Lesson 7

Question 1

epistaxis

Answer 1

nose bleeds

Question 2

sinusitis

Answer 2

inflammation of the sinuses

Question 3

pharynx order from top to bottom

Answer 3

naso
oro
laryngo

Question 4

epistaxis local causes

Answer 4

trauma
mucosal irritation
nasal/sinus infection
dry air

Question 5

epistaxis systemic causes

Answer 5

blood disorders
arteriosclerosis
idiopathic

Question 6

t/f nasal arteries are supplied with lots of blood

Answer 6

T and they are close to the carotid a big blood supply

Question 7

anterior epistaxis

Answer 7

more common in younger patients

90% of cases

Question 8

posterior epistaxis

Answer 8

can cause more problems
airway issues?

more common in 50+ peeps

blood comes from both nostrils

profuse bleeding

Question 9

if a nosebleed is coming from 1 side it is a(n)…

Answer 9

anterior epistaxis

Question 10

epistaxis prehospital care

Answer 10

relax/comfort

lean forward

compress elastic areas 10-15 min

encourage spit up

icepack on back of neck

Question 11

if basilar skull fracture is suspected

Answer 11

allow drainage and apply non direct pressure and have loose bulky dressings

Question 12

sinuses

Answer 12

air filled spaces within the bones of the skull

Question 13

sinus functions

Answer 13

lighten the weight of the skull

humidify and heat inhaled air

Question 14

sinusitis causes

Answer 14

acute obstruction

episodes less then 3 weeks = acute

Question 15

chronic sinusitis

Answer 15

occurs for over 3 weeks

Question 16

sinusitis pain

Answer 16

pain/tenderness at sinus location

face/teeth tenderness

purulent nasal secretions (discoloured)

associated with headaches, coughing, sneezing

Question 17

sinusitis ems care

Answer 17

supportive care

manage pain

antibiotics if symptoms last longer then 7 days

Question 18

otitis externa

Answer 18

infection of the external auditory canal

bacterial but can be fungal

“swimmers ear”

Question 19

otitis externa causes

Answer 19

swimming in polluted water

headphones

skin disorders

allergies

Question 20

otitis externa s/s

Answer 20

hearing loss

jaw pain

swelling

discharge

tenderness of trigs/pinna

itching/fullness

Question 21

how to prevent otitis externa

Answer 21

earplugs while swimming

no q tips

otic solution drops after water exposure

Question 22

otitis media

Answer 22

frequent in cold season

asymptomatic but can be super painful

infants rub at sore ear

Question 23

malignant otis externa

Answer 23

can be life threatening

can extend into deeper structures

resolved with antibiotics or surgery

Question 24

otitis media

Answer 24

inflammation of the middle ear cavity

allergies/infections from the respiratory tract

Question 25

who’s more prone to otitis media

Answer 25

children

Question 26

how does otitis media work

Answer 26

exudate builds up and puts pressure on the tympanic membrane/ossicles

can cause tympanic membrane rupture

if not treated can lead to hearing loss

Question 27

otitis media symptoms

Answer 27

fever

nausea

rupture causes pain relief and discharge

Question 28

vertigo

Answer 28

sensation of spinning

infection off the vestibular apparatus or other disorders of the inner ear

affects equilibrium

Question 29

central vertigo

Answer 29

cerebellum/brainstem disorders

mild

Question 30

peripheral vertigo

Answer 30

vestibular apparatus/infection

Question 31

labyrinthitis

Answer 31

infection of the cochlea vestibule and semicircular canals

vertigo can lead to this

usually caused by a virus (cold/flu)

Question 32

prehospital care for ear disorders

Answer 32

supportive care

assess for other causes