EFMB 2026 LATEST EXAMS SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔The MIST report was recently incorporated into the 9-line medical
evacuationrequest. MIST stands for: - ✔✔M - Mechanism of injury
I - Type of injury
S - Signs (vital signs)
T - Treatment given
✔✔T/F: The Interfacility Transport of Patients Between Theater Medical
TreatmentFacilities Clinical Practice Guideline defines medical direction as the direct
technicalauthority to determine capability, promulgate medical policy, and the authority
to enforcethe standard of care through quality assurance with local privileging actions of
individualen route care providers. - ✔✔True
✔✔_______________ medical direction includes protocol development and
review,continuing education of prehospital providers, and quality improvement activities.
- ✔✔Offline
✔✔The commander of the unit assigned to perform medical evacuation should
appointthe unit's ________________ as the medical director. - ✔✔physician
✔✔T/F: Medical direction at the regional level (Patient Evacuation Control Center)
iscentered on online medical direction activities. - ✔✔False (offline)
✔✔What are the responsibilities of a regional medical director? - ✔✔1. In conjunction
with medical planners advise the Combatant/Theater Commander on medical common
operating picture and allocation of resources for intra-theater transport.
2. Ensure requirements of documentation of intra-theater transport care are done.
3. Assist medical directors operating in theater and ensure that they have the
knowledge and skills to
perform the job.
,4. Provide technical supervision to medical directors in theater.
5. Ensure relevant out of hospital research is supported and accomplished.
6. Ensure information from intra-theater transportation is supplied to the DoD Trauma
Registry.
✔✔What are the approved Joint Trauma System patient care records (PCR) for inter-
facility patient transports? - ✔✔DD form 1380 Tactical Combat Casualty Care (TCCC)
Card, DA 4700 overprint
Tactical Evacuation Patient Care Record, AF IMT 3899 Patient Movement Record,
Medical Rescue Report SAR Form 3-50.1A
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily usedfor
rotary wing transports from point of injury or inter-facility transfer? - ✔✔DA 4700
overprint Tactical Evacuation Patient Care Record
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily usedfor
Critical Care Air Transport Team movements? - ✔✔supplements A through K of AF IMT
3899 Patient Movement Record
✔✔Which approved Joint Trauma System patient care record (PCR) is
requiredwhenever a search or rescue is attempted or accomplished that involves
Navypersonnel or assets? - ✔✔Medical Rescue Report SAR Form 3-50.1
✔✔T/F: While the patient is delivered to the receiving medical treatment facility,
thepatient care record should be maintained with the evacuation unit. - ✔✔False (PCR
remains with the patient)
✔✔T/F: The Acute pain service (APS) should be established and be an integral part
ofcasualty care starting at the Role I. - ✔✔False (Role 3)
✔✔T/F: Sedation should be optimized as a priority over pain control. - ✔✔False
✔✔Adjuncts can greatly increase patient safety and the effectiveness of narcotics to
treatpain while reducing side effects. What are examples of adjuncts? -
✔✔acetaminophen, ketamine, non-steroidal anti-inflammatory drugs (NSAIDs),
continuous peripheral nerve infusions, and continuous epidural infusions
✔✔If is it not feasible to incorporate the acute pain service (APS) team into
traumarounds, then the APS is responsible for _________ pain rounds, pain
managementconsults, and reports to the trauma team leader. - ✔✔daily pain rounds
, ✔✔What are standardized and validated scoring systems for the assessment of
pain,anxiety, and delirium? - ✔✔DoD/VA Pain Rating Scale (DVPRS), Richmond
Agitation Sedation Scale (RASS),
Confusion Assessment Method (CAM)
✔✔The Richmond Agitation Sedation Scale (RASS) is used to assess ________. -
✔✔anxiety
✔✔The goal for patients with delirium is to achieve a delirium free state as measured
bythe __________. - ✔✔Confusion Assessment Method (CAM)
✔✔The ABCDE's should be incorporated into treatment care plans as efforts to
preventdelirium in critically injured patients. The "E" stands for ________________. -
✔✔Exercise (Awakening and Breathing Coordination, non-pharmacologic
Delirium, early Exercise and Mobility)
✔✔T/F: Seriously injured patients who are not intubated should be assessed every 1-
4hours for the presence of pain. - ✔✔True
✔✔T/F: Adequate early pain control has been shown to reduce post-traumatic
stressdisorder and ongoing pain control is an obligatory part of trauma care. - ✔✔True
✔✔________________, in parenteral doses of 0.15-0.3 mg/kg, has been shown
toreduce pain scores, total narcotic use, and need for rescue medication when used
withmorphine for acute pain control. - ✔✔Ketamine
✔✔What is not a narcotic agent of choice approved for repeated Patient
ControlledAnalgesia (PCA) pump? - ✔✔Meperidine (Demerol)
✔✔T/F: Low molecular weight heparin (LMWH) use in patients undergoing
epiduralanesthesia increases the risk of spinal or epidural hematoma, which may cause
longterm or permanent paralysis. - ✔✔True
✔✔What are medications used to treat anxiety and agitation? - ✔✔Propofol,
Dexmedetomidine, Clonidine
✔✔T/F: Continuous dosing of analgesics and anxiolytics, as opposed to
intermittentdosing, has been shown to reduce the duration of mechanical ventilation
andcontinuous dosing of analgesics and anxiolytics should be instituted prior to
intermittentdosing. - ✔✔False
AND ANSWERS SURE A+
✔✔The MIST report was recently incorporated into the 9-line medical
evacuationrequest. MIST stands for: - ✔✔M - Mechanism of injury
I - Type of injury
S - Signs (vital signs)
T - Treatment given
✔✔T/F: The Interfacility Transport of Patients Between Theater Medical
TreatmentFacilities Clinical Practice Guideline defines medical direction as the direct
technicalauthority to determine capability, promulgate medical policy, and the authority
to enforcethe standard of care through quality assurance with local privileging actions of
individualen route care providers. - ✔✔True
✔✔_______________ medical direction includes protocol development and
review,continuing education of prehospital providers, and quality improvement activities.
