TECC Certification Exam 2026/2027 | 250 + Practice Questions,
Answers & Detailed Rationales | MARCH, Hemorrhage Control,
Airway & Trauma
SECTION 1: TECC FUNDAMENTALS & MARCH
1. What does the acronym MARCH represent in TECC?
A. Massive hemorrhage, Airway, Respirations, Circulation, Head
injury/Hypothermia
B. Movement, Airway, Respiration, Cardiac arrest, Hemorrhage
C. Massive airway, Respiration, Circulation, Head injury, Evacuation
D. Monitoring, Airway, Resuscitation, Cardiac care, Hypothermia
Correct Answer: A
Rationale: MARCH provides a structured approach to major
traumatic threats: massive hemorrhage, airway, respirations,
circulation, and head injury/hypothermia.
2. Which problem receives the highest initial priority in the MARCH
sequence?
A. Minor fractures
B. Massive hemorrhage
C. Pain
D. Hypothermia
Correct Answer: B
Rationale: Catastrophic bleeding can cause death within minutes, so
uncontrolled massive hemorrhage is addressed first.
3. TECC is primarily designed for care during which type of
environment?
A. Routine outpatient care
B. Civilian tactical incidents
C. Elective surgery
D. Long-term rehabilitation
Correct Answer: B
,Rationale: TECC provides principles for managing trauma in civilian
tactical and high-threat environments.
4. What is a fundamental consideration before providing care in a
tactical environment?
A. Complete all documentation first
B. Ensure scene and provider safety
C. Obtain a detailed medical history
D. Start an IV immediately
Correct Answer: B
Rationale: Providers must consider threats and operational safety
before entering or remaining in an unsafe area.
5. Which organization establishes TECC guidelines?
A. C-TECC
B. WHO only
C. OSHA
D. FAA
Correct Answer: A
Rationale: The Committee for Tactical Emergency Casualty Care (C-
TECC) establishes TECC guidelines. (NAEMT)
6. Which principle is especially important during Direct Threat Care?
A. Complete a full secondary survey
B. Minimize time exposed to danger
C. Establish multiple IV lines
D. Perform extensive wound irrigation
Correct Answer: B
Rationale: During direct threat conditions, care should focus on
immediate life-saving interventions while minimizing exposure to
danger.
,7. What should not be allowed to unnecessarily delay casualty
evacuation?
A. Life-saving interventions
B. Non-life-saving interventions
C. Hemorrhage control
D. Immediate airway management
Correct Answer: B
Rationale: C-TECC emphasizes that evacuation should not be delayed
for interventions that are not immediately life-saving. (c-tecc.org)
8. Which of the following is an example of a life-threatening
traumatic condition?
A. Small superficial abrasion
B. Uncontrolled arterial bleeding
C. Mild ankle sprain
D. Small bruise
Correct Answer: B
Rationale: Uncontrolled major bleeding can rapidly cause
exsanguination and death.
9. What is the purpose of using a structured assessment such as
MARCH?
A. To replace clinical judgment
B. To organize assessment and treatment priorities
C. To eliminate the need for reassessment
D. To determine insurance eligibility
Correct Answer: B
Rationale: MARCH helps providers systematically identify and treat
immediate threats.
10. Which alternative mnemonic may also be used for traumatic
assessment?
, A. SAMPLE
B. OPQRST
C. X-ABCDE
D. AVPU
Correct Answer: C
Rationale: C-TECC identifies X-ABCDE as another approach, with X
representing exsanguination. (c-tecc.org)
11. In X-ABCDE, what does X represent?
A. Exposure
B. Exsanguination
C. Examination
D. Extraction
Correct Answer: B
Rationale: X represents exsanguination or catastrophic external
bleeding.
12. What is the primary goal of hemorrhage control?
A. Reduce pain
B. Prevent continued blood loss
C. Improve oxygen saturation only
D. Prevent infection immediately
Correct Answer: B
Rationale: Rapid control of major bleeding is intended to prevent
continued blood loss and circulatory collapse.
