68W ALC PHASE 3 TEST 1 2026-2027
ADVANCED LEADERS COURSE ||
VERIFIED Q&A - COMPREHENSIVE
EXAM PREP
Question 1
A military unit is preparing for a tactical operation, and medical
personnel are establishing standard operating procedures
according to Prolonged Casualty Care (PCC) guidelines. A non-
medical combat soldier asks where their training fits within the
continuum of casualty care. Which level of care corresponds to
Tier 1 in the PCC guidelines?
A. Combat Life Saver
B. All Service Members
C. Combat Medic/Corpsman
D. Combat Paramedic/Provider
• Correct Answer: B. All Service Members
• Rationale: Tier 1 represents the foundational level of
Tactical Combat Casualty Care (TCCC) designed for all
service members regardless of role. Tiers 2, 3, and 4
represent Combat Life Saver, Combat Medic/Corpsman,
and Combat Paramedic/Provider respectively.
,Question 2
During a prolonged field care scenario, a combat medic needs to
prioritize clinical assessment and intervention steps using the
approved PCC algorithm. Which acronym represents the correct
treatment algorithm mandated by the Joint Trauma System for
PCC?
A. MARCH-PAWS
B. X-ABCDE
C. MARC2H3-PAWS-L
D. SAMPLE-OPQRST
• Correct Answer: C. MARC2H3-PAWS-L
• Rationale: The PCC guidelines follow the MARC2H3-
PAWS-L treatment algorithm to structure trauma
assessment and care during extended holding times.
Question 3
In the MARC2H3-PAWS-L treatment algorithm, what clinical
priorities do the "2H3" components specifically address?
A. Heart rate, Hematocrit, Hemoglobin
B. Massive Hemorrhage, Head injury, Hypoxia
C. Hyperthermia, Hypothermia, Head
,D. Hemostasis, Hydration, Hygiene
• Correct Answer: C. Hyperthermia, Hypothermia, Head
• Rationale: In MARC2H3-PAWS-L, "2H" stands for
Hyperthermia and Hypothermia prevention/management,
and "3H" includes Head injury assessment along with
related parameters.
Question 4
A provider at a forward location is seeking guidance on updated
extended field care protocols for casualty holding. Which entity
is responsible for maintaining the Prolonged Casualty Care
Guidelines?
A. Defense Health Agency Primary Care Council
B. Joint Trauma System
C. Tactical Combat Casualty Care Working Group
D. National Registry of EMTs
• Correct Answer: B. Joint Trauma System
• Rationale: The Joint Trauma System (JTS) maintains and
updates the official Prolonged Casualty Care Guidelines for
deployed forces.
Question 5
, Following a complex trauma engagement, a combat medic fills
out a 2-page document captures treatment details, personnel
involved, sustains, and areas for improvement. Which form was
completed?
A. DD Form 3019
B. TCCC PI Data Form
C. TCCC POI AAR Form
D. Form 151
• Correct Answer: C. TCCC POI AAR Form
• Rationale: The 2-page TCCC POI AAR Form is
completed after an action to document treatments
administered, responsible providers, sustains, comments,
and areas for improvement for both real and simulated
casualties.
Question 6
A Battalion Aid Station (BAS) officer is reviewing 1-page forms
submitted post-mission that capture difficulties encountered
during casualty treatment to improve system performance. What
documentation tool is being utilized?
A. TCCC PI Data Form
B. DD Form 3019
C. Prolonged Field Care Flowsheet
ADVANCED LEADERS COURSE ||
VERIFIED Q&A - COMPREHENSIVE
EXAM PREP
Question 1
A military unit is preparing for a tactical operation, and medical
personnel are establishing standard operating procedures
according to Prolonged Casualty Care (PCC) guidelines. A non-
medical combat soldier asks where their training fits within the
continuum of casualty care. Which level of care corresponds to
Tier 1 in the PCC guidelines?
A. Combat Life Saver
B. All Service Members
C. Combat Medic/Corpsman
D. Combat Paramedic/Provider
• Correct Answer: B. All Service Members
• Rationale: Tier 1 represents the foundational level of
Tactical Combat Casualty Care (TCCC) designed for all
service members regardless of role. Tiers 2, 3, and 4
represent Combat Life Saver, Combat Medic/Corpsman,
and Combat Paramedic/Provider respectively.
,Question 2
During a prolonged field care scenario, a combat medic needs to
prioritize clinical assessment and intervention steps using the
approved PCC algorithm. Which acronym represents the correct
treatment algorithm mandated by the Joint Trauma System for
PCC?
A. MARCH-PAWS
B. X-ABCDE
C. MARC2H3-PAWS-L
D. SAMPLE-OPQRST
• Correct Answer: C. MARC2H3-PAWS-L
• Rationale: The PCC guidelines follow the MARC2H3-
PAWS-L treatment algorithm to structure trauma
assessment and care during extended holding times.
Question 3
In the MARC2H3-PAWS-L treatment algorithm, what clinical
priorities do the "2H3" components specifically address?
A. Heart rate, Hematocrit, Hemoglobin
B. Massive Hemorrhage, Head injury, Hypoxia
C. Hyperthermia, Hypothermia, Head
,D. Hemostasis, Hydration, Hygiene
• Correct Answer: C. Hyperthermia, Hypothermia, Head
• Rationale: In MARC2H3-PAWS-L, "2H" stands for
Hyperthermia and Hypothermia prevention/management,
and "3H" includes Head injury assessment along with
related parameters.
Question 4
A provider at a forward location is seeking guidance on updated
extended field care protocols for casualty holding. Which entity
is responsible for maintaining the Prolonged Casualty Care
Guidelines?
A. Defense Health Agency Primary Care Council
B. Joint Trauma System
C. Tactical Combat Casualty Care Working Group
D. National Registry of EMTs
• Correct Answer: B. Joint Trauma System
• Rationale: The Joint Trauma System (JTS) maintains and
updates the official Prolonged Casualty Care Guidelines for
deployed forces.
Question 5
, Following a complex trauma engagement, a combat medic fills
out a 2-page document captures treatment details, personnel
involved, sustains, and areas for improvement. Which form was
completed?
A. DD Form 3019
B. TCCC PI Data Form
C. TCCC POI AAR Form
D. Form 151
• Correct Answer: C. TCCC POI AAR Form
• Rationale: The 2-page TCCC POI AAR Form is
completed after an action to document treatments
administered, responsible providers, sustains, comments,
and areas for improvement for both real and simulated
casualties.
Question 6
A Battalion Aid Station (BAS) officer is reviewing 1-page forms
submitted post-mission that capture difficulties encountered
during casualty treatment to improve system performance. What
documentation tool is being utilized?
A. TCCC PI Data Form
B. DD Form 3019
C. Prolonged Field Care Flowsheet
