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. During TCCC, the “M” in MARCH stands for:
A. Massive hemorrhage
B. Mental status
C. Movement
D. Morphine administration
Correct Answer: A
Rationale: MARCH = Massive hemorrhage, Airway, Respiratory,
Circulation, Hypothermia/Head injury. This is the TCCC casualty
assessment sequence.
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,2. The first action for a conscious casualty with life-
threatening extremity hemorrhage is:
A. Apply a tourniquet
B. Apply direct pressure
C. Apply a pressure dressing
D. Elevate the extremity
Correct Answer: A
Rationale: In TCCC, for life-threatening extremity hemorrhage
(visible pulsatile bleeding, amputation, or severe bleeding), a
tourniquet is applied immediately before direct pressure.
3. A casualty has a left leg amputation above the knee with
bright red pulsatile bleeding. The correct action is:
A. Apply direct pressure for 15 minutes
B. Apply a tourniquet as high as possible on the injured limb
(above the wound)
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,C. Apply a pressure dressing and evacuate
D. Apply a hemostatic dressing only
Correct Answer: B
Rationale: Traumatic amputation with pulsatile bleeding requires
immediate tourniquet application. Apply as high as possible on
the injured limb (not over joint).
4. When applying a Combat Application Tourniquet (CAT), the
windlass should be turned until:
A. The bleeding stops and the distal pulse is absent
B. The casualty feels minimal pain
C. Two full rotations are completed
D. The bleeding slows but does not stop
Correct Answer: A
Rationale: The windlass is turned until bleeding stops AND distal
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, pulse is absent. Over-tightening beyond bleeding control is
unnecessary.
5. The maximum recommended tourniquet time before
considering conversion to a pressure dressing is:
A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours
Correct Answer: B
Rationale: Tourniquets are safe for up to 2 hours. After 2 hours,
risk of limb ischemia increases. Conversion to a pressure dressing
may be considered in a far-forward setting only if bleeding can
be controlled.
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