EFMB EVALUATION PRACTICE EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Consider __________ as many drowning patients swallow water prior to inhaling
and between 60-80% will vomit at some point during recovery or resuscitation. -
✔✔gastric decompression
✔✔When do you terminate resuscitation efforts in the field for a drowning victim? -
✔✔1. After One (1) Hour Submerged
2. After 30 Minutes of High Quality CPR without Return of Spontaneous Circulation
(ROSC) / Return of Vital Signs for a Patient that is Submerged in Warm Water (Non-
Hypothermic)
3. After Patient has been Rewarmed to 30-34 °C/86-93 °F (if Hypothermic), and
Asystole has Persisted for >20 Minutes for a Patient Submerged in Cold Water.
✔✔T/F: Drowning victims with ROSC who remain comatose should NOT be actively
rewarmed above 90-93 °F / 32-34°C. - ✔✔TRUE
✔✔Water in lungs washes out __________ causing atelectasis (alveolar collapse),
diminished gas transfer, ventilation perfusion mismatch, and hypoxia. - ✔✔surfactant
, ✔✔A drowning victim that was rescued from __________ may have increased chance
of lung injury and require bronchoalveolar lavage to cleanse. - ✔✔contaminated water
(petroleum, sewage, organic, mud, sand, etc.)
✔✔What are the risk factors for swimming induced pulmonary edema (SIPE)? -
✔✔Hypertension, Female, Swimming ≥ 1.2 Miles, Prior History of SIPE
✔✔For patients who have been diagnosed with Swimming Induced Pulmonary Edema
(SIPE), management of treatment will consist of... - ✔✔Hospitalization with diuretics and
supplemental oxygen for severe cases. Typically resolves with rest within 24-48 hours.
✔✔Section 18: CBRN Injury - Part 1 - ✔✔-
✔✔T/F: Initial care of the CBRN casualty should be approached in the same manner as
other casualties. - ✔✔TRUE
✔✔In a CBRN situation, __________ and __________ is the foundation for further
management, and is key not only for initiating patient treatment but also for preventing
contamination of medical personnel, equipment, and facilities. - ✔✔early recognition,
categorization of CBRN-exposed patients
✔✔In a high-threat environment due to a CBRN attack, what military-issued personal
protective equipment (PPE) should personnel be aware of? - ✔✔1. RESPIRATORY -
M50 Joint Service General Protective Mask (JSGPM), M61 Filter, C2A1 Canister,
M40/M45, M53 Mask
2. SKIN - Joint Service Lightweight Integrated Suit Technology (JSLIST) Chemical &
Biological Protective Garment (24 Hour Protection, All-Purpose Personal Protective
Ensemble (AP-PPE), Lion Extended Response Team (XRT) Suit (8 Hours Protection),
Butyl Rubber Gloves with Cotton Liner, Vinyl Overboot
✔✔What is a CBRN evacuation planning consideration when incorporating a Military
Treatment Facility (MTF)? - ✔✔MEDICAL REGULATING
1. DECON/Treatment Coordination - Ensure MTF is Prepared to Receive Dirty
Casualties & Determine Appropriate Location for DECON
2. Treatment Capabilities (Toxicology, Critical Care, Trauma Surgery) - Determine
whether the MTF has the services necessary to care for and sustain the CBRN casualty
on site and/or establish telemedicine support
3. Capacity - CBRN Casualty is Far More Resource Intensive than a Typical Trauma or
Critically Ill Casualty. Assess the MTF's Capacity & Capability to Treat CBRN Casualties
and ID Alternate Locations
QUESTIONS AND ANSWERS SURE A+
✔✔Consider __________ as many drowning patients swallow water prior to inhaling
and between 60-80% will vomit at some point during recovery or resuscitation. -
✔✔gastric decompression
✔✔When do you terminate resuscitation efforts in the field for a drowning victim? -
✔✔1. After One (1) Hour Submerged
2. After 30 Minutes of High Quality CPR without Return of Spontaneous Circulation
(ROSC) / Return of Vital Signs for a Patient that is Submerged in Warm Water (Non-
Hypothermic)
3. After Patient has been Rewarmed to 30-34 °C/86-93 °F (if Hypothermic), and
Asystole has Persisted for >20 Minutes for a Patient Submerged in Cold Water.
✔✔T/F: Drowning victims with ROSC who remain comatose should NOT be actively
rewarmed above 90-93 °F / 32-34°C. - ✔✔TRUE
✔✔Water in lungs washes out __________ causing atelectasis (alveolar collapse),
diminished gas transfer, ventilation perfusion mismatch, and hypoxia. - ✔✔surfactant
, ✔✔A drowning victim that was rescued from __________ may have increased chance
of lung injury and require bronchoalveolar lavage to cleanse. - ✔✔contaminated water
(petroleum, sewage, organic, mud, sand, etc.)
✔✔What are the risk factors for swimming induced pulmonary edema (SIPE)? -
✔✔Hypertension, Female, Swimming ≥ 1.2 Miles, Prior History of SIPE
✔✔For patients who have been diagnosed with Swimming Induced Pulmonary Edema
(SIPE), management of treatment will consist of... - ✔✔Hospitalization with diuretics and
supplemental oxygen for severe cases. Typically resolves with rest within 24-48 hours.
✔✔Section 18: CBRN Injury - Part 1 - ✔✔-
✔✔T/F: Initial care of the CBRN casualty should be approached in the same manner as
other casualties. - ✔✔TRUE
✔✔In a CBRN situation, __________ and __________ is the foundation for further
management, and is key not only for initiating patient treatment but also for preventing
contamination of medical personnel, equipment, and facilities. - ✔✔early recognition,
categorization of CBRN-exposed patients
✔✔In a high-threat environment due to a CBRN attack, what military-issued personal
protective equipment (PPE) should personnel be aware of? - ✔✔1. RESPIRATORY -
M50 Joint Service General Protective Mask (JSGPM), M61 Filter, C2A1 Canister,
M40/M45, M53 Mask
2. SKIN - Joint Service Lightweight Integrated Suit Technology (JSLIST) Chemical &
Biological Protective Garment (24 Hour Protection, All-Purpose Personal Protective
Ensemble (AP-PPE), Lion Extended Response Team (XRT) Suit (8 Hours Protection),
Butyl Rubber Gloves with Cotton Liner, Vinyl Overboot
✔✔What is a CBRN evacuation planning consideration when incorporating a Military
Treatment Facility (MTF)? - ✔✔MEDICAL REGULATING
1. DECON/Treatment Coordination - Ensure MTF is Prepared to Receive Dirty
Casualties & Determine Appropriate Location for DECON
2. Treatment Capabilities (Toxicology, Critical Care, Trauma Surgery) - Determine
whether the MTF has the services necessary to care for and sustain the CBRN casualty
on site and/or establish telemedicine support
3. Capacity - CBRN Casualty is Far More Resource Intensive than a Typical Trauma or
Critically Ill Casualty. Assess the MTF's Capacity & Capability to Treat CBRN Casualties
and ID Alternate Locations
