FMTB-W BLOCK 2 Actual Exam 100% Correct
Answers | Field Medical Training Battalion | Combat
Medicine | Pass Guaranteed - A+ Graded
Tactical Combat Casualty Care (TCCC) & Hemorrhage Control
Q1: During a patrol, your squad takes contact from a small tree line. One Marine goes
down and is not moving. The enemy fire is accurate and preventing you from reaching
the casualty. Which of the following best describes the correct phase of TCCC and your
primary action?
A. Tactical Field Care; immediately move to the casualty and apply a tourniquet.
B. Care Under Fire; return fire to gain fire superiority before moving to the casualty.
C. Tactical Evacuation Care; call for a 9-line MEDEVAC and provide advanced airway
management.
D. Warm Zone Care; wait for the scene to be completely clear of all threats for 30
minutes. [CORRECT]
Correct Answer: B
Rationale: In Care Under Fire (CUF), the number one priority is returning fire to
eliminate or suppress the threat; you cannot effectively treat the patient if you become a
casualty yourself, so fire superiority comes before medical intervention.
Q2: You have reached the casualty in a CUF phase and identified a massive,
life-threatening hemorrhage from a lower extremity. What is the most appropriate
intervention?
A. Apply a hemostatic dressing and pressure bandage.
B. Apply a Combat Application Tourniquet (CAT) high and tight over the uniform and
move the casualty to cover.
C. Check for a distal pulse to ensure the tourniquet is not too tight.
D. Start an IV and administer fluids to maintain blood pressure. [CORRECT]
Correct Answer: B
Rationale: In CUF, you perform the minimum care necessary to stop life-threatening
hemorrhage; applying a tourniquet high and tight over the clothing is the standard
because it is fast and effective, allowing you to get off the X quickly.
Q3: Once the casualty has been moved to a safer location (Tactical Field Care), you
reassess the tourniquet applied in CUF. What is the standard for documenting and
timing tourniquets?
, A. Remove it immediately to check for bleeding.
B. Mark the time of application on the patient's forehead with a marker.
C. Leave it in place regardless of the situation and do not document.
D. Wait 4 hours before documenting the time. [CORRECT]
Correct Answer: B
Rationale: You must document the time of application, typically by writing "TK" and the
time on the patient's forehead; this is critical information for the surgeons and receiving
medical facility to determine ischemia time.
Q4: While treating a casualty in TFC, you identify a wound to the groin where a
tourniquet cannot be effectively applied. Which device should you utilize for this
junctional hemorrhage?
A. Combat Application Tourniquet (CAT)
B. Junctional Tourniquet (such as the JTQ or SAM JT)
C. Nasopharyngeal Airway (NPA)
D. Oropharyngeal Airway (OPA) [CORRECT]
Correct Answer: B
Rationale: Junctional hemorrhages (axilla, groin, buttocks) cannot be controlled with
standard extremity tourniquets; junctional tourniquets are specifically designed to
compress the arterial bleed in these areas where a limb cannot be circled.
Q5: You are preparing to pack a wound with hemostatic gauze (like QuikClot Combat
Gauze). What is the correct technique?
A. Sprinkle the gauze loosely over the top of the wound.
B. Place the gauze only at the edges of the wound to protect the skin.
C. Pack the wound tightly, filling the entire cavity track before applying a pressure
dressing.
D. Apply the gauze and then immediately apply a tourniquet proximal to the wound.
[CORRECT]
Correct Answer: C
Rationale: Wound packing requires filling the entire dead space of the wound cavity with
the gauze to create pressure directly on the bleeding vessel; once packed tight, you
must hold pressure for 3 minutes and then cover with a pressure dressing.
Q6: When converting a tourniquet from the CUF phase to a TFC intervention, under
what circumstances might you "expose and attempt to control bleeding with a pressure
dressing" instead of leaving the tourniquet on?
