EFMB STUDY GUIDE EXAM NEWEST
QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST EXAM UPDATE
During debridement, extremity wounds should be extended
________________. - ✔✔✔ Correct Answer > in a longitudinal manner
(parallel to the bone)
During debridement, truncal wounds should be extended_______________. -
✔✔✔ Correct 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? -
✔✔✔ Correct 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. - ✔✔✔ Correct Answer >
hemostasis
,All methods of wound irrigation are adjuncts and not substitutes to what? -
✔✔✔ Correct Answer > sharp surgical debridement
The current recommendation of irrigation volume for small wounds is: - ✔✔✔
Correct Answer > 1-3 liters
The current recommendation of irrigation volume for moderate wounds is: -
✔✔✔ Correct Answer > 4-8 liters
The current recommendation of irrigation volume for large wounds or wounds
with evidence of heavy contamination is: -
✔✔✔ Correct Answer > 9 or more liters
The majority of scorpion envenomations can be adequately managed
with_____________. - ✔✔✔ Correct Answer > pain medications and routine
wound management to include tetanus prophylaxis
_______________________ is a safe antiemetic in the adult population and is
increasingly the therapy of choice for acute undifferentiated and trauma related
nausea - ✔✔✔ Correct Answer > Ondansetron
,T/F: In no circumstance should a neurologic examination take priority over
measurement of the optic nerve sheath diameter, and all results must be
considered in the context of the neurologic examination and overall patient
status. - ✔✔✔ Correct Answer > False, in no circumstance should the
examination of optic nerve sheath diameter take priority over neurologic
examination
Battlefield Acupuncture (BFA) is a non-pharmacologic pain therapy for mild to
moderate pain or an adjunct to opioid medications. BFA is accomplished by
applying needles to which body part? - ✔✔✔ Correct Answer > Ear
T/F: Normal saline, sterile water, and potable tap water all have comparable
efficacy and safety as irrigation solutions - ✔✔✔ Correct Answer > True
T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin, or
antibiotics has proven benefits. - ✔✔✔ Correct Answer > False
What risk factors of invasive fungal infections assessed for during the first
wound debridement? - ✔✔✔ Correct Answer > - Dismounted blast injury
- Above knee immediate amputation
- Extensive perineal /genitourinary / rectal injury
- Massive transfusion of > 20 units in the first 24 hours (or anticipation of
20 units)
, T/F: All wounds must be closed prior to arrival at a definitive care location to
prevent further bacterial and fungal introduction
- ✔✔✔ Correct Answer > False --> most wounds should not be closed
prior to arrival at a definitive care location
T/F: Placement of antibiotic impregnated polymethylmethacrylate 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 - ✔✔✔ Correct 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 - ✔✔✔ Correct Answer > RFO
Explosive munitions injure through how many major mechanisms? - ✔✔✔
Correct Answer > Primary blast injury, secondary blast injury, tertiary blast
injury, quaternary
Propelled explosive devices impaled in a casualty usually consist of: - ✔✔✔
Correct Answer > propulsion system, a trigger mechanism, and a main
explosive charge
QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST EXAM UPDATE
During debridement, extremity wounds should be extended
________________. - ✔✔✔ Correct Answer > in a longitudinal manner
(parallel to the bone)
During debridement, truncal wounds should be extended_______________. -
✔✔✔ Correct 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? -
✔✔✔ Correct 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. - ✔✔✔ Correct Answer >
hemostasis
,All methods of wound irrigation are adjuncts and not substitutes to what? -
✔✔✔ Correct Answer > sharp surgical debridement
The current recommendation of irrigation volume for small wounds is: - ✔✔✔
Correct Answer > 1-3 liters
The current recommendation of irrigation volume for moderate wounds is: -
✔✔✔ Correct Answer > 4-8 liters
The current recommendation of irrigation volume for large wounds or wounds
with evidence of heavy contamination is: -
✔✔✔ Correct Answer > 9 or more liters
The majority of scorpion envenomations can be adequately managed
with_____________. - ✔✔✔ Correct Answer > pain medications and routine
wound management to include tetanus prophylaxis
_______________________ is a safe antiemetic in the adult population and is
increasingly the therapy of choice for acute undifferentiated and trauma related
nausea - ✔✔✔ Correct Answer > Ondansetron
,T/F: In no circumstance should a neurologic examination take priority over
measurement of the optic nerve sheath diameter, and all results must be
considered in the context of the neurologic examination and overall patient
status. - ✔✔✔ Correct Answer > False, in no circumstance should the
examination of optic nerve sheath diameter take priority over neurologic
examination
Battlefield Acupuncture (BFA) is a non-pharmacologic pain therapy for mild to
moderate pain or an adjunct to opioid medications. BFA is accomplished by
applying needles to which body part? - ✔✔✔ Correct Answer > Ear
T/F: Normal saline, sterile water, and potable tap water all have comparable
efficacy and safety as irrigation solutions - ✔✔✔ Correct Answer > True
T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin, or
antibiotics has proven benefits. - ✔✔✔ Correct Answer > False
What risk factors of invasive fungal infections assessed for during the first
wound debridement? - ✔✔✔ Correct Answer > - Dismounted blast injury
- Above knee immediate amputation
- Extensive perineal /genitourinary / rectal injury
- Massive transfusion of > 20 units in the first 24 hours (or anticipation of
20 units)
, T/F: All wounds must be closed prior to arrival at a definitive care location to
prevent further bacterial and fungal introduction
- ✔✔✔ Correct Answer > False --> most wounds should not be closed
prior to arrival at a definitive care location
T/F: Placement of antibiotic impregnated polymethylmethacrylate 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 - ✔✔✔ Correct 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 - ✔✔✔ Correct Answer > RFO
Explosive munitions injure through how many major mechanisms? - ✔✔✔
Correct Answer > Primary blast injury, secondary blast injury, tertiary blast
injury, quaternary
Propelled explosive devices impaled in a casualty usually consist of: - ✔✔✔
Correct Answer > propulsion system, a trigger mechanism, and a main
explosive charge
