EFMB FINAL PAPER QUESTIONS AND
ACCURATE ANSWERS COMPLETE
PREPARATION KIT
●● 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
●● 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. Cervical Spine Radiographic Evaluation (CSRE) has
been largely replaced by Computed Tomography (CT) and should only
be performed when a CT is unavailable.
●● What is the lowest level of care equipped with a Computed
Tomography (CT) 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 __________ feet.
Answer: Six (6)
●● 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 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 test for hollow viscus injury and mesenteric injury.
,●● T/F: At the Role 3, properly trained providers including radiologists,
surgeons, and emergency physicians, can perform and interpret FAST
scans in the emergency department on a hand held portable US device.
Answer: TRUE
●● A FAST examination is performed with a portable hand-held
machine most commonly using a standard 3-7 MHz curved array
__________ probe.
Answer: Ultra Sound (US)
●● The standard FAST examination is focused on evaluating for the
presence of __________ in certain areas of the body.
Answer: Free Intraperitoneal Fluid
●● When performing a FAST examination on a patient, you inspect the
right upper quadrant. You are inspecting between which two (2) organs?
Answer: Liver & Kidney
●● When performing a FAST examination on a patient, you inspect the
left upper quadrant. You are inspecting between which two (2) organs?
Answer: Spleen & Kidney
●● An 18g __________ IV is typically desired for Computed
Tomography IV access.
, Answer: antecubital
●● T/F: The goal of Computed Tomography (CT) contrast injection is to
provide concurrent solid organ enhancement, arterial enhancement, and
pulmonary arterial.
Answer: TRUE
●● T/F: When performing Computed Tomography (CT) scan on a
Military Working Dog, utilize a scanning protocol based on the adult
settings to include the doses of and rates of contrast administration.
Answer: FALSE. Utilize a scanning protocol based on the pediatric
settings to include the doses of and rates of contrast administration.
●● T/F: All patients evacuated through casualty evacuation should have
images sent electronically ahead of time as well as have a CD created to
send with the patient as a backup.
Answer: TRUE
●● T/F: Magnetic Resonance Imaging (MRI) is widely used in theater,
as its utility in the acute management of combat trauma was extensively
established during Operation Enduring Freedom.
Answer: FALSE. While Magnetic Resonance Imaging (MRI) has been
deployed to theater in the past, its utility in the acute management of
combat trauma has not been established.
ACCURATE ANSWERS COMPLETE
PREPARATION KIT
●● 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
●● 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. Cervical Spine Radiographic Evaluation (CSRE) has
been largely replaced by Computed Tomography (CT) and should only
be performed when a CT is unavailable.
●● What is the lowest level of care equipped with a Computed
Tomography (CT) 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 __________ feet.
Answer: Six (6)
●● 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 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 test for hollow viscus injury and mesenteric injury.
,●● T/F: At the Role 3, properly trained providers including radiologists,
surgeons, and emergency physicians, can perform and interpret FAST
scans in the emergency department on a hand held portable US device.
Answer: TRUE
●● A FAST examination is performed with a portable hand-held
machine most commonly using a standard 3-7 MHz curved array
__________ probe.
Answer: Ultra Sound (US)
●● The standard FAST examination is focused on evaluating for the
presence of __________ in certain areas of the body.
Answer: Free Intraperitoneal Fluid
●● When performing a FAST examination on a patient, you inspect the
right upper quadrant. You are inspecting between which two (2) organs?
Answer: Liver & Kidney
●● When performing a FAST examination on a patient, you inspect the
left upper quadrant. You are inspecting between which two (2) organs?
Answer: Spleen & Kidney
●● An 18g __________ IV is typically desired for Computed
Tomography IV access.
, Answer: antecubital
●● T/F: The goal of Computed Tomography (CT) contrast injection is to
provide concurrent solid organ enhancement, arterial enhancement, and
pulmonary arterial.
Answer: TRUE
●● T/F: When performing Computed Tomography (CT) scan on a
Military Working Dog, utilize a scanning protocol based on the adult
settings to include the doses of and rates of contrast administration.
Answer: FALSE. Utilize a scanning protocol based on the pediatric
settings to include the doses of and rates of contrast administration.
●● T/F: All patients evacuated through casualty evacuation should have
images sent electronically ahead of time as well as have a CD created to
send with the patient as a backup.
Answer: TRUE
●● T/F: Magnetic Resonance Imaging (MRI) is widely used in theater,
as its utility in the acute management of combat trauma was extensively
established during Operation Enduring Freedom.
Answer: FALSE. While Magnetic Resonance Imaging (MRI) has been
deployed to theater in the past, its utility in the acute management of
combat trauma has not been established.
