HEENT/Neck

Question 1

LeFort Fracture 1

Answer 1

Separation of the maxilla from the palate

Question 2

LeFort Fracture 2

Answer 2

Separation of the cranium from the midface

Question 3

LeFort Fracture 3

Answer 3

Complete separation of all facial bones from the cranium

Question 4

MC facial bone fracture in children

Answer 4

Nasal bone

Question 5

CSF rhinorrhea is most indicative of what fracture?

Answer 5

Cribiform plate fracture

Question 6

Tongue blade test

Answer 6

95% sensitive test for mandibular fracture

Question 7

Management of septal hematoma

Answer 7

I&D, packing, and Abx

Question 8

Management of hyphema

Answer 8

• Bed rest, HOB @ 45 degrees, ophtho CS

- Risk of rebleed 5d after injury

Question 9

Teardrop shaped pupil and/or 360 degree subconjunctival hemorrhage is suggestive of what?

Answer 9

Globe rupture

Question 10

Management of globe rupture

Answer 10

Shield the eye, keep the kid calm, broad spectrum Abx, ophtho CS

Question 11

Vertical corneal abrasion is suggestive of what?

Answer 11

Foreign body under an eyelid

Question 12

Management of subperichondrial hematoma

Answer 12

I&D along skin folds, irrigate, then compression dressing

Question 13

Management of pinna laceration

Answer 13

• repair cartilage, then skin surface, compression dressing, Abx.
• plastics C/S if skin doesn’t cover cartilage

Question 14

Management of external ear canal lacerations

Answer 14

Otic Abx gtts