EFMB Written Test, EFMB Written Test Questions with correct Answers
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EFMB
Institution
EFMB
EFMB Written Test, EFMB Written Test Questions with correct Answers
During debridement, extremity wounds should be extended _________.
Longitudinally
During debridement, truncal wounds should be extended _________.
Along Langer's Lines
Due to their heavy contamination and the dimi...
EFMB Written Test, EFMB Written Test
Questions with correct Answers
During debridement, extremity wounds should be extended _________. - answer
Longitudinally
During debridement, truncal wounds should be extended _________. - answer Along
Langer's Lines
Due to their heavy contamination and the diminished healing capacity, how long should
the closure of blast wounds be avoided after the injury occurs? - answer 48 Hours
Assurance of ________ and removal of all nonviable skin, fat, fascia, muscle, and bone
are essential to reduce the load of contamination and necrotic tissue prior to dressing
application. - answer Hemostasis
All methods of wound irrigation are adjuncts and not substitutes to what? - answer
Sharp Surgical Debridement
The current recommendation of irrigation volume for small wounds is: - answer 1-3
Liters
The current recommendation of irrigation volume for moderate wounds is: - answer 4
- 8 Liters
The current recommendation of irrigation volume for large wounds or wounds with
evidence of heavy contamination is: - answer 9 or More Liters
T/F: Normal saline, sterile water and potable tap water all have comparable efficacy and
safety as irrigation solutions. - answer True
T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin or antibiotics has
proven benefits. - answer False
What are risk factors of invasive fungal infections assessed for during the first wound
debridement? - answer Dismounted Blast Injury, Above the Knee Amputation,
Extensive Perineal/Genitourniary/Rectal Injury, Massive transfusion of >20 units in the
first 24 hours
T/F: All wounds must be closed prior to arrival at a definitive care location to prevent
further bacterial and fungal introduction. - answer False
,T/F: Placement of antibiotic impregnated polymethylmethacrylate (PMMA) can be used
as an adjunct to debridement and irrigation of a wound to deliver increased local
antibiotic concentrations while minimizing the associated side effects of high systemic
loads of these antibiotics. - answer True
A(n) _________ event refers to an iatrogenic event in which a sponge or surgical
instrument is deliberately or unintentionally left behind while the wound proceeds to
definitive management. - answer Retained Foreign Object (RFO)
Explosive munitions injure through how many major mechanisms? - answer Four
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. - answer
False
The symptoms of acoustic trauma are: - answer Tinnitus, recruitment, aural fullness,
difficulty localizing sounds, difficulty hearing in a noisy background, and vertigo.
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either
_____________or _____________. - answer Temporary (temporary threshold shift)
or Permanent (permanent threshold shift).
The ear, specifically the _____________, is the most sensitive organ to primary blast
injury. - answer Tympanic Membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater the
likelihood is of spontaneous closure. - answer True
The majority of tympanic membrane perforations that close spontaneously do so within
the first ___________ after injury - answer 8 Weeks
Acute management of intratemporal facial nerve injury is to provide objective
documentation of facial movement using the _____________ scale. - answer House-
Brackmann
T/F: For significant facial pareses/paralyses, early administration of steroids must
always be provided regardless of contraindications. - answer False
All Service Members that develop symptoms consistent with noise trauma (acute
tinnitus, muffled hearing, fullness in the ear) should: - answer Educated and directed
to self-report for evaluation and possible treatment as soon as is practicable.
What is the best course of action if you find debris in the external auditory canal or in
the middle ear? - answer Treat the patient with a fluoroquinolone and steroid
containing topical antibiotic.
, Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test or
audiogram - answer 72 Hours
T/F: Vestibular trauma to the inner ear may manifest in vertigo. - answer True
All patients with subjective hearing loss and tinnitus following blast exposure should: -
answer Have the exposure documented and be evaluated by hearing test as soon as
possible.
Patients with TTS greater than ______ losses in three consecutive frequencies should
be considered candidates for high dose oral and/or transtympanic steroid injections
when not otherwise contraindicated. - answer 25 db
The initial radiographic evaluation of a trauma patient begins with supine
AnteriorPosterior (AP) chest and pelvis radiographs taken in the trauma bay usually with
a(n) _________________. - answer Portable X-Ray Machine
T/F: Computed Tomography scanning has been largely replaced by cervical spine
radiographic evaluation (CSRE) and should only be performed when CSRE is
unavailable. - answer False
What is the lowest level of care equipped with a Computed Tomography scanner? -
answer Role 3
What is the lowest level of care equipped with a portable x-ray machine? - answer
Role 2
Members of the trauma team should have _____ aprons and thyroid shields available
near the trauma bay for radiation safety. - answer Lead
Distance is also protective from radiation exposure. If feasible based on the patient's
condition, any personnel without lead shielding should move a short distance away from
the x-ray unit. The recommended minimal distance is _____. - answer 6 Feet
While the FAST scan has been validated only in hemodynamically unstable blunt
trauma patients, it has become a standard tool in the trauma bay and Emergency
Department (ED) in most trauma patients. FAST stands for____________________. -
answer Focused Abdominal Sonographic Assessment for Trauma
FAST in combat trauma has a sensitivity of only 56% and specificity of ___. - answer
98%
T/F: The FAST exam remains the most sensitive test for hollow viscus injury and
mesenteric injury. - answer False
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