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EFMB Written Test Study Guide (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+
EFMB Written Test
1. In TCCC, what is the first priority for a patient with uncontrolled extremity bleeding?
A. Open airway
B. Apply tourniquet
C. Start IV fluids
D. Provide pain medication
Answer: B
Rationale: Massive hemorrhage is the leading cause of preventable death on the battlefield;
stop bleeding first.
2. The MARCH algorithm stands for:
A. Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia
B. Monitor, Airway, Rescue, Circulation, Hypotension
C. Massive injury, Airway, Rest, Care, Heat
D. Monitor, Alert, Respiration, Circulation, Hemorrhage
Answer: A
Rationale: MARCH is the TCCC priority sequence for life threats.
3. Needle decompression for tension pneumothorax is performed at:
A. 2nd intercostal space, mid-clavicular line
B. 5th intercostal space, mid-axillary line
C. 3rd intercostal space, anterior axillary line
D. 4th intercostal space, mid-clavicular line
Answer: A
Rationale: Standard emergency site to relieve life-threatening tension pneumothorax.
4. Occlusive dressing for an open chest wound should be:
A. Sealed on three sides
B. Fully sealed
2026 2027 GRADED A+
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C. Left open
D. Only partially on the wound
Answer: A
Rationale: Sealing three sides allows air to escape and prevents tension pneumothorax.
5. Signs of hypovolemic shock include:
A. Bradycardia, hypertension
B. Tachycardia, hypotension, pale/cool skin
C. Fever, warm skin
D. Bradycardia, cool skin
Answer: B
Rationale: Shock triggers compensatory tachycardia and weak pulses.
6. Tourniquet placement should be:
A. Directly on the wound
B. 2–3 inches above the wound
C. On the distal part of the limb
D. At the wrist or ankle
Answer: B
Rationale: Proper placement ensures bleeding is controlled without causing further injury.
7. TXA (Tranexamic Acid) is administered to:
A. Relieve pain
B. Reduce bleeding
C. Treat infection
D. Manage nausea
Answer: B
Rationale: TXA promotes clotting and reduces hemorrhage.
8. A patient with a sucking chest wound arrives. Priority intervention:
A. Start IV fluids
B. Apply occlusive dressing
C. Administer antibiotics
D. Elevate legs
Answer: B
Rationale: Prevents air from entering pleural space.
2026 2027 GRADED A+
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9. IV fluid resuscitation in battlefield trauma:
A. Always restore BP to normal
B. Permissive hypotension may be used
C. Avoid fluids entirely
D. Only give oral fluids
Answer: B
Rationale: Permissive hypotension reduces bleeding risk until definitive care.
10. Signs of tension pneumothorax:
A. Bradycardia, hypotension
B. Jugular vein distension, absent breath sounds on one side
C. Fever and chills
D. Redness at wound site
Answer: B
Rationale: Life-threatening, requires immediate needle decompression.
11. Primary assessment sequence in trauma:
A. ABCDE – Airway, Breathing, Circulation, Disability, Exposure
B. CABDE
C. ABC – Alert, Breathing, Circulation
D. DEABC
Answer: A
Rationale: Airway and breathing come first to prevent early death.
12. Which of the following is a sign of shock?
A. Warm, flushed skin
B. Weak, rapid pulse
C. Slow, strong pulse
D. Normal capillary refill
Answer: B
Rationale: Weak, rapid pulse indicates compensatory response to low perfusion.
13. Massive hemorrhage control options include:
A. Direct pressure
B. Tourniquet
C. Hemostatic dressing
D. All of the above
2026 2027 GRADED A+
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Answer: D
Rationale: Multiple methods stop bleeding quickly depending on injury.
14. Nasopharyngeal airway (NPA) is contraindicated in:
A. Conscious patient
B. Facial trauma with basal skull fracture
C. Respiratory distress
D. Seizure
Answer: B
Rationale: May enter the cranial vault, causing severe injury.
15. Best way to prevent hypothermia in the field:
A. Encourage exercise
B. Wrap patient in blankets and insulate from ground
C. Give cold fluids
D. Remove clothing
Answer: B
Rationale: Insulation prevents heat loss, especially in trauma patients.
ANATOMY & PATIENT ASSESSMENT (16–25)
16. Normal adult blood pressure:
A. 120/80 mmHg
B. 140/90 mmHg
C. 100/60 mmHg
D. 80/40 mmHg
Answer: A
Rationale: 120/80 is within normal adult range.
17. Glasgow Coma Scale (GCS) evaluates:
A. Airway and circulation
B. Eye, verbal, and motor response
C. Pupils only
D. Blood pressure
Answer: B
Rationale: Used to assess neurologic function after trauma.