13. Which finding most strongly suggests severe blood loss?
A. Warm, dry skin and normal pulse
B. Weakness, altered mental status, and poor perfusion
C. Isolated minor abrasion
D. Normal activity level
Correct Answer: B
Answers & Detailed Rationales | MARCH, Hemorrhage Control,
Airway & Trauma
SECTION 1: TECC FUNDAMENTALS & MARCH
1. What does the acronym MARCH represent in TECC?
A. Massive hemorrhage, Airway, Respirations, Circulation, Head
injury/Hypothermia
B. Movement, Airway, Respiration, Cardiac arrest, Hemorrhage
C. Massive airway, Respiration, Circulation, Head injury, Evacuation
D. Monitoring, Airway, Resuscitation, Cardiac care, Hypothermia
Correct Answer: A
Rationale: MARCH provides a structured approach to major
traumatic threats: massive hemorrhage, airway, respirations,
circulation, and head injury/hypothermia.
2. Which problem receives the highest initial priority in the MARCH
sequence?
A. Minor fractures
B. Massive hemorrhage
C. Pain
D. Hypothermia
Correct Answer: B
Rationale: Catastrophic bleeding can cause death within minutes, so
uncontrolled massive hemorrhage is addressed first.
3. TECC is primarily designed for care during which type of
environment?
A. Routine outpatient care
B. Civilian tactical incidents
C. Elective surgery
D. Long-term rehabilitation
Correct Answer: B
,Rationale: TECC provides principles for managing trauma in civilian
tactical and high-threat environments.
4. What is a fundamental consideration before providing care in a
tactical environment?
A. Complete all documentation first
B. Ensure scene and provider safety
C. Obtain a detailed medical history
D. Start an IV immediately
Correct Answer: B
Rationale: Providers must consider threats and operational safety
before entering or remaining in an unsafe area.
5. Which organization establishes TECC guidelines?
A. C-TECC
B. WHO only
C. OSHA
D. FAA
Correct Answer: A
Rationale: The Committee for Tactical Emergency Casualty Care (C-
TECC) establishes TECC guidelines. (NAEMT)
6. Which principle is especially important during Direct Threat Care?
A. Complete a full secondary survey
B. Minimize time exposed to danger
C. Establish multiple IV lines
D. Perform extensive wound irrigation
Correct Answer: B
Rationale: During direct threat conditions, care should focus on
immediate life-saving interventions while minimizing exposure to
danger.
,7. What should not be allowed to unnecessarily delay casualty
evacuation?
A. Life-saving interventions
B. Non-life-saving interventions
C. Hemorrhage control
D. Immediate airway management
Correct Answer: B
Rationale: C-TECC emphasizes that evacuation should not be delayed
for interventions that are not immediately life-saving. (c-tecc.org)
8. Which of the following is an example of a life-threatening
traumatic condition?
A. Small superficial abrasion
B. Uncontrolled arterial bleeding
C. Mild ankle sprain
D. Small bruise
Correct Answer: B
Rationale: Uncontrolled major bleeding can rapidly cause
exsanguination and death.
9. What is the purpose of using a structured assessment such as
MARCH?
A. To replace clinical judgment
B. To organize assessment and treatment priorities
C. To eliminate the need for reassessment
D. To determine insurance eligibility
Correct Answer: B
Rationale: MARCH helps providers systematically identify and treat
immediate threats.
10. Which alternative mnemonic may also be used for traumatic
assessment?
, A. SAMPLE
B. OPQRST
C. X-ABCDE
D. AVPU
Correct Answer: C
Rationale: C-TECC identifies X-ABCDE as another approach, with X
representing exsanguination. (c-tecc.org)
11. In X-ABCDE, what does X represent?
A. Exposure
B. Exsanguination
C. Examination
D. Extraction
Correct Answer: B
Rationale: X represents exsanguination or catastrophic external
bleeding.
12. What is the primary goal of hemorrhage control?
A. Reduce pain
B. Prevent continued blood loss
C. Improve oxygen saturation only
D. Prevent infection immediately
Correct Answer: B
Rationale: Rapid control of major bleeding is intended to prevent
continued blood loss and circulatory collapse.
13. Which finding most strongly suggests severe blood loss?
A. Warm, dry skin and normal pulse
B. Weakness, altered mental status, and poor perfusion
C. Isolated minor abrasion
D. Normal activity level
Correct Answer: B
