TECC Tactical Emergency Casualty Care Exam – Comprehensive Practice 2026/2027 Edition

TECC TACTICAL EMERGENCY CASUALTY CARE
EXAM

COMPREHENSIVE PRACTICE (2026/2027 EDITION)




150 Multiple-Choice Questions - Complete Practice Exam




Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by the
National Association of Emergency Medical Technicians (NAEMT), the Committee on Tactical Emergency
Casualty Care (Co-TECC), or any other organization. It is provided for educational and self-assessment
purposes only and is not a substitute for official TECC training, guidelines, or professional guidance. Content is
subject to change; always consult current NAEMT and Co-TECC references.

, Section 1: TECC Principles, History & Operational Framework – TECC vs.
TCCC, Three Phases of Care (20 questions)
Q1: What does 'TECC' stand for?
A. Tactical Emergency Combat Care
B. Tactical Evacuation Casualty Care
C. Tactical Emergency Casualty Command
D. Tactical Emergency Casualty Care [CORRECT]
Correct Answer: D
Rationale: TECC is Tactical Emergency Casualty Care. The others are incorrect.

Q2: Which of the following is the civilian counterpart to military TCCC?
A. ATLS
B. PHTLS
C. TECC [CORRECT]
D. CPR
Correct Answer: C
Rationale: TECC is the civilian tactical casualty care standard, analogous to military TCCC. The others are
different.

Q3: Which of the following is TRUE about TECC versus TCCC?
A. They are identical
B. TECC is adapted for the civilian tactical environment [CORRECT]
C. TCCC is civilian
D. TECC is military only
Correct Answer: B
Rationale: TECC is adapted for the civilian tactical environment. TCCC is military. The others are incorrect.

Q4: Which of the following is a phase of tactical casualty care?
A. Only hospital care
B. Direct Threat Care (Hot Zone) [CORRECT]
C. Only rehabilitation
D. Only prevention
Correct Answer: B
Rationale: Direct Threat Care (Hot Zone) is a phase of tactical casualty care. The others are not.

Q5: Which of the following is a phase of tactical casualty care?
A. Indirect Threat Care (Warm Zone) [CORRECT]
B. Only hospital care
C. Only rehabilitation
D. Only prevention
Correct Answer: A
Rationale: Indirect Threat Care (Warm Zone) is a phase. The others are not.




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, Q6: Which of the following is a phase of tactical casualty care?
A. Only hospital care
B. Evacuation Care (Cold Zone) [CORRECT]
C. Only rehabilitation
D. Only prevention
Correct Answer: B
Rationale: Evacuation Care (Cold Zone) is a phase. The others are not.

Q7: Which of the following describes Direct Threat Care (Hot Zone)?
A. Care rendered while under active threat or hostile fire [CORRECT]
B. Care in a safe area
C. Hospital care
D. Rehabilitation
Correct Answer: A
Rationale: Direct Threat Care is rendered under active threat. The others are incorrect.

Q8: Which of the following describes Indirect Threat Care (Warm Zone)?
A. No threat exists
B. Active fire continues
C. A safe area
D. Threat is suppressed but may re-emerge [CORRECT]
Correct Answer: D
Rationale: Indirect Threat Care is when the threat is suppressed but may re-emerge. The others are
incorrect.

Q9: Which of the following describes Evacuation Care (Cold Zone)?
A. Active fire
B. A hot zone
C. A safe environment for continued care and transport [CORRECT]
D. No care
Correct Answer: C
Rationale: Evacuation Care is in a safe environment for continued care and transport. The others are
incorrect.

Q10: Which of the following is TRUE about the priority in the Hot Zone?
A. Do a full head-to-toe
B. Start an IV
C. Take cover and address life-threatening external bleeding [CORRECT]
D. Manage the airway fully
Correct Answer: C
Rationale: In the Hot Zone, the priority is taking cover and addressing life-threatening external bleeding. The
others are not the priority.




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, Q11: Which of the following is TRUE about care in the Warm Zone?
A. Continue MARCH care while remaining ready to return to cover [CORRECT]
B. Stop all care
C. Do a full assessment only
D. Ignore the threat
Correct Answer: A
Rationale: In the Warm Zone, MARCH care continues while ready to return to cover. The others are
incorrect.

Q12: Which of the following is TRUE about care in the Cold Zone?
A. Full MARCH assessment and continued care can occur [CORRECT]
B. No care is given
C. Only bleeding is addressed
D. The zone is unsafe
Correct Answer: A
Rationale: In the Cold Zone, full MARCH assessment and continued care can occur. The others are
incorrect.

Q13: Which of the following is the military equivalent of Direct Threat Care?
A. Evacuation care
B. Tactical field care
C. Care under fire [CORRECT]
D. Hospital care
Correct Answer: C
Rationale: Direct Threat Care is analogous to 'care under fire' in TCCC. The others are different.

Q14: Which of the following is the military equivalent of Evacuation Care?
A. Care under fire
B. Tactical field care
C. Hospital care
D. Tactical evacuation care [CORRECT]
Correct Answer: D
Rationale: Evacuation Care is analogous to tactical evacuation care. The others are different.

Q15: Which of the following is TRUE about the tactical environment?
A. Care is the same as the hospital
B. It requires care adapted to the threat and operational situation [CORRECT]
C. The threat is irrelevant
D. Only the patient matters
Correct Answer: B
Rationale: Tactical care is adapted to the threat and operational situation. The others are incorrect.




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