EFMB Trauma Care & Physical Fitness 2 — Questions and Answers
Question 1: When applying a tourniquet, how far above the wound should it be placed?
- Directly over the wound
- 2–3 inches proximal to the wound (Correct answer)
- At the joint nearest the wound
- As high on the limb as possible
Correct answer: 2–3 inches proximal to the wound
Tourniquets should be placed 2–3 inches proximal to the wound to effectively occlude arterial blood flow.
Question 2: What does the 'E' in the MARCH algorithm stand for?
- Expose and Examine (Correct answer)
- Evacuation priority
- Extremity assessment
- External hemorrhage control
Correct answer: Expose and Examine
In MARCH, 'E' stands for Expose and Examine, ensuring the casualty is fully assessed for hidden wounds.
Question 3: Which sign indicates a tension pneumothorax requires immediate needle decompression?
- Slow, deep respirations with SpO2 of 99%
- Absent breath sounds on one side with tracheal deviation and hypotension (Correct answer)
- Bilateral crackles and pink frothy sputum
- Stridor with swollen neck veins and normal BP
Correct answer: Absent breath sounds on one side with tracheal deviation and hypotension
Absent unilateral breath sounds combined with tracheal deviation and hypotension are hallmark signs of tension pneumothorax.
Question 4: In the EFMB physical fitness test, what is the minimum passing score on the Army Combat Fitness Test (ACFT) for male candidates?
- 270 points
- 300 points (Correct answer)
- 350 points
- 400 points
Correct answer: 300 points
EFMB candidates must score a minimum of 300 points on the ACFT to meet the fitness standard.
Question 5: What is the correct site for needle decompression of a tension pneumothorax using the 2nd intercostal space approach?
- Midclavicular line over the top of the 2nd rib
- Midaxillary line at the 5th intercostal space
- Midclavicular line, 2nd intercostal space, superior border of the 3rd rib (Correct answer)
- Sternal border, 2nd intercostal space
Correct answer: Midclavicular line, 2nd intercostal space, superior border of the 3rd rib
The needle is inserted at the 2nd intercostal space, midclavicular line, over the superior border of the 3rd rib to avoid the neurovascular bundle.
Question 6: What is the maximum volume of fluid recommended for a single 14-gauge needle decompression syringe used in the field?
- 3 mL
- 10 mL
- This procedure uses a needle, not a syringe for aspiration (Correct answer)
- 50 mL
Correct answer: This procedure uses a needle, not a syringe for aspiration
Needle decompression uses a large-bore needle inserted to release trapped air; no syringe aspiration is performed in the TCCC protocol.
Question 7: A casualty has a gunshot wound to the neck with active bleeding. What is the preferred hemorrhage control method?
- Apply a tourniquet at the base of the neck
- Wound packing with hemostatic gauze and direct pressure (Correct answer)
- Place a vented chest seal over the wound
- Elevate the neck above heart level
Correct answer: Wound packing with hemostatic gauze and direct pressure
Junctional or neck wounds not amenable to tourniquet use should be controlled with wound packing using hemostatic gauze and sustained direct pressure.
EFMB Trauma Care & Physical Fitness 2
When applying a tourniquet, how far above the wound should it be placed?