EFMB Medical Skills & Combat Medicine 2

Question 1

When treating a casualty with a tension pneumothorax, where should you perform a needle chest decompression?

Accepted Answer

2nd intercostal space, midclavicular line

Answer

Needle decompression is performed at the 2nd intercostal space, midclavicular line, on the affected side.

Question 2

Which sign is NOT a classic indicator of tension pneumothorax in a combat casualty?

Accepted Answer

Bradycardia

Answer

Tension pneumothorax classically causes tachycardia (not bradycardia), along with absent breath sounds, tracheal deviation away from the affected side, and JVD.

Question 3

A casualty has a sucking chest wound. After applying a vented chest seal, the casualty deteriorates with worsening respiratory distress. What is the next step?

Accepted Answer

Burp or remove the chest seal and reassess

Answer

If a casualty deteriorates after a chest seal is applied, a tension pneumothorax may be developing and the seal should be burped or removed to allow air to escape.

Question 4

What is the preferred airway adjunct for an unconscious combat casualty who has no gag reflex?

Accepted Answer

Oropharyngeal airway (OPA)

Answer

An oropharyngeal airway (OPA) is preferred for unconscious casualties without a gag reflex because it maintains an open airway without risk of stimulating vomiting.

Question 5

In TCCC, what does the mnemonic MARCH stand for?

Accepted Answer

Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head injury

Answer

MARCH stands for Massive hemorrhage, Airway, Respiration, Circulation, and Hypothermia/Head injury — the TCCC treatment priority sequence.

(EFMB) Expert Field Medical Badge Practice Test

(EFMB) Expert Field Medical Badge Practice Test

EFMB Medical Skills & Combat Medicine 2