TECC Exam 2026/2027 | 300 Practice Questions, Correct Answers & Detailed Rationales | Tactical Emergency Casualty Care

TECC Exam 2026/2027 | 300 Practice Questions, Correct Answers &
Detailed Rationales | Tactical Emergency Casualty Care
SECTION 1: TECC FUNDAMENTALS AND TACTICAL CONSIDERATIONS
Question 1
What is the primary purpose of Tactical Emergency Casualty Care
(TECC)?
A. To provide definitive surgical treatment at the scene
B. To guide casualty care in high-threat civilian environments
C. To replace all local EMS protocols
D. To eliminate the need for evacuation
Correct Answer: B
Rationale: TECC provides principles for managing trauma casualties
in high-threat civilian environments while accounting for tactical
conditions, responder safety, resources, and scope of practice.

Question 2
Which organization is responsible for developing and maintaining the
TECC guidelines?
A. C-TECC
B. OSHA
C. FEMA
D. CDC
Correct Answer: A
Rationale: The Committee for Tactical Emergency Casualty Care (C-
TECC) develops and maintains TECC guidelines for civilian tactical
and high-threat environments.

Question 3
Which three broad phases are used in the TECC framework?
A. Primary, secondary, tertiary
B. Emergency, urgent, routine

,C. Direct Threat, Indirect Threat, Evacuation
D. Rescue, surgery, rehabilitation
Correct Answer: C
Rationale: TECC divides care into Direct Threat Care, Indirect Threat
Care, and Evacuation Care. These phases are dynamic and depend
on the threat environment.

Question 4
What primarily distinguishes Direct Threat Care from Indirect Threat
Care?
A. The patient's age
B. The presence and level of operational threat
C. The type of ambulance available
D. Whether the patient has a fracture
Correct Answer: B
Rationale: The phase of care is determined largely by the
relationship between the casualty, responder, and threat. Direct
Threat Care occurs while significant threat remains.

Question 5
During Direct Threat Care, what is generally the highest operational
priority?
A. Performing a complete secondary assessment
B. Completing documentation
C. Mitigating the threat and preventing additional casualties
D. Establishing long-term treatment plans
Correct Answer: C
Rationale: In a direct-threat environment, responders must first
address the threat and avoid creating additional casualties.

Question 6

,Why may extensive medical treatment be delayed during Direct
Threat Care?
A. Medical care is never useful in tactical environments
B. Extensive treatment may expose responders and casualties to
unnecessary danger
C. Casualties cannot be treated until a hospital is contacted
D. TECC prohibits all treatment outside hospitals
Correct Answer: B
Rationale: The tactical environment may make prolonged treatment
unsafe. Only appropriate immediate lifesaving interventions should
be considered when the threat remains significant.

Question 7
Which intervention is particularly important for severe extremity
hemorrhage during Direct Threat Care when feasible?
A. Tourniquet application
B. Oral antibiotics
C. Splinting
D. Detailed wound suturing
Correct Answer: A
Rationale: A tourniquet can rapidly control life-threatening
extremity bleeding and may be appropriate when conditions permit.

Question 8
A casualty who is alert and physically capable is able to move toward
safety. What may be appropriate?
A. Prevent the casualty from moving
B. Encourage movement toward relative safety
C. Keep the casualty in the threat area
D. Begin a complete secondary survey first
Correct Answer: B

, Rationale: Capable casualties may be able to move themselves to
relative safety, reducing exposure and allowing responders to focus
on those requiring assistance.

Question 9
What is an important advantage of casualty self-aid?
A. It eliminates the need for EMS
B. It can allow lifesaving care before a responder reaches the casualty
C. It guarantees survival
D. It eliminates the need for evacuation
Correct Answer: B
Rationale: Self-aid can provide immediate hemorrhage control and
other basic lifesaving actions while reducing responder exposure.

Question 10
Why is responder safety emphasized in TECC?
A. Responders are never required to treat patients
B. A wounded responder can become an additional casualty
C. Patient care is less important than responder comfort
D. Safety applies only to law enforcement
Correct Answer: B
Rationale: Preventing additional casualties preserves the ability to
rescue and treat others.

Question 11
Which statement best describes the TECC phases?
A. They are fixed geographic locations
B. They are dynamic and may change as the threat changes
C. They apply only inside hospitals
D. They are determined only by patient age
Correct Answer: B