EFMB Written Test, EFMB Written Test
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
During debridement, extremity wounds should be extended _________. -
CORRECT ANSWERS Longitudinally
During debridement, truncal wounds should be extended _________. -
CORRECT ANSWERS 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 ANSWERS 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 ANSWERS Hemostasis
All methods of wound irrigation are adjuncts and not substitutes to what? -
CORRECT ANSWERS Sharp Surgical Debridement
The current recommendation of irrigation volume for small wounds is: -
CORRECT ANSWERS 1 - 3 Liters
The current recommendation of irrigation volume for moderate wounds is: -
CORRECT ANSWERS 4 - 8 Liters
The current recommendation of irrigation volume for large wounds or wounds
with evidence of heavy contamination is: - CORRECT ANSWERS 9 or
More Liters
,T/F: Normal saline, sterile water and potable tap water all have comparable
efficacy and safety as irrigation solutions. - CORRECT ANSWERS True
T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin or
antibiotics has proven benefits. - CORRECT ANSWERS False
What are risk factors of invasive fungal infections assessed for during the first
wound debridement? - CORRECT ANSWERS 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. - CORRECT ANSWERS
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. - CORRECT ANSWERS
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 ANSWERS
Retained Foreign Object (RFO)
Explosive munitions injure through how many major mechanisms? -
CORRECT ANSWERS Four
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. -
CORRECT ANSWERS False
,The symptoms of acoustic trauma are: - CORRECT ANSWERS
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 _____________. - CORRECT ANSWERS Temporary
(temporary threshold shift) or Permanent (permanent threshold shift).
The ear, specifically the _____________, is the most sensitive organ to primary
blast injury. - CORRECT ANSWERS Tympanic Membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater the
likelihood is of spontaneous closure. - CORRECT ANSWERS True
The majority of tympanic membrane perforations that close spontaneously do so
within the first ___________ after injury - CORRECT ANSWERS 8
Weeks
Acute management of intratemporal facial nerve injury is to provide objective
documentation of facial movement using the _____________ scale. -
CORRECT ANSWERS House-Brackmann
T/F: For significant facial pareses/paralyses, early administration of steroids
must always be provided regardless of contraindications. - CORRECT
ANSWERS False
All Service Members that develop symptoms consistent with noise trauma
(acute tinnitus, muffled hearing, fullness in the ear) should: - CORRECT
ANSWERS 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? - CORRECT ANSWERS 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 - CORRECT ANSWERS 72 Hours
T/F: Vestibular trauma to the inner ear may manifest in vertigo. - CORRECT
ANSWERS True
All patients with subjective hearing loss and tinnitus following blast exposure
should: - CORRECT ANSWERS 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. - CORRECT ANSWERS
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) _________________. - CORRECT ANSWERS
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. - CORRECT ANSWERS False
What is the lowest level of care equipped with a Computed Tomography
scanner? - CORRECT ANSWERS Role 3
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
During debridement, extremity wounds should be extended _________. -
CORRECT ANSWERS Longitudinally
During debridement, truncal wounds should be extended _________. -
CORRECT ANSWERS 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 ANSWERS 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 ANSWERS Hemostasis
All methods of wound irrigation are adjuncts and not substitutes to what? -
CORRECT ANSWERS Sharp Surgical Debridement
The current recommendation of irrigation volume for small wounds is: -
CORRECT ANSWERS 1 - 3 Liters
The current recommendation of irrigation volume for moderate wounds is: -
CORRECT ANSWERS 4 - 8 Liters
The current recommendation of irrigation volume for large wounds or wounds
with evidence of heavy contamination is: - CORRECT ANSWERS 9 or
More Liters
,T/F: Normal saline, sterile water and potable tap water all have comparable
efficacy and safety as irrigation solutions. - CORRECT ANSWERS True
T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin or
antibiotics has proven benefits. - CORRECT ANSWERS False
What are risk factors of invasive fungal infections assessed for during the first
wound debridement? - CORRECT ANSWERS 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. - CORRECT ANSWERS
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. - CORRECT ANSWERS
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 ANSWERS
Retained Foreign Object (RFO)
Explosive munitions injure through how many major mechanisms? -
CORRECT ANSWERS Four
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. -
CORRECT ANSWERS False
,The symptoms of acoustic trauma are: - CORRECT ANSWERS
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 _____________. - CORRECT ANSWERS Temporary
(temporary threshold shift) or Permanent (permanent threshold shift).
The ear, specifically the _____________, is the most sensitive organ to primary
blast injury. - CORRECT ANSWERS Tympanic Membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater the
likelihood is of spontaneous closure. - CORRECT ANSWERS True
The majority of tympanic membrane perforations that close spontaneously do so
within the first ___________ after injury - CORRECT ANSWERS 8
Weeks
Acute management of intratemporal facial nerve injury is to provide objective
documentation of facial movement using the _____________ scale. -
CORRECT ANSWERS House-Brackmann
T/F: For significant facial pareses/paralyses, early administration of steroids
must always be provided regardless of contraindications. - CORRECT
ANSWERS False
All Service Members that develop symptoms consistent with noise trauma
(acute tinnitus, muffled hearing, fullness in the ear) should: - CORRECT
ANSWERS 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? - CORRECT ANSWERS 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 - CORRECT ANSWERS 72 Hours
T/F: Vestibular trauma to the inner ear may manifest in vertigo. - CORRECT
ANSWERS True
All patients with subjective hearing loss and tinnitus following blast exposure
should: - CORRECT ANSWERS 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. - CORRECT ANSWERS
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) _________________. - CORRECT ANSWERS
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. - CORRECT ANSWERS False
What is the lowest level of care equipped with a Computed Tomography
scanner? - CORRECT ANSWERS Role 3
