EXPERT FIELD MEDICAL BADGE FINAL
SCRIPT 2026 QUESTIONS WITH ANSWERS
GRADED A+
>> X-ray machine
Answer: The initial radiographic evaluation of a trauma patient begins with
supine Anterior-Posterior (AP) chest and pelvis radiographs taken in the
trauma bay.
>> Computed Tomography scanning
Answer: CSRE has been replaced by CT scanning.
>> Lowest level of care with a Computed Tomography scanner
Answer: Role 3
>> Lowest level of care with a portable x-ray machine
Answer: Role 2
>> Radiation safety equipment
Answer: Members of the trauma team should have lead aprons and thyroid
shields available near the trauma bay.
>> Recommended minimal distance from x-ray unit
Answer: 6 feet.
>> FAST
Answer: Focused abdominal sonographic assessment for trauma.
,>> FAST sensitivity in combat trauma
Answer: FAST in combat trauma has a sensitivity of only 56% and
specificity of 98%.
>> Most sensitive test for hollow viscus injury
Answer: DPL test remains the most sensitive test for hollow viscus injury
and mesenteric injury.
>> FAST scan providers at Role 3
Answer: Properly trained providers including radiologists, surgeons, and
emergency physicians can perform and interpret FAST scans in the
emergency department on a hand held portable device.
>> FAST examination probe
Answer: A FAST examination is performed with a portable hand-held
machine most commonly using a standard 3-7 MHz curved array probe.
>> Standard FAST examination focus
Answer: The standard FAST examination is focused on evaluating for the
presence of free intraperitoneal fluid in certain areas of the body.
>> Inspection in right upper quadrant during FAST
Answer: Inspecting between the liver and kidney.
>> Inspection in left upper quadrant during FAST
Answer: Inspecting between the spleen and kidney.
>> Desired IV for Computed Tomography
Answer: An 18g antecubital IV is typically desired for Computed
Tomography IV access.
,>> Goal of Computed Tomography contrast injection
Answer: The goal of Computed Tomography contrast injection is to provide
concurrent solid organ enhancement, arterial enhancement, and pulmonary
arterial.
>> Scanning protocol for Military Working Dog
Answer: Utilize a scanning protocol based on the pediatric settings to
include the doses of and rates of contrast administration.
>> Image sending for casualty evacuation
Answer: All patients evacuated through casualty evacuation should have
images sent electronically ahead of time as well as have a CD created to send
with the patient as a backup.
>> Magnetic Resonance Imaging in theater
Answer: Its utility in the acute management of combat trauma has not been
established.
>> Radiologic screening at Role
Answer: All trauma patients arriving at a Role 2 will receive proper and
expeditious radiologic screening of injuries.
>> Risk for patients exposed to hazardous noise
Answer: Patients exposed to hazardous noise are at risk for acoustic trauma
and subsequent hearing loss.
>> Symptoms of acoustic trauma
Answer: Hearing loss, tinnitus, aural fullness, recruitment, difficulty
localizing sound, difficulty hearing in a noisy background, vertigo
>> Acoustic trauma results in
, Answer: Sensorineural hearing loss (SNHL) that is either permanent or
temporary.
>> Tympanic membrane
Answer: The ear, specifically the tympanic membrane, is the most sensitive
organ to primary blast injury.
>> Tympanic membrane perforation closure likelihood
Answer: The smaller the size of the tympanic membrane perforation, the
greater the likelihood is of spontaneous closure.
>> Spontaneous closure time for tympanic membrane perforations
Answer: The majority of tympanic membrane perforations that close
spontaneously do so within the first 8 weeks after injury.
>> Acute management of intratemporal facial nerve injury
Answer: Provide objective documentation of facial movement using the
House-Brackmann grading scale.
>> Significant facial pareses/paralyses treatment
Answer: Early administration of steroids must not always be provided
regardless of contraindications.
>> Inner ear abnormalities causing vertigo
Answer: Benign paroxysmal positional vertigo (BPPV).
>> Action for Service Members with noise trauma symptoms
Answer: Self-report for evaluation and possible treatment.
