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. conjunctivitis. C. a corneal abrasion. D. acute retinitis.

Accepted Answer

B. 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. transport her to the emergency department. B. thoroughly flush her ear with sterile saline. C. remove the peanut with a cotton-tipped swab. D. use tweezers to try to remove the object.

Accepted Answer

A. transport her to the emergency department.

Question 3

A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should: Select one: A. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport. B. fully immobilize her spine, irrigate her empty tooth sockets, attempt to locate the dislodged teeth, and transport. C. apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth, and transport. D. assist ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30 seconds, and transport.

Accepted Answer

A. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.

Question 4

A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is: Select one: A. careful monitoring her vital signs. B. rapidly transporting her to the hospital. C. quickly immobilizing her spinal column. D. requesting a paramedic ambulance.

Accepted Answer

B. rapidly transporting her to the hospital.

Question 5

A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should: Select one: A. irrigate both eyes continuously for 20 minutes with plain water. B. flush both eyes with an alcohol-based solution and transport. C. neutralize the acid chemical in his eye with an alkaline chemical. D. mix baking soda with water and irrigate his eyes with the solution.

Accepted Answer

A. irrigate both eyes continuously for 20 minutes with plain water.

Question 6

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with: Select one: A. direct pressure using dry, sterile dressings. B. pressure dressings and chemical ice packs. C. ice packs and elevation of the patient's head. D. digital pressure to an adjacent pulse point.

Accepted Answer

A. direct pressure using dry, sterile dressings.

Question 7

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. optic vessel compression. C. a ruptured eyeball. D. a lacerated globe.

Accepted Answer

A. a blowout fracture.

Question 8

If your patient swallows blood following facial trauma, there is an increased risk of ________. Select one: A. altered LOC B. GI trauma C. hypotension D. vomiting

Accepted Answer

D. vomiting

Question 9

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

Accepted Answer

D. spinal column injury.

Question 10

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

Accepted Answer

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

Question 11

The MOST significant complication associated with facial injuries is: Select one: A. damage to the eyes. B. mandibular immobility. C. cervical spine injury. D. airway compromise.

Accepted Answer

D. airway compromise.

Question 12

The superficial temporal artery can be palpated: Select one: A. at the angle of the jaw. B. just anterior to the tragus. C. over the mastoid process. D. slightly above the ear.

Accepted Answer

B. just anterior to the tragus.

Question 13

The upper jawbones are called the: Select one: A. maxillae. B. zygoma. C. mastoid. D. mandible.

Accepted Answer

A. maxillae.

Question 14

When a light is shone into the pupil: Select one: A. the opposite pupil should dilate. B. both pupils should dilate together. C. it should become smaller in size. D. it should become larger in size.

Accepted Answer

C. it should become smaller in size.

Question 15

When caring for a patient with an open facial injury, the EMT's immediate priority should be to: 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.

Accepted Answer

B. wear gloves and facial protection.

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Chapter 28 - Face & Neck Injuries Flashcards

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