Safety-critical traffic reasoning requires contrastive consistency: models must detect true hazards when an accident occurs, and reliably reject plausible-but-false hypotheses under near-identical counterfactual scenes. We present CCTVBench, a Contrastive Consistency Traffic VideoQA Benchmark built on paired real accident videos and world-model-generated counterfactual counterparts, together with minimally different, mutually exclusive hypothesis questions. CCTVBench enforces a single structured decision pattern over each video question quadruple and provides actionable diagnostics that decompose failures into positive omission, positive swap, negative hallucination, and mutual-exclusivity violation, while separating video versus question consistency. Experiments across open-source and proprietary video LLMs reveal a large and persistent gap between standard per-instance QA metrics and quadruple-level contrastive consistency, with unreliable none-of-the-above rejection as a key bottleneck. Finally, we introduce C-TCD, a contrastive decoding approach leveraging a semantically exclusive counterpart video as the contrast input at inference time, improving both instance-level QA and contrastive consistency.