EFMB Written Test, EFMB Written
Test with Verified Answers| 100%
Correct| Rated A+ Latest Update 2024
During debridement, extremity wounds should be extended . - ✔✔Longitudinally
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? - ✔✔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
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, What are risk factors of invasive fungal infections assessed for during the first wound debridement? -
✔✔Dismounted Blast Injury, Above the Knee Amputation, Extensive Perineal/Genitourniary/Rectal
Injury, Massive transfusion of >20 units in the first 24 hours
T/F: All wounds must be closed prior to arrival at a definitive care location to prevent further bacterial
and fungal introduction. - ✔✔False
T/F: Placement of antibiotic impregnated polymethylmethacrylate (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
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. - ✔✔False
The symptoms of acoustic trauma are: - ✔✔Tinnitus, recruitment, aural fullness, difficulty localizing
sounds, difficulty hearing in a noisy background, and vertigo.
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either or
. - ✔✔Temporary (temporary threshold shift) or Permanent (permanent threshold shift).
The ear, specifically the , is the most sensitive organ to primary blast injury. -
✔✔Tympanic Membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater the likelihood is of
spontaneous closure. - ✔✔True
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, The majority of tympanic membrane perforations that close spontaneously do so within the first
after injury - ✔✔8 Weeks
Acute management of intratemporal facial nerve injury is to provide objective documentation of facial
movement using the scale. - ✔✔House-Brackmann
T/F: For significant facial pareses/paralyses, early administration of steroids must always be provided
regardless of contraindications. - ✔✔False
All Service Members that develop symptoms consistent with noise trauma (acute tinnitus, muffled
hearing, fullness in the ear) should: - ✔✔Educated and directed to self-report for evaluation and
possible treatment as soon as is practicable.
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.
Hearing loss that persists hours after acoustic trauma warrants a hearing test or audiogram - ✔✔72
Hours
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 and be evaluated by hearing test 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
The initial radiographic evaluation of a trauma patient begins with supine AnteriorPosterior (AP) chest
and pelvis radiographs taken in the trauma bay usually with a(n) . - ✔✔Portable
X- Ray Machine
Ask for any Exams or Study materials from ()
Test with Verified Answers| 100%
Correct| Rated A+ Latest Update 2024
During debridement, extremity wounds should be extended . - ✔✔Longitudinally
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? - ✔✔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
Ask for any Exams or Study materials from ()
, What are risk factors of invasive fungal infections assessed for during the first wound debridement? -
✔✔Dismounted Blast Injury, Above the Knee Amputation, Extensive Perineal/Genitourniary/Rectal
Injury, Massive transfusion of >20 units in the first 24 hours
T/F: All wounds must be closed prior to arrival at a definitive care location to prevent further bacterial
and fungal introduction. - ✔✔False
T/F: Placement of antibiotic impregnated polymethylmethacrylate (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
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. - ✔✔False
The symptoms of acoustic trauma are: - ✔✔Tinnitus, recruitment, aural fullness, difficulty localizing
sounds, difficulty hearing in a noisy background, and vertigo.
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either or
. - ✔✔Temporary (temporary threshold shift) or Permanent (permanent threshold shift).
The ear, specifically the , is the most sensitive organ to primary blast injury. -
✔✔Tympanic Membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater the likelihood is of
spontaneous closure. - ✔✔True
Ask for any Exams or Study materials from ()
, The majority of tympanic membrane perforations that close spontaneously do so within the first
after injury - ✔✔8 Weeks
Acute management of intratemporal facial nerve injury is to provide objective documentation of facial
movement using the scale. - ✔✔House-Brackmann
T/F: For significant facial pareses/paralyses, early administration of steroids must always be provided
regardless of contraindications. - ✔✔False
All Service Members that develop symptoms consistent with noise trauma (acute tinnitus, muffled
hearing, fullness in the ear) should: - ✔✔Educated and directed to self-report for evaluation and
possible treatment as soon as is practicable.
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.
Hearing loss that persists hours after acoustic trauma warrants a hearing test or audiogram - ✔✔72
Hours
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 and be evaluated by hearing test 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
The initial radiographic evaluation of a trauma patient begins with supine AnteriorPosterior (AP) chest
and pelvis radiographs taken in the trauma bay usually with a(n) . - ✔✔Portable
X- Ray Machine
Ask for any Exams or Study materials from ()
