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1. What is the primary focus of Tactical Combat Casualty Care
(TCCC)?
A. Hospital-based trauma care
B. Battlefield trauma management
C. Pediatric emergency care
D. Disaster recovery logistics
Answer: B
Rationale: TCCC is specifically designed for prehospital
battlefield trauma care under combat conditions.
2. Which phase of TCCC prioritizes returning fire and taking cover?
A. Tactical Evacuation Care
B. Tactical Field Care
C. Care Under Fire
D. Definitive Care
Answer: C
Rationale: Care Under Fire emphasizes survival, including
suppressing threats and minimizing exposure.
3. What is the leading cause of preventable death in combat?
A. Airway obstruction
B. Tension pneumothorax
C. Extremity hemorrhage
D. Hypothermia
, Answer: C
Rationale: Uncontrolled extremity bleeding is the most common
preventable cause of death in combat.
4. What is the first intervention for massive hemorrhage?
A. IV fluids
B. Tourniquet application
C. Airway insertion
D. Oxygen therapy
Answer: B
Rationale: Immediate tourniquet use is critical to stop life-
threatening bleeding.
5. Where should a tourniquet be placed?
A. Directly over the wound
B. Above the wound, proximal
C. Below the wound
D. Around the joint
Answer: B
Rationale: Tourniquets must be applied proximal to the bleeding
site to effectively stop blood flow.
6. Which airway maneuver is preferred in an unconscious casualty
without trauma?
A. Jaw-thrust
B. Head-tilt chin-lift
C. Nasopharyngeal airway
D. Cricothyrotomy
Answer: B
Rationale: Head-tilt chin-lift is appropriate when no spinal injury
is suspected.
, 7. What is the preferred airway adjunct in TCCC?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Endotracheal tube
D. Laryngeal mask airway
Answer: B
Rationale: NPAs are simple, effective, and well tolerated in semi-
conscious patients.
8. What condition requires needle decompression?
A. Hemorrhagic shock
B. Tension pneumothorax
C. Airway obstruction
D. Cardiac arrest
Answer: B
Rationale: Needle decompression relieves pressure in tension
pneumothorax.
9. Preferred site for needle decompression:
A. 2nd intercostal space, midclavicular line
B. 5th intercostal space, anterior axillary line
C. 3rd intercostal space, midline
D. 1st intercostal space
Answer: B
Rationale: The 5th intercostal space AAL is increasingly preferred
due to reliability.
10. What is the goal of fluid resuscitation in TCCC?
A. Normalize blood pressure
B. Maintain mental status and radial pulse
C. Provide full hydration
D. Prevent dehydration