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Combat Medic 68W Fieldcraft 1 Exam C168W144 Prep
1. The TCCC framework is divided into three distinct phases. Which of the following is the
correct order of these phases?
A. Tactical Field Care, Care Under Fire, Tactical Evacuation Care
B. Care Under Fire, Tactical Field Care, Tactical Evacuation Care
C. Direct Threat Care, Indirect Threat Care, Evacuation Care
D. Hot Zone Care, Warm Zone Care, Cold Zone Care
Answer: B. Care Under Fire, Tactical Field Care, Tactical Evacuation Care
Rationale: This is the foundational structure of TCCC. Care Under Fire occurs in the direct
threat environment, Tactical Field Care once the immediate threat is reduced, and Tactical
Evacuation Care during MEDEVAC/CASEVAC transport.
2. You are in a Care Under Fire situation. What is your single most important task?
A. Apply a tourniquet to a casualty's amputated limb.
B. Return fire and suppress the enemy.
C. Check the casualty for a pulse.
D. Move the casualty to a covered position.
Answer: B. Return fire and suppress the enemy.
, Rationale: In Care Under Fire, the mission is to win the firefight. The greatest medicine is fire
superiority. Providing care while still under direct threat can result in more casualties.
3. During Tactical Field Care, you are assessing a casualty using the MARCH algorithm.
What does the acronym "MARCH" stand for?
A. Massive Hemorrhage, Airway, Respiration, Circulation, Head/Hypothermia
B. Major Bleeding, Airway, Breathing, CPR, Hypovolemia
C. Movement, Airway, Respiration, Circulation, Hemorrhage
D. Massive Bleeding, Aspiration, Respiratory, Cardiac, Heat
Answer: A. Massive Hemorrhage, Airway, Respiration, Circulation, Head/Hypothermia
Rationale: MARCH is the systematic assessment and treatment sequence for Tactical Field Care.
It prioritizes the most immediately life-threatening conditions first.
4. A soldier has a deep, bleeding laceration on his thigh. A Combat Application Tourniquet
(CAT) has been applied proximal to the wound but bleeding continues. What is your next
action?
A. Apply a second tourniquet directly adjacent to the first one.
B. Loosen the tourniquet and re-tighten it.
C. Apply a second tourniquet side-by-side with the first, ensuring it is placed higher on the limb.
D. Remove the first tourniquet and apply a new one tighter.
Answer: C. Apply a second tourniquet side-by-side with the first, ensuring it is placed
higher on the limb.
Rationale: If one tourniquet does not stop the bleeding, a second should be applied proximal to
the first (closer to the torso), not adjacent or distal. Removing the first tourniquet is dangerous
as it could restart severe bleeding.