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EFMB Official Study Guide 2022 100%approved grade boosting solutionThe 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) -portable x-ray machineT/F: Computed Tomography scan...
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EFMB Official Study Guide 2022 100%approved grade boosting solutionThe 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) -portable x-ray machine
T/F: Computed Tomography scanning has been largely replaced by cervical spineradiographic evaluation (CSRE) and should only be performed when CSRE isunavailable. - F
What is the lowest level of care equipped with a Computed Tomography scanner? -Role 3
What is the lowest level of care equipped with a portable x-ray machine? - Role 2
Members of the trauma team should have _____ aprons and thyroid shields availablenear the trauma bay for radiation safety. - lead
Distance is also protective from radiation exposure. If feasible based on the patient'scondition, any personnel without lead shielding should move a short distance away fromthe x-ray unit. The recommended minimal distance is - 6 feet
While the FAST scan has been validated only in hemodynamically unstable blunttrauma patients, it has become a standard tool in the trauma bay and EmergencyDepartment (ED) in most trauma patients. FAST stands for - Focused AbdominalSonographic Assessment for Trauma
FAST in combat trauma has a sensitivity of only 56% and specificity of - 98%
T/F: The FAST exam remains the most sensitive test for hollow viscus injury andmesenteric injury - F
T/F: At the Role 3, properly trained providers including radiologists, surgeons, andemergency physicians, can perform and interpret FAST scans in the emergencydepartment on a handheld portable device. - T
A FAST examination is performed with a portable hand-held machine most commonlyusing a standard 3-7 MHz curved array _______________ probe. - US
The standard FAST examination is focused on evaluating for the presence of______________ in certain areas of the body. - free intraperitoneal fluid
,When performing a FAST examination on a patient, you inspect the right upperquadrant. You are inspecting between which two organs? - liver and kidney
When performing a FAST examination on a patient, you inspect the left upper quadrant.You are inspecting between which two organs? - spleen and kidney
An 18g ______________ IV is typically desired for Computed Tomography IV access. -antecubital
T/F: The goal of Computed Tomography contrast injection is to provide concurrent solidorgan enhancement, arterial enhancement, and pulmonary arterial. - T
T/F: When performing Computed Tomography scan on a Military Working Dog, utilize ascanning protocol based on the adult settings to include the doses of and rates ofcontrast administration. - F
T/F: All patients evacuated through casualty evacuation should have images sentelectronically ahead of time as well as have a CD created to send with the patient as abackup. - T
T/F: Magnetic Resonance Imaging is widely used in theater, as its utility in the acutemanagement of combat trauma was extensively establishment during OperationEnduring Freedom. - F
All trauma patients arriving at a Role ___ will receive proper and expeditious radiologicscreening of injuries. - role 3
T/F: Patients exposed to hazardous noise are only at risk for aural trauma. - F
The symptoms of acoustic trauma are: - hearing loss, tinnitus (ringing in the ear), auralfullness, recruitment (ear pain with loud noise), difficulty localizing sounds, difficultyhearing in a noisy background, and vertigo
Acoustic trauma may result in sensorineural hearing loss (SNHL) that is either_____________or _____________. - temporary (temporary threshold shift, TTS) orpermanent (permanent threshold shift, PTS)
The ear, specifically the _____________, is the most sensitive organ to primary blastinjury (PBI). - tympanic membrane (TM)
T/F: The smaller the size of the tympanic membrane perforation, the greater thelikelihood is of spontaneous closure. - T
The majority of tympanic membrane perforations that close spontaneously do so withinthe first ___________ after injury. - 8 weeks
, Acute management of intratemporal facial nerve injury is to provide objectivedocumentation of facial movement using the _____________ scale. - House-Brackmann grading
T/F: For significant facial pareses/paralyses, early administration of steroids mustalways be provided regardless of contraindications. - F
Which inner ear abnormalities may cause vertigo? - otic capsule violating temporal bonefractures, secondary infections of the inner ear or vestibular nerves, trauma inducedendolymphatic hydrops, and activation of subclinical superior semicircular canaldehiscence
All Service Members that develop symptoms consistent with noise trauma (acutetinnitus, muffled hearing, fullness in the ear) should: - be educated and directed to self-report for evaluation and possible treatment as soon as practicable
What is the best course of action if you find debris in the external auditory canal or inthe middle ear? - treat the patient with a fluoroquinolone and steroid containing topicalantibiotic (e.g., four (4) drops of ciprofloxacin/dexamethasone or ofloxacin in theaffected ear three (3) times a day for seven (7) days).
Hearing loss that persists ___ hours after acoustic trauma warrants a hearing test oraudiogram. - 72
T/F: Vestibular trauma to the inner ear may manifest in vertigo. - T
All patients with subjective hearing loss and tinnitus following blast exposure should: -have the exposure documented, and should be evaluated by hearing testing as soon aspossible.
Patients with TTS greater than ______ losses in three consecutive frequencies shouldbe considered candidates for high dose oral and/or transtympanic steroid injectionswhen not otherwise contraindicated. - 25 dB
What are indications for endotracheal intubation during your initial burn survey? -comatose patient, symptomatic inhalation injury, deep facial burns, and burns over 40%Total Body Surface Area (TBSA)
Burn casualties with injuries greater than ___ Total Body Surface Area (TBSA) are athigh risk of hypothermia. - 20%
T/F: When providing point of injury care to a burn patient, you must immediately debrideblisters and cover burns with loose, moist gauze wraps or a wet clean sheet. - F
Calculate a burn patient's initial burn size using the Rule of _____. - nines