EFMB WRITTEN TEST STUDYGUIDE EXAM
WITH CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+ || 2026-
2027 LATEST UPDATE!!!
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
,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
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/Genitourinary/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 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)
T/F: The smaller the size of the tympanic membrane perforation, the
greater the likelihood is of spontaneous closure. - ANSWER-True
The majority of tympanic membrane perforations that close
spontaneously do so within the first ___________ after injury -
ANSWER-8 Weeks
Acute management of intertemporal facial nerve injury is to provide
objective documentation of facial movement using the
_____________ scale. - ANSWER-House-Brackmann
, T/F: For significant facial parses’/paralyses, early administration of
steroids must always be provided regardless of contraindications. -
ANSWER-False
All Service Members that develop symptoms consistent with noise
trauma (acute tinnitus, muffled hearing, fullness in the ear) should: -
ANSWER-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? - ANSWER-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 - ANSWER-72 Hours
T/F: Vestibular trauma to the inner ear may manifest in vertigo. -
ANSWER-True
All patients with subjective hearing loss and tinnitus following blast
exposure should: - ANSWER-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
trans tympanic steroid injections when not otherwise contraindicated.
- ANSWER-25 db.
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
WITH CORRECT ACTUAL QUESTIONS
MERGED WITH CORRECT COMPLETE
SOLUTIONS || ALREADY GRADED A+ || 2026-
2027 LATEST UPDATE!!!
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
,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
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/Genitourinary/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 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)
T/F: The smaller the size of the tympanic membrane perforation, the
greater the likelihood is of spontaneous closure. - ANSWER-True
The majority of tympanic membrane perforations that close
spontaneously do so within the first ___________ after injury -
ANSWER-8 Weeks
Acute management of intertemporal facial nerve injury is to provide
objective documentation of facial movement using the
_____________ scale. - ANSWER-House-Brackmann
, T/F: For significant facial parses’/paralyses, early administration of
steroids must always be provided regardless of contraindications. -
ANSWER-False
All Service Members that develop symptoms consistent with noise
trauma (acute tinnitus, muffled hearing, fullness in the ear) should: -
ANSWER-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? - ANSWER-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 - ANSWER-72 Hours
T/F: Vestibular trauma to the inner ear may manifest in vertigo. -
ANSWER-True
All patients with subjective hearing loss and tinnitus following blast
exposure should: - ANSWER-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
trans tympanic steroid injections when not otherwise contraindicated.
- ANSWER-25 db.
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
