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: What does the "M" in the MARCH PAWS assessment algorithm represent?
A. Mental status
B. Massive hemorrhage [CORRECT]
C. Musculoskeletal injury
D. Medications
Correct Answer: B
Rationale: The correct answer is B. In FMTB-W Block 2, MARCH PAWS is drilled into you
for a reason—Massive hemorrhage is always first because you can bleed out in minutes
while airway issues usually give you more time.
Q2: During which TCCC phase is the priority returning fire and achieving fire superiority
before treating any casualties?
A. Tactical Evacuation (TACEVAC)
B. Tactical Field Care (TFC)
C. Care Under Fire (CUF) [CORRECT]
D. Casualty Collection Point operations
Correct Answer: C
Rationale: The correct answer is C. Care Under Fire means the bullets are still flying. You
are the weapon first—suppress the threat, get to cover, then worry about the casualty.
Q3: When applying a tourniquet in the field, what critical information must be
documented on the casualty and the tourniquet itself?
A. The casualty's blood type
B. The time of application [CORRECT]
C. The name of the Corpsman who applied it
,D. The lot number of the tourniquet
Correct Answer: B
Rationale: The correct answer is B. Time is tissue. Document the exact time the
tourniquet goes on so surgical teams know how long the limb has been without
perfusion.
Q4: A Corpsman encounters a casualty with a gunshot wound to the axilla. The bleeding
is severe and a tourniquet cannot be applied due to the anatomical location. What is the
appropriate intervention?
A. Apply a tourniquet anyway and hope it works
B. Pack the wound with hemostatic gauze and apply direct pressure [CORRECT]
C. Elevate the arm and wait for evacuation
D. Apply a pressure dressing without packing the wound first
Correct Answer: B
Rationale: The correct answer is B. For junctional or non-compressible hemorrhage
where a tourniquet won't work, combat gauze and firm wound packing with sustained
direct pressure is your go-to.
Q5: During Care Under Fire, a Marine suffers a traumatic amputation of the right leg with
bright red arterial bleeding. What is the correct tourniquet application?
A. 2 inches below the wound to preserve as much tissue as possible
B. Directly over the knee joint for better stability
C. High and tight, as proximal on the limb as possible [CORRECT]
D. Only after attempting direct pressure for at least 3 minutes
Correct Answer: C
Rationale: The correct answer is C. In Care Under Fire, you don't have time to mess
around finding the perfect spot. High and tight, as proximal as possible, until the
bleeding stops.
Q6: A casualty has a tourniquet on the left thigh applied during Care Under Fire. It has
now been 75 minutes, the tactical situation is secure, and the casualty is
hemodynamically stable with no signs of shock. What is the appropriate action?
A. Immediately remove the tourniquet to restore blood flow
B. Convert to a hemostatic dressing and pressure bandage if bleeding can be controlled
[CORRECT]
C. Loosen the tourniquet for 2 minutes every 15 minutes
, D. Leave it in place indefinitely until the casualty reaches a surgeon
Correct Answer: B
Rationale: The correct answer is B. During Tactical Field Care, if the tourniquet has been
on less than 2 hours, the casualty is stable, and you can control the bleeding with a
pressure dressing, conversion is appropriate.
Q7: When packing a wound with hemostatic gauze such as Combat Gauze, how long
should direct pressure be maintained after the wound is packed?
A. 30 seconds
B. 1 minute
C. At least 3 minutes [CORRECT]
D. 10 minutes
Correct Answer: C
Rationale: The correct answer is C. You need to hold firm pressure for at least three
minutes to let the hemostatic agent do its job and form a good clot.
Q8: A Corpsman is applying a Combat Application Tourniquet (CAT) to a casualty's
forearm. Which technique is correct?
A. Apply over the elbow joint for maximum compression
B. Apply 2-3 inches proximal to the wound, not over a joint, and tighten until bleeding
stops [CORRECT]
C. Apply distal to the wound to preserve proximal circulation
D. Tighten only until the casualty reports numbness
Correct Answer: B
Rationale: The correct answer is B. Never place a tourniquet over a joint—you won't get
good vessel compression. Go 2-3 inches above the wound on solid muscle and crank it
down until the bleeding stops.
Q9: During Tactical Field Care, a casualty has a penetrating wound to the groin with
profuse bleeding. A tourniquet cannot be applied. What is the next best intervention?
A. Apply a pelvic binder and transport immediately
B. Pack the wound with hemostatic gauze and hold direct pressure [CORRECT]
C. Apply a junctional tourniquet only if one is available; otherwise there is no option
D. Clamp the femoral artery with hemostats in the field
Correct Answer: B
Answers | Field Medical Training Battalion | Combat
Medicine | Pass Guaranteed - A+ Graded
Tactical Combat Casualty Care (TCCC) & Hemorrhage Control
Q1: What does the "M" in the MARCH PAWS assessment algorithm represent?
