EFMB Official Study Guide 2022 With
Complete Solution
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 F
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 F
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 handheld portable device. - ANSWER T
A FAST examination is performed with a portable hand-held machine most
commonly using a standard 3-7 MHz curved array _______________ probe. -
ANSWER US
The standard FAST examination is focused on evaluating for the presence of
______________ in certain areas of the body. - ANSWER free intraperitoneal fluid
When performing a FAST examination on a patient, you inspect the right
upper quadrant. You are inspecting between which two organs? - ANSWER
liver and kidney
When performing a FAST examination on a patient, you inspect the left upper
,quadrant. You are inspecting between which two organs? - ANSWER spleen
and kidney
An 18g ______________ IV is typically desired for Computed Tomography IV
access. - ANSWER antecubital
T/F: The goal of Computed Tomography contrast injection is to provide
concurrent solid organ enhancement, arterial enhancement, and pulmonary
arterial. - ANSWER T
T/F: When performing Computed Tomography 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 F
T/F: 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. - ANSWER T
T/F: Magnetic Resonance Imaging is widely used in theater, as its utility in the
acute management of combat trauma was extensively establishment during
Operation Enduring Freedom. - ANSWER F
All trauma patients arriving at a Role ___ will receive proper and expeditious
radiologic screening of injuries. - ANSWER role 3
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. -
ANSWER F
, The symptoms of acoustic trauma are: - ANSWER hearing loss, tinnitus
(ringing in the ear), aural fullness, recruitment (ear pain with loud noise),
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,
TTS) or permanent (permanent threshold shift, PTS)
The ear, specifically the _____________, is the most sensitive organ to primary
blast injury (PBI). - ANSWER tympanic membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater
the likelihood is of spontaneous closure. - ANSWER T
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 grading
T/F: For significant facial pareses/paralyses, early administration of steroids
must always be provided regardless of contraindications. - ANSWER F
Which inner ear abnormalities may cause vertigo? - ANSWER otic capsule
Complete Solution
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 F
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 F
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 handheld portable device. - ANSWER T
A FAST examination is performed with a portable hand-held machine most
commonly using a standard 3-7 MHz curved array _______________ probe. -
ANSWER US
The standard FAST examination is focused on evaluating for the presence of
______________ in certain areas of the body. - ANSWER free intraperitoneal fluid
When performing a FAST examination on a patient, you inspect the right
upper quadrant. You are inspecting between which two organs? - ANSWER
liver and kidney
When performing a FAST examination on a patient, you inspect the left upper
,quadrant. You are inspecting between which two organs? - ANSWER spleen
and kidney
An 18g ______________ IV is typically desired for Computed Tomography IV
access. - ANSWER antecubital
T/F: The goal of Computed Tomography contrast injection is to provide
concurrent solid organ enhancement, arterial enhancement, and pulmonary
arterial. - ANSWER T
T/F: When performing Computed Tomography 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 F
T/F: 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. - ANSWER T
T/F: Magnetic Resonance Imaging is widely used in theater, as its utility in the
acute management of combat trauma was extensively establishment during
Operation Enduring Freedom. - ANSWER F
All trauma patients arriving at a Role ___ will receive proper and expeditious
radiologic screening of injuries. - ANSWER role 3
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. -
ANSWER F
, The symptoms of acoustic trauma are: - ANSWER hearing loss, tinnitus
(ringing in the ear), aural fullness, recruitment (ear pain with loud noise),
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,
TTS) or permanent (permanent threshold shift, PTS)
The ear, specifically the _____________, is the most sensitive organ to primary
blast injury (PBI). - ANSWER tympanic membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater
the likelihood is of spontaneous closure. - ANSWER T
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 grading
T/F: For significant facial pareses/paralyses, early administration of steroids
must always be provided regardless of contraindications. - ANSWER F
Which inner ear abnormalities may cause vertigo? - ANSWER otic capsule
