TCCC | Tactical Combat Casualty Care Certification
TCCC Tactical Combat Casualty Care
Certification Comprehensive Examination
2026/2027 | Verified Questions
TCCC | Tactical Combat Casualty Care Certification | University-Level Combat Medical Professionals
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
TCCC | Tactical Combat Casualty Care Certification
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official TCCC Tactical
Combat Casualty Care Certification Final Comprehensive Examination course objectives for actual exam readiness
and clinical proficiency, aligned to the 2026/2027 academic year. The questions are distributed equally across
four core domains: Domain 1: Care Under Fire (25 questions), Domain 2: Tactical Field Care (25 questions),
Domain 3: TACEVAC Care (25 questions), and Domain 4: Operational Medicine, Hemorrhage Control, and TCCC
Guidelines (25 questions). All content is original and constructed according to foundational combat medicine
methodology drawn from TCCC Course Materials, NAEMT TCCC Curriculum, and PHTLS Guidelines. Successful
mastery of these domains supports the development of University-Level competence in delivering effective tactical
combat casualty care.
ACTUAL QUESTIONS
Domain 1: Care Under Fire
Question 1. During Care Under Fire, what is the first priority for the combat medic?
A. Immediate detailed assessment of all casualties
B. Gaining fire superiority and moving the casualty to cover
C. Starting intravenous fluids
D. Performing a full secondary survey
Correct Answer: B
Rationale: In Care Under Fire, the tactical situation takes precedence. The first priorities are returning fire,
gaining fire superiority, and moving the casualty to cover or concealment before any medical intervention
beyond life-threatening hemorrhage control.
Question 2. Which hemorrhage control method is preferred for life-threatening extremity
bleeding during Care Under Fire?
A. Direct pressure with a pressure dressing
B. Application of a CoTCCC-recommended tourniquet high and tight
C. Wound packing with hemostatic gauze only
D. Elevation of the extremity
Correct Answer: D
Rationale: During Care Under Fire, a tourniquet is applied high and tight on the extremity for life-threatening
bleeding because it can be placed rapidly while the casualty or medic remains under threat. Refinement occurs
later in Tactical Field Care.
Question 3. What is the recommended action if a casualty has a life-threatening hemorrhage from
a junctional area during Care Under Fire?
A. Apply a standard extremity tourniquet
B. Use direct pressure or a junctional tourniquet if available and feasible
C. Ignore the bleeding until the casualty reaches a treatment facility
D. Apply only a pressure dressing
Correct Answer: B
Rationale: Junctional hemorrhage (groin, axilla, neck) cannot be controlled with a standard limb tourniquet.
Direct pressure or a CoTCCC-recommended junctional tourniquet is used when the tactical situation permits.
Question 4. When should airway management be addressed during Care Under Fire?
A. Immediately for every casualty
B. Only if the casualty has an obvious airway obstruction and the tactical situation allows
C. Before any hemorrhage control
D. Never during Care Under Fire
Correct Answer: A
Rationale: Airway interventions during Care Under Fire are limited to positioning or simple maneuvers if the
casualty has an obvious obstruction and doing so does not endanger the medic or other personnel. Full airway
management is deferred to Tactical Field Care.
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
, Question 5. What is the primary reason for moving a casualty to cover during Care Under Fire?
A. To allow for detailed documentation
B. To protect the casualty and the medic from ongoing hostile fire
C. To facilitate intravenous access
D. To perform a full physical examination
Correct Answer: C
Rationale: Ongoing effective hostile fire is the greatest immediate threat. Moving the casualty to cover or
concealment reduces the risk of additional injury to both the casualty and the rescuer.
Question 6. Which of the following is an acceptable action for a casualty who is under effective
enemy fire and has no life-threatening hemorrhage?
A. Immediate tourniquet application to all extremities
B. Directing the casualty to move to cover under his or her own power if able
C. Starting a large-bore intravenous line
D. Performing needle decompression
Correct Answer: A
Rationale: If the casualty can move, he or she should be directed to seek cover. This reduces exposure time for
both the casualty and the medic and conserves resources for those who cannot move.
