20 May 2026
Tactical Combat Casualty Care (TCCC) ACTUAL EXAM
150 QUESTIONS WITH COMPLETE SOLUTION) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST VERSION
2026/2027
A casualty hit the steering wheel during a high-impact vehicle collision and is in respiratory
distress. You are having difficulty getting under the body armor to visually inspect the chest.
What would make you suspect a life-threatening chest injury?
a. Presence of polytrauma
b. Diaphoresis and pain
c. Need for a nasopharyngeal airway
d. Mechanism of injury and presentation - CORRECT ANSWER-d. Mechanism of injury and
presentation
You are evaluating a casualty using the AVPU method for determining the level of
consciousness. The casualty does not respond when you ask them questions in a loud voice
but reacts to pain when you rub their sternum briskly with your knuckle. You should classify
the casualty's level of consciousness as:
A. Alertness
B. Verbal responsive
C. Pain responsive
D. Unconscious state - CORRECT ANSWER-C. Pain responsive
What is the first action to be taken when attempting to rescue a casualty that has suffered an
electrical burn?
a. Pull the casualty away from the electrical source immediately using your hands
b. Remove the casualty from the electrical source using a nonconductive object
c. Pour water over the casualty to stop the burning process
d. Secure the power source whenever possible - CORRECT ANSWER-d. Secure the power source
whenever possible
______________________ is described as having reduced concentrations of antibody titers, has
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been prescreened for transmissible diseases, and is leukocyte reduced. It is also the
preferred blood product for the treatment of hemorrhagic shock.
a. Plasma
b. Fresh whole blood
c. Group AB blood
d. Low-titer group O whole blood - CORRECT ANSWER-d. Low-titer group O whole blood
Basic care of an eye injury includes:
a. Placing a rigid eye shield over both eyes
b. Placing a rigid eye shield only over the injured eye
c. Covering the injured eye with a pressure dressing
d. Removing a penetrating object in order to place the eye shield - CORRECT ANSWER-b. Placing a
rigid eye shield only over the injured eye
Who is responsible for documenting the casualty's injuries and care provided on the DD
Form 1380?
a. Whoever is providing care at the point of injury
b. The Combat Medic/Corpsman
c. The highest-ranking medical officer at the point of wounding
d. The evacuation team - CORRECT ANSWER-a. Whoever is providing care at the point of injury
According to the "triple-option analgesia" pain management regimen described in the TCCC
Guidelines which option is for casualties in moderate to severe pain, that are in shock or
respiratory distress (or at high risk of either condition) and utilizes ketamine as the
medication of choice?
a. Option 1
b. Option 2
c. Option 3
d. Option 4 - CORRECT ANSWER-c. Option 3
What is the preferred litter to be for a casualty suspected of a spinal injury?
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a. Standard collapsible litter
b. Improvised litter
c. Rigid litter
d. Would not place a casualty with a suspected spinal injury on a litter - CORRECT ANSWER-c. Rigid
litter
The Combat Wound Medication Pack (CWMP) contains an antibiotic to facilitate early self-
administration. Which antibiotic is found in the CWMP?
a. Meloxicam
b. Moxifloxacin
c. Ertapenem
d. Penicillin - CORRECT ANSWER-b. Moxifloxacin
A casualty is leaning forward with her hands placed on her knees to support her upper body.
How would you describe what this casualty is doing?
a. Sternal retractions
b. Tripod respirations
c. Nasal flaring
d. Labored breathing - CORRECT ANSWER-b. Tripod respirations
Which of the following casualties should be evaluated by medical personnel using the
Military Acute Concussive Evaluation 2 (MACE 2) tool as soon as possible after injury?
A casualty with a fracture that developed altered mental status after the administration of IV
fentanyl
A casualty that had a seizure and multiple episodes of vomiting after a motor vehicle crash
A casualty that is confused and seeing double after a fall from an elevated platform
A casualty with a mild headache after a blast event and no RED FLAG signs and symptoms - CORRECT
ANSWER-A casualty with a mild headache after a blast event and no RED FLAG signs and symptoms
Hypothermia prevention can help break the vicious cycle of the lethal triad by
________________________.
a. Preventing shivering which increases oxygen demand and consumption