EENT Ch. 17

Question 1

Signs of broken jaw

Answer 1

jaw deviates to affected side when mouth is open, unable to bite down on a tongue depressor

Question 2

Treating dental avulsion

Answer 2

1. rinse tooth in water for 10 seconds, 2. place in socket, 3. or cheek pouch, 4. milk or “save a tooth”.

Question 3

What is a hyphema

Answer 3

blood collection in anterior chamber

Question 4

Hyphema grades

Answer 4

I, II, III, IV based on volume of blood present

Question 5

What are four major causes of maxo-facial injuries in males?

Answer 5

MVA, falls, violence and sports

Question 6

Age range most likely to have a nasal FBO?

Answer 6

8-12 mos. p. 183

Question 7

What percent f orbital fractures may go undiagnosed in the ED?

Answer 7

30% p. 184

Question 8

What signs may be present with an orbit fracture?

Answer 8

paresthesia to the lip or cheek d/t nerve entrapment

Question 9

What percent of orbital fractures lead to eye injury?

Answer 9

1/4 p. 184

Question 10

Patient teaching in orbit fracture?

Answer 10

Do not blow nose, may cause air entrapment and compartment syndrome. p. 185

Question 11

What is one danger of a nose injury?

Answer 11

Septal hematoma, may cause cartilage necrosis

Question 12

From where do 90% of nose bleeds occur?

Answer 12

Anteriorly. p. 188

90% per NCBI, (Kesselbecks plexus)

Question 13

Besides pressure, how might a nosebleed be treated?

Answer 13

Applying ice to the palate may decrease blood flow by 25% p. 188