Question 7. During Care Under Fire, when is it appropriate to apply a tourniquet over clothing?
A. Never
B. When rapid application is required and clothing removal would delay control of life-threatening bleeding
C. Only if the clothing is dry
D. Only for junctional wounds
Correct Answer: C
Rationale: In the Care Under Fire phase, a tourniquet may be applied over clothing to achieve rapid
hemorrhage control. The tourniquet is reassessed and converted or repositioned as needed once the casualty
reaches a more secure location.
Question 8. What is the CoTCCC recommendation regarding the use of pressure points during
Care Under Fire?
A. Pressure points are the preferred method for all extremity bleeding
B. Pressure points are not recommended as a primary method of hemorrhage control
C. Pressure points should be used before any tourniquet
D. Pressure points replace the need for tourniquets
Correct Answer: A
Rationale: Pressure points are not reliable for controlling life-threatening hemorrhage and are not
recommended as a primary intervention in TCCC. Tourniquets and direct pressure or hemostatic agents are
preferred.
Question 9. A casualty is found unresponsive with no signs of life during Care Under Fire. What is
the appropriate action?
A. Begin immediate cardiopulmonary resuscitation
B. Move the casualty to cover only if it does not endanger the medic; CPR is not performed under fire
C. Perform a full trauma assessment
D. Start intravenous fluids immediately
Correct Answer: C
Rationale: Cardiopulmonary resuscitation is not performed during Care Under Fire because it exposes the
medic to hostile fire and has extremely low likelihood of success in traumatic cardiac arrest in this environment.
Question 10. Which statement best describes the role of the combat medic during Care Under
Fire?
A. Provide definitive surgical care
B. Suppress enemy fire, prevent additional casualties, and treat only immediate life-threatening hemorrhage
C. Conduct a full head-to-toe assessment
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
TCCC Tactical Combat Casualty Care
Certification Comprehensive Examination
2026/2027 | Verified Questions
TCCC | Tactical Combat Casualty Care Certification | University-Level Combat Medical Professionals
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
TCCC | Tactical Combat Casualty Care Certification
Final Comprehensive Examination Actual Exam | Academic Year 2026/2027
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official TCCC Tactical
Combat Casualty Care Certification Final Comprehensive Examination course objectives for actual exam readiness
and clinical proficiency, aligned to the 2026/2027 academic year. The questions are distributed equally across
four core domains: Domain 1: Care Under Fire (25 questions), Domain 2: Tactical Field Care (25 questions),
Domain 3: TACEVAC Care (25 questions), and Domain 4: Operational Medicine, Hemorrhage Control, and TCCC
Guidelines (25 questions). All content is original and constructed according to foundational combat medicine
methodology drawn from TCCC Course Materials, NAEMT TCCC Curriculum, and PHTLS Guidelines. Successful
mastery of these domains supports the development of University-Level competence in delivering effective tactical
combat casualty care.
ACTUAL QUESTIONS
Domain 1: Care Under Fire
Question 1. During Care Under Fire, what is the first priority for the combat medic?
A. Immediate detailed assessment of all casualties
B. Gaining fire superiority and moving the casualty to cover
C. Starting intravenous fluids
D. Performing a full secondary survey
Correct Answer: B
Rationale: In Care Under Fire, the tactical situation takes precedence. The first priorities are returning fire,
gaining fire superiority, and moving the casualty to cover or concealment before any medical intervention
beyond life-threatening hemorrhage control.
Question 2. Which hemorrhage control method is preferred for life-threatening extremity
bleeding during Care Under Fire?
A. Direct pressure with a pressure dressing
B. Application of a CoTCCC-recommended tourniquet high and tight
C. Wound packing with hemostatic gauze only
D. Elevation of the extremity
Correct Answer: D
Rationale: During Care Under Fire, a tourniquet is applied high and tight on the extremity for life-threatening
bleeding because it can be placed rapidly while the casualty or medic remains under threat. Refinement occurs
later in Tactical Field Care.
