EFMB Digital Written Exam
EFMB Digital Written Exam Guide 2024
1st
Sunburns are an example of ________ degree burns
portable x-ray machine
The initial radiographic evaluation of a trauma patient begins with supine Anterior-
Posterior (AP) chest and pelvis radiographs taken in the trauma bay usually with a(n)
false; FAST is an adjunct to CT
T/F: Computed Tomography scanning has been largely replaced by cervical
spineradiographic evaluation (CSRE) and should only be performed when CSRE
isunavailable.
Role 3
What is the lowest level of care equipped with a Computed Tomography scanner?
role 2
What is the lowest level of care equipped with a portable x-ray machine?
Lead
Members of the trauma team should have _____ aprons and thyroid shields available
near the trauma bay for radiation safety.
six feet
Distance is also protective from radiation exposure. If feasible based on the patient's
condition, any personnel without lead shielding should move a short distance away from
the x-ray unit. The recommended minimal distance is _____.
Focused Abdominal Sonography for Trauma (FAST)
While the FAST scan has been validated only in hemodynamically unstable blunt trauma
patients, it has become a standard tool in the trauma bay and Emergency Department
(ED) in most trauma patients. FAST stands for____________________.
98%
FAST in combat trauma has a sensitivity of only 56% and specificity of ___.
EFMB Digital Written Exam
,EFMB Digital Written Exam
False; not sensitive but is specific
T/F: The FAST exam remains the most sensitive test for hollow viscus injury and
mesenteric injury.
True
T/F: At the Role 3, properly trained providers including radiologists, surgeons, and
emergency physicians, can perform and interpret FAST scans in the emergency
department on a handheld portable device.
US (ultrasound)
A FAST examination is performed with a portable hand-held machine most commonly
using a standard 3-7 MHz curved array _______________ probe
Intraperitoneal fluid
The standard FAST examination is focused on evaluating for the presence of
______________ in certain areas of the body.
kidney and liver
When performing a FAST examination on a patient, you inspect the right upper
quadrant. You are inspecting between which two organs?
spleen and kidney
When performing a FAST examination on a patient, you inspect the left upper quadrant.
You are inspecting between which two organs?
Antecubital
An 18g ______________ IV is typically desired for Computed Tomography IV access.
True
T/F: The goal of Computed Tomography contrast injection is to provide concurrent solid
organ enhancement, arterial enhancement, and pulmonary arterial.
False; pediatric settings
T/F: When performing Computed Tomography scan on a Military Working Dog, utilize a
scanning protocol based on the adult settings to include the doses of and rates of
contrast administration.
True
EFMB Digital Written Exam
,EFMB Digital Written Exam
T/F: Patients evacuated through casualty evacuation should have images sent
electronically ahead of time as well as have a CD created to send with the patient as a
backup
False
T/F: Magnetic Resonance Imaging is widely used in theater, as its utility in the acute
management of combat trauma was extensively establishment during Operation
Enduring Freedom.
3
All trauma patients arriving at a Role ___ will receive proper and expeditious radiologic
screening of injuries.
False
T/F: Patients exposed to hazardous noise are only at risk for aural trauma.
hearing loss, tinnitus, aural fullness, recruitment (ear pain), difficulty localizing sound,
difficulty hearing in a noisy background, vertigo
The symptoms of acoustic trauma are:
temporary or permanent
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either
_____________or _____________.
tympanic membrane
The ear, specifically the _____________, is the most sensitive organ to primary blast
injury.
True
T/F: The smaller the size of the tympanic membrane perforation, the greater the
likelihood is of spontaneous closure.
8 weeks
The majority of tympanic membrane perforations that close spontaneously do so within
the first ___________ after injury.
House-Brackmann grading scale
EFMB Digital Written Exam
, EFMB Digital Written Exam
Acute management of intratemporal facial nerve injury is to provide objective
documentation of facial movement using the _____________ scale.
False; if not contraindicated
T/F: For significant facial pareses/paralyses, early administration of steroids must always
be provided regardless of contraindications.
octic capsule violating temporal bone fractures, secondary infections of inner ear or
vestibular nerves, trauma induced endolymphatic hydrops, activation of subclinical canal
dehiscence
Which inner ear abnormalities may cause vertigo?
be educated to self report for eval and treatment as soon as practicable
All Service Members that develop symptoms consistent with noise trauma (acute
tinnitus, muffled hearing, fullness in the ear) should:
treat patient with fluoroquinolone and steroid containing topical antibiotic (4 drops of
copra/dexamethasone or ofloxacin 3x per day for 7 days; no irrigate ear may promote
pain and vertigo, move debris medially, and promote infection
What is the best course of action if you find debris in the external auditory canal or in
the middle ear?
72
Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test or
audiogram.
