TCCC TIER3 ACTUAL EXAM QUESTIONS AND
100% CORRECT ANSWERS|LATEST UPDATE
Which factors influence TCCC? - ANSWER-
B Hostile fire, tactical considerations,
B B B B B B B
wounding patterns, environmental considerations, level of first-responder training and
B B B B B B B B B
experience, equipment constraints and the potential for significant delays in evacuation.
B B B B B B B B B B B
What are the phases of care in TCCC? - ANSWER-
B B B B B B B B B Care Under Fire/Threat, Tactical
B B B
Field Care, and Tactical Evacuation Care.
B B B B B B
What is the most essential treatment task in CUF? - ANSWER-
B B B B B B B B B B Application of a limb B B B
tourniquet to control massive bleeding.
B B B B B
What is every first responder's role in CUF? - ANSWER-
B B B Suppress hostile fire and/or
B B B B B B B B B
establish scene safety, assist in self-aid, and assist in moving casualties
B B B B B B B B B B B
What does MARCH PAWS stand for? - ANSWER-
B B Massive bleeding, airway,
B B B B B B B
respirations (breathing), circulation, and hypothermia AND head injury, pain, antibiotics,
B B B B B B B B B B
wounds, and splints.
B B B
What type of tourniquet found in the CMC Aid Bag is used to control massive hemorrhage
B B B B B B B B B B B B B B B
in the axilla that is too proximal for effective limb tourniquet application? - ANSWER-
B B B B B B B B B B B B B B
Junctional Tourniquet B
When should you inspect your JFAK, CLS bag, CMC bag and other Service-specific medical
B B B B B B B B B B B B B
B kits? - ANSWER-
B B Before, during, and after all training events and missions.
B B B B B B B B
What is Care Under Fire? - ANSWER-
B B care given by the first responder at the scene of
B B B B B B B B B B B B B
the injury while they and the casualty are still under effective hostile fire or near the
B B B B B B B B B B B B B B B B
threat.
B
1
Wicky
,What are the signs of life threatening bleeding? - ANSWER-
B B B B B B B B B • Bright red blood is
B B B B
pooling on the ground
B B B B
• The overlying clothes are soaked with blood
B B B B B B B
• There is a traumatic AMPUTATION of an arm or leg
B B B B B B B B B B
• There is pulsatile (pulsing) or steady bleeding from the wound
B B B B B B B B B B
How long does it take to bleed to death from a complete femoral artery and vein
B B B B B B B B B B B B B B B
B disruption? - ANSWER- B B 3 minutes or less
B B B
What are advantages and disadvantages of one-person drags? - ANSWER-
B B B B B B B B B •
Advantages: only one rescuer is exposed to enemy fire.
B B B B B B B B B
• Disadvantages: they are difficult to perform and can cause the rescuer to tire quickly.
B B B B B B B B B B B B B B
What are advantages and disadvantages of two-person carries? - ANSWER-
B B • B B B B B B B
Advantages: they are useful in situations where drags do not work well and are quicker
B B B B B B B B B B B B B B B
than most one-person carries.
B B B B
• Disadvantages: they cause the rescuers to have a higher silhouette than most drags, and
B B B B B B B B B B B B B B
are hard to accomplish with the added weight of rescuer's and/or the casualty's
B B B B B B B B B B B B B
equipment.
B
What is the difference between TFC and CUF? - ANSWER-
B B B care rendered once the B B B B B B B B B
combat medic/corpsman and casualty are no longer under direct threat from effective
B B B B B B B B B B B B
enemy fire. This allows for the time and the relative safety for a more deliberate approach
B B B B B B B B B B B B B B B B
to casualty assessment and treatment.
B B B B B
True or False: During TFC, the tactical situation could change back to CUF again at any time?
B B B B B B B B B B B B B B B B
B - ANSWER-
B True
What is triage? - ANSWER-
B B the deliberate sorting of casualties and allocation of
B B B B B B B B B
limited treatment resources according to a system of priorities designed to maximize the
B B B B B B B B B B B B B
number of survivors on the battlefield.
B B B B B B
2
Wicky
,What is a CCP? - ANSWER-
B B location on the battlefield for the triage, treatment and
B B B B B B B B B B B
monitoring, and the packaging/staging of casualties for evacuation. The CCP should be
B B B B B B B B B B B B
established reasonably close to the fight where casualties are likely to occur, be near
B B B B B B B B B B B B B B
natural "lines of drift", provide relative cover and concealment from the enemy whenever
B B B B B B B B B B B B B
possible, and have access to evacuation routes.
