture analgesia

Question 7

A head-injured casualty opens the eyes only to pain, speaks inappropriate words, and localizes a painful stimulus. How should these findings be recorded and interpreted?

Accepted Answer

E2 V3 M5 = GCS 10, moderate; trend each component and reassess airway protection

Answer

E2 V2 M4 = GCS 8, severe; intubate solely because the total is below 9

Answer

E3 V3 M4 = GCS 10, mild; serial neurologic examinations add little once the total is known

Answer

E2 V4 M5 = GCS 11, severe; permissive hypotension is acceptable while evacuation is arranged

Question 8

During SALT individual assessment, a 5-year-old remains apneic after the airway is opened but has a pulse. No unsurvivable injury is evident, and resources allow a rapid lifesaving intervention. What comes next?

Accepted Answer

Give two rescue breaths, then categorize according to the response and available resources

Answer

Assign Dead immediately because apnea after airway repositioning ends the SALT assessment

Answer

Give five rescue breaths before categorization; this is the pediatric SALT ventilation rule

Answer

Start two minutes of chest compressions before making any triage or transport decision

Question 9

A 70-kg adult has a 30% TBSA partial- and full-thickness burn sustained 2 hours ago. One liter of lactated Ringer's has already been given. Using Parkland, 4 mL x kg x %TBSA, with half due in the first 8 hours from burn time, which order accounts for both elapsed time and fluid already infused?

Accepted Answer

LR at about 530 mL/h; titrate thereafter to urine output of 30-50 mL/h

Answer

LR at 400 mL/h; begin the eight-hour clock when the casualty reaches care

Answer

LR at 700 mL/h because prehospital crystalloid is not subtracted from the first-half volume

Answer

Maintenance fluid only because adult formula resuscitation begins above, not at, 30% TBSA

Question 10

Over an intermittent radio link, an officer reports that a vented chest seal was placed on a penetrating chest wound. The casualty is now rapidly more dyspneic and dizzy. The officer is neither trained nor authorized to perform needle decompression. What should the officer be told to do now?

Accepted Answer

Burp or remove the seal now, use read-back, and report whether breathing improves

Answer

Leave the seal untouched until the team arrives because reopening it can convert the wound to open pneumothorax

Answer

Insert any available long needle at the second intercostal space despite the officer's lack of authorization

Answer

Turn the casualty prone and wait for a complete set of vital signs before changing the chest intervention

Free TP-C Practice Questions

Domain 1: Tactical Casualty Care (TECC/TCCC) 44% of exam

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Domain 2: Tactical Operations 24% of exam

Question 10

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