Tactical Combat Casualty Care – Combat Medic/Corpsman (TCCC‑CMC) Practice Test

These questions are part of the practice quiz. Start practicing

• Which of the following is a sign of hemorrhagic shock?
• What is a significant logistical advantage of using oral antibiotics compared to parenteral antibiotics?
• What form should be used to document casualty information, wounds, and treatments for continuity of care?
• What is the leading cause of preventable death in combat trauma?
• What is an early sign of tension pneumothorax?
• What constitutes a critical injury that requires urgent evacuation within 2 hours?
• What should be done to any applied tourniquets after moving a casualty in Care Under Fire (CUF)?
• Which anatomical landmarks are used when applying a Pelvic Compression Device (PCD)?
• When is the second dose of Oral Transmucosal Fentanyl Citrate indicated?
• Who should rescuers maintain communication with during an extraction, when feasible?
• In NATO Casualty Evacuation Categories, which category corresponds to life-threatening injuries?
• What may be used to anesthetize the skin and neck structures prior to a cricothyroidotomy?
• True or False: Hypothermia is only a concern in cold environments.
• What is a significant disadvantage of using a Two Person Drag/Carry method?
• In triage, which category indicates that immediate lifesaving intervention is required?
• What is the appropriate method to calculate the drip rate for fluid resuscitation in burn cases?
• Which antibiotic is recommended for those who can take oral medications?
• What type of drugs does meloxicam specifically not affect?
• What does 'PAWS' in MARCH PAWS stand for?
• Which of the following symptoms indicates that a casualty may not be stabilizing correctly?
• What is a contraindication for using a nasopharyngeal airway?
• What is a necessary response when faced with hostile fire during TCCC operations?
• What is the recommended amount of Calcium to be administered after the first unit of blood is given?
• In what situation might CPR be considered during the Tactical Field Care phase?
• What is the significance of monitoring trends in vital signs during treatment?
• What are Combat Medic Corpsman (CMC) bags designed to treat primarily?
• If a tourniquet is found to be ineffective upon reassessment, what action should be taken?
• Which of the following is a limitation of active warming devices?
• What is the first step after applying pressure to stop bleeding in the treatment of a minor wound?
• What is the desired oxygen saturation level when providing supplemental oxygen?
• What is Ondansetron used for in the context of pain management?
• Where should a deliberate tourniquet be applied?
• What should be done before engaging with a casualty in Care Under Fire (CUF)?
• What does MARCH stand for in TCCC?
• What is a contraindication for establishing intravenous (IV) access?
• What is one method for moving cold-stored low-titer O whole blood (LTOWB)?
• What is the risk associated with applying a Tourniquet for more than 6 hours?
• What should be assessed before and after splinting a fracture?
• What does the acronym AVPU stand for in casualty assessment?
• What is the most essential treatment task in Care Under Fire (CUF)?
• What method is commonly used to estimate Total Burn Surface Area (TBSA) in casualties?
• Which of the following is NOT a characteristic of an improvised tourniquet?
• What is one of the purposes of completing the DD Form 1380?
• Which of the following is NOT a critical action in preparing for a casualty evacuation?
• What distinguishes a hasty tourniquet from a deliberate tourniquet?
• What is one indication for tourniquet replacement?
• What are the principal causes of altered mental status in Tactical Combat Casualty Care (TCCC)?
• What is a primary objective in managing suspected head injuries?
• What effect does hypothermia have on trauma patients?
• What does the 'M' in the MARCH acronym stand for?
• What position should conscious patients be allowed to remain in to maintain their airway?
• Which factor contraindicates the use of Tranexamic Acid (TXA)?
• What is a treatment option for a casualty experiencing cerebral herniation?
• True or False: When applying a splint, it is important to immobilize the joints above and below the fracture site.
• What is NOT a common symptom of shock?
• Which scenario indicates that a nasopharyngeal airway should NOT be used?
• During Tactical Field Care (TFC), what is a critical step following a situation of hemorrhage control?
• What is the first critical action in preparing for a casualty evacuation?
• Which components make up the lethal triad of trauma?
• What type of training content is recommended to stay updated with TCCC practices?
• What is the dosage for Ketamine when administered intravenously?
• What is the primary role of every responder in Care Under Fire (CUF)?
• Which is the preferred fluid for hemorrhagic shock fluid resuscitation?
• What is a common error when performing a cricothyroidotomy?