B B B B B B B
In which phase of care is most of the Tactical Trauma Assessment performed? - ANSWER-
B B B B B B B B B B B B B B
Tactical Field Care B B
Why is it important to assess the casualty's mental status? - ANSWER-
B B B They may need B B B B B B B B B B
to be disarmed and to have communications equipment removed. Following their mental
B B B B B B B B B B B B
status throughout the assessment may help responders identify changes in clinical status,
B B B B B B B B B B B B
leading to early casualty reassessment.
B B B B B
What is a blood sweep? - ANSWER-
B B a rapid visual and palpable head-to-toe check of
B B B B B B B B B B B
the front and back of the casualty for any unrecognized life-threatening bleeding.
B B B B B B B B B B B B
What is the proper distance a deliberate tourniquet should be placed from the bleeding site
B B B B B B B B B B B B B B
B in TFC? - ANSWER-
B A deliberate tourniquet placed in TFC should be 2-3 inches above
B B B B B B B B B B B B
B (proximal) to the site of bleeding. B B B B B
What are the differences between the high & tight hasty tourniquets placed in CUF and the
B B B B B B B B B B B B B B B
B deliberate tourniquets placed in TC? - ANSWER-
B The tourniquets placed in CUF are B B B B B B B B B B
B typically placed over the uniform/clothing as high up on the extremity as possible, as time
B B B B B B B B B B B B B B
B is very limited and the exact site of bleeding may not have been identified.
B B B B B B B B B B B B B
In contrast, the tourniquets placed in FC are placed more deliberately after uniform clothing
B B B B B B B B B B B B B
Bhas been removed and 2-3 inches above the identified site of bleeding.
B B B B B B B B B B B
How long should direct pressure be applied onto packed hemostatic dressings? - ANSWER-
B B B B B B B B B B B B
3 minutes.
B
Why is it important to check the pulse after applying a pressure bandage? - ANSWER-
B B B B B B B B B B B B B B
A pressure bandage should not be a tourniquet. It is important to check to ensure a
B B B B B B B B B B B B B B B
3
Wicky
, B pulse is still present distally after bleeding has been controlled by application of a pressure
B B B B B B B B B B B B B B
B bandage. If no pulse is present the pressure bandage should be loosened and reapplied.
B B B B B B B B B B B B B
What is inguinal junctional hemorrhage and how is it treated? - ANSWER-
B B B bleeding B B B B B B B B
from the large blood vessels at the junction where the lower extremities join the torso.
B B B B B B B B B B B B B B B
Injuries to these junctional areas are typically not amenable to a limb tourniquet and
B B B B B B B B B B B B B B
require other intervention. If available a CoTCCC-recommended junctional tourniquet
B B B B B B B B B
should be applied. If not available, the wound should be packed with hemostatic gauze and
B B B B B B B B B B B B B B B
direct pressure applied to the wound.
B B B B B B
Application of an improvised pressure delivery device may be needed to apply additional,
B B B B B B B B B B B B
targeted, and sustained pressure to control hemorrhage.
B B B B B B B
Injectable hemostatic agent is contraindicated in which types of wounds? - ANSWER-
B B B B B B B B B B B
This device is not indicated for use in thorax, pleural cavity, mediastinum, abdomen,
B B B B B B B B B B B B
B retroperitoneal space, sacral space, above the inguinal ligament, and tissues above the
B B B B B B B B B B B
B clavicle
What are the signs of an airway obstruction? - ANSWER-
B B B In cases of partial or B B B B B B B B B B
complete airway obstruction, the casualty may experience agitation, cyanosis, confusion or
B B B B B B B B B B B
even unconsciousness, difficulty breathing (dyspnea), or high-pitched breathing noises such
B B B B B B B B B B
as stridor, wheezing, snoring, or gurgling sounds.
B B B B B B B
What is the best position for a conscious casualty that is breathing on their own? -
B B B B B B B B B B B B B B B
B ANSWER- Allow the conscious casualty that is breathing on their own to assume B B B B B B B B B B B
B whatever position allows them to breathe most comfortably.
B B B B B B B
When would you use an extraglottic airway? - ANSWER-
B B On a casualty who is deeply
B B B B B B B B B B B
unconscious and needs an advance airway to ventilate (on their own or with assistance).
B B B B B B B B B B B B B B
What are common errors when performing a cricothyroidotomy? - ANSWER-
B B B making B B B B B B
the initial incision too small, thereby limiting the ability to clearly visualize the cricothyroid
B B B B B B B B B B B B B B
membrane; identifying the landmarks properly is difficult and commonly leads to incorrect
B B B B B B B B B B B B
placement;
B
4
Wicky
100% CORRECT ANSWERS|LATEST UPDATE
Which factors influence TCCC? - ANSWER-
B Hostile fire, tactical considerations,
B B B B B B B
wounding patterns, environmental considerations, level of first-responder training and
B B B B B B B B B
experience, equipment constraints and the potential for significant delays in evacuation.