True
T/F: Vestibular trauma to the inner ear may manifest in vertigo.
document and hearing test asap
All patients with subjective hearing loss and tinnitus following blast exposure should:
25dB
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
document and hearing test asap
EFMB Digital Written Exam
EFMB Digital Written Exam Guide 2024
1st
Sunburns are an example of ________ degree burns
portable x-ray machine
The initial radiographic evaluation of a trauma patient begins with supine Anterior-
Posterior (AP) chest and pelvis radiographs taken in the trauma bay usually with a(n)
false; FAST is an adjunct to CT
T/F: Computed Tomography scanning has been largely replaced by cervical
spineradiographic evaluation (CSRE) and should only be performed when CSRE
isunavailable.
Role 3
What is the lowest level of care equipped with a Computed Tomography scanner?
role 2
What is the lowest level of care equipped with a portable x-ray machine?
Lead
Members of the trauma team should have _____ aprons and thyroid shields available
near the trauma bay for radiation safety.
six feet
Distance is also protective from radiation exposure. If feasible based on the patient's
condition, any personnel without lead shielding should move a short distance away from
the x-ray unit. The recommended minimal distance is _____.
Focused Abdominal Sonography for Trauma (FAST)
While the FAST scan has been validated only in hemodynamically unstable blunt trauma
patients, it has become a standard tool in the trauma bay and Emergency Department
(ED) in most trauma patients. FAST stands for____________________.
98%
FAST in combat trauma has a sensitivity of only 56% and specificity of ___.
EFMB Digital Written Exam
,EFMB Digital Written Exam
False; not sensitive but is specific
T/F: The FAST exam remains the most sensitive test for hollow viscus injury and
mesenteric injury.
True
T/F: At the Role 3, properly trained providers including radiologists, surgeons, and
emergency physicians, can perform and interpret FAST scans in the emergency
department on a handheld portable device.
US (ultrasound)
A FAST examination is performed with a portable hand-held machine most commonly
using a standard 3-7 MHz curved array _______________ probe
Intraperitoneal fluid
The standard FAST examination is focused on evaluating for the presence of
______________ in certain areas of the body.
kidney and liver
When performing a FAST examination on a patient, you inspect the right upper
quadrant. You are inspecting between which two organs?
spleen and kidney
When performing a FAST examination on a patient, you inspect the left upper quadrant.
You are inspecting between which two organs?
Antecubital
An 18g ______________ IV is typically desired for Computed Tomography IV access.
True
T/F: The goal of Computed Tomography contrast injection is to provide concurrent solid
organ enhancement, arterial enhancement, and pulmonary arterial.
False; pediatric settings
T/F: When performing Computed Tomography scan on a Military Working Dog, utilize a
scanning protocol based on the adult settings to include the doses of and rates of
contrast administration.
True
EFMB Digital Written Exam
,EFMB Digital Written Exam
T/F: Patients evacuated through casualty evacuation should have images sent
electronically ahead of time as well as have a CD created to send with the patient as a
backup
False
T/F: Magnetic Resonance Imaging is widely used in theater, as its utility in the acute
management of combat trauma was extensively establishment during Operation
Enduring Freedom.
3
All trauma patients arriving at a Role ___ will receive proper and expeditious radiologic
screening of injuries.
False
T/F: Patients exposed to hazardous noise are only at risk for aural trauma.
hearing loss, tinnitus, aural fullness, recruitment (ear pain), difficulty localizing sound,
difficulty hearing in a noisy background, vertigo
The symptoms of acoustic trauma are:
temporary or permanent
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either
_____________or _____________.
tympanic membrane
The ear, specifically the _____________, is the most sensitive organ to primary blast
injury.
True
T/F: The smaller the size of the tympanic membrane perforation, the greater the
likelihood is of spontaneous closure.
8 weeks
The majority of tympanic membrane perforations that close spontaneously do so within
the first ___________ after injury.
House-Brackmann grading scale
EFMB Digital Written Exam
, EFMB Digital Written Exam
Acute management of intratemporal facial nerve injury is to provide objective
documentation of facial movement using the _____________ scale.
False; if not contraindicated
T/F: For significant facial pareses/paralyses, early administration of steroids must always
be provided regardless of contraindications.
octic capsule violating temporal bone fractures, secondary infections of inner ear or
vestibular nerves, trauma induced endolymphatic hydrops, activation of subclinical canal
dehiscence
Which inner ear abnormalities may cause vertigo?
be educated to self report for eval and treatment as soon as practicable
All Service Members that develop symptoms consistent with noise trauma (acute
tinnitus, muffled hearing, fullness in the ear) should:
treat patient with fluoroquinolone and steroid containing topical antibiotic (4 drops of
copra/dexamethasone or ofloxacin 3x per day for 7 days; no irrigate ear may promote
pain and vertigo, move debris medially, and promote infection
What is the best course of action if you find debris in the external auditory canal or in
the middle ear?
72
Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test or
audiogram.
True
T/F: Vestibular trauma to the inner ear may manifest in vertigo.
document and hearing test asap
All patients with subjective hearing loss and tinnitus following blast exposure should:
25dB
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
document and hearing test asap
EFMB Digital Written Exam