Question 3. What is the recommended action if a casualty has a life-threatening hemorrhage from
a junctional area during Care Under Fire?
A. Apply a standard extremity tourniquet
B. Use direct pressure or a junctional tourniquet if available and feasible
C. Ignore the bleeding until the casualty reaches a treatment facility
D. Apply only a pressure dressing
Correct Answer: B
Rationale: Junctional hemorrhage (groin, axilla, neck) cannot be controlled with a standard limb tourniquet.
Direct pressure or a CoTCCC-recommended junctional tourniquet is used when the tactical situation permits.
Question 4. When should airway management be addressed during Care Under Fire?
A. Immediately for every casualty
B. Only if the casualty has an obvious airway obstruction and the tactical situation allows
C. Before any hemorrhage control
D. Never during Care Under Fire
Correct Answer: A
Rationale: Airway interventions during Care Under Fire are limited to positioning or simple maneuvers if the
casualty has an obvious obstruction and doing so does not endanger the medic or other personnel. Full airway
management is deferred to Tactical Field Care.
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
, Question 5. What is the primary reason for moving a casualty to cover during Care Under Fire?
A. To allow for detailed documentation
B. To protect the casualty and the medic from ongoing hostile fire
C. To facilitate intravenous access
D. To perform a full physical examination
Correct Answer: C
Rationale: Ongoing effective hostile fire is the greatest immediate threat. Moving the casualty to cover or
concealment reduces the risk of additional injury to both the casualty and the rescuer.
Question 6. Which of the following is an acceptable action for a casualty who is under effective
enemy fire and has no life-threatening hemorrhage?
A. Immediate tourniquet application to all extremities
B. Directing the casualty to move to cover under his or her own power if able
C. Starting a large-bore intravenous line
D. Performing needle decompression
Correct Answer: A
Rationale: If the casualty can move, he or she should be directed to seek cover. This reduces exposure time for
both the casualty and the medic and conserves resources for those who cannot move.
Question 7. During Care Under Fire, when is it appropriate to apply a tourniquet over clothing?
A. Never
B. When rapid application is required and clothing removal would delay control of life-threatening bleeding
C. Only if the clothing is dry
D. Only for junctional wounds
Correct Answer: C
Rationale: In the Care Under Fire phase, a tourniquet may be applied over clothing to achieve rapid
hemorrhage control. The tourniquet is reassessed and converted or repositioned as needed once the casualty
reaches a more secure location.
Question 8. What is the CoTCCC recommendation regarding the use of pressure points during
Care Under Fire?
A. Pressure points are the preferred method for all extremity bleeding
B. Pressure points are not recommended as a primary method of hemorrhage control
C. Pressure points should be used before any tourniquet
D. Pressure points replace the need for tourniquets
Correct Answer: A
Rationale: Pressure points are not reliable for controlling life-threatening hemorrhage and are not
recommended as a primary intervention in TCCC. Tourniquets and direct pressure or hemostatic agents are
preferred.
Question 9. A casualty is found unresponsive with no signs of life during Care Under Fire. What is
the appropriate action?
A. Begin immediate cardiopulmonary resuscitation
B. Move the casualty to cover only if it does not endanger the medic; CPR is not performed under fire
C. Perform a full trauma assessment
D. Start intravenous fluids immediately
Correct Answer: C
Rationale: Cardiopulmonary resuscitation is not performed during Care Under Fire because it exposes the
medic to hostile fire and has extremely low likelihood of success in traumatic cardiac arrest in this environment.
Question 10. Which statement best describes the role of the combat medic during Care Under
Fire?
A. Provide definitive surgical care
B. Suppress enemy fire, prevent additional casualties, and treat only immediate life-threatening hemorrhage
C. Conduct a full head-to-toe assessment
TCCC Tactical Combat Casualty Care Certification Comprehensive Examination 2026/2027 | Verified Questions