B B B B B B B B B B B
What are the phases of care in TCCC? - ANSWER-
B B B B B B B B B Care Under Fire/Threat, Tactical
B B B
Field Care, and Tactical Evacuation Care.
B B B B B B
What is the most essential treatment task in CUF? - ANSWER-
B B B B B B B B B B Application of a limb B B B
tourniquet to control massive bleeding.
B B B B B
What is every first responder's role in CUF? - ANSWER-
B B B Suppress hostile fire and/or
B B B B B B B B B
establish scene safety, assist in self-aid, and assist in moving casualties
B B B B B B B B B B B
What does MARCH PAWS stand for? - ANSWER-
B B Massive bleeding, airway,
B B B B B B B
respirations (breathing), circulation, and hypothermia AND head injury, pain, antibiotics,
B B B B B B B B B B
wounds, and splints.
B B B
What type of tourniquet found in the CMC Aid Bag is used to control massive hemorrhage
B B B B B B B B B B B B B B B
in the axilla that is too proximal for effective limb tourniquet application? - ANSWER-
B B B B B B B B B B B B B B
Junctional Tourniquet B
When should you inspect your JFAK, CLS bag, CMC bag and other Service-specific medical
B B B B B B B B B B B B B
B kits? - ANSWER-
B B Before, during, and after all training events and missions.
B B B B B B B B
What is Care Under Fire? - ANSWER-
B B care given by the first responder at the scene of
B B B B B B B B B B B B B
the injury while they and the casualty are still under effective hostile fire or near the
B B B B B B B B B B B B B B B B
threat.
B
1
Wicky
,What are the signs of life threatening bleeding? - ANSWER-
B B B B B B B B B • Bright red blood is
B B B B
pooling on the ground
B B B B
• The overlying clothes are soaked with blood
B B B B B B B
• There is a traumatic AMPUTATION of an arm or leg
B B B B B B B B B B
• There is pulsatile (pulsing) or steady bleeding from the wound
B B B B B B B B B B
How long does it take to bleed to death from a complete femoral artery and vein
B B B B B B B B B B B B B B B
B disruption? - ANSWER- B B 3 minutes or less
B B B
What are advantages and disadvantages of one-person drags? - ANSWER-
B B B B B B B B B •
Advantages: only one rescuer is exposed to enemy fire.
B B B B B B B B B
• Disadvantages: they are difficult to perform and can cause the rescuer to tire quickly.
B B B B B B B B B B B B B B
What are advantages and disadvantages of two-person carries? - ANSWER-
B B • B B B B B B B
Advantages: they are useful in situations where drags do not work well and are quicker
B B B B B B B B B B B B B B B
than most one-person carries.
B B B B
• Disadvantages: they cause the rescuers to have a higher silhouette than most drags, and
B B B B B B B B B B B B B B
are hard to accomplish with the added weight of rescuer's and/or the casualty's
B B B B B B B B B B B B B
equipment.
B
What is the difference between TFC and CUF? - ANSWER-
B B B care rendered once the B B B B B B B B B
combat medic/corpsman and casualty are no longer under direct threat from effective
B B B B B B B B B B B B
enemy fire. This allows for the time and the relative safety for a more deliberate approach
B B B B B B B B B B B B B B B B
to casualty assessment and treatment.
B B B B B
True or False: During TFC, the tactical situation could change back to CUF again at any time?
B B B B B B B B B B B B B B B B
B - ANSWER-
B True
What is triage? - ANSWER-
B B the deliberate sorting of casualties and allocation of
B B B B B B B B B
limited treatment resources according to a system of priorities designed to maximize the
B B B B B B B B B B B B B
number of survivors on the battlefield.
B B B B B B
2
Wicky
,What is a CCP? - ANSWER-
B B location on the battlefield for the triage, treatment and
B B B B B B B B B B B
monitoring, and the packaging/staging of casualties for evacuation. The CCP should be
B B B B B B B B B B B B
established reasonably close to the fight where casualties are likely to occur, be near
B B B B B B B B B B B B B B
natural "lines of drift", provide relative cover and concealment from the enemy whenever
B B B B B B B B B B B B B
possible, and have access to evacuation routes.
