1|Page
# COMBAT MEDIC CERTIFICATION EXAMINATION –
COMPLETE STUDY GUIDE## 250+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
RATIONALES**BASED ON TCCC GUIDELINES • 68W
CURRICULUM • NREMT PARAMEDIC STANDARDS •
UPDATED 2026/2027**
## TABLE OF CONTENTS
| Section | Topic | Questions |
| Part 1 | Tactical Combat Casualty Care (TCCC) – Core Principles | 1–25 |
| Part 2 | Hemorrhage Control & Tourniquet Application | 26–45 |
| Part 3 | Airway Management & Breathing | 46–65 |
| Part 4 | Trauma Assessment & Hypovolemic Shock | 66–85 |
| Part 5 | Traumatic Brain Injury (TBI) & Neurological Trauma | 86–105 |
| Part 6 | Burns, Environmental Injuries & Hypothermia | 106–120 |
| Part 7 | Infectious Disease & Infection Control | 121–135 |
| Part 8 | Limited Primary Care & Sick Call | 136–160 |
| Part 9 | Pharmacology & Medication Administration | 161–185 |
| Part 10 | Medical Evacuation (MEDEVAC) & Triage | 186–200 |
| Part 11 | Documentation & Military Medical Records | 201–210 |
| Part 12 | Musculoskeletal Injuries & Splinting | 211–225 |
| Part 13 | Combat Medic Skills & Procedures | 226–240 |
| Part 14 | Final Exam Practice (Mixed) | 241–250 |
,2|Page
# PART 1: TACTICAL COMBAT CASUALTY CARE (TCCC) – CORE
PRINCIPLES (Questions 1–25)
**Q1. What are the three phases of Tactical Combat Casualty Care
(TCCC)?**
A) Primary Survey, Secondary Survey, Tertiary Survey
B) Care Under Fire (CUF), Tactical Field Care (TFC), Tactical
Evacuation (TACEVAC)
C) Immediate, Delayed, Minimal
D) Airway, Breathing, Circulation
**Answer: B**
*Rationale:* The three phases of TCCC are Care Under Fire (CUF),
Tactical Field Care (TFC), and Tactical Evacuation (TACEVAC). Each
phase has specific priorities based on the tactical situation and available
resources.
**Q2. During Care Under Fire (CUF), what is the only acceptable
intervention?**
A) Airway management
,3|Page
B) IV access
C) Hemorrhage control (tourniquet application)
D) Chest seal application
**Answer: C**
*Rationale:* During CUF, the only intervention is hemorrhage control
using a tourniquet. The medic returns fire as needed, directs the casualty
to move to cover, and applies a tourniquet for life-threatening extremity
hemorrhage. No other interventions are performed until the tactical
situation permits.
**Q3. During Tactical Field Care (TFC), which of the following is the
priority?**
A) Complete head-to-toe assessment
B) Airway management and continued hemorrhage control
C) IV fluid resuscitation
D) Pain management
**Answer: B**
*Rationale:* In TFC, the casualty is behind cover and no longer under
direct fire. The priorities are: airway management (including
, 4|Page
cricothyroidotomy if needed), continued hemorrhage control (convert
tourniquets to pressure dressings if possible), chest seals for open
pneumothorax, and reassessment.
**Q4. What is the primary objective of pain management on the
battlefield according to TCCC guidelines?**
A) To sedate casualties completely
B) To preserve the fighting force, achieve rapid relief of pain, and
minimize adverse effects
C) To prevent discovery of the casualty's location
D) To keep casualties from moving
**Answer: B**
*Rationale:* The primary objectives of pain management are to preserve
the fighting force, to achieve rapid and maximal relief of pain from
combat wounds, and to minimize the likelihood of adverse effects from
analgesic medications being used.