• In the case of external bleeding that is difficult to control, what should be done?
• What is a contraindication for tourniquet conversion?
• How should patient wounds and treatment information be communicated to other healthcare providers?
• Under which conditions should ertapenem be used instead of moxifloxacin?
• What is a common sign indicating a head injury?
• Why is proper communication crucial in Care Under Fire (CUF)?
• What defines full-thickness burns?
• Why is it important to check a radial pulse during casualty assessment?
• Which of the following is true regarding the application of a tourniquet?
• Which symptoms are associated with respiratory distress?
• What is one of the three objectives of TCCC?
• Which of the following is a factor that can cause a low pulse oximetry reading?
• When is it appropriate NOT to administer Tranexamic Acid?
• Which of the following is a common physiological response to blood loss?
• Which type of burn is characterized by blisters and reddening of the skin?
• What is the initial action in the circulation phase of the MARCH-PAWS sequence?
• What is the maximum time frame for Urgent evacuation?
• What is the Combat Wound Medication Pack (CWMP) used for?
• What is a sign that may accompany hemorrhagic shock?
• What is a contraindication for administering ertapenem?
• Which of the following is considered a sign of serious bleeding?
• Which is NOT a sign of severe brain damage?
• What is a contraindication for applying a Pelvic Compression Device (PCD)?
• What does CLS stand for in TCCC roles?
• Which of the following is a visual indicator of a life-threatening bleed?
• Which condition is an indication for establishing intravenous (IV) access?
• At what percentage of total body surface area (TBSA) burned should fluid resuscitation be initiated?
• What does the term 'hypovolemia' refer to?
• When should antibiotics be administered during Tactical Field Care?
• What would be a potential indicator for moderate/severe traumatic brain injury (TBI)?
• Which condition can cause impaired readings on a pulse oximeter?
• What should Joint First Aid Kit (JFAK) contents be capable of treating according to MARCH PAWS?
• What sign might indicate a traumatic cardiac arrest?
• Which fluid is NOT typically used in the treatment of acute hemolysis?
• What should you aim to do when communicating with a casualty?
• Where is the injectable hemostatic agent (X-STAT) contraindicated?
• What position should unconscious casualties who are not in shock be placed in to maintain their airway?
• What does the 'S' in a MIST report refer to?
• Which sign is associated with respiratory distress?
• In addition to securing bandages, what other step is important to prevent complications during evacuation?
• Which site is not typically used for intramuscular injections?
• What should be done first when treating a casualty with a thermal burn?
• What is a key characteristic of meloxicam compared to other NSAIDs?
• What does the 'M' in MARCH PAWS represent?
• Which symptom could indicate impending cerebral herniation?
• Which sign is considered a 'Red Flag' for urgent evacuation in cases of TBI?
• What route is NOT used for administering ertapenem?
• What is a disadvantage of using a one-person drag/carry?
• Which components of MARCH PAWS does the Combat LifeSaver (CLS) bag address?
• What type of blood is prioritized for fluid selection in trauma resuscitation?
• What is one indication for applying a Pelvic Compression Device (PCD)?
• Which mechanism of injury is least likely to be associated with head injuries?
• After packing a wound with a hemostatic dressing, how long should pressure be maintained?
• What does the rapid field visual acuity test assess?
• What is the purpose of a Casualty Collection Point (CCP)?
• What is a primary benefit of Freeze Dried Plasma (FDP) in combat scenarios?
• Which sign indicates worsening hemorrhagic shock?
• What is the primary function of the Joint Trauma System (JTS) in this context?
• What is the route of administration for moxifloxacin?
• What is a key reason for providing instructions to ambulatory patients during an evacuation?
• Which aspect of MARCH PAWS does not include 'Hypothermia'?
• Which fluid type is typically used for fluid resuscitation in cases of hemorrhagic shock?
• To prevent external rotation of the legs when applying a Pelvic Compression Device (PCD), what should be done?
• What is one of the responsibilities of all service members in TCCC?
• What contraindication does Meloxicam have?
• Which sound is characteristic of an open pneumothorax?
• What is the evacuation time frame for casualties classified as Priority (Category B)?
• When packing a wound with gauze, how far should it extend out of the wound?
• What is the recommended dressing for penetrating eye trauma with an impaled object?
• What action should be taken if a tourniquet is loose?
• Which tool can be used to assess a casualty for signs of a head injury?