- ✔✔Offline
✔✔The commander of the unit assigned to perform medical evacuation should
appointthe unit's ________________ as the medical director. - ✔✔physician
✔✔T/F: Medical direction at the regional level (Patient Evacuation Control Center)
iscentered on online medical direction activities. - ✔✔False (offline)
✔✔What are the responsibilities of a regional medical director? - ✔✔1. In conjunction
with medical planners advise the Combatant/Theater Commander on medical common
operating picture and allocation of resources for intra-theater transport.
2. Ensure requirements of documentation of intra-theater transport care are done.
3. Assist medical directors operating in theater and ensure that they have the
knowledge and skills to
perform the job.
,4. Provide technical supervision to medical directors in theater.
5. Ensure relevant out of hospital research is supported and accomplished.
6. Ensure information from intra-theater transportation is supplied to the DoD Trauma
Registry.
✔✔What are the approved Joint Trauma System patient care records (PCR) for inter-
facility patient transports? - ✔✔DD form 1380 Tactical Combat Casualty Care (TCCC)
Card, DA 4700 overprint
Tactical Evacuation Patient Care Record, AF IMT 3899 Patient Movement Record,
Medical Rescue Report SAR Form 3-50.1A
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily usedfor
rotary wing transports from point of injury or inter-facility transfer? - ✔✔DA 4700
overprint Tactical Evacuation Patient Care Record
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily usedfor
Critical Care Air Transport Team movements? - ✔✔supplements A through K of AF IMT
3899 Patient Movement Record
✔✔Which approved Joint Trauma System patient care record (PCR) is
requiredwhenever a search or rescue is attempted or accomplished that involves
Navypersonnel or assets? - ✔✔Medical Rescue Report SAR Form 3-50.1
✔✔T/F: While the patient is delivered to the receiving medical treatment facility,
thepatient care record should be maintained with the evacuation unit. - ✔✔False (PCR
remains with the patient)
✔✔T/F: The Acute pain service (APS) should be established and be an integral part
ofcasualty care starting at the Role I. - ✔✔False (Role 3)
✔✔T/F: Sedation should be optimized as a priority over pain control. - ✔✔False
✔✔Adjuncts can greatly increase patient safety and the effectiveness of narcotics to
treatpain while reducing side effects. What are examples of adjuncts? -
✔✔acetaminophen, ketamine, non-steroidal anti-inflammatory drugs (NSAIDs),
continuous peripheral nerve infusions, and continuous epidural infusions
✔✔If is it not feasible to incorporate the acute pain service (APS) team into
traumarounds, then the APS is responsible for _________ pain rounds, pain
managementconsults, and reports to the trauma team leader. - ✔✔daily pain rounds
, ✔✔What are standardized and validated scoring systems for the assessment of
pain,anxiety, and delirium? - ✔✔DoD/VA Pain Rating Scale (DVPRS), Richmond
Agitation Sedation Scale (RASS),
Confusion Assessment Method (CAM)
✔✔The Richmond Agitation Sedation Scale (RASS) is used to assess ________. -
✔✔anxiety
✔✔The goal for patients with delirium is to achieve a delirium free state as measured
bythe __________. - ✔✔Confusion Assessment Method (CAM)
✔✔The ABCDE's should be incorporated into treatment care plans as efforts to
preventdelirium in critically injured patients. The "E" stands for ________________. -
✔✔Exercise (Awakening and Breathing Coordination, non-pharmacologic
Delirium, early Exercise and Mobility)
✔✔T/F: Seriously injured patients who are not intubated should be assessed every 1-
4hours for the presence of pain. - ✔✔True
✔✔T/F: Adequate early pain control has been shown to reduce post-traumatic
stressdisorder and ongoing pain control is an obligatory part of trauma care. - ✔✔True
✔✔________________, in parenteral doses of 0.15-0.3 mg/kg, has been shown
toreduce pain scores, total narcotic use, and need for rescue medication when used
withmorphine for acute pain control. - ✔✔Ketamine
✔✔What is not a narcotic agent of choice approved for repeated Patient
ControlledAnalgesia (PCA) pump? - ✔✔Meperidine (Demerol)
✔✔T/F: Low molecular weight heparin (LMWH) use in patients undergoing
epiduralanesthesia increases the risk of spinal or epidural hematoma, which may cause
longterm or permanent paralysis. - ✔✔True
✔✔What are medications used to treat anxiety and agitation? - ✔✔Propofol,
Dexmedetomidine, Clonidine
✔✔T/F: Continuous dosing of analgesics and anxiolytics, as opposed to
intermittentdosing, has been shown to reduce the duration of mechanical ventilation
andcontinuous dosing of analgesics and anxiolytics should be instituted prior to
intermittentdosing. - ✔✔False
