EFMB Exam 2026/2027 | Expert Field Medical Badge |
Complete Practice Questions, Correct Answers & Detailed
Rationales
Section 1: Tactical Combat Casualty Care (1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Provide hospital-level treatment at the point of injury
B. Provide lifesaving care while accounting for the tactical situation
C. Eliminate the need for evacuation
D. Treat only noncombat injuries
Answer: B
Rationale: TCCC combines evidence-based trauma care with tactical
considerations to improve casualty survival.
2. Which intervention has the highest immediate priority for a
casualty with massive external bleeding?
A. Splinting
B. Hemorrhage control
C. Oral fluids
D. Detailed medical history
Answer: B
Rationale: Uncontrolled hemorrhage can cause death rapidly, so
immediate bleeding control is a priority.
3. Which sequence best represents the MARCH assessment approach?
A. Medications, Airway, Respiration, Circulation, History
B. Massive hemorrhage, Airway, Respiration, Circulation,
,Hypothermia/Head injury
C. Mental status, Airway, Reflexes, Circulation, History
D. Movement, Assessment, Respiration, Circulation, Hydration
Answer: B
Rationale: MARCH prioritizes immediately life-threatening trauma
problems.
4. During Care Under Fire, the first consideration is generally to:
A. Perform a complete secondary assessment
B. Return effective fire and seek cover when appropriate
C. Establish two IV lines
D. Obtain a full medical history
Answer: B
Rationale: Tactical threats can prevent safe medical treatment, so
tactical safety and movement to cover are fundamental.
5. Which intervention is most appropriate for life-threatening
extremity hemorrhage when a tourniquet can be effectively applied?
A. Apply a tourniquet
B. Apply an ice pack only
C. Elevate the extremity only
D. Give oral fluids
Answer: A
Rationale: A properly applied tourniquet can rapidly control severe
extremity bleeding.
6. What is a key objective during Tactical Field Care?
A. Delay treatment until reaching a hospital
B. Address life-threatening conditions using available resources
C. Perform elective procedures
,D. Avoid reassessment
Answer: B
Rationale: Tactical Field Care permits more extensive lifesaving
interventions when the tactical environment allows.
7. Why should a casualty with major trauma be protected from
hypothermia?
A. Hypothermia improves clotting
B. Hypothermia can worsen trauma-induced coagulopathy
C. Hypothermia prevents infection
D. Hypothermia eliminates pain
Answer: B
Rationale: Hypothermia is associated with impaired coagulation and
worse outcomes in severely injured patients.
8. Which finding most strongly suggests life-threatening hemorrhage?
A. Small superficial abrasion
B. Spurting or uncontrolled bleeding
C. Mild localized itching
D. Stable chronic scar
Answer: B
Rationale: Uncontrolled high-volume bleeding can rapidly cause
hemorrhagic shock.
9. A casualty has severe bleeding from an extremity and a tourniquet
is available. What should the medic prioritize?
A. Immediate hemorrhage control
B. Detailed dietary history
C. Temperature measurement first
D. Splinting before bleeding control
, Answer: A
Rationale: Life-threatening bleeding takes precedence over less urgent
assessments.
10. What is the main purpose of a hemostatic dressing?
A. Reduce body temperature
B. Promote control of bleeding
C. Immobilize fractures
D. Treat burns
Answer: B
Rationale: Hemostatic dressings assist with controlling bleeding when
used appropriately with direct pressure.
11. When packing a deep wound, the primary objective is to:
A. Leave the wound empty
B. Fill the bleeding cavity with appropriate packing material and apply
pressure
C. Apply lotion
D. Cover only the surrounding skin
Answer: B
Rationale: Proper wound packing allows pressure to be applied directly
to the bleeding source.
12. Which condition should be suspected when a casualty has severe
bleeding, altered mental status, and weak pulses?
