1|Page
TCCC TIER 3 Exam 2026/2027 – Verified
Questions and Correct Answers With
Rationales | Graded A+
Large infusion volumes of _________ may worsen coagulopathy and
increase bleeding when treating shock in a trauma casualty.
A. Crystalloids
B. Whole Blood
C. Plasma
D. Red Blood Cells ......ANSWER......A. Crystalloids
What is a reliable indicator of shock in the Tactical Field Care (TFC)
setting?
A. Decreased respiration rate
B. Dilated pupils
C. Weak radial pulse
D. Hoarseness ......ANSWER......C. Weak radial pulse
Which of the following are found within the Joint First Aid Kit (JFAK)?
A. Ibuprofen, chest seal, chest tube
B. Nasopharyngeal airway (NPA), chest seal, endotracheal tube
C. Chest seal, NPA, tourniquet
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D. Chest seal, Ibuprofen, bag valve mask ......ANSWER......C. Chest seal,
NPA, tourniquet
What is the minimum information required to launch the evacuation
asset when calling in a 9-Line MEDEVAC request for casualty
evacuation?
A. MIST report
B. Lines 1-5
C. DD Form 1380
D. Lines 6-9 ......ANSWER......B. Lines 1-5
Casualties often suffer multiple injuries and require more equipment
than they carry in their own Joint First Aid Kit (JFAK)/first aid kits. Which
of the following kits would provide additional medical equipment to
help treat casualties with multiple injuries?
A. Combat Lifesaver (CLS) bag
B. Hypothermia Prevention and Management Kit (HPMK)
C. Individual First Aid Kit (IFAK)
D. Buddy Aid Kit (BAK) ......ANSWER......A. Combat Lifesaver (CLS) bag
Why is it important to prepare pre-mission casualty evacuation
equipment?
a. If the equipment is prepared in advance, there is no need to train or
rehearse on how to use it
pg. 2
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b. To ensure it is in working order and that all of the equipment
necessary is present
c. Preparing equipment in advance results in favorable unit evaluations
d. Properly prepared equipment takes up less space in your unit
vehicles ......ANSWER......b. To ensure it is in working order and that all
of the equipment necessary is present
A life-threatening hemorrhage does not include:
a. Bright-red blood pooling on the ground
b. Pulsatile, steady bleeding
c. Dark-red, slow-trickling bleeding
d. Bandages or clothes soaked with blood ......ANSWER......c. Dark-red,
slow-trickling bleeding
During the assessment of a casualty with a suspected pelvic fracture,
the medic should not
check for pelvic instability by applying bilateral downward pressure on
the pelvis because
_________________________.
a. it would cause excess pain to the casualty
b. it is not an effective method to evaluate for pelvic instability
c. it should only be performed on unconscious casualties
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d. it causes further damage if a pelvic fracture is present
......ANSWER......d. it causes further damage if a pelvic fracture is
present
What is the preferred route of administration for fentanyl in a conscious
casualty that is in
moderate pain, but shows no signs of shock?
a. Intravenous
b. Transmucosal
c. Intranasal
d. Intraosseous ......ANSWER......b. Transmucosal
The management of shock involves prevention and treatment of
acidosis, coagulopathy, and
hypothermia. This compilation of symptoms is known as
_________________.
a. Cushing's triad of head injuries
b. Lethal triad of hemorrhagic shock
c. Beck's triad of cardiac tamponade
d. Virchow's triad of hypercoagulability ......ANSWER......b. Lethal triad
of hemorrhagic shock
We have established that Hypovolemia is usually the primary cause for
altered mental status
pg. 4
TCCC TIER 3 Exam 2026/2027 – Verified
Questions and Correct Answers With
Rationales | Graded A+
Large infusion volumes of _________ may worsen coagulopathy and
increase bleeding when treating shock in a trauma casualty.
A. Crystalloids
B. Whole Blood
C. Plasma
D. Red Blood Cells ......ANSWER......A. Crystalloids
What is a reliable indicator of shock in the Tactical Field Care (TFC)
setting?
A. Decreased respiration rate
B. Dilated pupils
C. Weak radial pulse
D. Hoarseness ......ANSWER......C. Weak radial pulse
Which of the following are found within the Joint First Aid Kit (JFAK)?
A. Ibuprofen, chest seal, chest tube
B. Nasopharyngeal airway (NPA), chest seal, endotracheal tube
C. Chest seal, NPA, tourniquet
pg. 1
,2|Page
D. Chest seal, Ibuprofen, bag valve mask ......ANSWER......C. Chest seal,
NPA, tourniquet
What is the minimum information required to launch the evacuation
asset when calling in a 9-Line MEDEVAC request for casualty
evacuation?
A. MIST report
B. Lines 1-5
C. DD Form 1380
D. Lines 6-9 ......ANSWER......B. Lines 1-5
Casualties often suffer multiple injuries and require more equipment
than they carry in their own Joint First Aid Kit (JFAK)/first aid kits. Which
of the following kits would provide additional medical equipment to
help treat casualties with multiple injuries?
A. Combat Lifesaver (CLS) bag
B. Hypothermia Prevention and Management Kit (HPMK)
C. Individual First Aid Kit (IFAK)
D. Buddy Aid Kit (BAK) ......ANSWER......A. Combat Lifesaver (CLS) bag
Why is it important to prepare pre-mission casualty evacuation
equipment?
a. If the equipment is prepared in advance, there is no need to train or
rehearse on how to use it
pg. 2
,3|Page
b. To ensure it is in working order and that all of the equipment
necessary is present
c. Preparing equipment in advance results in favorable unit evaluations
d. Properly prepared equipment takes up less space in your unit
vehicles ......ANSWER......b. To ensure it is in working order and that all
of the equipment necessary is present
A life-threatening hemorrhage does not include:
a. Bright-red blood pooling on the ground
b. Pulsatile, steady bleeding
c. Dark-red, slow-trickling bleeding
d. Bandages or clothes soaked with blood ......ANSWER......c. Dark-red,
slow-trickling bleeding
During the assessment of a casualty with a suspected pelvic fracture,
the medic should not
check for pelvic instability by applying bilateral downward pressure on
the pelvis because
_________________________.
a. it would cause excess pain to the casualty
b. it is not an effective method to evaluate for pelvic instability
c. it should only be performed on unconscious casualties
pg. 3
, 4|Page
d. it causes further damage if a pelvic fracture is present
......ANSWER......d. it causes further damage if a pelvic fracture is
present
What is the preferred route of administration for fentanyl in a conscious
casualty that is in
moderate pain, but shows no signs of shock?
a. Intravenous
b. Transmucosal
c. Intranasal
d. Intraosseous ......ANSWER......b. Transmucosal
The management of shock involves prevention and treatment of
acidosis, coagulopathy, and
hypothermia. This compilation of symptoms is known as
_________________.
a. Cushing's triad of head injuries
b. Lethal triad of hemorrhagic shock
c. Beck's triad of cardiac tamponade
d. Virchow's triad of hypercoagulability ......ANSWER......b. Lethal triad
of hemorrhagic shock
We have established that Hypovolemia is usually the primary cause for
altered mental status
pg. 4
