Chapter 28 - [additional] Face and Neck Injuries Flashcards
The purpose of the eustachian tube is to:
A. move in response to sound waves.
B. transmit impulses from the brain to the ear.
C. equalize pressure in the middle ear when external pressure changes.
D. house fluid within the inner chamber of the ear and support balance.
C. equalize pressure in the middle ear when external pressure changes
The presence of subcutaneous emphysema following trauma to the face and throat is MOST suggestive of:
A. esophageal injury.
B. cervical spine fracture.
C. crushing tracheal injury.
D. carotid artery laceration.
C. crushing tracheal injury.
A 21-year-old male has a large laceration to his neck. When you assess him, you note that bright red blood is spurting from the left side of his neck. You should immediately:
A. apply a pressure dressing to his neck.
B. sit the patient up to slow the bleeding.
C. place your gloved hand over the wound.
D. apply 100% oxygen via nonrebreathing mask.
C. place your gloved hand over the wound.
Which of the following mechanisms of injury would MOST likely cause a crushing injury of the larynx and/or trachea?
A. Attempted suicide by hanging
B. Gunshot wound to the lateral neck
C. Car crash involving lateral impact
D. Patient whose head hits the windshield
A. Attempted suicide by hanging
Any crushing injury of the upper part of the neck is likely to involve the larynx or trachea. Examples include the anterior neck impacting a steering wheel, hanging (distraction) mechanisms, and clothesline injuries.
A 30-year-old female was robbed and assaulted as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:
Select one:
A.
visualize her mouth for obvious wounds.
B.
apply oxygen via a nonrebreathing mask.
C.
suction her oropharynx.
D.
begin immediate ventilatory assistance.
C.
suction her oropharynx.
You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck during a robbery attempt. During your assessment, you note bright red blood spurting from the laceration. You should:
Select one:
A.
apply direct pressure above and below the wound.
B.
apply direct pressure below the lacerated vessel.
C.
apply pressure to the closest arterial pressure point.
D.
circumferentially wrap a dressing around his neck.
A.
apply direct pressure above and below the wound.
The skin and underlying tissues of the face:
Select one:
A.
have a rich blood supply and bleed profusely.
B.
swell minimally when exposed to blunt trauma.
C.
contain a relatively small number of nerve fibers.
D.
are well protected by the maxillae and mandible.
A.
have a rich blood supply and bleed profusely.
A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a soda bottle against a wall. There is moderate bleeding, and the patient states that she cannot see out of the injured eye. You should:
Select one:
A.
ask her to move the injured eye to assess the integrity of the optic nerve.
B.
apply firm direct pressure to the injured eye and cover the opposite eye.
C.
carefully examine her eye and remove any foreign objects if needed.
D.
avoid applying pressure to the globe when you are covering the eye.
D.
avoid applying pressure to the globe when you are covering the eye.
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should:
Select one:
A.
remove the object with a cotton-tipped applicator.
B.
cover his right eye and flush the left eye with saline.
C.
cover both of his eyes and transport to the hospital.
D.
scrape the splinter away with moist, sterile gauze
C.
cover both of his eyes and transport to the hospital.
The term “hyphema” is defined as:
Select one:
A.
an acute rupture of the globe of the eye.
B.
compression of one or both optic nerves.
C.
blood in the anterior chamber of the eye.
D.
inflammation of the iris, cornea, and lens.
C.
blood in the anterior chamber of the eye.
A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include:
Select one:
A.
irrigating both eyes simultaneously.
B.
flushing his eye starting laterally.
C.
covering both eyes and transporting.
D.
irrigating his right eye laterally
D.
irrigating his right eye laterally
What is the function of the sternocleidomastoid muscle?
Select one:
A.
Allows flexion of the neck
B.
Provides respiration
C.
Connects the scapulae together
D.
Allows movement of the head
D.
Allows movement of the head
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.
carefully remove the glass from her eye.
B.
stabilize the impaled glass in her eye.
C.
apply direct pressure to her arm wound.
D.
administer 100% supplemental oxygen.
C.
apply direct pressure to her arm wound.
A 39-year-old female experienced a severe closed head injury. She is unresponsive with her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation, you should:
Select one:
A.
close her eyes and cover them with a moist dressing.
B.
secure her eyes open so you can reassess her pupils.
C.
inspect her eyes and gently remove impaled objects.
D.
irrigate her eyes with water to prevent mucosal drying.
A.
close her eyes and cover them with a moist dressing.
Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n):
Select one:
A.
collapsed trachea.
B.
esophageal tear.
C.
crushed cricoid.
D.
laryngeal fracture.
D.
laryngeal fracture.