A. Mental status
B. Massive hemorrhage [CORRECT]
C. Musculoskeletal injury
D. Medications
Correct Answer: B
Rationale: The correct answer is B. In FMTB-W Block 2, MARCH PAWS is drilled into you
for a reason—Massive hemorrhage is always first because you can bleed out in minutes
while airway issues usually give you more time.
Q2: During which TCCC phase is the priority returning fire and achieving fire superiority
before treating any casualties?
A. Tactical Evacuation (TACEVAC)
B. Tactical Field Care (TFC)
C. Care Under Fire (CUF) [CORRECT]
D. Casualty Collection Point operations
Correct Answer: C
Rationale: The correct answer is C. Care Under Fire means the bullets are still flying. You
are the weapon first—suppress the threat, get to cover, then worry about the casualty.
Q3: When applying a tourniquet in the field, what critical information must be
documented on the casualty and the tourniquet itself?
A. The casualty's blood type
B. The time of application [CORRECT]
C. The name of the Corpsman who applied it
,D. The lot number of the tourniquet
Correct Answer: B
Rationale: The correct answer is B. Time is tissue. Document the exact time the
tourniquet goes on so surgical teams know how long the limb has been without
perfusion.
Q4: A Corpsman encounters a casualty with a gunshot wound to the axilla. The bleeding
is severe and a tourniquet cannot be applied due to the anatomical location. What is the
appropriate intervention?
A. Apply a tourniquet anyway and hope it works
B. Pack the wound with hemostatic gauze and apply direct pressure [CORRECT]
C. Elevate the arm and wait for evacuation
D. Apply a pressure dressing without packing the wound first
Correct Answer: B
Rationale: The correct answer is B. For junctional or non-compressible hemorrhage
where a tourniquet won't work, combat gauze and firm wound packing with sustained
direct pressure is your go-to.
Q5: During Care Under Fire, a Marine suffers a traumatic amputation of the right leg with
bright red arterial bleeding. What is the correct tourniquet application?
A. 2 inches below the wound to preserve as much tissue as possible
B. Directly over the knee joint for better stability
C. High and tight, as proximal on the limb as possible [CORRECT]
D. Only after attempting direct pressure for at least 3 minutes
Correct Answer: C
Rationale: The correct answer is C. In Care Under Fire, you don't have time to mess
around finding the perfect spot. High and tight, as proximal as possible, until the
bleeding stops.
Q6: A casualty has a tourniquet on the left thigh applied during Care Under Fire. It has
now been 75 minutes, the tactical situation is secure, and the casualty is
hemodynamically stable with no signs of shock. What is the appropriate action?
A. Immediately remove the tourniquet to restore blood flow
B. Convert to a hemostatic dressing and pressure bandage if bleeding can be controlled
[CORRECT]
C. Loosen the tourniquet for 2 minutes every 15 minutes
, D. Leave it in place indefinitely until the casualty reaches a surgeon
Correct Answer: B
Rationale: The correct answer is B. During Tactical Field Care, if the tourniquet has been
on less than 2 hours, the casualty is stable, and you can control the bleeding with a
pressure dressing, conversion is appropriate.
Q7: When packing a wound with hemostatic gauze such as Combat Gauze, how long
should direct pressure be maintained after the wound is packed?
A. 30 seconds
B. 1 minute
C. At least 3 minutes [CORRECT]
D. 10 minutes
Correct Answer: C
Rationale: The correct answer is C. You need to hold firm pressure for at least three
minutes to let the hemostatic agent do its job and form a good clot.
Q8: A Corpsman is applying a Combat Application Tourniquet (CAT) to a casualty's
forearm. Which technique is correct?
A. Apply over the elbow joint for maximum compression
B. Apply 2-3 inches proximal to the wound, not over a joint, and tighten until bleeding
stops [CORRECT]
C. Apply distal to the wound to preserve proximal circulation
D. Tighten only until the casualty reports numbness
Correct Answer: B
Rationale: The correct answer is B. Never place a tourniquet over a joint—you won't get
good vessel compression. Go 2-3 inches above the wound on solid muscle and crank it
down until the bleeding stops.
Q9: During Tactical Field Care, a casualty has a penetrating wound to the groin with
profuse bleeding. A tourniquet cannot be applied. What is the next best intervention?
A. Apply a pelvic binder and transport immediately
B. Pack the wound with hemostatic gauze and hold direct pressure [CORRECT]
C. Apply a junctional tourniquet only if one is available; otherwise there is no option
D. Clamp the femoral artery with hemostats in the field
Correct Answer: B