• Which of the following best describes Tactical Evacuation Care (TACEVAC)?
• What is direct pressure and when should it be used?
• When should fluid resuscitation be discontinued during treatment?
• What is the initial treatment step for a white phosphorus chemical burn?
• What is a potential consequence of an open abdominals wound related to body temperature?
• What are some late signs of a tension pneumothorax?
• How long can a tourniquet be in place before it is considered for conversion?
• What is the recommended duration for a slow steady squeeze during ventilation with BVM?
• Which is NOT part of the hypothermic peer treatment protocol?
• Which two maneuvers are used to open and assess a patient's airway?
• What type of dressing is recommended to be placed on burned areas?
• Which of the following is a contraindication for intraosseous (IO) access?
• What is a common sign of needing a nasopharyngeal airway?
• Which indicator is considered a key sign of hemorrhagic shock?
• What is the significance of avoiding eye shield placement over the unaffected eye?
• In which situation would you consider using lidocaine before a cricothyroidotomy?
• What is a key sign of a suspected pelvic fracture?
• Should CPR be initiated for a casualty with blast or penetrating trauma who shows no signs of life?
• What is an indication for using a nasopharyngeal airway?
• What is the goal of using supplemental oxygen in trauma care?
• During casualty extraction, why is training important?
• What is the first step in Care Under Fire (CUF)?
• How should a casualty with an extremity injury and absent distal pulses be treated?
• How should an amputated body part be packaged for preservation?
• What is the recommended treatment for suspected tension pneumothorax?
• What should responders prioritize first in Care Under Fire (CUF)?
• Which intervention is specifically recommended during the Care Under Fire (CUF) phase?
• When should you inspect your JFAK, CLS bag, or CMC bag?
• During a casualty evacuation, why is padding for long evacuations necessary?
• Which task is a primary responsibility of a Combat Medic Corpsman (CMC)?
• When should intraosseous (IO) access be established?
• What constitutes a Category C injury according to the evacuation system?
• Which technique is used for maintaining a seal with the Bag Valve Mask (BVM)?
• What category requires evacuation within 2 hours?
• What types of injuries warrant categorization as Urgent (Category A)?
• What is indirect pressure in the context of bleeding control?
• What is a potential complication of transfusing whole blood?
• What is the first action you should take when encountering a casualty with an electrical burn?
• What best describes active hypothermia management?
• What is a primary indication for administering Tranexamic Acid (TXA)?
• What does shock lead to if untreated?
• When dealing with an impaled object in an extremity, what additional measure should be taken?
• What type of obstructions may necessitate a cricothyroidotomy?
• What is the recommended dosage for Tranexamic Acid administration in a trauma patient?
• How quickly should a tourniquet be applied according to TCCC guidelines?
• What is a primary indication for Ketamine use?
• When is it appropriate to use a pressure dressing on eye injuries?
• What does passive hypothermia management involve?
• What position might a person in respiratory distress assume?
• What is the primary focus of action in Care Under Fire (CUF)?
• What is the maximum time frame in which a patient can bleed to death from a major blood vessel injury?
• Which complication could arise due to internal bleeding from an abdominal injury?
• What is one of the first steps in managing someone with Penetrating Torso Trauma?
• What is the significance of TCCC training?
• What is the recommended dosage of Naloxone for treating opioid overdose?
• Which of the following is a key factor influencing TCCC?
• Which action is NOT a major area for action in Care Under Fire (CUF)?
• Why is it critical to manage hypothermia in trauma patients?
• What role does tranexamic acid play during TCCC management?
• Why is timely application of a tourniquet critical in a combat scenario?
• What is the most common type of shock encountered in Tactical Field Care settings?
• Within what time limit should bleeding be stopped with a tourniquet?
• Which of the following is a symptom of increased intracranial pressure?
• What is the role of fire superiority in Care Under Fire (CUF)?
• What is the predominant cause of preventable death in combat fatalities?
• What medication should be administered intramuscularly in cases of anaphylaxis?
• Which phase is NOT part of the TCCC care process?
• How do superficial burns typically present on the skin?
• What is meant by 'Gain fire superiority' in a tactical context?
• Which of the following is NOT a complication of open abdominal wounds?
• Which of the following is a mechanism of injury that indicates the need for a Pelvic Compression Device (PCD)?
• What symptom is NOT typically associated with hypoperfusion?
• What is the recommended dosage for Meloxicam?