>> Debris in external auditory canal or middle ear treatment
SCRIPT 2026 QUESTIONS WITH ANSWERS
GRADED A+
>> X-ray machine
Answer: The initial radiographic evaluation of a trauma patient begins with
supine Anterior-Posterior (AP) chest and pelvis radiographs taken in the
trauma bay.
>> Computed Tomography scanning
Answer: CSRE has been replaced by CT scanning.
>> Lowest level of care with a Computed Tomography scanner
Answer: Role 3
>> Lowest level of care with a portable x-ray machine
Answer: Role 2
>> Radiation safety equipment
Answer: Members of the trauma team should have lead aprons and thyroid
shields available near the trauma bay.
>> Recommended minimal distance from x-ray unit
Answer: 6 feet.
>> FAST
Answer: Focused abdominal sonographic assessment for trauma.
,>> FAST sensitivity in combat trauma
Answer: FAST in combat trauma has a sensitivity of only 56% and
specificity of 98%.
>> Most sensitive test for hollow viscus injury
Answer: DPL test remains the most sensitive test for hollow viscus injury
and mesenteric injury.
>> FAST scan providers at Role 3
Answer: Properly trained providers including radiologists, surgeons, and
emergency physicians can perform and interpret FAST scans in the
emergency department on a hand held portable device.
>> FAST examination probe
Answer: A FAST examination is performed with a portable hand-held
machine most commonly using a standard 3-7 MHz curved array probe.
>> Standard FAST examination focus
Answer: The standard FAST examination is focused on evaluating for the
presence of free intraperitoneal fluid in certain areas of the body.
>> Inspection in right upper quadrant during FAST
Answer: Inspecting between the liver and kidney.
>> Inspection in left upper quadrant during FAST
Answer: Inspecting between the spleen and kidney.
>> Desired IV for Computed Tomography
Answer: An 18g antecubital IV is typically desired for Computed
Tomography IV access.
,>> Goal of Computed Tomography contrast injection
Answer: The goal of Computed Tomography contrast injection is to provide
concurrent solid organ enhancement, arterial enhancement, and pulmonary
arterial.
>> Scanning protocol for Military Working Dog
Answer: Utilize a scanning protocol based on the pediatric settings to
include the doses of and rates of contrast administration.
>> Image sending for casualty evacuation
Answer: All patients evacuated through casualty evacuation should have
images sent electronically ahead of time as well as have a CD created to send
with the patient as a backup.
>> Magnetic Resonance Imaging in theater
Answer: Its utility in the acute management of combat trauma has not been
established.
>> Radiologic screening at Role
Answer: All trauma patients arriving at a Role 2 will receive proper and
expeditious radiologic screening of injuries.
>> Risk for patients exposed to hazardous noise
Answer: Patients exposed to hazardous noise are at risk for acoustic trauma
and subsequent hearing loss.
>> Symptoms of acoustic trauma
Answer: Hearing loss, tinnitus, aural fullness, recruitment, difficulty
localizing sound, difficulty hearing in a noisy background, vertigo
>> Acoustic trauma results in
, Answer: Sensorineural hearing loss (SNHL) that is either permanent or
temporary.
>> Tympanic membrane
Answer: The ear, specifically the tympanic membrane, is the most sensitive
organ to primary blast injury.
>> Tympanic membrane perforation closure likelihood
Answer: The smaller the size of the tympanic membrane perforation, the
greater the likelihood is of spontaneous closure.
>> Spontaneous closure time for tympanic membrane perforations
Answer: The majority of tympanic membrane perforations that close
spontaneously do so within the first 8 weeks after injury.
>> Acute management of intratemporal facial nerve injury
Answer: Provide objective documentation of facial movement using the
House-Brackmann grading scale.
>> Significant facial pareses/paralyses treatment
Answer: Early administration of steroids must not always be provided
regardless of contraindications.
>> Inner ear abnormalities causing vertigo
Answer: Benign paroxysmal positional vertigo (BPPV).
>> Action for Service Members with noise trauma symptoms
Answer: Self-report for evaluation and possible treatment.
>> Debris in external auditory canal or middle ear treatment
