EFMB Practice Test 2026/2027 | TCCC, MARCH PAWS, MEDEVAC,
Trauma & Field Medicine | Complete Questions & Answers
Section 1: TCCC Fundamentals & MARCH PAWS — Questions 1–40
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital care
B. Provide lifesaving trauma care while considering the tactical
environment
C. Eliminate the need for evacuation
D. Treat only penetrating injuries
Answer: B
Explanation: TCCC combines evidence-based trauma care with tactical
considerations to improve casualty survival.
2. Which phase of TCCC occurs while the casualty and rescuer are
under effective hostile fire?
A. Tactical Field Care
B. Prolonged Field Care
C. Care Under Fire
D. Definitive Care
Answer: C
Explanation: Care Under Fire emphasizes immediate lifesaving
interventions that can be performed without unnecessarily increasing
exposure to hostile fire.
3. During Care Under Fire, which priority generally comes first?
A. Establish a complete medical history
,B. Control life-threatening external hemorrhage when tactically feasible
C. Perform a full neurological examination
D. Establish intravenous access
Answer: B
Explanation: Life-threatening hemorrhage can cause death rapidly and
should be addressed when the tactical situation permits.
4. What does the “M” in MARCH represent?
A. Medication
B. Movement
C. Massive hemorrhage
D. Mental status
Answer: C
Explanation: MARCH begins with control of massive or life-threatening
hemorrhage.
5. What does the “A” in MARCH represent?
A. Assessment
B. Airway
C. Analgesia
D. Allergy
Answer: B
Explanation: After hemorrhage control, airway assessment and
management are addressed.
6. What does the “R” in MARCH represent?
A. Respiration
B. Resuscitation
,C. Recovery
D. Response
Answer: A
Explanation: Respiration includes identifying and treating life-
threatening chest injuries.
7. What does the “C” in MARCH represent?
A. Circulation
B. Consciousness
C. Contamination
D. Compression
Answer: A
Explanation: Circulation focuses on shock, perfusion, and additional
bleeding after immediate threats are addressed.
8. What does the “H” in MARCH represent?
A. Head injury
B. Hypothermia/head injury
C. Hemoglobin
D. Hydration
Answer: B
Explanation: Preventing hypothermia is especially important in trauma
because it can worsen coagulopathy and outcomes.
9. In MARCH PAWS, what does the “P” represent?
A. Pain
B. Pulse
C. Position
D. Perfusion
, Answer: A
Explanation: PAWS expands the assessment to include pain
management and other important follow-on care.
10. What does the “A” in PAWS represent?
A. Antibiotics
B. Airway
C. Assessment
D. Allergy
Answer: A
Explanation: Antibiotic considerations are included when indicated for
combat trauma.
11. What does the “W” in PAWS represent?
A. Wounds
B. Water
C. Walking
D. Weight
Answer: A
Explanation: Wounds require reassessment, treatment, and
documentation.
12. Which finding most strongly suggests life-threatening external
hemorrhage?
A. Small superficial abrasion
B. Slow oozing from a minor cut
C. Spurting blood from a major extremity wound
D. Bruising without bleeding
Trauma & Field Medicine | Complete Questions & Answers
Section 1: TCCC Fundamentals & MARCH PAWS — Questions 1–40
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital care
B. Provide lifesaving trauma care while considering the tactical
environment
C. Eliminate the need for evacuation
D. Treat only penetrating injuries
Answer: B
Explanation: TCCC combines evidence-based trauma care with tactical
considerations to improve casualty survival.
2. Which phase of TCCC occurs while the casualty and rescuer are
under effective hostile fire?
A. Tactical Field Care
B. Prolonged Field Care
C. Care Under Fire
D. Definitive Care
Answer: C
Explanation: Care Under Fire emphasizes immediate lifesaving
interventions that can be performed without unnecessarily increasing
exposure to hostile fire.
3. During Care Under Fire, which priority generally comes first?
A. Establish a complete medical history
,B. Control life-threatening external hemorrhage when tactically feasible
C. Perform a full neurological examination
D. Establish intravenous access
Answer: B
Explanation: Life-threatening hemorrhage can cause death rapidly and
should be addressed when the tactical situation permits.
4. What does the “M” in MARCH represent?
A. Medication
B. Movement
C. Massive hemorrhage
D. Mental status
Answer: C
Explanation: MARCH begins with control of massive or life-threatening
hemorrhage.
5. What does the “A” in MARCH represent?
A. Assessment
B. Airway
C. Analgesia
D. Allergy
Answer: B
Explanation: After hemorrhage control, airway assessment and
management are addressed.
6. What does the “R” in MARCH represent?
A. Respiration
B. Resuscitation
,C. Recovery
D. Response
Answer: A
Explanation: Respiration includes identifying and treating life-
threatening chest injuries.
7. What does the “C” in MARCH represent?
A. Circulation
B. Consciousness
C. Contamination
D. Compression
Answer: A
Explanation: Circulation focuses on shock, perfusion, and additional
bleeding after immediate threats are addressed.
8. What does the “H” in MARCH represent?
A. Head injury
B. Hypothermia/head injury
C. Hemoglobin
D. Hydration
Answer: B
Explanation: Preventing hypothermia is especially important in trauma
because it can worsen coagulopathy and outcomes.
9. In MARCH PAWS, what does the “P” represent?
A. Pain
B. Pulse
C. Position
D. Perfusion
, Answer: A
Explanation: PAWS expands the assessment to include pain
management and other important follow-on care.
10. What does the “A” in PAWS represent?
A. Antibiotics
B. Airway
C. Assessment
D. Allergy
Answer: A
Explanation: Antibiotic considerations are included when indicated for
combat trauma.
11. What does the “W” in PAWS represent?
A. Wounds
B. Water
C. Walking
D. Weight
Answer: A
Explanation: Wounds require reassessment, treatment, and
documentation.
12. Which finding most strongly suggests life-threatening external
hemorrhage?
A. Small superficial abrasion
B. Slow oozing from a minor cut
C. Spurting blood from a major extremity wound
D. Bruising without bleeding