**Q5. When should a casualty be classified as "Expectant" (Black tag)
in a mass casualty situation?**
A) When they have minor injuries
# COMBAT MEDIC CERTIFICATION EXAMINATION –
COMPLETE STUDY GUIDE## 250+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
RATIONALES**BASED ON TCCC GUIDELINES • 68W
CURRICULUM • NREMT PARAMEDIC STANDARDS •
UPDATED 2026/2027**
## TABLE OF CONTENTS
| Section | Topic | Questions |
| Part 1 | Tactical Combat Casualty Care (TCCC) – Core Principles | 1–25 |
| Part 2 | Hemorrhage Control & Tourniquet Application | 26–45 |
| Part 3 | Airway Management & Breathing | 46–65 |
| Part 4 | Trauma Assessment & Hypovolemic Shock | 66–85 |
| Part 5 | Traumatic Brain Injury (TBI) & Neurological Trauma | 86–105 |
| Part 6 | Burns, Environmental Injuries & Hypothermia | 106–120 |
| Part 7 | Infectious Disease & Infection Control | 121–135 |
| Part 8 | Limited Primary Care & Sick Call | 136–160 |
| Part 9 | Pharmacology & Medication Administration | 161–185 |
| Part 10 | Medical Evacuation (MEDEVAC) & Triage | 186–200 |
| Part 11 | Documentation & Military Medical Records | 201–210 |
| Part 12 | Musculoskeletal Injuries & Splinting | 211–225 |
| Part 13 | Combat Medic Skills & Procedures | 226–240 |
| Part 14 | Final Exam Practice (Mixed) | 241–250 |
,2|Page
# PART 1: TACTICAL COMBAT CASUALTY CARE (TCCC) – CORE
PRINCIPLES (Questions 1–25)
**Q1. What are the three phases of Tactical Combat Casualty Care
(TCCC)?**
A) Primary Survey, Secondary Survey, Tertiary Survey
B) Care Under Fire (CUF), Tactical Field Care (TFC), Tactical
Evacuation (TACEVAC)
C) Immediate, Delayed, Minimal
D) Airway, Breathing, Circulation
**Answer: B**
*Rationale:* The three phases of TCCC are Care Under Fire (CUF),
Tactical Field Care (TFC), and Tactical Evacuation (TACEVAC). Each
phase has specific priorities based on the tactical situation and available
resources.
**Q2. During Care Under Fire (CUF), what is the only acceptable
intervention?**
A) Airway management
,3|Page
B) IV access
C) Hemorrhage control (tourniquet application)
D) Chest seal application
**Answer: C**
*Rationale:* During CUF, the only intervention is hemorrhage control
using a tourniquet. The medic returns fire as needed, directs the casualty
to move to cover, and applies a tourniquet for life-threatening extremity
hemorrhage. No other interventions are performed until the tactical
situation permits.
**Q3. During Tactical Field Care (TFC), which of the following is the
priority?**
A) Complete head-to-toe assessment
B) Airway management and continued hemorrhage control
C) IV fluid resuscitation
D) Pain management
**Answer: B**
*Rationale:* In TFC, the casualty is behind cover and no longer under
direct fire. The priorities are: airway management (including
, 4|Page
cricothyroidotomy if needed), continued hemorrhage control (convert
tourniquets to pressure dressings if possible), chest seals for open
pneumothorax, and reassessment.
**Q4. What is the primary objective of pain management on the
battlefield according to TCCC guidelines?**
A) To sedate casualties completely
B) To preserve the fighting force, achieve rapid relief of pain, and
minimize adverse effects
C) To prevent discovery of the casualty's location
D) To keep casualties from moving
**Answer: B**
*Rationale:* The primary objectives of pain management are to preserve
the fighting force, to achieve rapid and maximal relief of pain from
combat wounds, and to minimize the likelihood of adverse effects from
analgesic medications being used.
**Q5. When should a casualty be classified as "Expectant" (Black tag)
in a mass casualty situation?**
A) When they have minor injuries