A. Hemorrhagic shock
B. Simple headache
C. Mild dehydration only
D. Stable hypertension
Answer: A
Complete Practice Questions, Correct Answers & Detailed
Rationales
Section 1: Tactical Combat Casualty Care (1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Provide hospital-level treatment at the point of injury
B. Provide lifesaving care while accounting for the tactical situation
C. Eliminate the need for evacuation
D. Treat only noncombat injuries
Answer: B
Rationale: TCCC combines evidence-based trauma care with tactical
considerations to improve casualty survival.
2. Which intervention has the highest immediate priority for a
casualty with massive external bleeding?
A. Splinting
B. Hemorrhage control
C. Oral fluids
D. Detailed medical history
Answer: B
Rationale: Uncontrolled hemorrhage can cause death rapidly, so
immediate bleeding control is a priority.
3. Which sequence best represents the MARCH assessment approach?
A. Medications, Airway, Respiration, Circulation, History
B. Massive hemorrhage, Airway, Respiration, Circulation,
,Hypothermia/Head injury
C. Mental status, Airway, Reflexes, Circulation, History
D. Movement, Assessment, Respiration, Circulation, Hydration
Answer: B
Rationale: MARCH prioritizes immediately life-threatening trauma
problems.
4. During Care Under Fire, the first consideration is generally to:
A. Perform a complete secondary assessment
B. Return effective fire and seek cover when appropriate
C. Establish two IV lines
D. Obtain a full medical history
Answer: B
Rationale: Tactical threats can prevent safe medical treatment, so
tactical safety and movement to cover are fundamental.
5. Which intervention is most appropriate for life-threatening
extremity hemorrhage when a tourniquet can be effectively applied?
A. Apply a tourniquet
B. Apply an ice pack only
C. Elevate the extremity only
D. Give oral fluids
Answer: A
Rationale: A properly applied tourniquet can rapidly control severe
extremity bleeding.
6. What is a key objective during Tactical Field Care?
A. Delay treatment until reaching a hospital
B. Address life-threatening conditions using available resources
C. Perform elective procedures
,D. Avoid reassessment
Answer: B
Rationale: Tactical Field Care permits more extensive lifesaving
interventions when the tactical environment allows.
7. Why should a casualty with major trauma be protected from
hypothermia?
A. Hypothermia improves clotting
B. Hypothermia can worsen trauma-induced coagulopathy
C. Hypothermia prevents infection
D. Hypothermia eliminates pain
Answer: B
Rationale: Hypothermia is associated with impaired coagulation and
worse outcomes in severely injured patients.
8. Which finding most strongly suggests life-threatening hemorrhage?
A. Small superficial abrasion
B. Spurting or uncontrolled bleeding
C. Mild localized itching
D. Stable chronic scar
Answer: B
Rationale: Uncontrolled high-volume bleeding can rapidly cause
hemorrhagic shock.
9. A casualty has severe bleeding from an extremity and a tourniquet
is available. What should the medic prioritize?
A. Immediate hemorrhage control
B. Detailed dietary history
C. Temperature measurement first
D. Splinting before bleeding control
, Answer: A
Rationale: Life-threatening bleeding takes precedence over less urgent
assessments.
10. What is the main purpose of a hemostatic dressing?
A. Reduce body temperature
B. Promote control of bleeding
C. Immobilize fractures
D. Treat burns
Answer: B
Rationale: Hemostatic dressings assist with controlling bleeding when
used appropriately with direct pressure.
11. When packing a deep wound, the primary objective is to:
A. Leave the wound empty
B. Fill the bleeding cavity with appropriate packing material and apply
pressure
C. Apply lotion
D. Cover only the surrounding skin
Answer: B
Rationale: Proper wound packing allows pressure to be applied directly
to the bleeding source.
12. Which condition should be suspected when a casualty has severe
bleeding, altered mental status, and weak pulses?
A. Hemorrhagic shock
B. Simple headache
C. Mild dehydration only
D. Stable hypertension
Answer: A