2026 2027 GRADED A+
EFMB Written Test Study Guide (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+
EFMB Written Test
1. In TCCC, what is the first priority for a patient with uncontrolled extremity bleeding?
A. Open airway
B. Apply tourniquet
C. Start IV fluids
D. Provide pain medication
Answer: B
Rationale: Massive hemorrhage is the leading cause of preventable death on the battlefield;
stop bleeding first.
2. The MARCH algorithm stands for:
A. Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia
B. Monitor, Airway, Rescue, Circulation, Hypotension
C. Massive injury, Airway, Rest, Care, Heat
D. Monitor, Alert, Respiration, Circulation, Hemorrhage
Answer: A
Rationale: MARCH is the TCCC priority sequence for life threats.
3. Needle decompression for tension pneumothorax is performed at:
A. 2nd intercostal space, mid-clavicular line
B. 5th intercostal space, mid-axillary line
C. 3rd intercostal space, anterior axillary line
D. 4th intercostal space, mid-clavicular line
Answer: A
Rationale: Standard emergency site to relieve life-threatening tension pneumothorax.
4. Occlusive dressing for an open chest wound should be:
A. Sealed on three sides
B. Fully sealed
2026 2027 GRADED A+
,2|Page
C. Left open
D. Only partially on the wound
Answer: A
Rationale: Sealing three sides allows air to escape and prevents tension pneumothorax.
5. Signs of hypovolemic shock include:
A. Bradycardia, hypertension
B. Tachycardia, hypotension, pale/cool skin
C. Fever, warm skin
D. Bradycardia, cool skin
Answer: B
Rationale: Shock triggers compensatory tachycardia and weak pulses.
6. Tourniquet placement should be:
A. Directly on the wound
B. 2–3 inches above the wound
C. On the distal part of the limb
D. At the wrist or ankle
Answer: B
Rationale: Proper placement ensures bleeding is controlled without causing further injury.
7. TXA (Tranexamic Acid) is administered to:
A. Relieve pain
B. Reduce bleeding
C. Treat infection
D. Manage nausea
Answer: B
Rationale: TXA promotes clotting and reduces hemorrhage.
8. A patient with a sucking chest wound arrives. Priority intervention:
A. Start IV fluids
B. Apply occlusive dressing
C. Administer antibiotics
D. Elevate legs
Answer: B
Rationale: Prevents air from entering pleural space.
2026 2027 GRADED A+
,3|Page
9. IV fluid resuscitation in battlefield trauma:
A. Always restore BP to normal
B. Permissive hypotension may be used
C. Avoid fluids entirely
D. Only give oral fluids
Answer: B
Rationale: Permissive hypotension reduces bleeding risk until definitive care.
10. Signs of tension pneumothorax:
A. Bradycardia, hypotension
B. Jugular vein distension, absent breath sounds on one side
C. Fever and chills
D. Redness at wound site
Answer: B
Rationale: Life-threatening, requires immediate needle decompression.
11. Primary assessment sequence in trauma:
A. ABCDE – Airway, Breathing, Circulation, Disability, Exposure
B. CABDE
C. ABC – Alert, Breathing, Circulation
D. DEABC
Answer: A
Rationale: Airway and breathing come first to prevent early death.
12. Which of the following is a sign of shock?
A. Warm, flushed skin
B. Weak, rapid pulse
C. Slow, strong pulse
D. Normal capillary refill
Answer: B
Rationale: Weak, rapid pulse indicates compensatory response to low perfusion.
13. Massive hemorrhage control options include:
A. Direct pressure
B. Tourniquet
C. Hemostatic dressing
D. All of the above
2026 2027 GRADED A+
, 4|Page
Answer: D
Rationale: Multiple methods stop bleeding quickly depending on injury.
14. Nasopharyngeal airway (NPA) is contraindicated in:
A. Conscious patient
B. Facial trauma with basal skull fracture
C. Respiratory distress
D. Seizure
Answer: B
Rationale: May enter the cranial vault, causing severe injury.
15. Best way to prevent hypothermia in the field:
A. Encourage exercise
B. Wrap patient in blankets and insulate from ground
C. Give cold fluids
D. Remove clothing
Answer: B
Rationale: Insulation prevents heat loss, especially in trauma patients.
ANATOMY & PATIENT ASSESSMENT (16–25)
16. Normal adult blood pressure:
A. 120/80 mmHg
B. 140/90 mmHg
C. 100/60 mmHg
D. 80/40 mmHg
Answer: A
Rationale: 120/80 is within normal adult range.
17. Glasgow Coma Scale (GCS) evaluates:
A. Airway and circulation
B. Eye, verbal, and motor response
C. Pupils only
D. Blood pressure
Answer: B
Rationale: Used to assess neurologic function after trauma.
2026 2027 GRADED A+
