Ch. 30 Flashcards
All of the following are symptoms of otitis media EXCEPT:
A) pain.
B) edema.
C) sinus infection.
D) pus.
C) sinus infection.
Page Ref: 712
Objective: 30.1 Define key terms introduced in this chapter; 30.5 Describe the etiology and pathophysiology of conditions of the ear; 30.6 Develop a list of differential diagnoses for patients presenting with ear complaints.
A chronic disease of the inner ear marked by a recurring syndrome of vertigo, tinnitus, and progressive hearing loss is called:
A) cholesteatoma.
B) Ménière’s disease.
C) otosclerosis.
D) mastoiditis.
B) Ménière’s disease.
Page Ref: 712
Objective: 30.1 Define key terms introduced in this chapter; 30.6 Develop a list of differential diagnoses for patients presenting with ear complaints.
An inflammation of the thin, transparent membrane covering the visible portion of the sclera and lining the inside of the eyelids results in:
A) corneal abrasion.
B) lens distortion.
C) choroiditis.
D) conjunctivitis.
D) conjunctivitis.
Page Ref: 711
Objective: 30.1 Define key terms introduced in this chapter; 30.2 Describe the etiology and pathophysiology of conditions of the eye.
A patient complaining of eye pain informs you that he was diagnosed with a corneal abrasion three days ago. He called 911 today because the discomfort has not yet gone away and he desires medical attention. Based on this information, which of the following is TRUE?
A) Fluid is leaking from the posterior chamber.
B) The clear structure that covers the pupil has been damaged.
C) The sclera must be infected.
D) The lens of the eye has been abraded.
B) The clear structure that covers the pupil has been damaged.
Page Ref: 711
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye; 30.3 Develop a list of differential diagnoses for patients presenting with eye complaints.
A patient who was hit in the face with a cloud of dust while working in an industrial setting is complaining of pain and discomfort to his left eye. While performing your secondary assessment on the eye, you note some redness to the globe but do not see any obvious foreign object. The most appropriate care you can provide to this patient would be:
A) gently massaging the eye to promote tearing.
B) having the patient hold the eye open during transport.
C) carefully wiping the eye with a soft piece of sterile gauze.
D) covering both eyes with a bandage.
D) covering both eyes with a bandage.
Page Ref: 711
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye; 30.4 Develop a treatment plan for patients presenting with an eye problem in the prehospital setting.
What gives the cornea a limited ability to heal?
A) Rigidity of tissue
B) Lack of direct blood supply
C) Proximity to the nasal passages
D) Parasympathetic innervation
B) Lack of direct blood supply
Page Ref: 707
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
With age, the lens of the eye is less able to:
A) focus on far objects.
B) heal.
C) change shape.
D) recognize colors.
C) change shape.
Page Ref: 707
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
When asking a 50-year-old patient who has lost his glasses to read and sign a form, what may help?
A) Holding the form farther away
B) Holding the form nearer to his face
C) Offering to read the form for him
D) Asking him to read and sign the form later
A) Holding the form farther away
Page Ref: 708
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
A defect of the ________ results in difficulty in visual detection of color.
A) lens
B) cones and rods
C) rods
D) cones
D) cones
Page Ref: 708
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
A hordeolum occurs when the ducts of glands along the margins of the eyelids become:
A) innervated.
B) occluded.
C) abraded.
D) infected.
D) infected.
Page Ref: 711
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
Foreign bodies affect the eye by irritating the cornea and conjunctiva, becoming embedded in the cornea, or penetrating:
A) fovea.
B) posterior cavity.
C) globe.
D) optic nerve.
C) globe.
Page Ref: 711
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
If left untreated, glaucoma can lead to what?
A) Presbyopia
B) Hyperopia
C) Myopia
D) Blindness
D) Blindness
Page Ref: 712
Objective: 30.2 Describe the etiology and pathophysiology of conditions of the eye.
A young male golfer has been struck in the right eye with a golf club. The upper and lower lids are swollen shut and ecchymotic. There are also some blood clots noted between the eyelids. Which of the following indicates that the AEMT is providing proper care to this patient?
A) He places a numbing medication in the eye.
B) He applies pressure to the injured eye to control bleeding.
C) He administers antibiotic drops to the eye.
D) He wipes blood from the face but not the eye.
D) He wipes blood from the face but not the eye.
Page Ref: 711-712
Objective: 30.4 Develop a treatment plan for patients presenting with an eye problem in the prehospital setting.
A young girl is complaining of eye pain after having sand thrown in her face by another girl at the park. When assessing her eyes, you note large particles of sand in the right eye. The sand appears to be on the conjunctiva, which also appears to be scratched and irritated. Your initial action would be to:
A) flush the eye with clean water from a nearby sink.
B) gently wipe the inner eye with sterile pieces of gauze.
C) stop the tearing by applying gentle pressure to the eye.
D) attempt to remove the larger pieces of sand using a cotton swab.
A) flush the eye with clean water from a nearby sink.
Page Ref: 711
Objective: 30.4 Develop a treatment plan for patients presenting with an eye problem in the prehospital setting.
You have been called to a high school science lab where a male student was splashed in the eye with an alkaline solution. He is complaining of burning to the eye as well as pain. After performing the primary assessment and finding no life-threatening conditions, you would:
A) determine the exact compound the patient was splashed with and the appropriate chemical antidote.
B) hold the patient’s eye open and begin flushing with large amounts of tap water and continue throughout transport.
C) obtain a set of vital signs and determine if the patient is taking medications or has any past medical problems.
D) cover both eyes with eye shields and move to the ambulance for immediate transport.
B) hold the patient’s eye open and begin flushing with large amounts of tap water and continue throughout transport.
Page Ref: 711
Objective: 30.4 Develop a treatment plan for patients presenting with an eye problem in the prehospital setting.
