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1. What are the leading causes of preventable death in combat
trauma?
A. Sepsis, ARDS, renal failure
B. Traumatic Brain Injury, Burns, Fractures
C. Massive Hemorrhage (Extremity, Junctional), Tension
Pneumothorax, Airway Trauma/Obstruction
D. Hypothermia, Infection, Blast Injury
Correct Answer: C
Rationale: The three leading preventable causes of death on the
battlefield are massive hemorrhage (extremity and junctional),
tension pneumothorax, and airway trauma/obstruction. TCCC
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,protocols are specifically designed to address these causes in
sequence .
2. What are the three phases of TCCC?
A. Rescue, Treat, Evacuate
B. Direct Care, Indirect Care, Evacuation Care
C. Care Under Fire (CUF), Tactical Field Care (TFC), Tactical
Evacuation Care (TACEVAC)
D. Immediate, Delayed, Minimal
Correct Answer: C
Rationale: TCCC divides care into three distinct phases based on
tactical situation: CUF (under active fire), TFC (casualty behind
cover), and TACEVAC (during evacuation). Each phase has
different priorities and interventions .
3. Can the principles of TCCC be applied to non-combat
settings?
A. No, they are specifically for military combat only
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,B. Only for law enforcement tactical teams
C. Only for active shooter events
D. Yes. Motor Vehicle Accidents, Active Shooter, Workplace
Accident
Correct Answer: D
Rationale: TCCC principles have been successfully applied to
civilian mass casualty events including active shooter incidents,
MVCs, and industrial accidents. The "threat-based" approach is
valuable in any dangerous environment .
4. What is the most essential treatment task in Care Under Fire
(CUF)?
A. Airway management with jaw thrust
B. Chest seal application for open pneumothorax
C. Applying a limb tourniquet to control massive bleeding
D. Cervical spine immobilization
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, Correct Answer: C
Rationale: In CUF, the ONLY medical intervention that should be
performed is application of a CoTCCC-recommended limb
tourniquet to stop life-threatening extremity hemorrhage. Airway
interventions and other care are delayed until tactical field
care .
5. What does MARCH PAWS stand for?
A. Move, Assess, Rescue, Call for Help, Protect, Airway, Wound,
Send
B. Massive Bleeding, Airway, Respiration, Circulation,
Hypothermia/Head Injury, Pain, Antibiotics, Wounds, Splints
C. Manage, Airway, Rescue, Circulation, Hypoxia, Position,
Airway, Wound, Stabilize
D. Monitor, Airway, Respiratory, Cardiac, Head/Heart, Pulse,
Abdomen, Wound, Spine
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