1|Page
HCB TCCC EXAM 2025-2026 | 120 VERIFIED QUESTIONS &
DETAILED ANSWERS | MARCH ALGORITHM & COMBAT
TRAUMA CARE STUDY GUIDE,100% CORRECT ALREADY
GRADED A+
Topic: Care Under Fire
Question 1:
What is the first priority during Care Under Fire (CUF)?
A) Airway management
B) Applying a tourniquet
C) Returning fire and taking cover
D) Performing CPR
Correct Answer: C
Rationale:
In CUF, the first priority is to eliminate the threat or take cover to prevent
additional casualties before providing care.
Topic: Care Under Fire
Question 2:
When should a tourniquet be applied during CUF?
A) After airway is secured
B) As soon as possible for life-threatening extremity hemorrhage
C) After evacuation
D) Only if direct pressure fails
Correct Answer: B
Rationale:
Life-threatening bleeding must be controlled immediately in CUF with a
tourniquet, even before airway and breathing interventions.
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Topic: Tactical Field Care
Question 3:
Which airway maneuver is preferred for a patient with possible cervical
spine injury?
A) Head tilt–chin lift
B) Jaw thrust maneuver
C) Nasal airway insertion
D) Chin lift only
Correct Answer: B
Rationale:
Jaw thrust avoids neck movement and maintains airway patency in
suspected spinal injury.
Topic: Tactical Field Care
Question 4:
Which airway adjunct is used in a semi-conscious casualty with intact gag
reflex?
A) Oropharyngeal airway (OPA)
B) Nasopharyngeal airway (NPA)
C) Endotracheal tube
D) Cricothyrotomy
Correct Answer: B
Rationale:
NPA is tolerated in patients with gag reflex and provides a simple airway
adjunct.
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Topic: Hemorrhage Control
Question 5:
Which is the preferred method for junctional hemorrhage?
A) Direct pressure only
B) Packing with hemostatic gauze
C) Hemostatic gauze + direct pressure
D) Tourniquet
Correct Answer: C
Rationale:
Junctional hemorrhage (groin, axilla) is best controlled with hemostatic
gauze packing and firm direct pressure.
Topic: Breathing
Question 6:
What is the definitive treatment for a tension pneumothorax in the field?
A) Oxygen
B) Chest tube
C) Needle decompression + chest seal
D) Positive pressure ventilation only
Correct Answer: C
Rationale:
Immediate needle decompression relieves intrathoracic pressure; chest seal
prevents re-entry of air.
Topic: Circulation
Question 7:
Which IV/IO fluid is preferred for hypotensive resuscitation in hemorrhagic
shock?
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A) Normal saline
B) Whole blood (preferred) or balanced blood products
C) D5W
D) Hypertonic saline
Correct Answer: B
Rationale:
Damage control resuscitation prioritizes whole blood or balanced component
therapy (1:1:1 ratio).
Topic: Shock Management
Question 8:
What is the target systolic BP for hypotensive resuscitation in an
uncontrolled hemorrhage?
A) >120 mmHg
B) >110 mmHg
C) 80–90 mmHg (permissive hypotension)
D) >100 mmHg
Correct Answer: C
Rationale:
Permissive hypotension maintains perfusion while minimizing re-bleeding
risk until hemorrhage control.
Topic: Tactical Evacuation
Question 9:
Which phase allows for most advanced care (surgery, intubation, blood
transfusion)?
A) Care Under Fire
B) Tactical Field Care
C) Tactical Evacuation (TACEVAC) Care
D) None of the above
HCB TCCC EXAM 2025-2026 | 120 VERIFIED QUESTIONS &
DETAILED ANSWERS | MARCH ALGORITHM & COMBAT
TRAUMA CARE STUDY GUIDE,100% CORRECT ALREADY
GRADED A+
Topic: Care Under Fire
Question 1:
What is the first priority during Care Under Fire (CUF)?
A) Airway management
B) Applying a tourniquet
C) Returning fire and taking cover
D) Performing CPR
Correct Answer: C
Rationale:
In CUF, the first priority is to eliminate the threat or take cover to prevent
additional casualties before providing care.
Topic: Care Under Fire
Question 2:
When should a tourniquet be applied during CUF?
A) After airway is secured
B) As soon as possible for life-threatening extremity hemorrhage
C) After evacuation
D) Only if direct pressure fails
Correct Answer: B
Rationale:
Life-threatening bleeding must be controlled immediately in CUF with a
tourniquet, even before airway and breathing interventions.
,2|Page
Topic: Tactical Field Care
Question 3:
Which airway maneuver is preferred for a patient with possible cervical
spine injury?
A) Head tilt–chin lift
B) Jaw thrust maneuver
C) Nasal airway insertion
D) Chin lift only
Correct Answer: B
Rationale:
Jaw thrust avoids neck movement and maintains airway patency in
suspected spinal injury.
Topic: Tactical Field Care
Question 4:
Which airway adjunct is used in a semi-conscious casualty with intact gag
reflex?
A) Oropharyngeal airway (OPA)
B) Nasopharyngeal airway (NPA)
C) Endotracheal tube
D) Cricothyrotomy
Correct Answer: B
Rationale:
NPA is tolerated in patients with gag reflex and provides a simple airway
adjunct.
,3|Page
Topic: Hemorrhage Control
Question 5:
Which is the preferred method for junctional hemorrhage?
A) Direct pressure only
B) Packing with hemostatic gauze
C) Hemostatic gauze + direct pressure
D) Tourniquet
Correct Answer: C
Rationale:
Junctional hemorrhage (groin, axilla) is best controlled with hemostatic
gauze packing and firm direct pressure.
Topic: Breathing
Question 6:
What is the definitive treatment for a tension pneumothorax in the field?
A) Oxygen
B) Chest tube
C) Needle decompression + chest seal
D) Positive pressure ventilation only
Correct Answer: C
Rationale:
Immediate needle decompression relieves intrathoracic pressure; chest seal
prevents re-entry of air.
Topic: Circulation
Question 7:
Which IV/IO fluid is preferred for hypotensive resuscitation in hemorrhagic
shock?
, 4|Page
A) Normal saline
B) Whole blood (preferred) or balanced blood products
C) D5W
D) Hypertonic saline
Correct Answer: B
Rationale:
Damage control resuscitation prioritizes whole blood or balanced component
therapy (1:1:1 ratio).
Topic: Shock Management
Question 8:
What is the target systolic BP for hypotensive resuscitation in an
uncontrolled hemorrhage?
A) >120 mmHg
B) >110 mmHg
C) 80–90 mmHg (permissive hypotension)
D) >100 mmHg
Correct Answer: C
Rationale:
Permissive hypotension maintains perfusion while minimizing re-bleeding
risk until hemorrhage control.
Topic: Tactical Evacuation
Question 9:
Which phase allows for most advanced care (surgery, intubation, blood
transfusion)?
A) Care Under Fire
B) Tactical Field Care
C) Tactical Evacuation (TACEVAC) Care
D) None of the above
