Chapter 25: Face and Neck Injuries

Question 1

What is the correct term for the white of the eye?

Answer 1

sclera

Question 2

In what manner should the EMT flush the eye when there is a foreign body in it?

Answer 2

the nose to the outside of the eye

Question 3

When treating a patient with an impaled object in the eye, the EMT should:

Answer 3

stabilize the object in place

Question 4

How long should the EMT irrigate a burn to the eye caused by a strong acid or alkali?

Answer 4

20 minutes

Question 5

When an eyeball has been displaced from its socket, what should the EMT do?

• Cover the eye.
• Stabilize the eye.
• Cover both eyes.
• all of the above

Answer 5

all of the above

Question 6

When a patient has one pupil larger than the other, the EMT should suspect:

Answer 6

a head injury

Question 7

What is another name for the skull?

Answer 7

cranium

Question 8

After taking standard precautions, the EMT should focus on the patient’s:

Answer 8

airway

Question 9

Anytime there are injuries to the face or head, the EMT should suspect:

Answer 9

spinal injuries

Question 10

What is the “halo test”?

Answer 10

a test for CSF in the blood

Question 11

The presence of air in the soft tissue produces a characteristic crackling sensation known as:

Answer 11

subcutaneous emphysema

Question 12

After taking standard precautions, what should the EMT do to control epistaxis?

Answer 12

lean the patient forward

Question 13

Which of the following statements is true regarding facial fractures?

• Be sure to remove and save any loose teeth or bone fragments from the mouth.
• Facial fractures are always an acute emergency.
• Facial fractures generally heal themselves.
• You should transport a patient with a facial fracture directly to the plastic surgeon.

Answer 13

• Be sure to remove and save any loose teeth or bone fragments from the mouth.

Question 14

Which of the following statements is true regarding facial fractures?

• Be sure to remove and save any loose teeth or bone fragments from the mouth.
• Facial fractures are always an acute emergency.
• Facial fractures generally heal themselves.
• You should transport a patient with a facial fracture directly to the plastic surgeon.

Answer 14

• Be sure to remove and save any loose teeth or bone fragments from the mouth.

Question 15

In face and neck injuries, your priorities are to prevent further injury to the ____ , manage the airway and ventilation of the patient, and control breathing.

Answer 15

cervical spine

Question 16

Airway compromise may be caused by:

• ______ into the airway
• swelling in and around the structures of the airway located in the face and neck
• and injuries to the _______ that interfere with normal respiration.

Answer 16

• heavy bleeding into the airway
• swelling in and around the structures of the airway located in the face and neck
• and injuries to the CNS that interfere with normal respiration.

Question 17

To control heavy bleeding from soft-tissue injuries to the face, use _____ with a dry, sterile dressing. If brain tissue is exposed, use a ______ dressing.

Answer 17

To control heavy bleeding from soft-tissue injuries to the face, use direct pressure with a dry, sterile dressing. If brain tissue is exposed, use a moist, sterile dressing.

Question 18

Always check for ____ inside the mouth because this may produce airway obstruction.

Answer 18

bleeding

Question 19

Save ____ pieces of skin and tissue, and transport them with the patient for possible reattachment at the hospital.

Answer 19

avulsed

Question 20

Maintain a high index of suspicion for patients with unequal pupils—this sign may indicate an….

Answer 20

illness or an injury to the brain

Question 21

If a foreign body is on the underside of the eyelid, remove it gently with a ______. Never remove foreign bodies stuck to the cornea.

Answer 21

cotton-tipped applicator

Question 22

Be alert to clear fluid draining from the ears or nose. This may indicate a _____.

Answer 22

basilar skull fracture

Question 23

Be alert to the possibility of an _____ from an open neck injury. Place an _______ over the site, and provide direct pressure.

Answer 23

air embolism, occlusive dressing

Question 24

The opening at the base of the skull is called the ____________.

Answer 24

foramen magnum

Question 25

The bony socket that the eye sits in within the skull is called the ____________.

Answer 25

orbit

Question 26

The clear membrane that allows light to enter the eye is called the ____________.

Answer 26

cornea

Question 27

What method should be used to remove a foreign object on the surface of the eye?

Answer 27

gently flush the eye with saline solution

Question 28

How should an object impaled in the eye be managed?

Answer 28

1. Prepare a doughnut ring of gauze.
2. Place the ring over the eye to hold the impaled object in place.
3. Secure it with a dressing.

Question 29

Does a burn from ultraviolet light become immediately painful?

Answer 29

no

Question 30

the following should alert you to a possible _____

• Unequal pupils; eyes not moving or looking together
• inability to follow movement of fingers
• bleeding under the conjunctiva
• protrusion or bulging of the eyes

Answer 30

head injury

Question 31

How should a patient with heavy bleeding from the nose be treated?

Answer 31

place the patient in a sitting position, leaning slightly forward, and pinch the nostrils together.