EFMB CERTIFICATION EVALUATION
QUESTIONS AND SOLUTIONS PREMIUM
REVIEW MATERIAL
●● 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: False; CSRE has been largely replaced by CT scan
●● 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: False; Diagnostic Peritoneal Lavage (DPL) remains the most
sensitive
●● T/F: At the Role 3, properly trained providers including radiologists,
surgeons, andemergency physicians, can perform and interpret FAST
scans in the emergencydepartment on a hand held portable device.
Answer: True
,●● A FAST examination is performed with a portable hand-held
machine mostcommonly 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: 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 upperquadrant. 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 concurrentsolid organ enhancement, arterial enhancement, and
pulmonary arterial.
, Answer: True
●● 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 ratesof contrast administration.
Answer: False (pediatric)
●● T/F: All patients evacuated through casualty evacuation should have
images sentelectronically ahead of time as well as have a CD created to
send with the patient as abackup.
Answer: True
●● T/F: Magnetic Resonance Imaging is widely used in theater, as its
utility in the acutemanagement of combat trauma was extensively
establishment during OperationEnduring Freedom.
Answer: False
●● All trauma patients arriving at a Role ___ will receive proper and
expeditiousradiologic screening of injuries.
Answer: Role 3
●● T/F: Patients exposed to hazardous noise are only at risk for aural
trauma.
Answer: False (only at risk for acoustic trauma)
QUESTIONS AND SOLUTIONS PREMIUM
REVIEW MATERIAL
●● 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: False; CSRE has been largely replaced by CT scan
●● 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: False; Diagnostic Peritoneal Lavage (DPL) remains the most
sensitive
●● T/F: At the Role 3, properly trained providers including radiologists,
surgeons, andemergency physicians, can perform and interpret FAST
scans in the emergencydepartment on a hand held portable device.
Answer: True
,●● A FAST examination is performed with a portable hand-held
machine mostcommonly 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: 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 upperquadrant. 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 concurrentsolid organ enhancement, arterial enhancement, and
pulmonary arterial.
, Answer: True
●● 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 ratesof contrast administration.
Answer: False (pediatric)
●● T/F: All patients evacuated through casualty evacuation should have
images sentelectronically ahead of time as well as have a CD created to
send with the patient as abackup.
Answer: True
●● T/F: Magnetic Resonance Imaging is widely used in theater, as its
utility in the acutemanagement of combat trauma was extensively
establishment during OperationEnduring Freedom.
Answer: False
●● All trauma patients arriving at a Role ___ will receive proper and
expeditiousradiologic screening of injuries.
Answer: Role 3
●● T/F: Patients exposed to hazardous noise are only at risk for aural
trauma.
Answer: False (only at risk for acoustic trauma)
