EFMB LATEST EXAMS TEST PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔What is the best course of action if you find debris in the external auditory canal or in
the middle ear? - ✔✔Treat the patient with a fluoroquinolone and steroid containing
topical antibiotic (e.g., four (4) drops of ciprofloxacin/dexamethasone or ofloxacin in the
affected ear three (3) times a day for seven (7) days).
✔✔Hearing loss that persists _ hours after acoustic trauma warrants a hearing test or
audiogram. - ✔✔72
✔✔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
- should be evaluated by hearing testing as soon as possible.
✔✔Patients with TTS greater than ___ losses in three consecutive frequencies should
be considered candidates for high dose oral and/or transtympanic steroid injections
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
- burns over 40% Total Body Surface Area (TBSA).
✔✔Burn casualties with injuries greater than_ Total Body Surface Area (TBSA) are at
high risk of hypothermia. - ✔✔20%
✔✔T/F: When providing point of injury care to a burn patient, you must immediately
debride blisters and cover burns with loose, moist gauze wraps or a wet clean sheet. -
✔✔FALSE
✔✔Calculate a burn patient's initial burn size using the 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) burn
✔✔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,
and often contain thrombosed vessels? - ✔✔Full thickness burns (3rd degree)
✔✔What is the Rule of 1Os burn fluid resuscitation equation? Ensure you can apply it. -
✔✔10 mL/hr x %TBSA
✔✔For children suffering burn injuries, _ x Total Body Surface Area {TBSA) x body
weight in kg gives the volume for the first 24 hrs of fluid resuscitation. - ✔✔3
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔FALSE
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in serious
morbidity and even mortality; patients who receive over 250 ml/kg in the first 24 hours
are at increased risk for severe complications including acute respiratory distress
syndrome 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 the
projected 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
- 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 functional
outcome in burn patients. Once post-operative dressings are removed, perform range of
motion of all affected joints. - ✔✔TRUE
✔✔_____ is the most common infectious complication with pediatric burn patients 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. Calculate
the patient's initial burn size using the Rule of Nines. - ✔✔40.5%
✔✔A patient has suffered burn injuries to the anterior and posterior legs and the
perineum. Calculate the patient's initial burn size using the Rule of Nines. - ✔✔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. -
✔✔22.5%
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight when
veterinary personnel are not available, human healthcare providers are also responsible
for providing routine medical, dental, or surgical care to Military Working Dogs in combat
or austere areas of operation. - ✔✔FALSE
✔✔The _____ is the best person to control the Military Working Dog; they have the
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 Working Dog at rest.
- ✔✔101° to 103° F
, ✔✔_______ 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 120
mmHg/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 to
create a small skin nick over the intended catheter insertion site to facilitate penetration
of 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 dorsal metatarsal
artery on the dorsal aspect of the proximal hind paw. - ✔✔femoral
✔✔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 Military
Working Dogs in respiratory distress? - ✔✔- OBSTRUCTIVE
- RESTRICTIVE
- PARENCHYMAL
✔✔When performing a tracheostomy on a Military Working Dog, make a transverse
incision completely through the ______ ligament. - ✔✔annular
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the dog's
neck 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 (on
either side) at a rate of __ compressions per minute. Sustain compression for at least 2-
3 minutes per cycle. - ✔✔100
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a Military
Working Dog, the responder should only perform ventilation, as this optimizes
circulation. - ✔✔FALSE
AND ANSWERS SURE A+
✔✔What is the best course of action if you find debris in the external auditory canal or in
the middle ear? - ✔✔Treat the patient with a fluoroquinolone and steroid containing
topical antibiotic (e.g., four (4) drops of ciprofloxacin/dexamethasone or ofloxacin in the
affected ear three (3) times a day for seven (7) days).
✔✔Hearing loss that persists _ hours after acoustic trauma warrants a hearing test or
audiogram. - ✔✔72
✔✔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
- should be evaluated by hearing testing as soon as possible.
✔✔Patients with TTS greater than ___ losses in three consecutive frequencies should
be considered candidates for high dose oral and/or transtympanic steroid injections
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
- burns over 40% Total Body Surface Area (TBSA).
✔✔Burn casualties with injuries greater than_ Total Body Surface Area (TBSA) are at
high risk of hypothermia. - ✔✔20%
✔✔T/F: When providing point of injury care to a burn patient, you must immediately
debride blisters and cover burns with loose, moist gauze wraps or a wet clean sheet. -
✔✔FALSE
✔✔Calculate a burn patient's initial burn size using the 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) burn
✔✔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,
and often contain thrombosed vessels? - ✔✔Full thickness burns (3rd degree)
✔✔What is the Rule of 1Os burn fluid resuscitation equation? Ensure you can apply it. -
✔✔10 mL/hr x %TBSA
✔✔For children suffering burn injuries, _ x Total Body Surface Area {TBSA) x body
weight in kg gives the volume for the first 24 hrs of fluid resuscitation. - ✔✔3
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔FALSE
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in serious
morbidity and even mortality; patients who receive over 250 ml/kg in the first 24 hours
are at increased risk for severe complications including acute respiratory distress
syndrome 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 the
projected 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
- 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 functional
outcome in burn patients. Once post-operative dressings are removed, perform range of
motion of all affected joints. - ✔✔TRUE
✔✔_____ is the most common infectious complication with pediatric burn patients 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. Calculate
the patient's initial burn size using the Rule of Nines. - ✔✔40.5%
✔✔A patient has suffered burn injuries to the anterior and posterior legs and the
perineum. Calculate the patient's initial burn size using the Rule of Nines. - ✔✔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. -
✔✔22.5%
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight when
veterinary personnel are not available, human healthcare providers are also responsible
for providing routine medical, dental, or surgical care to Military Working Dogs in combat
or austere areas of operation. - ✔✔FALSE
✔✔The _____ is the best person to control the Military Working Dog; they have the
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 Working Dog at rest.
- ✔✔101° to 103° F
, ✔✔_______ 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 120
mmHg/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 to
create a small skin nick over the intended catheter insertion site to facilitate penetration
of 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 dorsal metatarsal
artery on the dorsal aspect of the proximal hind paw. - ✔✔femoral
✔✔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 Military
Working Dogs in respiratory distress? - ✔✔- OBSTRUCTIVE
- RESTRICTIVE
- PARENCHYMAL
✔✔When performing a tracheostomy on a Military Working Dog, make a transverse
incision completely through the ______ ligament. - ✔✔annular
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the dog's
neck 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 (on
either side) at a rate of __ compressions per minute. Sustain compression for at least 2-
3 minutes per cycle. - ✔✔100
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a Military
Working Dog, the responder should only perform ventilation, as this optimizes
circulation. - ✔✔FALSE
