EFMB CORE REVIEW QUESTIONS AND ANSWERS
SURE A+
✔✔What is the best course of action if you find debris in the external auditory canal orin
the middle ear? - ✔✔Treat the patient with a fluroquinolone and steroid containing
topical antibiotic
✔✔Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test
oraudiogram. - ✔✔72 hours
✔✔T/F: Vestibular trauma to the inner ear may manifest in vertigo. - ✔✔True
✔✔All patients with subjective hearing loss and tinnitus following blast exposure should:
- ✔✔have the exposure documented, and should be evaluated by hearing
testing as soon as possible
✔✔Patients with TTS greater than ______ losses in three consecutive
frequenciesshould be considered candidates for high dose oral and/or transtympanic
steroidinjections when not otherwise contraindicated. - ✔✔25 dB
✔✔What are indications for endotracheal intubation during your initial burn survey? -
✔✔comatose patient, symptomatic inhalation injury, deep facial burns, and burns
over 40% Total Body Surface Area (TBSA)
✔✔Burn casualties with injuries greater than ___ Total Body Surface Area (TBSA) are
athigh risk of hypothermia. - ✔✔20% TBSA
✔✔T/F: When providing point of injury care to a burn patient, you must
immediatelydebride blisters and cover burns with loose, moist gauze wraps or a wet
clean sheet. - ✔✔False; do not debride blisters and cover with loose, dry gauze or a
clean sheet
,✔✔Calculate a burn patient's initial burn size using the Rule of _____. - ✔✔Rule of
Nines
✔✔Which type of burn is NOT included in the estimation of Total Body Surface
Area(TBSA) used for fluid resuscitation? - ✔✔Superficial (1st degree) burns
✔✔Which classification of burns are moist and sensate, blister, and blanch? - ✔✔Partial
thickness burns (2nd degree)
✔✔Which classification of burns appear red, do not blister, and blanch readily? -
✔✔Superficial burns (1st degree)
✔✔Which classification of burns appear leathery, dry, non-blanching, are insensate,
andoften contain thrombosed vessels? - ✔✔Full thickness burns (3rd degree)
✔✔What is the Rule of 10s burn fluid resuscitation equation? Ensure you can apply it. -
✔✔10mL/hr x %TBSA
*for patients weighing more than 80kg, add
100mL/hr to IV fluid rate for each 10kg > 80kg
✔✔For children suffering burn injuries, ___ x Total Body Surface Area (TBSA) x
bodyweight in kg gives the volume for the first 24 hrs of fluid resuscitation. - ✔✔3 x
TBSA x body weight (kg)
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔False (isotonic solution)
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in
seriousmorbidity and even mortality; patients who receive over 250 mL/kg in the first 24
hoursare at increased risk for severe complications including acute respiratory
distresssyndrome and both abdominal and extremity compartment syndromes. -
✔✔True
✔✔At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500 mL/hr or if
theprojected 24 hr total fluid volume approaches 250 mL/kg, initiate 5%
___________infusion for an adult burn patient. - ✔✔albumin infusion
✔✔What are clinical signs of inhalation injury? - ✔✔progressive voice changes, soot
about the mouth and nares, hypoxia, and
shortness of breath
✔✔Definitive care for US service members suffering from burn injuries is provided
at_____________. - ✔✔USAISR Burn Center in San Antonio, Texas
,✔✔T/F: Early ambulation and physical therapy, is critical to the long-term
functionaloutcome in burn patients. Once post-operative dressings are removed,
perform range ofmotion of all affected joints. - ✔✔True
✔✔____________ is the most common infectious complication with pediatric
burnpatients and usually presents within 5 days of injury. - ✔✔Cellulitis
✔✔A patient has suffered burn injuries to the entire anterior torso (chest and
abdomen),the anterior and posterior of both arms, and the anterior of his face and neck.
