TCCC-Tactical Combat Casualty Care
EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. What are the objectives/goals of TCCC? - ANSWER ✔ Provide lifesaving
care, limit additional casualties, help mission success
2. When reassessing wounds, which of the following should be considered? -
ANSWER ✔ Bleeding has been controlled
3. A soldier experienced a blast, shrapnel is sticking out of a leg. Which of the
following should you do? - ANSWER ✔ Apply bulky dressing around
shrapnel and secure
4. Which choice is a contraindication of administering the CWMP (combat pill
pack)? - ANSWER ✔ In shock/ unable to swallow
5. What of the following is a sign of extremity fracture? - ANSWER ✔
Swelling and crepitus under the skin
6. A casualty becomes disoriented. What's should you do with their
communication device? - ANSWER ✔ Take the equipment away from the
casualty
7. Using triage considerations during Tactical Field Care, which casualty
should be treated first? - ANSWER ✔ Casualty with massive bleeding to
the leg
,8. Extreme blood loss may lead to which type of shock? - ANSWER ✔
Hemorrhagic shock
9. When penetrating eye trauma due to shrapnel is suspected, it is critically
important to prevent: - ANSWER ✔ Manipulation or additional trauma to
the eye
10.If a casualty is wounded, in severe pain, and unable to fight: - ANSWER ✔
Administer the CWMP and referred to a medic as soon as possible
11.Which of these statements are applicable to the care under fire phase? -
ANSWER ✔ Care under fire includes massive hemorrhage control
12.Communication with the tactical leader ship includes: - ANSWER ✔
Casualty, status, and evacuation requirements
13.You see an entrance wound on the casualties chest and no other injuries,
what should you do? - ANSWER ✔ Seal the chest wound and check for
other wounds on their back
14.TCCC TIER 1 - ANSWER ✔ All Service Members
15.TCCC TIER 2 - ANSWER ✔ Combat Paramedic/Provider
16.TCCC TIER 3 - ANSWER ✔ Combat Medic/Corpsman
17.TCCC TIER 4 - ANSWER ✔ Combat Lifesaver
18.ROLE 1 CARE - ANSWER ✔ First medical care that military personnel
receive, also referred to as unit-level medical care or self-aid, buddy aid,
combat lifesaver, and/or medic care.
19.CoTCCC Guidelines - ANSWER ✔ Guidelines for performing Tactical
Combat Casualty Care (TCCC) in combat or noncombat scenarios.
20.Leading causes of preventable death - ANSWER ✔ Traumatic injuries and
the corresponding interventions to help increase chances of survival.
,21.TCCC Phases of Care - ANSWER ✔ Describes how intervention priorities
differ in each phase according to CoTCCC guidelines.
22.Nonmedical service member role - ANSWER ✔ Responsibilities of a
nonmedical service member in rendering TCCC care in accordance with
Joint Publication (JP) 4-02.
23.Key factors influencing TCCC - ANSWER ✔ Factors that affect the
implementation and effectiveness of Tactical Combat Casualty Care.
24.Importance of TCCC training - ANSWER ✔ Significance of training for
service members in Tactical Combat Casualty Care.
25.What is the main thing that you do not want to do for a casualty with a
suspected
penetrating eye injury? - ANSWER ✔ Apply an eye patch to keep gentle
pressure on the injured globe.
26.Which hemostatic dressings is best for use in deep, narrow-tract junctional
wounds? - ANSWER ✔ XStat
27.Which analgesic agent is NOT part of the TCCC- recommended Triple-
Option
28.analgesia plan? - ANSWER ✔ Morphine IM
29.What is the recommended initial dose of IM ketamine in TCCC? -
ANSWER ✔ 50 mg
30.What is the recommended initial dose of fentanyl (OTFC) in TCCC? -
ANSWER ✔ 800 ug
31.The following can make TBI worse? - ANSWER ✔ Hypovolemic shock
b. Hypothermia
c. Hypoxia
32.Which of the following is an indicator of shock that can be most readily
assessed
, on the battlefield? - ANSWER ✔ Weak or absent radial pulse
33.What is the target blood pressure for a casualty WITHOUT associated TBI?
- ANSWER ✔ 80-90 mm Hg
34.What is the target blood pressure for a casualty WITH associated TBI? -
ANSWER ✔ 90 mm Hg or higher
35.Which of the following is not a CoTCCC-recommended junctional
tourniquet? - ANSWER ✔ AAT
36.As a combat medic, what is your first priority during Care Under Fire? -
ANSWER ✔ Return fire and take cover.
37.Who is the BEST person to move a casualty to cover during Care Under
Fire? - ANSWER ✔ The casualty herself.
38.What is the number one medical treatment priority during Care Under Fire?
- ANSWER ✔ Control life-threatening bleeding
39.What is the correct treatment for pain caused by a tourniquet that is
effectively
controlling life-threatening bleeding? - ANSWER ✔ Analgesia as
recommended in TCCC guidelines
40.Why should hemostatic dressings be avoided during Care Under Fire? -
ANSWER ✔ The minimum of three minutes of holding direct pressure on
the dressing is a
long time to be exposed to enemy fire.
41.During Care Under Fire, a device to stabilize the cervical spine should not
be
applied - ANSWER ✔ a. For penetrating neck trauma alone.
b. If the risk of the medic or the casualty being hit by enemy fire is greater than
the risk of spinal cord injury due to movement with an unstable cervical
spine.
c. Unless the casualty has sustained significant blunt trauma.
EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. What are the objectives/goals of TCCC? - ANSWER ✔ Provide lifesaving
care, limit additional casualties, help mission success
2. When reassessing wounds, which of the following should be considered? -
ANSWER ✔ Bleeding has been controlled
3. A soldier experienced a blast, shrapnel is sticking out of a leg. Which of the
following should you do? - ANSWER ✔ Apply bulky dressing around
shrapnel and secure
4. Which choice is a contraindication of administering the CWMP (combat pill
pack)? - ANSWER ✔ In shock/ unable to swallow
5. What of the following is a sign of extremity fracture? - ANSWER ✔
Swelling and crepitus under the skin
6. A casualty becomes disoriented. What's should you do with their
communication device? - ANSWER ✔ Take the equipment away from the
casualty
7. Using triage considerations during Tactical Field Care, which casualty
should be treated first? - ANSWER ✔ Casualty with massive bleeding to
the leg
,8. Extreme blood loss may lead to which type of shock? - ANSWER ✔
Hemorrhagic shock
9. When penetrating eye trauma due to shrapnel is suspected, it is critically
important to prevent: - ANSWER ✔ Manipulation or additional trauma to
the eye
10.If a casualty is wounded, in severe pain, and unable to fight: - ANSWER ✔
Administer the CWMP and referred to a medic as soon as possible
11.Which of these statements are applicable to the care under fire phase? -
ANSWER ✔ Care under fire includes massive hemorrhage control
12.Communication with the tactical leader ship includes: - ANSWER ✔
Casualty, status, and evacuation requirements
13.You see an entrance wound on the casualties chest and no other injuries,
what should you do? - ANSWER ✔ Seal the chest wound and check for
other wounds on their back
14.TCCC TIER 1 - ANSWER ✔ All Service Members
15.TCCC TIER 2 - ANSWER ✔ Combat Paramedic/Provider
16.TCCC TIER 3 - ANSWER ✔ Combat Medic/Corpsman
17.TCCC TIER 4 - ANSWER ✔ Combat Lifesaver
18.ROLE 1 CARE - ANSWER ✔ First medical care that military personnel
receive, also referred to as unit-level medical care or self-aid, buddy aid,
combat lifesaver, and/or medic care.
19.CoTCCC Guidelines - ANSWER ✔ Guidelines for performing Tactical
Combat Casualty Care (TCCC) in combat or noncombat scenarios.
20.Leading causes of preventable death - ANSWER ✔ Traumatic injuries and
the corresponding interventions to help increase chances of survival.
,21.TCCC Phases of Care - ANSWER ✔ Describes how intervention priorities
differ in each phase according to CoTCCC guidelines.
22.Nonmedical service member role - ANSWER ✔ Responsibilities of a
nonmedical service member in rendering TCCC care in accordance with
Joint Publication (JP) 4-02.
23.Key factors influencing TCCC - ANSWER ✔ Factors that affect the
implementation and effectiveness of Tactical Combat Casualty Care.
24.Importance of TCCC training - ANSWER ✔ Significance of training for
service members in Tactical Combat Casualty Care.
25.What is the main thing that you do not want to do for a casualty with a
suspected
penetrating eye injury? - ANSWER ✔ Apply an eye patch to keep gentle
pressure on the injured globe.
26.Which hemostatic dressings is best for use in deep, narrow-tract junctional
wounds? - ANSWER ✔ XStat
27.Which analgesic agent is NOT part of the TCCC- recommended Triple-
Option
28.analgesia plan? - ANSWER ✔ Morphine IM
29.What is the recommended initial dose of IM ketamine in TCCC? -
ANSWER ✔ 50 mg
30.What is the recommended initial dose of fentanyl (OTFC) in TCCC? -
ANSWER ✔ 800 ug
31.The following can make TBI worse? - ANSWER ✔ Hypovolemic shock
b. Hypothermia
c. Hypoxia
32.Which of the following is an indicator of shock that can be most readily
assessed
, on the battlefield? - ANSWER ✔ Weak or absent radial pulse
33.What is the target blood pressure for a casualty WITHOUT associated TBI?
- ANSWER ✔ 80-90 mm Hg
34.What is the target blood pressure for a casualty WITH associated TBI? -
ANSWER ✔ 90 mm Hg or higher
35.Which of the following is not a CoTCCC-recommended junctional
tourniquet? - ANSWER ✔ AAT
36.As a combat medic, what is your first priority during Care Under Fire? -
ANSWER ✔ Return fire and take cover.
37.Who is the BEST person to move a casualty to cover during Care Under
Fire? - ANSWER ✔ The casualty herself.
38.What is the number one medical treatment priority during Care Under Fire?
- ANSWER ✔ Control life-threatening bleeding
39.What is the correct treatment for pain caused by a tourniquet that is
effectively
controlling life-threatening bleeding? - ANSWER ✔ Analgesia as
recommended in TCCC guidelines
40.Why should hemostatic dressings be avoided during Care Under Fire? -
ANSWER ✔ The minimum of three minutes of holding direct pressure on
the dressing is a
long time to be exposed to enemy fire.
41.During Care Under Fire, a device to stabilize the cervical spine should not
be
applied - ANSWER ✔ a. For penetrating neck trauma alone.
b. If the risk of the medic or the casualty being hit by enemy fire is greater than
the risk of spinal cord injury due to movement with an unstable cervical
spine.
c. Unless the casualty has sustained significant blunt trauma.
