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TACTICAL COMBAT CASUALTY CARE (TCCC)
LATEST VERSION WITH 300 QUESTIONS AND
CORRECT RATIONALIZED SOLUTIONS JUST
RELEASED THIS YEAR (2026-2027)
TACTICAL COMBAT CASUALTY CARE (TCCC) — 300 RANDOMIZED PRACTICE QUESTIONS
Exam Coverage Summary: Tactical Combat Casualty Care (TCCC) is the standard of care for
trauma management in tactical environments. The exam covers the three phases of care (Care
Under Fire, Tactical Field Care, and Tactical Evacuation Care), the MARCH algorithm (Massive
hemorrhage, Airway, Respiratory, Circulation, Hypothermia/Head injury), hemorrhage control
techniques (tourniquets, hemostatic agents, junctional tourniquets), airway management (NPA,
surgical airway, needle decompression), shock resuscitation (whole blood, TXA, fluids), analgesia
(ketamine, fentanyl, CWMP), antibiotics, casualty evacuation (9-line medevac), and prevention
of hypothermia.
SECTION 1: TCCC OVERVIEW & PRINCIPLES (Questions 1-40)
1. What are the three primary objectives of TCCC?
A) Treat the casualty, prevent additional casualties, complete the mission
B) Provide IV fluids, administer antibiotics, evacuate the casualty
C) Stop bleeding, establish an airway, treat for shock
D) Assess, triage, treat
Answer: A
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The three primary objectives of TCCC are to provide lifesaving care, limit additional casualties,
and help ensure mission success.
2. Which of the following is NOT one of the three phases of care in TCCC?
A) Care Under Fire (CUF)
B) Tactical Field Care (TFC)
C) Tactical Evacuation Care (TACEVAC)
D) Combat Life Saving Care
Answer: D
The three phases of TCCC are Care Under Fire (CUF), Tactical Field Care (TFC), and Tactical
Evacuation Care (TACEVAC). "Combat Life Saving Care" is not a recognized TCCC phase.
3. Which of the following is a principle of TCCC?
A) Treat the casualty
B) Prevent additional casualties
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C) Complete the mission
D) All of the above
Answer: D
All three—treat the casualty, prevent additional casualties, and complete the mission—are
principles of TCCC.
4. True or False: The ideal management of a casualty in a combat setting is not necessarily the
same as for an identical injury in a civilian setting.
A) True
B) False
Answer: A
The ideal management of a casualty in a combat setting differs from civilian care due to tactical
constraints, environmental factors, and limited resources.
5. True or False: The TCCC guidelines presented in this course should not be modified no matter
what the tactical context in which the casualties occur is.
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A) True
B) False
Answer: B
TCCC guidelines should be adapted to the specific tactical context and situation, as the tactical
environment may require modifications to the standard approach.
6. What is the most common cause of preventable death on the battlefield?
A) Airway obstruction
B) Tension pneumothorax
C) Failure to use a tourniquet to control severe extremity bleeding
D) Hypothermia
Answer: C
The most common cause of preventable death on the battlefield is the failure to use a tourniquet
to control severe extremity bleeding.
7. The best battlefield indicators of shock during Tactical Field Care are:
4
SUCCESS!
TACTICAL COMBAT CASUALTY CARE (TCCC)
LATEST VERSION WITH 300 QUESTIONS AND
CORRECT RATIONALIZED SOLUTIONS JUST
RELEASED THIS YEAR (2026-2027)
TACTICAL COMBAT CASUALTY CARE (TCCC) — 300 RANDOMIZED PRACTICE QUESTIONS
Exam Coverage Summary: Tactical Combat Casualty Care (TCCC) is the standard of care for
trauma management in tactical environments. The exam covers the three phases of care (Care
Under Fire, Tactical Field Care, and Tactical Evacuation Care), the MARCH algorithm (Massive
hemorrhage, Airway, Respiratory, Circulation, Hypothermia/Head injury), hemorrhage control
techniques (tourniquets, hemostatic agents, junctional tourniquets), airway management (NPA,
surgical airway, needle decompression), shock resuscitation (whole blood, TXA, fluids), analgesia
(ketamine, fentanyl, CWMP), antibiotics, casualty evacuation (9-line medevac), and prevention
of hypothermia.
SECTION 1: TCCC OVERVIEW & PRINCIPLES (Questions 1-40)
1. What are the three primary objectives of TCCC?
A) Treat the casualty, prevent additional casualties, complete the mission
B) Provide IV fluids, administer antibiotics, evacuate the casualty
C) Stop bleeding, establish an airway, treat for shock
D) Assess, triage, treat
Answer: A
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The three primary objectives of TCCC are to provide lifesaving care, limit additional casualties,
and help ensure mission success.
2. Which of the following is NOT one of the three phases of care in TCCC?
A) Care Under Fire (CUF)
B) Tactical Field Care (TFC)
C) Tactical Evacuation Care (TACEVAC)
D) Combat Life Saving Care
Answer: D
The three phases of TCCC are Care Under Fire (CUF), Tactical Field Care (TFC), and Tactical
Evacuation Care (TACEVAC). "Combat Life Saving Care" is not a recognized TCCC phase.
3. Which of the following is a principle of TCCC?
A) Treat the casualty
B) Prevent additional casualties
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C) Complete the mission
D) All of the above
Answer: D
All three—treat the casualty, prevent additional casualties, and complete the mission—are
principles of TCCC.
4. True or False: The ideal management of a casualty in a combat setting is not necessarily the
same as for an identical injury in a civilian setting.
A) True
B) False
Answer: A
The ideal management of a casualty in a combat setting differs from civilian care due to tactical
constraints, environmental factors, and limited resources.
5. True or False: The TCCC guidelines presented in this course should not be modified no matter
what the tactical context in which the casualties occur is.
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A) True
B) False
Answer: B
TCCC guidelines should be adapted to the specific tactical context and situation, as the tactical
environment may require modifications to the standard approach.
6. What is the most common cause of preventable death on the battlefield?
A) Airway obstruction
B) Tension pneumothorax
C) Failure to use a tourniquet to control severe extremity bleeding
D) Hypothermia
Answer: C
The most common cause of preventable death on the battlefield is the failure to use a tourniquet
to control severe extremity bleeding.
7. The best battlefield indicators of shock during Tactical Field Care are:
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