EFMB CORE MAIN EXAMINATION QUESTIONS
AND ANSWERS SURE A+
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily used
for rotary wing transports from point of injury or inter-facility transfer? - ✔✔The Tactical
Evacuation Patient Care Record
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily used
for Critical Care Air Transport Team movements? - ✔✔The AF IMT 3899
✔✔Which approved Joint Trauma System patient care record (PCR) is required
whenever a search or rescue is attempted or accomplished that involves Navy
personnel or assets? - ✔✔The Medical Rescue Report SAR Form 3- 50.1A
✔✔T/F: While the patient is delivered to the receiving medical treatment facility, the
patient care record should be maintained with the evacuation unit. - ✔✔FALSE
✔✔T/F: The Acute pain service (APS) should be established and be an integral part of
casualty care starting at the Role I. - ✔✔FALSE
✔✔T/F: Sedation should be optimized as a priority over pain control. - ✔✔FALSE
,✔✔Adjuncts can greatly increase patient safety and the effectiveness of narcotics to
treat pain while reducing side effects. What are examples of adjuncts? - ✔✔-
acetaminophen
- ketamine
- non-steroidal anti-inflammatory drugs (NSAIDs),
✔✔If is it not feasible to incorporate the acute pain service (APS) team into trauma
rounds, then the APS is responsible for ____ pain rounds, pain management consults,
and reports to the trauma team leader. - ✔✔daily
✔✔What are standardized and validated scoring systems for the assessment of pain,
anxiety, and delirium? - ✔✔- DoD/VA Pain Rating Scale
- Richmond Agitation Sedation Scale (RASS)
- Confusion Assessment Method (CAM)
✔✔The Richmond Agitation Sedation Scale (RASS) is used to assess ____. -
✔✔anxiety
✔✔The goal for patients with delirium is to achieve a delirium free state as measured by
the _____. - ✔✔CAM
✔✔The ABCDE's should be incorporated into treatment care plans as efforts to prevent
delirium in critically injured patients. The "E" stands for _______ - ✔✔early Exercise (E)
and mobility
✔✔T/F: Seriously injured patients who are not intubated should be assessed every 1-4
hours for the presence of pain. - ✔✔TRUE
✔✔T/F: Adequate early pain control has been shown to reduce post-traumatic stress
disorder and ongoing pain control is an obligatory part of trauma care. - ✔✔TRUE
✔✔_______ , in parenteral doses of 0.15-0.3 mg/kg, has been shown to reduce pain
scores, total narcotic use, and need for rescue medication when used with morphine for
acute pain control. - ✔✔Ketamine
✔✔What is not a narcotic agent of choice approved for repeated Patient Controlled
Analgesia (PCA) pump? - ✔✔- Fentanyl
- hydromorphone
- morphine
✔✔T/F: Low molecular weight heparin (LMWH) use in patients undergoing epidural
anesthesia increases the risk of spinal or epidural hematoma, which may cause long
term or permanent paralysis. - ✔✔TRUE
, ✔✔What are medications used to treat anxiety and agitation? - ✔✔- Propofol
- Dexmedetomidine
- 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
✔✔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 population and is increasingly the therapy of
choice for acute undifferentiated and trauma-related nausea. - ✔✔Ondansetron
✔✔The DoDN A 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? - ✔✔ears
✔✔During debridement, extremity wounds should be extended ____ - ✔✔longitudinal
manner (parallel with the bone)
✔✔During debridement, truncal wounds should be extended ____ - ✔✔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? - ✔✔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
AND ANSWERS SURE A+
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily used
for rotary wing transports from point of injury or inter-facility transfer? - ✔✔The Tactical
Evacuation Patient Care Record
✔✔Which approved Joint Trauma System patient care record (PCR) is primarily used
for Critical Care Air Transport Team movements? - ✔✔The AF IMT 3899
✔✔Which approved Joint Trauma System patient care record (PCR) is required
whenever a search or rescue is attempted or accomplished that involves Navy
personnel or assets? - ✔✔The Medical Rescue Report SAR Form 3- 50.1A
✔✔T/F: While the patient is delivered to the receiving medical treatment facility, the
patient care record should be maintained with the evacuation unit. - ✔✔FALSE
✔✔T/F: The Acute pain service (APS) should be established and be an integral part of
casualty care starting at the Role I. - ✔✔FALSE
✔✔T/F: Sedation should be optimized as a priority over pain control. - ✔✔FALSE
,✔✔Adjuncts can greatly increase patient safety and the effectiveness of narcotics to
treat pain while reducing side effects. What are examples of adjuncts? - ✔✔-
acetaminophen
- ketamine
- non-steroidal anti-inflammatory drugs (NSAIDs),
✔✔If is it not feasible to incorporate the acute pain service (APS) team into trauma
rounds, then the APS is responsible for ____ pain rounds, pain management consults,
and reports to the trauma team leader. - ✔✔daily
✔✔What are standardized and validated scoring systems for the assessment of pain,
anxiety, and delirium? - ✔✔- DoD/VA Pain Rating Scale
- Richmond Agitation Sedation Scale (RASS)
- Confusion Assessment Method (CAM)
✔✔The Richmond Agitation Sedation Scale (RASS) is used to assess ____. -
✔✔anxiety
✔✔The goal for patients with delirium is to achieve a delirium free state as measured by
the _____. - ✔✔CAM
✔✔The ABCDE's should be incorporated into treatment care plans as efforts to prevent
delirium in critically injured patients. The "E" stands for _______ - ✔✔early Exercise (E)
and mobility
✔✔T/F: Seriously injured patients who are not intubated should be assessed every 1-4
hours for the presence of pain. - ✔✔TRUE
✔✔T/F: Adequate early pain control has been shown to reduce post-traumatic stress
disorder and ongoing pain control is an obligatory part of trauma care. - ✔✔TRUE
✔✔_______ , in parenteral doses of 0.15-0.3 mg/kg, has been shown to reduce pain
scores, total narcotic use, and need for rescue medication when used with morphine for
acute pain control. - ✔✔Ketamine
✔✔What is not a narcotic agent of choice approved for repeated Patient Controlled
Analgesia (PCA) pump? - ✔✔- Fentanyl
- hydromorphone
- morphine
✔✔T/F: Low molecular weight heparin (LMWH) use in patients undergoing epidural
anesthesia increases the risk of spinal or epidural hematoma, which may cause long
term or permanent paralysis. - ✔✔TRUE
, ✔✔What are medications used to treat anxiety and agitation? - ✔✔- Propofol
- Dexmedetomidine
- 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
✔✔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 population and is increasingly the therapy of
choice for acute undifferentiated and trauma-related nausea. - ✔✔Ondansetron
✔✔The DoDN A 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? - ✔✔ears
✔✔During debridement, extremity wounds should be extended ____ - ✔✔longitudinal
manner (parallel with the bone)
✔✔During debridement, truncal wounds should be extended ____ - ✔✔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? - ✔✔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
