EFMB STUDY CORRECT 2026 QUESTIONS AND
ANSWERS SURE A+
✔✔What are medications used to treat anxiety and agitation? - ✔✔1. Propofol
2. Dexmedetomidine
3. Clonidine
✔✔T/F: Continuous dosing of analgesics and anxiolytics, as opposed to intermittent
dosing, has been shown to reduce the duration of mechanical ventilation and
continuous dosing of analgesics and anxiolytics should be instituted prior to intermittent
dosing. - ✔✔FALSE. Intermittent dosing, as opposed to continuous dosing AND
Intermittent dosing should be instituted prior to Continuous dosing.
✔✔Continuous infusions should be stopped __________ to obtain a reliable physical
examination, including neurologic assessment, and to perform a spontaneous breathing
trial in ventilated patients. - ✔✔daily
✔✔__________ is a safe antiemetic in the adult populations and is increasingly the
therapy of choice for acute undifferentiated and trauma-related nausea. -
✔✔Ondansetron
✔✔The DoD/VA Pain Rating Scale requires patients to select their pain level on a scale
of 0-10 with 10 being __________. - ✔✔"as bad as it could be, nothing else matters"
✔✔Battlefield Acupuncture (BFA) is a non-pharmacological pain therapy for mild to
moderate pain or an adjunct to opioid medications. BFA is accomplished by applying
needles to which body part? - ✔✔The Ear
✔✔Section 11 - War Wounds: Debridement & Irrigation - ✔✔-
✔✔During debridement, extremity wounds should be extended __________. - ✔✔in a
longitudinal manner (parallel with the bone)
,✔✔During debridement, truncal wounds should be extended __________. - ✔✔along
Langer's lines
✔✔Due to their heavy contamination and the diminished healing capacity, how long
should the closure of blast wounds be avoided after the injury occurs? - ✔✔After the
First Washout or Within the First 48 Hours
✔✔Assurance of __________ and removal of all nonviable skin, fat, fascia, muscle, and
bone are essential to reduce the load of contamination and necrotic tissue prior to
dressing application. - ✔✔hemostasis
✔✔All methods of wound irrigation are adjuncts and not substitutes to what? - ✔✔sharp
surgical debridement
✔✔The current recommendation of irrigation volume for small wounds is... - ✔✔1-3
Liters
✔✔The current recommendation of irrigation volume for moderate wounds is... - ✔✔4-8
Liters
✔✔The current recommendation of irrigation volume for large wounds or wounds with
evidence of heavy contamination is... - ✔✔9 or More Liters
✔✔T/F: Normal saline, sterile water, and potable tap water all have comparable efficacy
and safety as irrigation solutions. - ✔✔TRUE
✔✔T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin, or antibiotics
has proven benefits. - ✔✔FALSE. They are without proven benefit.
✔✔What risk factors of invasive fungal infections are assessed during the first wound
debridement? - ✔✔1. Dismounted Blast Injury
2. Above Knee Immediate Amputation
3. Extensive Perineal/Genitourinary/Rectal Injury
4. Massive Transfusion of > 20 Units in the First 24 Hours (or Anticipation of 20 Units)
✔✔T/F: All wounds must be closed prior to arrival at a definitive care location to prevent
further bacterial and fungal introduction. - ✔✔FALSE. Most wounds should NOT be
closed prior to arrival at a definitive care location.
✔✔T/F: Placement of antibiotic impregnated polymethacrylate (PMMA) can be used as
an adjunct to debridement and irrigation of a wound to deliver increased local antibiotic
, concentrations while minimizing the associated side effects of high systemic loads of
these antibiotics. - ✔✔TRUE
✔✔A(n) __________ event refers to an iatrogenic event in which a sponge or surgical
instrument is deliberately or unintentionally left behind while the wound proceeds to
definitive management. - ✔✔Retained Foreign Object (RFO)
✔✔Explosive munitions injure through how many major mechanisms? - ✔✔Four (4)
1. Primary
2. Secondary
3. Tertiary
4. Quaternary
✔✔Section 12: Unexploded Ordnance (UXO) Management - ✔✔-
✔✔Propelled explosive devices impaled in a casualty usually consist of... - ✔✔1.
Mortars
2. Rocket Propelled Grenades (RPG)
3. 40mm Projectiles (Rifle-Launched Grenades)
OR
1. Propulsion System
2. Trigger Mechanism
3. Main Explosive Charge
✔✔T/F: All retained ordnance impaled in a patient should be considered "armed" or
activated to a degree that final triggering of the fuse would cause the ordnance to
explode. - ✔✔TRUE
✔✔T/F: Only enemy patients require an initial inspection in order to find and remove all
weapons and ammunition prior to entry into a transport vehicle or treatment facility.
