TECC-LEO Exam 2026/2027 | 300 Practice Questions, Correct
Answers & Detailed Rationales | Law Enforcement & First
Responders
SECTION 1 — TECC PRINCIPLES, THREAT MANAGEMENT & CARE
PHASES
1. What is the primary purpose of Tactical Emergency Casualty Care
(TECC)?
A. Provide hospital-level surgery at the scene
B. Provide appropriate casualty care in high-threat civilian
environments
C. Replace all conventional EMS systems
D. Eliminate the need for evacuation
Correct Answer: B
Rationale: TECC provides casualty-management principles for civilian
tactical and high-threat environments while accounting for
operational threats, available resources, and provider scope.
2. Which organization establishes the TECC guidelines?
A. OSHA
B. C-TECC
C. FEMA only
D. CDC
Correct Answer: B
Rationale: The Committee for Tactical Emergency Casualty Care (C-
TECC) establishes TECC guidelines for civilian tactical and rescue
operations.
3. Which three phases form the TECC construct?
A. Hot, warm, and cold weather
B. Rescue, treatment, and discharge
C. Direct Threat, Indirect Threat, and Evacuation
D. Primary, secondary, and tertiary
,Correct Answer: C
Rationale: TECC uses three dynamic phases: Direct Threat Care,
Indirect Threat Care, and Evacuation Care.
4. What determines the TECC phase of care?
A. The color of the patient's clothing
B. The geographic location alone
C. The contemporaneous threat level
D. The patient's age
Correct Answer: C
Rationale: TECC phases are dynamic and correlate with the current
threat level rather than being determined solely by geographic
location.
5. During a direct threat, the responder's first priority is generally to:
A. Perform a complete physical examination
B. Establish a hospital IV
C. Address the threat and perform only appropriate lifesaving
interventions
D. Obtain a detailed medical history
Correct Answer: C
Rationale: During Direct Threat Care, responders must balance
casualty care with operational safety and threat mitigation.
6. Why should responders avoid unnecessary exposure to an
ongoing threat?
A. It increases paperwork
B. It may create additional casualties
C. It delays documentation
D. It prevents communication with dispatch
Correct Answer: B
,Rationale: A responder who becomes injured can become another
casualty and reduce the team's ability to rescue others.
7. Which principle is emphasized throughout TECC?
A. Perform every intervention before evacuation
B. Delay evacuation until all wounds are treated
C. Provide rapid lifesaving care and facilitate early extraction
D. Transport only ambulatory patients
Correct Answer: C
Rationale: TECC emphasizes immediate access, rapid lifesaving
interventions, and early extraction for patients requiring definitive
medical care.
8. In a direct-threat environment, which intervention is commonly
prioritized when severe extremity bleeding is obvious?
A. Splinting
B. Tourniquet application when appropriate
C. Detailed neurological examination
D. Oral hydration
Correct Answer: B
Rationale: Life-threatening extremity hemorrhage may require rapid
tourniquet application when appropriate and within the responder's
training.
9. A TECC-LEO provider should perform medical procedures
according to:
A. Personal preference
B. Internet videos
C. Training, agency protocol, and scope of practice
D. The patient's request alone
Correct Answer: C
, Rationale: TECC principles must be applied according to provider
capability, agency policy, resources, and scope of practice.
10. Which statement best describes TECC guidelines?
A. They mandate one specific commercial product
B. They are principles that require appropriate local application
C. They replace local protocols
D. They apply only to military combat
Correct Answer: B
Rationale: C-TECC guidelines are principle-based and intentionally
account for different civilian resources and scopes of practice. (C-
TeCC)
11. A law-enforcement officer arrives at an active violent scene with
an injured person visible nearby. What should guide the officer's
actions?
A. Ignore the threat and immediately treat the casualty
B. Operational safety and established emergency procedures
C. Complete a trauma assessment first
D. Wait for hospital personnel
Correct Answer: B
Rationale: Operational threats influence medical response.
Responders should follow established emergency procedures while
providing appropriate lifesaving care when feasible.