Calculatethe patient's initial burn size using the Rule of Nines. - ✔✔18%(anterior
torso)+18%(anterior and posterior of both arms)+4.5% (anterior face and neck) = 40.5%
✔✔A patient has suffered burn injuries to the anterior and posterior legs and
theperineum. Calculate the patient's initial burn size using the Rule of Nines. - ✔✔36%
(anterior and posterior both legs) + 1% (perineum) = 37%
✔✔A patient has suffered burn injuries to the anterior of her face, neck, and torso (chest
and abdomen). Calculate the patient's initial burn size using the Rule of Nines. -
✔✔4.5% (anterior face and neck) + 18% (anterior torso) = 22.5%
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight
whenveterinary personnel are not available, human healthcare providers are also
responsiblefor providing routine medical, dental, or surgical care to Military Working
Dogs in combator austere areas of operation. - ✔✔False
✔✔The ____________ is the best person to control the Military Working Dog; they
havethe most accurate information about past medical problems and the current
situation,and they have first aid training and can assist in care. - ✔✔dog handler
✔✔________________ is the normal temperature (rectal) range for a Military
WorkingDog at rest. - ✔✔101-103 degrees Fahrenheit
✔✔________________ is the heart/pulse rate range for a Military Working Dog at rest. -
✔✔60-80 bpm
✔✔T/F: The normal blood pressure for a Military Working Dog at rest is systolic
120mmHg/diastolic 80 mmHg. - ✔✔True
✔✔Use the ______________ vein for long-term fluid therapy, large volume fluid
delivery,and repeated blood sampling on Military Working Dogs. - ✔✔external jugular
vein
, ✔✔T/F: When introducing a catheter into a Military Working Dog, it is acceptable
tocreate a small skin nick over the intended catheter insertion site to facilitate
penetrationof the dog's thick skin. - ✔✔True
✔✔The arterial pulse of a Military Working Dog is best palpated at the
____________artery on the medial aspect of the proximal thigh in the inguinal area, or
at the dorsalmetatarsal artery on the dorsal aspect of the proximal hind paw. -
✔✔femoral artery
✔✔Pulse oximetry probes used for people (typically finger probes) are best placed on
the______________ for optimal reliability in unconscious, sedated, or anesthetized
dogs. - ✔✔tongue
✔✔What are the 3 characteristic breathing patterns typically displayed in
MilitaryWorking Dogs in respiratory distress? - ✔✔obstructive, restrictive, and
parenchymal breathing pattern
✔✔When performing a tracheostomy on a Military Working Dog, make a
transverseincision completely through the ______________ ligament. - ✔✔annular
ligament
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the
dog'sneck and feel 2 tubes. This indicates that the endotracheal tube is in the
dog's_____________. - ✔✔esophagus
✔✔When performing cardiopulmonary resuscitation on a Military Working Dog
(MWD),begin sustained, forceful chest compressions with the MWD in lateral
recumbency (oneither side) at a rate of _____ compressions per minute. Sustain
compression for atleast 2-3 minutes per cycle. - ✔✔100 compressions per minute
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a
MilitaryWorking Dog, the responder should only perform ventilation, as this
optimizescirculation. - ✔✔False (only perform ventilation)
✔✔T/F: Conventional human tourniquets applied to the limb of a Military Working
Dogare an unreliable intervention to effectively control hemorrhage. - ✔✔True
✔✔Calculate the approximate safe but effective crystalloid bolus volume for a 55
poundMilitary Working Dog experiencing signs and symptoms of shock. - ✔✔550 mL
bolus
✔✔T/F: Gastric Dilation-Volvulus Syndrome (GDV) in Military Working Dogs
occurswhen the stomach rapidly dilates with fluid, food, and air and then rotates along
SURE A+
✔✔What is the best course of action if you find debris in the external auditory canal orin
the middle ear? - ✔✔Treat the patient with a fluroquinolone and steroid containing
topical antibiotic
✔✔Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test
oraudiogram. - ✔✔72 hours
✔✔T/F: Vestibular trauma to the inner ear may manifest in vertigo. - ✔✔True
✔✔All patients with subjective hearing loss and tinnitus following blast exposure should:
- ✔✔have the exposure documented, and should be evaluated by hearing
testing as soon as possible
✔✔Patients with TTS greater than ______ losses in three consecutive
frequenciesshould be considered candidates for high dose oral and/or transtympanic
steroidinjections when not otherwise contraindicated. - ✔✔25 dB
✔✔What are indications for endotracheal intubation during your initial burn survey? -
✔✔comatose patient, symptomatic inhalation injury, deep facial burns, and burns
over 40% Total Body Surface Area (TBSA)
✔✔Burn casualties with injuries greater than ___ Total Body Surface Area (TBSA) are
athigh risk of hypothermia. - ✔✔20% TBSA
✔✔T/F: When providing point of injury care to a burn patient, you must
immediatelydebride blisters and cover burns with loose, moist gauze wraps or a wet
clean sheet. - ✔✔False; do not debride blisters and cover with loose, dry gauze or a
clean sheet
,✔✔Calculate a burn patient's initial burn size using the Rule of _____. - ✔✔Rule of
Nines
✔✔Which type of burn is NOT included in the estimation of Total Body Surface
Area(TBSA) used for fluid resuscitation? - ✔✔Superficial (1st degree) burns
✔✔Which classification of burns are moist and sensate, blister, and blanch? - ✔✔Partial
thickness burns (2nd degree)
✔✔Which classification of burns appear red, do not blister, and blanch readily? -
✔✔Superficial burns (1st degree)
✔✔Which classification of burns appear leathery, dry, non-blanching, are insensate,
andoften contain thrombosed vessels? - ✔✔Full thickness burns (3rd degree)
✔✔What is the Rule of 10s burn fluid resuscitation equation? Ensure you can apply it. -
✔✔10mL/hr x %TBSA
*for patients weighing more than 80kg, add
100mL/hr to IV fluid rate for each 10kg > 80kg
✔✔For children suffering burn injuries, ___ x Total Body Surface Area (TBSA) x
bodyweight in kg gives the volume for the first 24 hrs of fluid resuscitation. - ✔✔3 x
TBSA x body weight (kg)
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔False (isotonic solution)
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in
seriousmorbidity and even mortality; patients who receive over 250 mL/kg in the first 24
hoursare at increased risk for severe complications including acute respiratory
distresssyndrome and both abdominal and extremity compartment syndromes. -
✔✔True
✔✔At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500 mL/hr or if
theprojected 24 hr total fluid volume approaches 250 mL/kg, initiate 5%
___________infusion for an adult burn patient. - ✔✔albumin infusion
✔✔What are clinical signs of inhalation injury? - ✔✔progressive voice changes, soot
about the mouth and nares, hypoxia, and
shortness of breath
✔✔Definitive care for US service members suffering from burn injuries is provided
at_____________. - ✔✔USAISR Burn Center in San Antonio, Texas
,✔✔T/F: Early ambulation and physical therapy, is critical to the long-term
functionaloutcome in burn patients. Once post-operative dressings are removed,
perform range ofmotion of all affected joints. - ✔✔True
✔✔____________ is the most common infectious complication with pediatric
burnpatients and usually presents within 5 days of injury. - ✔✔Cellulitis
✔✔A patient has suffered burn injuries to the entire anterior torso (chest and
abdomen),the anterior and posterior of both arms, and the anterior of his face and neck.
