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EFMB Written Test Study Guide 2026 – 300+ Questions on Combat Trauma, Prolonged Field Care & Military Medical Protocols

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This EFMB Written Test Study Guide 2026 contains over 300 expertly compiled exam questions and 100% verified answers covering the full spectrum of combat casualty care, prolonged field care, trauma management, infection prevention, transfusion protocols, and operational medical procedures. As shown throughout Sections 1–16 (pages 1–60+), the material includes radiologic evaluation in deployed settings, FAST exam interpretation, Role 2 and Role 3 capabilities, acoustic trauma management, burn resuscitation using the Rule of Tens, Military Working Dog emergency care, whole blood transfusion standards, infection control per JTS guidelines, inhalation injuries and toxic exposures, frostbite and immersion foot management, TBI management in prolonged field care, UXO precautions, i-STAT portable blood analyzer use, and interfacility transport protocols including MIST reporting and approved patient care records. The guide follows Joint Trauma System (JTS) Clinical Practice Guidelines, Tactical Combat Casualty Care (TCCC) standards, and theater-level Role of Care doctrine. It integrates high-yield memorization content with scenario-based operational decision-making, including fluid resuscitation equations, TBSA burn calculations, ICP reduction strategies, transfusion storage timelines (CPD vs CPDA-1), thrombolytic criteria for frostbite, and critical care evacuation procedures. The structured question-and-answer format makes it ideal for rapid recall training, EFMB written test preparation, and reinforcement of doctrinal military medical standards. This document may concern: – Active duty Soldiers preparing for the Expert Field Medical Badge (EFMB) – Combat medics and 68W candidates – Military healthcare providers assigned to Role 1, Role 2, or Role 3 facilities – Providers training in prolonged field care and operational medicine – Leaders preparing for deployment medical readiness validation It is especially valuable for candidates seeking mastery of combat trauma algorithms, prolonged evacuation management, blood product logistics, burn and cold injury care, infectious risk mitigation in theater, and documentation requirements under Joint Trauma System standards. Keywords: EFMB written test, Tactical Combat Casualty Care, prolonged field care, Joint Trauma System guidelines, Role 1 care, Role 2 care, Role 3 hospital, FAST exam, burn resuscitation Rule of Tens, Military Working Dog care, whole blood transfusion, CPDA 1 storage, infection prevention combat injuries, UXO management, i STAT analyzer, frostbite management, immersion foot, traumatic brain injury management, MIST report, interfacility transport, pain anxiety delirium management, war wound debridement, blast injury mechanisms, cyanide toxicity, hydroxocobalamin, end tidal CO2 monitoring, ICP management

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EFMB Written Test Study Guide
2026 Exam Questions with 100%
Correct Answers | Latest Update


Section 1 - Radiology: Imaging Trauma Patients in a Deployed Setting




The initial radiographic evaluation of a trauma patient begins with supine

Anterior-Posterior (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. Cervical

Spine Radiographic Evaluation (CSRE) has been largely replaced by

Computed Tomography (CT) and should only be performed when a CT is

unavailable.

What is the lowest level of care equipped with a Computed Tomography

(CT) 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 __________ feet. - 🧠 ANSWER ✔✔Six (6)


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 and specificity of

__________. - 🧠 ANSWER ✔✔98%


T/F: The FAST exam remains the most sensitive test for hollow viscus

injury and mesenteric injury. - 🧠 ANSWER ✔✔FALSE. Diagnostic

Peritoneal Lavage (DPL) remains the most sensitive test for hollow viscus

injury and mesenteric injury.

T/F: At the Role 3, properly trained providers including radiologists,

surgeons, and emergency physicians, can perform and interpret FAST

scans in the emergency department on a hand held portable US device. - 🧠

ANSWER ✔✔TRUE


A FAST examination is performed with a portable hand-held machine most

commonly using a standard 3-7 MHz curved array __________ probe. - 🧠

ANSWER ✔✔Ultra Sound (US)


The standard FAST examination is focused on evaluating for the presence

of __________ in certain areas of the body. - 🧠 ANSWER ✔✔Free

Intraperitoneal Fluid

COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, When performing a FAST examination on a patient, you inspect the right

upper quadrant. You are inspecting between which two (2) organs? - 🧠

ANSWER ✔✔Liver & Kidney


When performing a FAST examination on a patient, you inspect the left

upper quadrant. You are inspecting between which two (2) organs? - 🧠

ANSWER ✔✔Spleen & Kidney


An 18g __________ IV is typically desired for Computed Tomography IV

access. - 🧠 ANSWER ✔✔antecubital


T/F: The goal of Computed Tomography (CT) contrast injection is to

provide concurrent solid organ enhancement, arterial enhancement, and

pulmonary arterial. - 🧠 ANSWER ✔✔TRUE


T/F: When performing Computed Tomography (CT) scan on a Military

Working Dog, utilize a scanning protocol based on the adult settings to

include the doses of and rates of contrast administration. - 🧠 ANSWER

✔✔FALSE. Utilize a scanning protocol based on the pediatric settings to

include the doses of and rates of contrast administration.

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