CH 20

Question 1

Fever, hoarseness, and swollen lymph nodes in the neck are common clinical signs of:

• tracheitis.
• oral candidiasis.
• laryngitis.
• Ludwig angina.

Answer 1

laryngitis

Question 2

Which of the following is a cause of rhinitis?

High humidity
Chemical irritants
Candida albicans
Diabetes

Answer 2

Chemical irritants

Question 3

A patient presents with fever, headache, and a unilaterally sore throat. What should you suspect?

Bacterial pharyngitis
Epiglottitis
Oral candidiasis
Peritonsilar abscess

Answer 3

Peritonsilar abscess

Question 4

A chemistry student accidentally splashed a strong acid chemical into his eyes. He wears rigid gas-permeable contact lenses and is experiencing intense pain. You should:

• leave his contact lenses in place and irrigate his eyes throughout transport.
• carefully remove his contact lenses and cover both eyes with dry dressings.
• carefully remove his contact lenses and flush his eyes for at least 20 minutes.
• leave his contact lenses in place and neutralize the acid with a strong alkali.

Answer 4

carefully remove his contact lenses and flush his eyes for at least 20 minutes.

Question 5

Which cranial nerve innervates the muscles that cause motion of the eyeballs and upper eyelids?

• Oculomotor
• Optic
• Hypoglossal
• Trigeminal

Answer 5

Oculomotor

Question 6

A yeast infection that causes white patches in the mouth or on the tongue is called:

• gingivitis.
• leukoplakia.
• thrush.
• halitosis.

Answer 6

thrush

Question 7

The only indication for removing contact lenses in the prehospital setting is:

• cardiopulmonary arrest.
• acute conjunctivitis.
• a foreign body in the eye.
• chemical eye burns.

Answer 7

chemical eye burns.

Question 8

Which of the following is a common symptom of diabetic retinopathy?

Floaters
Eyelid inflammation
Blockage and swelling of the oil gland in the eyelid
Blindness

Answer 8

Floaters

Question 9

You would most likely encounter oral candidiasis in a patient:

with a history of gingivitis.

who takes oral anticoagulants.

who has had numerous cavities.

who is immunocompromised.

Answer 9

who is immunocompromised.

Question 10

You are assessing an elderly man who has asthma and uses an inhaled corticosteroid on a regular basis. He has white patches on his tongue and the inside of his mouth. He is conscious and alert and his airway is patent. You should:

suspect that he has leukoplakia.

carefully scrape the lesions from his tongue.

irrigate his mouth with sterile water.

provide supportive care and transport

Answer 10

provide supportive care and transport

Question 11

A red, tender lump in the eyelid or at the lid margin is called a:

• chalazion.
• hordeolum.
• rust ring.
• hyphema.

Answer 11

Hordeolum.

Question 12

Signs or symptoms of otitis media include:

• a bulging tympanic membrane.
• bilateral chronic tinnitus.
• hypersensitivity to sound.
• vertigo and violent vomiting.

Answer 12

A bulging tympanic membrane.

Question 13

The middle ear consists of the:

• organ of Corti and the external auditory canal.
• cochlea and semicircular canals.
• inner portion of the tympanic membrane and the ossicles.
• pinna and the exterior portion of the tympanic membrane.

Answer 13

Inner portion of the tympanic membrane and the ossicles.

Question 14

Patients with glaucoma often complain of:

• intense burning or itching around the eyes.
• a sudden painless complete loss of vision.
• a blind spot toward the center of vision.
• specks or floaters in the field of vision.

Answer 14

A blind spot toward the center of vision.