EXAM 2026|2027 ACTUAL COMPLETE REAL EXAM
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During Tactical Combat Casualty Care (TCCC), what is the first priority when
treating a casualty under effective hostile fire?
A. Secure the airway
B. Administer IV fluids
C. Stop massive external hemorrhage if possible and return fire
D. Perform a complete physical examination
Answer: C. Stop massive external hemorrhage if possible and return
fire
Rationale: During the Care Under Fire phase, survival depends on
eliminating the threat while controlling life-threatening bleeding when
feasible. Airway management and detailed assessment occur later when
tactical conditions permit.
Which component of the MARCH assessment is performed immediately
after controlling massive bleeding?
A. Respiration
B. Airway
,C. Hypothermia prevention
D. Circulation
Answer: B. Airway
Rationale: The MARCH algorithm follows the sequence: Massive
hemorrhage, Airway, Respiration, Circulation, and Hypothermia/Head
injury. This sequence prioritizes the most immediately life-threatening
conditions.
Which type of bleeding is considered the most immediately life-
threatening?
A. Venous bleeding
B. Capillary bleeding
C. Arterial bleeding
D. Internal bruising
Answer: C. Arterial bleeding
Rationale: Arterial bleeding is characterized by bright red, pulsatile blood
loss and can rapidly lead to hemorrhagic shock if not controlled
immediately.
Which device is considered the preferred initial treatment for severe
extremity hemorrhage?
A. Pressure dressing
B. Elastic bandage
,C. Tourniquet
D. Ice pack
Answer: C. Tourniquet
Rationale: Modern combat tourniquets are highly effective in controlling
life-threatening extremity hemorrhage and have significantly improved
battlefield survival.
A casualty has an open chest wound with difficulty breathing. What should
be applied first?
A. Splint
B. Pressure bandage
C. Occlusive chest seal
D. Sling
Answer: C. Occlusive chest seal
Rationale: Occlusive chest seals help prevent air from entering the
pleural cavity through an open chest wound, reducing the risk of
developing a tension pneumothorax.
Which airway adjunct is commonly used for an unconscious casualty with no
facial trauma?
A. Oral airway only
B. Nasopharyngeal airway
C. Endotracheal tube only
D. Tracheostomy tube
, Answer: B. Nasopharyngeal airway
Rationale: The nasopharyngeal airway is easy to insert, well tolerated,
and effective for maintaining airway patency in unconscious casualties
without severe facial trauma.
Which condition requires immediate needle decompression?
A. Heat exhaustion
B. Tension pneumothorax
C. Mild dehydration
D. Simple rib fracture
Answer: B. Tension pneumothorax
Rationale: Tension pneumothorax causes increasing intrathoracic
pressure, impairing breathing and circulation. Needle decompression
relieves trapped air and restores cardiopulmonary function.
Which sign is most consistent with hemorrhagic shock?
A. Slow pulse and flushed skin
B. Bradycardia and hypertension
C. Rapid pulse, pale skin, and altered mental status
D. High fever and sweating
Answer: C. Rapid pulse, pale skin, and altered mental status