EFMB EFMB Pharmacology & Medications 1

Question 1

What is the primary purpose of administering morphine sulfate in a combat casualty?

Accepted Answer

To manage severe pain while maintaining airway reflexes

Answer

Morphine sulfate is used for pain management in combat casualties because it controls severe pain while generally preserving airway protective reflexes.

Question 2

Which IV fluid is considered the first-line resuscitation fluid for hemorrhagic shock in the field?

Accepted Answer

Lactated Ringer's solution

Answer

Lactated Ringer's solution closely mimics the electrolyte composition of plasma and is preferred over normal saline for hemorrhagic shock resuscitation.

Question 3

What is the correct dosage of oral transmucosal fentanyl citrate (OTFC) used in Tactical Combat Casualty Care (TCCC)?

Accepted Answer

400 mcg lozenge placed in the cheek

Answer

TCCC guidelines call for a 400 mcg OTFC lozenge placed between the cheek and gum for absorption through the oral mucosa.

Question 4

Which medication is used to treat organophosphate (nerve agent) poisoning and is found in the MARK 1 autoinjector kit?

Accepted Answer

Atropine and pralidoxime chloride (2-PAM Cl)

Answer

The MARK 1 autoinjector contains atropine to counteract muscarinic effects and pralidoxime chloride (2-PAM Cl) to reactivate acetylcholinesterase inhibited by nerve agents.

Question 5

What antibiotic is recommended by TCCC guidelines for penetrating abdominal trauma to prevent infection?

Accepted Answer

Moxifloxacin

Answer

Moxifloxacin is the TCCC-recommended oral antibiotic for combat wounds including penetrating abdominal trauma due to its broad-spectrum coverage.

(EFMB) Expert Field Medical Badge Practice Test

(EFMB) Expert Field Medical Badge Practice Test

EFMB EFMB Pharmacology & Medications 1