EFMB CORRECT ACTUAL QUESTIONS AND
ANSWERS SURE A+
✔✔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
the longaxis (volvulus). When volvulus develops, the esophagus and duodenum
becometwisted, preventing the passage of stomach contents. - ✔✔True
✔✔Hypothermia in Military Working Dogs caused by low body temperature due
totrauma, toxicity, underlying illness, or anesthesia and surgery is classified
as______________ hypothermia. - ✔✔secondary hypothermia
✔✔Calculate the estimated percent of total body surface area burned on a
MilitaryWorking Dog suffering from burns to the head, neck, chest, and abdomen. -
✔✔45% (head and neck - 9%, chest - 18%, abdomen - 18%)
✔✔For PO supplementary analgesia of an injured Military Working Dog,
administer_____________ 5-10ml/kg PO q8-12h for up to 5 days. - ✔✔TRAMADOL
✔✔How long can whole blood collected in the anticoagulant CPD be stored? - ✔✔21
days at 1-6 degrees Celsius
,✔✔How long can whole blood collected in the anticoagulant CPDA-1 be stored? -
✔✔35 days at 1-6 degrees Celsius
✔✔If stored at room temperature, fresh whole blood must be destroyed if not used
withinwhat time period? - ✔✔within 24 hours
✔✔T/F: The most important safety consideration in transfusing whole blood is that
donorred blood cells be compatible with the recipient to avoid acute hemolytic
transfusionreactions. - ✔✔True
✔✔How often SHOULD titer and transfusion transmitted disease retesting
beconducted? - ✔✔WBB donors should be retitered every 90 days in conjunction
with TTD testing
✔✔In order to mitigate the risk of transfusion-associated acute lung injury (TRALI),
theArmed Services Blood Program collects whole blood from everyone EXCEPT: -
✔✔once pregnant/pregnant females and female donors testing positive for
anti-HLA antibodies
✔✔_____________ is the preferred resuscitation product for the pre-hospital
treatmentof patients in hemorrhagic shock. - ✔✔WB, and in particular LTOWB
✔✔Storage lesion describes the degradation of the RBC involving the loss of what? -
✔✔loss of membrane plasticity
✔✔T/F: Fresh whole blood (FWB) is FDA-approved and is intended or indicated
forroutine use. - ✔✔False
✔✔Fresh whole blood is to be used only when: - ✔✔when other blood products cannot
be delivered at an acceptable rate to sustain
the resuscitation of an actively bleeding patient, when specific stored products
are not available
✔✔T/F: Fresh whole blood should routinely be collected from pre-screened donors as
away to maintain a routine inventory of Walking Blood Bank - Stored Whole
Bloodproducts. - ✔✔False
✔✔In general, whole blood units should not be collected from donors more
frequentlythan every ____ weeks. - ✔✔8 weeks (56 Days)
, ✔✔T/F: In situations where there are a limited number of donors and a dire need
forblood, no more than three units may be taken from a single donor. - ✔✔False (no
more than two units may be taken)
✔✔Is there a known contraindication to using whole blood in pediatric casualties? -
✔✔No
✔✔A massive transfusion in children is defined as ____ ml/kg. - ✔✔40 mL/kg
✔✔T/F: Infection Prevention in Combat-related Injuries standard precautions apply to
allpatients, regardless of suspected or confirmed infectious status. - ✔✔True
✔✔The World Health Organization's "five moments of hand hygiene" include: -
✔✔before patient contact, before aseptic tasks, after body fluid exposure risk, after
patient contact, and after contact with patient surroundings, even if gloves were
worn
✔✔What are Infection Prevention in Combat-related Injuries standard precautions? -
✔✔Hand washing, gloves, gowns, masks, goggles or face shields
✔✔T/F: When implementing infection prevention measures in a combat zone,
cohortingis the process of clustering host nation patients (who are not eligible to
evacuate fromtheater) and U.S. and coalition patients (who are eligible for evacuation
from theater)and separate when possible to reduce the risk of cross-contamination with
multi-drugresistant organisms. - ✔✔True
✔✔________ and __________ should be worn with all patients suspected or known
tohave multi-drug resistant organism colonization or infection with C. difficile-
infection(CDI). - ✔✔Gloves and gowns
✔✔Daily ______________of ICU patients has shown a reduction of infections
withvancomycin-resistant enterococci (VRE) and methicillin-resistant staphylococcus
aureus(MRSA). - ✔✔Daily bathing
✔✔T/F: Antimicrobial drug usage has no impact on the development of multidrug-
resistant organisms. - ✔✔False
✔✔T/F: All facilities should avoid unnecessary empiric use of broad spectrum
antibiotics. - ✔✔True
✔✔T/F: Prolonged duration of prophylaxis has been shown to decrease long term
ratesof infections in patients with combat-related open fractures. - ✔✔False
