Chapter 25 - Face & Neck Injuries

Question 1

A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:
Select one:
A. a detached retina.
B. a corneal abrasion.
C. conjunctivitis.
D. acute retinitis.

Answer 1

C. conjunctivitis.

Question 2

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
Select one:
A. remove the peanut with a cotton-tipped swab.
B. thoroughly flush her ear with sterile saline.
C. transport her to the emergency department.
D. use tweezers to try to remove the object.

Answer 2

C. transport her to the emergency department.

Question 3

A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:
Select one:
A. leave the contact lenses in place and flush his eyes with sterile water.
B. carefully remove the contact lenses and then irrigate his eyes with saline.
C. remove the contact lenses and cover his eyes with a dry, sterile dressing.
D. leave the contact lenses in place and cover both eyes with a dry dressing.

Answer 3

B. carefully remove the contact lenses and then irrigate his eyes with saline.

Question 4

A young female was involved in a motor vehicle crash. She complains of pain to her left eye, which appears to have a piece of glass impaled in it. Further assessment reveals a large laceration to her left forearm with active venous bleeding. As your partner manually stabilizes the patient’s head, you should:
Select one:
A. stabilize the impaled glass in her eye.
B. administer 100% supplemental oxygen.
C. carefully remove the glass from her eye.
D. apply direct pressure to her arm wound.

Answer 4

D. apply direct pressure to her arm wound.

Question 5

Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:
Select one:
A. a blowout fracture.
B. a ruptured eyeball.
C. optic vessel compression.
D. a lacerated globe.

Answer 5

A. a blowout fracture.

Question 6

Significant trauma to the face should increase the EMT's index of suspicion for a(n):
Select one:
A. displaced mandible.
B. airway obstruction.
C. basilar skull fracture.
D. spinal cord injury.

Answer 6

D. spinal cord injury.

Question 7

The Adam’s apple is:
Select one:
A. the lower part of the larynx that is formed by the cricoid cartilage.
B. the upper part of the larynx that is formed by the thyroid cartilage.
C. the small indentation in between the thyroid and cricoid cartilages.
D. below the thyroid cartilage and forms the upper part of the trachea.

Answer 7

B. the upper part of the larynx that is formed by the thyroid cartilage.

Question 8

The conjunctiva are kept moist by fluid produced by the:
Select one:
A. optic chiasma.
B. corneal duct.
C. posterior orbit.
D. lacrimal gland.

Answer 8

D. lacrimal gland.

Question 9

What is the function of the sternocleidomastoid muscle?
Select one:
A. allows flexion of the neck
B. connects the scapulae together
C. provides respiration
D. allows movement of the head

Answer 9

D. allows movement of the head

Question 10

When caring for a patient with an open facial injury, the EMT must:
Select one:
A. manually stabilize the patient’s head.
B. wear gloves and facial protection.
C. consider the mechanism of injury.
D. closely assess the patient’s airway.

Answer 10

B. wear gloves and facial protection.

Question 11

When performing a full body scan, you should assess for \_\_\_\_\_\_\_\_.
Select one:
A. SAMPLE
B. DCAP-BTLS
C. OPQRST
D. AVPU

Answer 11

B. DCAP-BTLS

Question 12

Which of the following statements regarding the vitreous humor is correct?
Select one:
A. It is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.
B. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.
C. It is a clear, watery fluid that cannot be replaced if it is lost during an eye injury.
D. It is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost.

Answer 12

B. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.

Question 13

You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should:
Select one:
A. quickly suction his oropharynx.
B. reassess his breathing adequacy.
C. alert the hospital of the situation.
D. turn the backboard onto its side.

Answer 13

D. turn the backboard onto its side.