Expert Field Medical Badge (EFMB) Exam 2026/2027 |
Complete Practice Test, Questions, Answers & Detailed
Explanations
Section 1: Tactical Combat Casualty Care (Questions 1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital treatment
B. Provide lifesaving trauma care while accounting for the tactical
environment
C. Eliminate the need for evacuation
D. Treat only penetrating injuries
Answer: B
Explanation: TCCC integrates evidence-based trauma care with tactical
considerations to maximize casualty survival.
2. Which intervention generally receives the highest priority when a
casualty has life-threatening external bleeding?
A. Splinting
B. Controlling the hemorrhage
C. Taking a complete medical history
D. Giving oral fluids
Answer: B
Explanation: Severe hemorrhage can cause death rapidly, so
immediately controllable massive bleeding is a critical priority.
,3. What does the “M” in the MARCH assessment stand for?
A. Medication
B. Massive hemorrhage
C. Mental status
D. Movement
Answer: B
Explanation: MARCH begins with identification and treatment of
massive hemorrhage.
4. During Care Under Fire, the first consideration is generally:
A. Completing a detailed physical examination
B. Tactical safety and controlling immediately life-threatening bleeding
when feasible
C. Establishing an IV line
D. Obtaining a full SAMPLE history
Answer: B
Explanation: Care must be balanced with the tactical threat;
unnecessary exposure can endanger both rescuer and casualty.
5. A tourniquet is most appropriate for:
A. Minor abrasions
B. Life-threatening extremity hemorrhage
C. Stable abdominal pain
D. Mild nosebleed
Answer: B
Explanation: A properly applied tourniquet is a rapid method of
controlling severe extremity bleeding.
,6. What is the most important reason to reassess a tourniquet after
application?
A. To determine the casualty's blood type
B. To verify that bleeding has stopped
C. To remove it immediately
D. To measure body temperature
Answer: B
Explanation: The responder must verify effective hemorrhage control
and ensure the tourniquet remains appropriately positioned.
7. When should a tourniquet generally be placed for severe extremity
bleeding?
A. Only after the casualty becomes unconscious
B. Promptly when indicated
C. After an IV is started
D. After evacuation begins
Answer: B
Explanation: Delaying control of catastrophic hemorrhage increases the
risk of preventable death.
8. What is wound packing primarily intended to control?
A. Superficial bruising
B. Severe bleeding from a wound where direct pressure and packing can
be effective
C. Airway obstruction
D. Bone deformity
Answer: B
Explanation: Packing allows pressure and hemostatic material to be
applied directly to a bleeding wound.
, 9. Which location is generally suitable for wound packing?
A. An open junctional wound
B. The eye
C. An intact abdomen
D. A closed fracture
Answer: A
Explanation: Junctional areas can have severe bleeding that cannot be
controlled effectively with a standard extremity tourniquet.
10. Why are hemostatic dressings useful in tactical medicine?
A. They replace all surgical treatment
B. They can assist with control of severe external hemorrhage
C. They treat infection immediately
D. They eliminate the need for pressure
Answer: B
Explanation: Hemostatic dressings support clot formation and are
useful alongside appropriate wound compression.
11. Which finding most strongly suggests significant blood loss?
A. Warm dry skin with normal mental status
B. Altered mental status with signs of poor perfusion
C. Isolated minor abrasion
D. Mild itching
Answer: B
Explanation: Altered mentation and poor perfusion can indicate
inadequate circulating volume and shock.
12. What is a major concern when a casualty with severe trauma
becomes cold?
Complete Practice Test, Questions, Answers & Detailed
Explanations
Section 1: Tactical Combat Casualty Care (Questions 1–30)
1. What is the primary purpose of Tactical Combat Casualty Care
(TCCC)?
A. Replace definitive hospital treatment
B. Provide lifesaving trauma care while accounting for the tactical
environment
C. Eliminate the need for evacuation
D. Treat only penetrating injuries
Answer: B
Explanation: TCCC integrates evidence-based trauma care with tactical
considerations to maximize casualty survival.
2. Which intervention generally receives the highest priority when a
casualty has life-threatening external bleeding?
A. Splinting
B. Controlling the hemorrhage
C. Taking a complete medical history
D. Giving oral fluids
Answer: B
Explanation: Severe hemorrhage can cause death rapidly, so
immediately controllable massive bleeding is a critical priority.
,3. What does the “M” in the MARCH assessment stand for?
A. Medication
B. Massive hemorrhage
C. Mental status
D. Movement
Answer: B
Explanation: MARCH begins with identification and treatment of
massive hemorrhage.
4. During Care Under Fire, the first consideration is generally:
A. Completing a detailed physical examination
B. Tactical safety and controlling immediately life-threatening bleeding
when feasible
C. Establishing an IV line
D. Obtaining a full SAMPLE history
Answer: B
Explanation: Care must be balanced with the tactical threat;
unnecessary exposure can endanger both rescuer and casualty.
5. A tourniquet is most appropriate for:
A. Minor abrasions
B. Life-threatening extremity hemorrhage
C. Stable abdominal pain
D. Mild nosebleed
Answer: B
Explanation: A properly applied tourniquet is a rapid method of
controlling severe extremity bleeding.
,6. What is the most important reason to reassess a tourniquet after
application?
A. To determine the casualty's blood type
B. To verify that bleeding has stopped
C. To remove it immediately
D. To measure body temperature
Answer: B
Explanation: The responder must verify effective hemorrhage control
and ensure the tourniquet remains appropriately positioned.
7. When should a tourniquet generally be placed for severe extremity
bleeding?
A. Only after the casualty becomes unconscious
B. Promptly when indicated
C. After an IV is started
D. After evacuation begins
Answer: B
Explanation: Delaying control of catastrophic hemorrhage increases the
risk of preventable death.
8. What is wound packing primarily intended to control?
A. Superficial bruising
B. Severe bleeding from a wound where direct pressure and packing can
be effective
C. Airway obstruction
D. Bone deformity
Answer: B
Explanation: Packing allows pressure and hemostatic material to be
applied directly to a bleeding wound.
, 9. Which location is generally suitable for wound packing?
A. An open junctional wound
B. The eye
C. An intact abdomen
D. A closed fracture
Answer: A
Explanation: Junctional areas can have severe bleeding that cannot be
controlled effectively with a standard extremity tourniquet.
10. Why are hemostatic dressings useful in tactical medicine?
A. They replace all surgical treatment
B. They can assist with control of severe external hemorrhage
C. They treat infection immediately
D. They eliminate the need for pressure
Answer: B
Explanation: Hemostatic dressings support clot formation and are
useful alongside appropriate wound compression.
11. Which finding most strongly suggests significant blood loss?
A. Warm dry skin with normal mental status
B. Altered mental status with signs of poor perfusion
C. Isolated minor abrasion
D. Mild itching
Answer: B
Explanation: Altered mentation and poor perfusion can indicate
inadequate circulating volume and shock.
12. What is a major concern when a casualty with severe trauma
becomes cold?