ANSWERS SURE A+
✔✔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
the longaxis (volvulus). When volvulus develops, the esophagus and duodenum
becometwisted, preventing the passage of stomach contents. - ✔✔True
✔✔Hypothermia in Military Working Dogs caused by low body temperature due
totrauma, toxicity, underlying illness, or anesthesia and surgery is classified
as______________ hypothermia. - ✔✔secondary hypothermia
✔✔Calculate the estimated percent of total body surface area burned on a
MilitaryWorking Dog suffering from burns to the head, neck, chest, and abdomen. -
✔✔45% (head and neck - 9%, chest - 18%, abdomen - 18%)
✔✔For PO supplementary analgesia of an injured Military Working Dog,
administer_____________ 5-10ml/kg PO q8-12h for up to 5 days. - ✔✔TRAMADOL
✔✔How long can whole blood collected in the anticoagulant CPD be stored? - ✔✔21
days at 1-6 degrees Celsius
,✔✔How long can whole blood collected in the anticoagulant CPDA-1 be stored? -
✔✔35 days at 1-6 degrees Celsius
✔✔If stored at room temperature, fresh whole blood must be destroyed if not used
withinwhat time period? - ✔✔within 24 hours
✔✔T/F: The most important safety consideration in transfusing whole blood is that
donorred blood cells be compatible with the recipient to avoid acute hemolytic
transfusionreactions. - ✔✔True
✔✔How often SHOULD titer and transfusion transmitted disease retesting
beconducted? - ✔✔WBB donors should be retitered every 90 days in conjunction
with TTD testing
✔✔In order to mitigate the risk of transfusion-associated acute lung injury (TRALI),
theArmed Services Blood Program collects whole blood from everyone EXCEPT: -
✔✔once pregnant/pregnant females and female donors testing positive for
anti-HLA antibodies
✔✔_____________ is the preferred resuscitation product for the pre-hospital
treatmentof patients in hemorrhagic shock. - ✔✔WB, and in particular LTOWB
✔✔Storage lesion describes the degradation of the RBC involving the loss of what? -
✔✔loss of membrane plasticity
✔✔T/F: Fresh whole blood (FWB) is FDA-approved and is intended or indicated
forroutine use. - ✔✔False
✔✔Fresh whole blood is to be used only when: - ✔✔when other blood products cannot
be delivered at an acceptable rate to sustain
the resuscitation of an actively bleeding patient, when specific stored products
are not available
✔✔T/F: Fresh whole blood should routinely be collected from pre-screened donors as
away to maintain a routine inventory of Walking Blood Bank - Stored Whole
Bloodproducts. - ✔✔False
✔✔In general, whole blood units should not be collected from donors more
frequentlythan every ____ weeks. - ✔✔8 weeks (56 Days)
, ✔✔T/F: In situations where there are a limited number of donors and a dire need
forblood, no more than three units may be taken from a single donor. - ✔✔False (no
more than two units may be taken)
✔✔Is there a known contraindication to using whole blood in pediatric casualties? -
✔✔No
✔✔A massive transfusion in children is defined as ____ ml/kg. - ✔✔40 mL/kg
✔✔T/F: Infection Prevention in Combat-related Injuries standard precautions apply to
allpatients, regardless of suspected or confirmed infectious status. - ✔✔True
✔✔The World Health Organization's "five moments of hand hygiene" include: -
✔✔before patient contact, before aseptic tasks, after body fluid exposure risk, after
patient contact, and after contact with patient surroundings, even if gloves were
worn
✔✔What are Infection Prevention in Combat-related Injuries standard precautions? -
✔✔Hand washing, gloves, gowns, masks, goggles or face shields
✔✔T/F: When implementing infection prevention measures in a combat zone,
cohortingis the process of clustering host nation patients (who are not eligible to
evacuate fromtheater) and U.S. and coalition patients (who are eligible for evacuation
from theater)and separate when possible to reduce the risk of cross-contamination with
multi-drugresistant organisms. - ✔✔True
✔✔________ and __________ should be worn with all patients suspected or known
tohave multi-drug resistant organism colonization or infection with C. difficile-
infection(CDI). - ✔✔Gloves and gowns
✔✔Daily ______________of ICU patients has shown a reduction of infections
withvancomycin-resistant enterococci (VRE) and methicillin-resistant staphylococcus
aureus(MRSA). - ✔✔Daily bathing
✔✔T/F: Antimicrobial drug usage has no impact on the development of multidrug-
resistant organisms. - ✔✔False
✔✔T/F: All facilities should avoid unnecessary empiric use of broad spectrum
antibiotics. - ✔✔True
✔✔T/F: Prolonged duration of prophylaxis has been shown to decrease long term
ratesof infections in patients with combat-related open fractures. - ✔✔False
