EFMB Written Test Study Guide 2026/2027 | 300+ Practice
Questions, Answers & Detailed Rationales | Expert Field
Medical Badge
Section 1: Tactical Combat Casualty Care (1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital treatment
B. Provide lifesaving care while accounting for the tactical situation
C. Eliminate the need for evacuation
D. Treat only combat injuries
Answer: B
Rationale: TCCC integrates trauma care with tactical considerations to
improve casualty survival.
2. Which intervention is generally the highest priority when a casualty
has life-threatening external hemorrhage?
A. Splinting
B. Hemorrhage control
C. Oral hydration
D. Detailed medical history
Answer: B
Rationale: Uncontrolled massive hemorrhage can cause death within
minutes, making rapid hemorrhage control critical.
3. During Care Under Fire, the first consideration is usually to:
A. Perform a complete head-to-toe assessment
,B. Obtain a detailed SAMPLE history
C. Address the tactical threat and provide immediately indicated
lifesaving care
D. Establish intravenous access
Answer: C
Rationale: Care must be balanced with the tactical environment;
extensive medical procedures may be delayed until the casualty reaches
a safer setting.
4. Which sequence is commonly associated with the MARCH approach
to trauma care?
A. Movement, airway, respiration, circulation, history
B. Massive hemorrhage, airway, respiration, circulation,
hypothermia/head injury
C. Medication, airway, recovery, circulation, hydration
D. Mental status, airway, respiration, circulation, history
Answer: B
Rationale: MARCH prioritizes immediately life-threatening trauma
problems in a structured sequence.
5. A casualty has severe bleeding from an extremity. Which device is
specifically designed for rapid control of life-threatening extremity
hemorrhage?
A. Cervical collar
B. Tourniquet
C. Nasal airway
D. Traction splint
,Answer: B
Rationale: A properly applied tourniquet is designed to rapidly control
severe extremity bleeding.
6. What is a major advantage of a commercial limb tourniquet?
A. It provides airway protection
B. It allows rapid mechanical control of extremity hemorrhage
C. It replaces wound packing in all wounds
D. It treats hypothermia
Answer: B
Rationale: Tourniquets provide direct circumferential pressure to
control severe extremity bleeding.
7. After a tourniquet is applied, the medic should primarily confirm
that:
A. The casualty can walk normally
B. Life-threatening bleeding is controlled
C. The wound is completely closed
D. The casualty has no pain
Answer: B
Rationale: The immediate purpose of the tourniquet is hemorrhage
control.
8. A wound in an area where a tourniquet cannot be effectively
applied may require:
A. Wound packing and pressure
B. Oral antibiotics only
C. Ice application only
D. Passive movement
, Answer: A
Rationale: Junctional wounds may require direct pressure, wound
packing, and appropriate hemostatic materials.
9. Hemostatic dressings are primarily intended to:
A. Treat fractures
B. Promote control of bleeding
C. Prevent hypothermia
D. Improve oxygenation
Answer: B
Rationale: Hemostatic dressings contain agents or materials intended to
enhance clot formation and hemorrhage control.
10. Why is reassessment important after hemorrhage control?
A. Bleeding can recur or the initial intervention may be inadequate
B. It eliminates the need for evacuation
C. It determines the casualty's rank
D. It replaces documentation
Answer: A
Rationale: Continued monitoring identifies recurrent bleeding and
other developing problems.
11. What is a major concern when a casualty remains exposed to cold
conditions after trauma?
A. Hypothermia can worsen coagulopathy
B. Cold always improves clotting
C. Cold prevents shock
D. Hypothermia eliminates pain
Questions, Answers & Detailed Rationales | Expert Field
Medical Badge
Section 1: Tactical Combat Casualty Care (1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital treatment
B. Provide lifesaving care while accounting for the tactical situation
C. Eliminate the need for evacuation
D. Treat only combat injuries
Answer: B
Rationale: TCCC integrates trauma care with tactical considerations to
improve casualty survival.
2. Which intervention is generally the highest priority when a casualty
has life-threatening external hemorrhage?
A. Splinting
B. Hemorrhage control
C. Oral hydration
D. Detailed medical history
Answer: B
Rationale: Uncontrolled massive hemorrhage can cause death within
minutes, making rapid hemorrhage control critical.
3. During Care Under Fire, the first consideration is usually to:
A. Perform a complete head-to-toe assessment
,B. Obtain a detailed SAMPLE history
C. Address the tactical threat and provide immediately indicated
lifesaving care
D. Establish intravenous access
Answer: C
Rationale: Care must be balanced with the tactical environment;
extensive medical procedures may be delayed until the casualty reaches
a safer setting.
4. Which sequence is commonly associated with the MARCH approach
to trauma care?
A. Movement, airway, respiration, circulation, history
B. Massive hemorrhage, airway, respiration, circulation,
hypothermia/head injury
C. Medication, airway, recovery, circulation, hydration
D. Mental status, airway, respiration, circulation, history
Answer: B
Rationale: MARCH prioritizes immediately life-threatening trauma
problems in a structured sequence.
5. A casualty has severe bleeding from an extremity. Which device is
specifically designed for rapid control of life-threatening extremity
hemorrhage?
A. Cervical collar
B. Tourniquet
C. Nasal airway
D. Traction splint
,Answer: B
Rationale: A properly applied tourniquet is designed to rapidly control
severe extremity bleeding.
6. What is a major advantage of a commercial limb tourniquet?
A. It provides airway protection
B. It allows rapid mechanical control of extremity hemorrhage
C. It replaces wound packing in all wounds
D. It treats hypothermia
Answer: B
Rationale: Tourniquets provide direct circumferential pressure to
control severe extremity bleeding.
7. After a tourniquet is applied, the medic should primarily confirm
that:
A. The casualty can walk normally
B. Life-threatening bleeding is controlled
C. The wound is completely closed
D. The casualty has no pain
Answer: B
Rationale: The immediate purpose of the tourniquet is hemorrhage
control.
8. A wound in an area where a tourniquet cannot be effectively
applied may require:
A. Wound packing and pressure
B. Oral antibiotics only
C. Ice application only
D. Passive movement
, Answer: A
Rationale: Junctional wounds may require direct pressure, wound
packing, and appropriate hemostatic materials.
9. Hemostatic dressings are primarily intended to:
A. Treat fractures
B. Promote control of bleeding
C. Prevent hypothermia
D. Improve oxygenation
Answer: B
Rationale: Hemostatic dressings contain agents or materials intended to
enhance clot formation and hemorrhage control.
10. Why is reassessment important after hemorrhage control?
A. Bleeding can recur or the initial intervention may be inadequate
B. It eliminates the need for evacuation
C. It determines the casualty's rank
D. It replaces documentation
Answer: A
Rationale: Continued monitoring identifies recurrent bleeding and
other developing problems.
11. What is a major concern when a casualty remains exposed to cold
conditions after trauma?
A. Hypothermia can worsen coagulopathy
B. Cold always improves clotting
C. Cold prevents shock
D. Hypothermia eliminates pain