12. What is meant by "self-aid" in a tactical medical environment?
A. A responder treating another responder only
B. A casualty using appropriate lifesaving measures on themselves
C. A physician providing remote surgery
D. A hospital discharge process
Correct Answer: B
Answers & Detailed Rationales | Law Enforcement & First
Responders
SECTION 1 — TECC PRINCIPLES, THREAT MANAGEMENT & CARE
PHASES
1. What is the primary purpose of Tactical Emergency Casualty Care
(TECC)?
A. Provide hospital-level surgery at the scene
B. Provide appropriate casualty care in high-threat civilian
environments
C. Replace all conventional EMS systems
D. Eliminate the need for evacuation
Correct Answer: B
Rationale: TECC provides casualty-management principles for civilian
tactical and high-threat environments while accounting for
operational threats, available resources, and provider scope.
2. Which organization establishes the TECC guidelines?
A. OSHA
B. C-TECC
C. FEMA only
D. CDC
Correct Answer: B
Rationale: The Committee for Tactical Emergency Casualty Care (C-
TECC) establishes TECC guidelines for civilian tactical and rescue
operations.
3. Which three phases form the TECC construct?
A. Hot, warm, and cold weather
B. Rescue, treatment, and discharge
C. Direct Threat, Indirect Threat, and Evacuation
D. Primary, secondary, and tertiary
,Correct Answer: C
Rationale: TECC uses three dynamic phases: Direct Threat Care,
Indirect Threat Care, and Evacuation Care.
4. What determines the TECC phase of care?
A. The color of the patient's clothing
B. The geographic location alone
C. The contemporaneous threat level
D. The patient's age
Correct Answer: C
Rationale: TECC phases are dynamic and correlate with the current
threat level rather than being determined solely by geographic
location.
5. During a direct threat, the responder's first priority is generally to:
A. Perform a complete physical examination
B. Establish a hospital IV
C. Address the threat and perform only appropriate lifesaving
interventions
D. Obtain a detailed medical history
Correct Answer: C
Rationale: During Direct Threat Care, responders must balance
casualty care with operational safety and threat mitigation.
6. Why should responders avoid unnecessary exposure to an
ongoing threat?
A. It increases paperwork
B. It may create additional casualties
C. It delays documentation
D. It prevents communication with dispatch
Correct Answer: B
,Rationale: A responder who becomes injured can become another
casualty and reduce the team's ability to rescue others.
7. Which principle is emphasized throughout TECC?
A. Perform every intervention before evacuation
B. Delay evacuation until all wounds are treated
C. Provide rapid lifesaving care and facilitate early extraction
D. Transport only ambulatory patients
Correct Answer: C
Rationale: TECC emphasizes immediate access, rapid lifesaving
interventions, and early extraction for patients requiring definitive
medical care.
8. In a direct-threat environment, which intervention is commonly
prioritized when severe extremity bleeding is obvious?
A. Splinting
B. Tourniquet application when appropriate
C. Detailed neurological examination
D. Oral hydration
Correct Answer: B
Rationale: Life-threatening extremity hemorrhage may require rapid
tourniquet application when appropriate and within the responder's
training.
9. A TECC-LEO provider should perform medical procedures
according to:
A. Personal preference
B. Internet videos
C. Training, agency protocol, and scope of practice
D. The patient's request alone
Correct Answer: C
, Rationale: TECC principles must be applied according to provider
capability, agency policy, resources, and scope of practice.
10. Which statement best describes TECC guidelines?
A. They mandate one specific commercial product
B. They are principles that require appropriate local application
C. They replace local protocols
D. They apply only to military combat
Correct Answer: B
Rationale: C-TECC guidelines are principle-based and intentionally
account for different civilian resources and scopes of practice. (C-
TeCC)
11. A law-enforcement officer arrives at an active violent scene with
an injured person visible nearby. What should guide the officer's
actions?
A. Ignore the threat and immediately treat the casualty
B. Operational safety and established emergency procedures
C. Complete a trauma assessment first
D. Wait for hospital personnel
Correct Answer: B
Rationale: Operational threats influence medical response.
Responders should follow established emergency procedures while
providing appropriate lifesaving care when feasible.
12. What is meant by "self-aid" in a tactical medical environment?
A. A responder treating another responder only
B. A casualty using appropriate lifesaving measures on themselves
C. A physician providing remote surgery
D. A hospital discharge process
Correct Answer: B