B B B B B B B
In which phase of care is most of the Tactical Trauma Assessment performed? - ANSWER-
B B B B B B B B B B B B B B
Tactical Field Care B B
Why is it important to assess the casualty's mental status? - ANSWER-
B B B They may need B B B B B B B B B B
to be disarmed and to have communications equipment removed. Following their mental
B B B B B B B B B B B B
status throughout the assessment may help responders identify changes in clinical status,
B B B B B B B B B B B B
leading to early casualty reassessment.
B B B B B
What is a blood sweep? - ANSWER-
B B a rapid visual and palpable head-to-toe check of
B B B B B B B B B B B
the front and back of the casualty for any unrecognized life-threatening bleeding.
B B B B B B B B B B B B
What is the proper distance a deliberate tourniquet should be placed from the bleeding site
B B B B B B B B B B B B B B
B in TFC? - ANSWER-
B A deliberate tourniquet placed in TFC should be 2-3 inches above
B B B B B B B B B B B B
B (proximal) to the site of bleeding. B B B B B
What are the differences between the high & tight hasty tourniquets placed in CUF and the
B B B B B B B B B B B B B B B
B deliberate tourniquets placed in TC? - ANSWER-
B The tourniquets placed in CUF are B B B B B B B B B B
B typically placed over the uniform/clothing as high up on the extremity as possible, as time
B B B B B B B B B B B B B B
B is very limited and the exact site of bleeding may not have been identified.
B B B B B B B B B B B B B
In contrast, the tourniquets placed in FC are placed more deliberately after uniform clothing
B B B B B B B B B B B B B
Bhas been removed and 2-3 inches above the identified site of bleeding.
B B B B B B B B B B B
How long should direct pressure be applied onto packed hemostatic dressings? - ANSWER-
B B B B B B B B B B B B
3 minutes.
B
Why is it important to check the pulse after applying a pressure bandage? - ANSWER-
B B B B B B B B B B B B B B
A pressure bandage should not be a tourniquet. It is important to check to ensure a
B B B B B B B B B B B B B B B
3
Wicky
, B pulse is still present distally after bleeding has been controlled by application of a pressure
B B B B B B B B B B B B B B
B bandage. If no pulse is present the pressure bandage should be loosened and reapplied.
B B B B B B B B B B B B B
What is inguinal junctional hemorrhage and how is it treated? - ANSWER-
B B B bleeding B B B B B B B B
from the large blood vessels at the junction where the lower extremities join the torso.
B B B B B B B B B B B B B B B
Injuries to these junctional areas are typically not amenable to a limb tourniquet and
B B B B B B B B B B B B B B
require other intervention. If available a CoTCCC-recommended junctional tourniquet
B B B B B B B B B
should be applied. If not available, the wound should be packed with hemostatic gauze and
B B B B B B B B B B B B B B B
direct pressure applied to the wound.
B B B B B B
Application of an improvised pressure delivery device may be needed to apply additional,
B B B B B B B B B B B B
targeted, and sustained pressure to control hemorrhage.
B B B B B B B
Injectable hemostatic agent is contraindicated in which types of wounds? - ANSWER-
B B B B B B B B B B B
This device is not indicated for use in thorax, pleural cavity, mediastinum, abdomen,
B B B B B B B B B B B B
B retroperitoneal space, sacral space, above the inguinal ligament, and tissues above the
B B B B B B B B B B B
B clavicle
What are the signs of an airway obstruction? - ANSWER-
B B B In cases of partial or B B B B B B B B B B
complete airway obstruction, the casualty may experience agitation, cyanosis, confusion or
B B B B B B B B B B B
even unconsciousness, difficulty breathing (dyspnea), or high-pitched breathing noises such
B B B B B B B B B B
as stridor, wheezing, snoring, or gurgling sounds.
B B B B B B B
What is the best position for a conscious casualty that is breathing on their own? -
B B B B B B B B B B B B B B B
B ANSWER- Allow the conscious casualty that is breathing on their own to assume B B B B B B B B B B B
B whatever position allows them to breathe most comfortably.
B B B B B B B
When would you use an extraglottic airway? - ANSWER-
B B On a casualty who is deeply
B B B B B B B B B B B
unconscious and needs an advance airway to ventilate (on their own or with assistance).
B B B B B B B B B B B B B B
What are common errors when performing a cricothyroidotomy? - ANSWER-
B B B making B B B B B B
the initial incision too small, thereby limiting the ability to clearly visualize the cricothyroid
B B B B B B B B B B B B B B
membrane; identifying the landmarks properly is difficult and commonly leads to incorrect
B B B B B B B B B B B B
placement;
B
4
Wicky