Calculatethe patient's initial burn size using the Rule of Nines. - ✔✔18%(anterior
torso)+18%(anterior and posterior of both arms)+4.5% (anterior face and neck) = 40.5%
✔✔A patient has suffered burn injuries to the anterior and posterior legs and
theperineum. Calculate the patient's initial burn size using the Rule of Nines. - ✔✔36%
(anterior and posterior both legs) + 1% (perineum) = 37%
✔✔A patient has suffered burn injuries to the anterior of her face, neck, and torso (chest
and abdomen). Calculate the patient's initial burn size using the Rule of Nines. -
✔✔4.5% (anterior face and neck) + 18% (anterior torso) = 22.5%
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight
whenveterinary personnel are not available, human healthcare providers are also
responsiblefor providing routine medical, dental, or surgical care to Military Working
Dogs in combator austere areas of operation. - ✔✔False
✔✔The ____________ is the best person to control the Military Working Dog; they
havethe most accurate information about past medical problems and the current
situation,and they have first aid training and can assist in care. - ✔✔dog handler
✔✔________________ is the normal temperature (rectal) range for a Military
WorkingDog at rest. - ✔✔101-103 degrees Fahrenheit
✔✔________________ is the heart/pulse rate range for a Military Working Dog at rest. -
✔✔60-80 bpm
✔✔T/F: The normal blood pressure for a Military Working Dog at rest is systolic
120mmHg/diastolic 80 mmHg. - ✔✔True
✔✔Use the ______________ vein for long-term fluid therapy, large volume fluid
delivery,and repeated blood sampling on Military Working Dogs. - ✔✔external jugular
vein
, ✔✔T/F: When introducing a catheter into a Military Working Dog, it is acceptable
tocreate a small skin nick over the intended catheter insertion site to facilitate
penetrationof the dog's thick skin. - ✔✔True
✔✔The arterial pulse of a Military Working Dog is best palpated at the
____________artery on the medial aspect of the proximal thigh in the inguinal area, or
at the dorsalmetatarsal artery on the dorsal aspect of the proximal hind paw. -
✔✔femoral artery
✔✔Pulse oximetry probes used for people (typically finger probes) are best placed on
the______________ for optimal reliability in unconscious, sedated, or anesthetized
dogs. - ✔✔tongue
✔✔What are the 3 characteristic breathing patterns typically displayed in
MilitaryWorking Dogs in respiratory distress? - ✔✔obstructive, restrictive, and
parenchymal breathing pattern
✔✔When performing a tracheostomy on a Military Working Dog, make a
transverseincision completely through the ______________ ligament. - ✔✔annular
ligament
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the
dog'sneck and feel 2 tubes. This indicates that the endotracheal tube is in the
dog's_____________. - ✔✔esophagus
✔✔When performing cardiopulmonary resuscitation on a Military Working Dog
(MWD),begin sustained, forceful chest compressions with the MWD in lateral
recumbency (oneither side) at a rate of _____ compressions per minute. Sustain
compression for atleast 2-3 minutes per cycle. - ✔✔100 compressions per minute
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a
MilitaryWorking Dog, the responder should only perform ventilation, as this
optimizescirculation. - ✔✔False (only perform ventilation)
✔✔T/F: Conventional human tourniquets applied to the limb of a Military Working
Dogare an unreliable intervention to effectively control hemorrhage. - ✔✔True
✔✔Calculate the approximate safe but effective crystalloid bolus volume for a 55
poundMilitary Working Dog experiencing signs and symptoms of shock. - ✔✔550 mL
bolus
✔✔T/F: Gastric Dilation-Volvulus Syndrome (GDV) in Military Working Dogs
occurswhen the stomach rapidly dilates with fluid, food, and air and then rotates along