• When reassessing a previously placed tourniquet, what should be checked for?
• What should be monitored in a casualty with a head injury?
• When should a rigid eye shield be placed over both eyes?
• After first aid, what additional treatment might be needed for a patient with an open abdominal wound?
• For what type of wounds are antibiotics indicated in the Tactical Field Care phase?
• How often should the casualty be ventilated once a seal is established using the "E-C" technique?
• What benefit does a two-person drag/carry have over a one-person method?
• Why is it important to secure loose ends of bandages and wraps in casualty evacuation?
• Which of the following is a sign of airway obstruction?
• What is the purpose of lines 6-9 in a MEDEVAC communication?
• Which of the following injuries would be categorized as Routine (Category C)?
• Which situation qualifies for urgent evacuation in the US MEDEVAC system?
• What is the primary indication for administering Ketamine?
• What should be removed from a casualty displaying altered mental status?
• Exposure to which of the following increases the risk of traumatic brain injury?
• In trauma cases, how can the risk of hypothermia be mitigated?
• Which lines of a MEDEVAC must be transmitted to initiate an evacuation?
• What is a contraindication for the administration of antibiotics?
• What is identified as the most common cause of preventable death on the battlefield?
• What are the methods of antibiotic administration?
• What can indicate a potentially life-threatening chest injury?
• Which symptom may indicate an acute hemolytic reaction during a blood transfusion?
• When applying a chest seal, how far should the edges extend beyond the edge of the wound?
• What can happen if tension pneumothorax is not treated promptly?
• What is described as refractory shock?
• What is the preferred maneuver for opening the airway in suspected spinal injuries?
• What is a contraindication for performing a cricothyroidotomy?
• What should be done regarding litter straps when preparing for a casualty evacuation?
• What is the recommended dosage of moxifloxacin for open combat wounds?
• Which medication is commonly referred to as the "fentanyl lollipop"?
• Which triage category typically indicates a casualty requires surgery but can be delayed?
• What is the typical dosage of ertapenem?
• Which method is used to assess altered mental status?
• What is the route of administration for Acetaminophen?
• What type of chest seal is recommended for open or sucking chest wounds?
• What does the acronym TBI stand for in the context of trauma assessment?
• What is a treatment option for recurring tension pneumothorax?
• What is an advantage of a one-person drag/carry method?
• What helps in identifying extremity hemorrhage on the battlefield?
• What action is taken after the casualty is ready for evacuation?
• Which of the following is NOT a component of the MARCH PAWS acronym?
• What might a patient with a sucking chest wound cough up?
• What is the primary consideration for spinal immobilization?
• What should be assessed after applying a pressure bandage?
• Which item is crucial for maintaining body temperature during a casualty evacuation?
• What is the best method for preventing Hemorrhagic Shock?
• What defines a junctional hemorrhage?
• What condition warrants a Military Acute Concussive Evaluation 2 (MACE 2)?
• What does the 'M' in a MIST report stand for?
• Which type of evacuation is not considered a medical necessity?
• What is a primary goal during the Tactical Field Care phase?
• Where should Needle Decompression of the Chest (NDC) be performed?
• Can TCCC principles be utilized in non-combat situations?
• When is it appropriate to perform a bilateral needle decompression of the chest?
• What is the maximum dose of Ondansetron that can be administered every 8 hours?
• When is a cricothyroidotomy indicated?
• How often are TCCC Guidelines reviewed?
• Within how many hours should the electronic After Action Report (AAR) be submitted to the Joint Trauma System (JTS)?
• What is the most important intervention in Tactical Combat Casualty Care (TCCC)?
• When should a tourniquet applied "high and tight" in Care Under Fire (CUF) be reassessed?
• What should be done to ensure safety and security during a casualty evacuation?
• What should be done if the initial Needle Decompression of the Chest does not result in improvement?
• Which of the following is a contraindication for the use of Oral Transmucosal Fentanyl Citrate?
• What is a critical factor in casualty movement during combat?
• In Care Under Fire (CUF), what is the number one medical priority?
• Which of the following should a combat medic/corpsman communicate with during the Tactical Field Care phase?
• What are the three main objectives of fracture management and splinting?
• What should be done immediately after a suspected acute hemolysis?
• What is the first action to take if anaphylaxis is suspected?
• What does the 'A' in the AVPU scale indicate?
• Which of the following is NOT one of the three principles of casualty removal/extraction?