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HCB TCCC Exam Latest 2026 | 100 Questions and Correct Detailed Answers with Rationales

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This document contains 100 exam questions with correct detailed answers and rationales for the Hospital Corpsman Basic (HCB) Tactical Combat Casualty Care (TCCC) course, updated for 2023. It covers all core TCCC concepts, including the three phases of care (CUF, TFC, TACEVAC), the MARCH algorithm, management of preventable causes of death, junctional bleeding control, fluid resuscitation, pain management, antibiotic administration, and casualty evacuation procedures. The material is structured in a question-and-answer format with detailed rationales, making it ideal for Navy Hospital Corpsman students and combat medical personnel preparing for TCCC certification and field readiness.

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HCB TCCC EXAM LATEST 2023-2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
What are the objectives of TCCC? - answer-Complete the mission, treat the casualty, prevent additional
casualties



What are the phases of care in TCCC? - answer-TACEVAC care, Care under fire, Tactical field care



What is the best medicine on the battlefield? - answer-Fire Superiorty



do penetrating head and neck injuries require c-spine stabilization? - answer-No



During Care under fire where should you place a tourniquet? - answer-High and tight (as proximal as
possible)



During Tactical field care where should you place a tourniquet? - answer-2-3 inches above bleeding
injury



what warrants intervention during care under fire? - answer-Only life-threatening bleeding



What is the #1 medical priority during care under fire? - answer-Early control of severe hemorrhage



Where do you apply a second tourniquet if needed? - answer-Just above (proximal) to the first one (do
not place over elbow or knee)



How do you know if a tourniquet is placed correctly? - answer-Bleeding is controlled and NO distal pulse



What is the SECOND LEADING cause of preventable death on the battlefield? - answer-Tension
pneumothorax

,What is the LEADING cause of preventable death on the battlefield? - answer-Hemorrhage



Care under fire guidelines - answer-Return fire/take cover, have casualty remain in fight if possible,
direct casualty to move to cover



What is a major concern during care under fire? - answer-Suppression of enemy fire and moving
casualty to cover



Signs of life threatening bleeding - answer-Pulsing/steady bleeding, pooling blood, blood soaked
clothing, traumatic amputation



Tourniquet mistakes: - answer--not using one when you should

-using one when not appropriate (minimal bleeding)

-not applying a second tourniquet if needed

-not applied tightly enough/ periodically loosing it



How long should you hold direct pressure to a hemostatic combat gauze? - answer-3 minutes



When should you be concerned with the casualties airway? - answer-During tactical field care, Not
during care under fire



When would you use a junctional tourniquet? - answer-Extremity is completely gone



CoTCCC approved limb tourniquets? - answer-CAT, SOFTT, EMT



After moving casualty out of line of fire you should? - answer-Reassess tourniquet for bleeding and
assess distal pulses



How do you distinguish TFC from Care under fire? - answer-Reduced level of hazard from hostile fire &
more time available to provide care

, MARCH - answer-Massive hemorrhage, Airway, Respiration, Circulation, Head injury/Hypothermia



A casualty with an altered mental status should- - answer-Have weapons and communication equipment
taken immediately



What is the CoTCC hemostatic dressing of choice? - answer-Combat Gauze



alternative hemostatic adjuncts- - answer-Celox gauze, ChitoGauze, XStat



What is combat gauze impregnated with? - answer-Kaolin, a material that causes blood to clot



XStat 12 - answer-first expandable wound dressing for life-threatening junctional bleeding

syringe-like applicator injects compressed minisponges into deep wounds in groin or axilla that are not
amendable to tourniquet application



Where should junctional tourniquets be used? - answer-Groin, Buttock, Perineum, Axillae, Bass of neck,
extremities at sites too proximal for a limb tourniquet



CoTCCC recommenced junctional tourniquets? - answer-Combat Ready Clamp (CRoC)

Junctional ER Treatment Tool (JETT)

SAM Juctional Tourniquet (SJT)



When can you use an extraglottic airway? - answer-When casualty is deeply unconscious



How is a NPA positioned? - answer-90 degree angle to the face



How should you position an unconscious casualty/why? - answer-Recovery position, to prevent
aspirating on vomit

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HCB TCCC
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HCB TCCC

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