A. If the tourniquet has been on for less than 2 hours and bleeding is minor/capillary.
B. If the tourniquet has been on for 6 hours.
C. If the casualty is in hemorrhagic shock.
D. You should never remove a tourniquet in the field. [CORRECT]
Answers | Field Medical Training Battalion | Combat
Medicine | Pass Guaranteed - A+ Graded
Tactical Combat Casualty Care (TCCC) & Hemorrhage Control
Q1: During a patrol, your squad takes contact from a small tree line. One Marine goes
down and is not moving. The enemy fire is accurate and preventing you from reaching
the casualty. Which of the following best describes the correct phase of TCCC and your
primary action?
A. Tactical Field Care; immediately move to the casualty and apply a tourniquet.
B. Care Under Fire; return fire to gain fire superiority before moving to the casualty.
C. Tactical Evacuation Care; call for a 9-line MEDEVAC and provide advanced airway
management.
D. Warm Zone Care; wait for the scene to be completely clear of all threats for 30
minutes. [CORRECT]
Correct Answer: B
Rationale: In Care Under Fire (CUF), the number one priority is returning fire to
eliminate or suppress the threat; you cannot effectively treat the patient if you become a
casualty yourself, so fire superiority comes before medical intervention.
Q2: You have reached the casualty in a CUF phase and identified a massive,
life-threatening hemorrhage from a lower extremity. What is the most appropriate
intervention?
A. Apply a hemostatic dressing and pressure bandage.
B. Apply a Combat Application Tourniquet (CAT) high and tight over the uniform and
move the casualty to cover.
C. Check for a distal pulse to ensure the tourniquet is not too tight.
D. Start an IV and administer fluids to maintain blood pressure. [CORRECT]
Correct Answer: B
Rationale: In CUF, you perform the minimum care necessary to stop life-threatening
hemorrhage; applying a tourniquet high and tight over the clothing is the standard
because it is fast and effective, allowing you to get off the X quickly.
Q3: Once the casualty has been moved to a safer location (Tactical Field Care), you
reassess the tourniquet applied in CUF. What is the standard for documenting and
timing tourniquets?
, A. Remove it immediately to check for bleeding.
B. Mark the time of application on the patient's forehead with a marker.
C. Leave it in place regardless of the situation and do not document.
D. Wait 4 hours before documenting the time. [CORRECT]
Correct Answer: B
Rationale: You must document the time of application, typically by writing "TK" and the
time on the patient's forehead; this is critical information for the surgeons and receiving
medical facility to determine ischemia time.
Q4: While treating a casualty in TFC, you identify a wound to the groin where a
tourniquet cannot be effectively applied. Which device should you utilize for this
junctional hemorrhage?
A. Combat Application Tourniquet (CAT)
B. Junctional Tourniquet (such as the JTQ or SAM JT)
C. Nasopharyngeal Airway (NPA)
D. Oropharyngeal Airway (OPA) [CORRECT]
Correct Answer: B
Rationale: Junctional hemorrhages (axilla, groin, buttocks) cannot be controlled with
standard extremity tourniquets; junctional tourniquets are specifically designed to
compress the arterial bleed in these areas where a limb cannot be circled.
Q5: You are preparing to pack a wound with hemostatic gauze (like QuikClot Combat
Gauze). What is the correct technique?
A. Sprinkle the gauze loosely over the top of the wound.
B. Place the gauze only at the edges of the wound to protect the skin.
C. Pack the wound tightly, filling the entire cavity track before applying a pressure
dressing.
D. Apply the gauze and then immediately apply a tourniquet proximal to the wound.
[CORRECT]
Correct Answer: C
Rationale: Wound packing requires filling the entire dead space of the wound cavity with
the gauze to create pressure directly on the bleeding vessel; once packed tight, you
must hold pressure for 3 minutes and then cover with a pressure dressing.
Q6: When converting a tourniquet from the CUF phase to a TFC intervention, under
what circumstances might you "expose and attempt to control bleeding with a pressure
dressing" instead of leaving the tourniquet on?
A. If the tourniquet has been on for less than 2 hours and bleeding is minor/capillary.
B. If the tourniquet has been on for 6 hours.
C. If the casualty is in hemorrhagic shock.
D. You should never remove a tourniquet in the field. [CORRECT]
