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EFMB Written Test 2025: Expert Field Medical Badge Study Guide & Practice Exam

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Prepare for the U.S. Army Expert Field Medical Badge (EFMB) written test with the newest 2025 actual practice exam. This PDF includes exam-style questions, detailed rationales, and a comprehensive review of combat trauma care (TCCC), medical evacuation, field sanitation, communication procedures, and Army medical regulations.

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Page 1 of 66


EFMB WRITTEN TEST NEWEST 2025 ACTUAL EXAM|

COMPLETE QUESTIONS AND CORRECT ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A+|| NEW!!

During debridement, extremity wounds should be extended

_________. .....ANSWER..... Longitudinally

During debridement, truncal wounds should be extended

_________. .....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? .....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.

.....ANSWER..... Hemostasis

,Page 2 of 66


All methods of wound irrigation are adjuncts and not substitutes

to what? .....ANSWER..... Sharp Surgical Debridement

The current recommendation of irrigation volume for small

wounds is: .....ANSWER..... 1 - 3 Liters

The current recommendation of irrigation volume for moderate

wounds is: .....ANSWER..... 4 - 8 Liters

The current recommendation of irrigation volume for large

wounds or wounds with evidence of heavy contamination is:

.....ANSWER..... 9 or More Liters

T/F: Normal saline, sterile water and potable tap water all have

comparable efficacy and safety as irrigation solutions.

.....ANSWER..... True

T/F: The inclusion of irrigation fluid additives such as iodine,

bacitracin or antibiotics has proven benefits. .....ANSWER.....

False

,Page 3 of 66


What are risk factors of invasive fungal infections assessed for

during the first wound debridement? .....ANSWER..... 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.

.....ANSWER..... 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. .....ANSWER.....

True

A(n) _________ event refers to an iatrogenic event in which a

sponge or surgical instrument is deliberately or unintentionally

, Page 4 of 66


left behind while the wound proceeds to definitive management.

.....ANSWER..... Retained Foreign Object (RFO)

Explosive munitions injure through how many major mechanisms?

.....ANSWER..... Four

T/F: Patients exposed to hazardous noise are only at risk for

aural trauma. .....ANSWER..... False

The symptoms of acoustic trauma are: .....ANSWER..... 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 _____________. .....ANSWER.....

Temporary (temporary threshold shift) or Permanent (permanent

threshold shift).

The ear, specifically the _____________, is the most sensitive

organ to primary blast injury. .....ANSWER..... Tympanic

Membrane (TM)

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