TCCC Tier 3 Exam — 2026/2027
TCCC TIER 3 CERTIFICATION EXAMINATION
Tactical Combat Casualty Care
Combat Medic/Corpsman Level
2026/2027 Academic Year
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75 Multiple-Choice Questions | Verified Answers | 100% Correct
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EXAMINATION PARAMETERS
• Total Questions: 75 multiple-choice items
• Time Allowed: 90-120 minutes
• Passing Score: 70-80% per NAEMT/military command policy
• Format: CoTCCC/NAEMT-aligned certification examination
CONTENT DOMAINS
1. Care Under Fire (CUF) Phase Protocols
2. Massive Hemorrhage Control
3. Airway Management & Surgical Cricothyrotomy
4. Chest Trauma & Needle Decompression
5. Shock Recognition & Resuscitation (DCR)
6. Hypothermia Prevention
7. Pain Management & Antibiotic Administration
8. TACEVAC, Documentation (DD 1380) & MASCAL Triage
Page 1 of 15
, TCCC Tier 3 Exam — 2026/2027
EXAMINATION INSTRUCTIONS
• Read each question carefully before selecting your answer.
• Select the single best answer for each question.
• Questions are in bold; correct answers are in bold green.
• Rationales are provided in italic font to explain TCCC protocols.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
DOMAIN 1: CARE UNDER FIRE (CUF) PHASE PROTOCOLS
1. During Care Under Fire (CUF), what is the primary action for a medic?
A. Begin patient assessment immediately
B. Control massive external hemorrhage only
C. Establish IV access
D. Check airway status
Correct Answer: B. Control massive external hemorrhage only
Rationale: In CUF phase, the only medical intervention is controlling life-threatening external
hemorrhage with a tourniquet. All other care waits until the tactical situation permits. The
priority is fire superiority.
2. What is the correct sequence of TCCC phases?
A. Tactical Field Care, Care Under Fire, TACEVAC
B. Care Under Fire, Tactical Field Care, TACEVAC
C. TACEVAC, Care Under Fire, Tactical Field Care
D. Care Under Fire, TACEVAC, Tactical Field Care
Correct Answer: B. Care Under Fire, Tactical Field Care, TACEVAC
Rationale: TCCC follows three phases in order: Care Under Fire (active threat, limited
interventions), Tactical Field Care (threat controlled, full assessment), and Tactical Evacuation
Care (transport to higher care).
3. During Care Under Fire, where should the casualty be moved if possible?
A. Toward the enemy
B. To a position of cover
C. To the evacuation helicopter
D. To the nearest medical facility
Correct Answer: B. To a position of cover
Rationale: During CUF, casualties should be moved to cover if tactically feasible. This provides
protection from ongoing fire and creates a safer environment for subsequent care phases.
4. The primary responsibility of unit members during Care Under Fire is:
A. Medical treatment of casualties
B. Directing medical evacuation
C. Fire superiority and neutralizing the threat
D. Documenting patient information
Correct Answer: C. Fire superiority and neutralizing the threat
Rationale: During CUF, the primary mission is fire superiority. Neutralizing the threat reduces
additional casualties and creates the conditions needed to provide more comprehensive medical
care.
5. Self-aid and buddy-aid during Care Under Fire is limited to:
A. Full patient assessment
B. Application of tourniquets for massive hemorrhage
C. Administering IV fluids
Page 2 of 15
TCCC TIER 3 CERTIFICATION EXAMINATION
Tactical Combat Casualty Care
Combat Medic/Corpsman Level
2026/2027 Academic Year
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
75 Multiple-Choice Questions | Verified Answers | 100% Correct
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
EXAMINATION PARAMETERS
• Total Questions: 75 multiple-choice items
• Time Allowed: 90-120 minutes
• Passing Score: 70-80% per NAEMT/military command policy
• Format: CoTCCC/NAEMT-aligned certification examination
CONTENT DOMAINS
1. Care Under Fire (CUF) Phase Protocols
2. Massive Hemorrhage Control
3. Airway Management & Surgical Cricothyrotomy
4. Chest Trauma & Needle Decompression
5. Shock Recognition & Resuscitation (DCR)
6. Hypothermia Prevention
7. Pain Management & Antibiotic Administration
8. TACEVAC, Documentation (DD 1380) & MASCAL Triage
Page 1 of 15
, TCCC Tier 3 Exam — 2026/2027
EXAMINATION INSTRUCTIONS
• Read each question carefully before selecting your answer.
• Select the single best answer for each question.
• Questions are in bold; correct answers are in bold green.
• Rationales are provided in italic font to explain TCCC protocols.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
DOMAIN 1: CARE UNDER FIRE (CUF) PHASE PROTOCOLS
1. During Care Under Fire (CUF), what is the primary action for a medic?
A. Begin patient assessment immediately
B. Control massive external hemorrhage only
C. Establish IV access
D. Check airway status
Correct Answer: B. Control massive external hemorrhage only
Rationale: In CUF phase, the only medical intervention is controlling life-threatening external
hemorrhage with a tourniquet. All other care waits until the tactical situation permits. The
priority is fire superiority.
2. What is the correct sequence of TCCC phases?
A. Tactical Field Care, Care Under Fire, TACEVAC
B. Care Under Fire, Tactical Field Care, TACEVAC
C. TACEVAC, Care Under Fire, Tactical Field Care
D. Care Under Fire, TACEVAC, Tactical Field Care
Correct Answer: B. Care Under Fire, Tactical Field Care, TACEVAC
Rationale: TCCC follows three phases in order: Care Under Fire (active threat, limited
interventions), Tactical Field Care (threat controlled, full assessment), and Tactical Evacuation
Care (transport to higher care).
3. During Care Under Fire, where should the casualty be moved if possible?
A. Toward the enemy
B. To a position of cover
C. To the evacuation helicopter
D. To the nearest medical facility
Correct Answer: B. To a position of cover
Rationale: During CUF, casualties should be moved to cover if tactically feasible. This provides
protection from ongoing fire and creates a safer environment for subsequent care phases.
4. The primary responsibility of unit members during Care Under Fire is:
A. Medical treatment of casualties
B. Directing medical evacuation
C. Fire superiority and neutralizing the threat
D. Documenting patient information
Correct Answer: C. Fire superiority and neutralizing the threat
Rationale: During CUF, the primary mission is fire superiority. Neutralizing the threat reduces
additional casualties and creates the conditions needed to provide more comprehensive medical
care.
5. Self-aid and buddy-aid during Care Under Fire is limited to:
A. Full patient assessment
B. Application of tourniquets for massive hemorrhage
C. Administering IV fluids
Page 2 of 15