Friendly patients should not have their treatment delayed. - ✔✔FALSE. All patients,
regardless of whether they are friendly or enemy, require an initial inspection
✔✔Safe removal of impaled UXO's require significant coordination with... - ✔✔1. Local
Security
2. Base Command Element
3. EOD Personnel
✔✔As the common impaled ordnance types have a number of variants, the
__________ can provide advice on specific concerns to prevent arming and detonating
the device. - ✔✔EOD Specialist
ANSWERS SURE A+
✔✔What are medications used to treat anxiety and agitation? - ✔✔1. Propofol
2. Dexmedetomidine
3. Clonidine
✔✔T/F: Continuous dosing of analgesics and anxiolytics, as opposed to intermittent
dosing, has been shown to reduce the duration of mechanical ventilation and
continuous dosing of analgesics and anxiolytics should be instituted prior to intermittent
dosing. - ✔✔FALSE. Intermittent dosing, as opposed to continuous dosing AND
Intermittent dosing should be instituted prior to Continuous dosing.
✔✔Continuous infusions should be stopped __________ to obtain a reliable physical
examination, including neurologic assessment, and to perform a spontaneous breathing
trial in ventilated patients. - ✔✔daily
✔✔__________ is a safe antiemetic in the adult populations and is increasingly the
therapy of choice for acute undifferentiated and trauma-related nausea. -
✔✔Ondansetron
✔✔The DoD/VA Pain Rating Scale requires patients to select their pain level on a scale
of 0-10 with 10 being __________. - ✔✔"as bad as it could be, nothing else matters"
✔✔Battlefield Acupuncture (BFA) is a non-pharmacological pain therapy for mild to
moderate pain or an adjunct to opioid medications. BFA is accomplished by applying
needles to which body part? - ✔✔The Ear
✔✔Section 11 - War Wounds: Debridement & Irrigation - ✔✔-
✔✔During debridement, extremity wounds should be extended __________. - ✔✔in a
longitudinal manner (parallel with the bone)
,✔✔During debridement, truncal wounds should be extended __________. - ✔✔along
Langer's lines
✔✔Due to their heavy contamination and the diminished healing capacity, how long
should the closure of blast wounds be avoided after the injury occurs? - ✔✔After the
First Washout or Within the First 48 Hours
✔✔Assurance of __________ and removal of all nonviable skin, fat, fascia, muscle, and
bone are essential to reduce the load of contamination and necrotic tissue prior to
dressing application. - ✔✔hemostasis
✔✔All methods of wound irrigation are adjuncts and not substitutes to what? - ✔✔sharp
surgical debridement
✔✔The current recommendation of irrigation volume for small wounds is... - ✔✔1-3
Liters
✔✔The current recommendation of irrigation volume for moderate wounds is... - ✔✔4-8
Liters
✔✔The current recommendation of irrigation volume for large wounds or wounds with
evidence of heavy contamination is... - ✔✔9 or More Liters
✔✔T/F: Normal saline, sterile water, and potable tap water all have comparable efficacy
and safety as irrigation solutions. - ✔✔TRUE
✔✔T/F: The inclusion of irrigation fluid additives such as iodine, bacitracin, or antibiotics
has proven benefits. - ✔✔FALSE. They are without proven benefit.
✔✔What risk factors of invasive fungal infections are assessed during the first wound
debridement? - ✔✔1. Dismounted Blast Injury
2. Above Knee Immediate Amputation
3. Extensive Perineal/Genitourinary/Rectal Injury
4. Massive Transfusion of > 20 Units in the First 24 Hours (or Anticipation of 20 Units)
✔✔T/F: All wounds must be closed prior to arrival at a definitive care location to prevent
further bacterial and fungal introduction. - ✔✔FALSE. Most wounds should NOT be
closed prior to arrival at a definitive care location.
✔✔T/F: Placement of antibiotic impregnated polymethacrylate (PMMA) can be used as
an adjunct to debridement and irrigation of a wound to deliver increased local antibiotic
, concentrations while minimizing the associated side effects of high systemic loads of
these antibiotics. - ✔✔TRUE
✔✔A(n) __________ event refers to an iatrogenic event in which a sponge or surgical
instrument is deliberately or unintentionally left behind while the wound proceeds to
definitive management. - ✔✔Retained Foreign Object (RFO)
✔✔Explosive munitions injure through how many major mechanisms? - ✔✔Four (4)
1. Primary
2. Secondary
3. Tertiary
4. Quaternary
✔✔Section 12: Unexploded Ordnance (UXO) Management - ✔✔-
✔✔Propelled explosive devices impaled in a casualty usually consist of... - ✔✔1.
Mortars
2. Rocket Propelled Grenades (RPG)
3. 40mm Projectiles (Rifle-Launched Grenades)
OR
1. Propulsion System
2. Trigger Mechanism
3. Main Explosive Charge
✔✔T/F: All retained ordnance impaled in a patient should be considered "armed" or
activated to a degree that final triggering of the fuse would cause the ordnance to
explode. - ✔✔TRUE
✔✔T/F: Only enemy patients require an initial inspection in order to find and remove all
weapons and ammunition prior to entry into a transport vehicle or treatment facility.
Friendly patients should not have their treatment delayed. - ✔✔FALSE. All patients,
regardless of whether they are friendly or enemy, require an initial inspection
✔✔Safe removal of impaled UXO's require significant coordination with... - ✔✔1. Local
Security
2. Base Command Element
3. EOD Personnel
✔✔As the common impaled ordnance types have a number of variants, the
__________ can provide advice on specific concerns to prevent arming and detonating
the device. - ✔✔EOD Specialist
