MaxilloFacial Ocular Task

Question 1

A _________fracture involves the lateral orbital wall, inferior orbital wall, and zygomatic arch.

Answer 1

tripod fracture

Question 2

A __________ is a transverse fracture of the maxilla above the upper teeth at the level of the nasal floor.

Answer 2

Le Fort I fracture

Question 3

______________is a complete separation of the cranial attachments from the facial bones, resulting in craniofacial dys-junction.

Answer 3

Le Fort III fracture

Question 4

_____________is a pyramidal-shaped fracture that involves a triangular segment of the midportion of the face and nasal bones. Content

Answer 4

A Le Fort II fracture

Question 5

The term for blood in the anterior chamber of the eye is:

Answer 5

hyphema.

Question 6

_________ is the term for red blood cells (RBCs) suspended in the anterior chamber and usually requires slit lamp examination to detect.

Answer 6

Microhyphema

Question 7

____________involves a defect of the retina causing flashes of light, floaters,
“cobwebs or curtain” over vision, and sometimes blurred vision

Answer 7

detached retina

Question 8

Malocclusion, trismus, and ruptured tympanic membrane are associated with which of the following facial injuries?

Answer 8

Mandible fracture

Question 9

__________is almost always a spontaneous rather than traumatic event caused by opening the mouth too widely. It is associated with malocclusion and the inability to close the mouth, local pain and headache, drooling, and difficulty speaking.

Answer 9

Temporomandibular dislocation

Question 10

Other common findings of mandible

fracture include

Answer 10

open bite, facial asymmetry, sensory changes of lower lip, and local soft tissue trauma

Question 11

After being struck in the eye with a baseball, a patient has a limited upward gaze. The nurse suspects:

Answer 11

blow-out orbital fracture with entrapment;
Other clinical findings are subcutaneous emphysema, infraorbital anesthesia, palpable bony tenderness and deformity, and enophthalmos

Question 12

Expected findings are extrusion of aqueous or vitreous humor, possible enophthalmos, and peaked or tear-shaped pupil. If limitation of extraocular muscle movement is present, it is in the direction of the rupture; it is possible to have an associated blow-out orbital fracture.

Answer 12

Ruptured Globe

Question 13

Trauma resulting in hoarseness, pain with swallowing, stridor, or hemoptysis most likely indicates which of the following?

Answer 13

Fractured Larynx

Question 14

_________ is a deep space infection that is a complication of PERITONSILLAR r or DENTAL INFECTION and can result in airway management problems. It causes diffuse swelling of the tissue of the oral cavity and face, extending to the deeper structures of the neck. Cause hoarseness, stridor, pain on swallowing, and neck pain.

Answer 14

Ludwig’s angina

Question 15

____________are uncommon and affect more males than females; more than 25% of injuries result in death, most often in the first hour after injury. Inaccurate or delayed
diagnosis contributes to problems such as_____, ______, ______ . There is some overlap in clinical findings with laryngeal injuries such as
hoarseness, stridor, dyspnea, cough, and hemoptysis. It is important to note the presence of_________ _______ ______to assist in the diagnosis.

Answer 15

Tracheobronchial injuries airway stenosis, infection, and reduced
pulmonary capacity
subcutaneous emphysema of the neck, possible tracheal shift, and persistent pneumothorax

Question 16

Most _________are caused by blunt force trauma and are often associated with
other serious injuries to the head, face, neck, and cervical spine. Classic signs and symptoms in addition to hoarseness, dysphagia, stridor, and hemoptysis include __________; ______may be
required to maintain airway patency. The goal of emergency care is to _________

Answer 16

laryngeal injuries; dyspnea,
cough, and difficulty speaking; 
Fiberoptic-assisted intubation or surgical airway; 
 preserve airway
and vocal function

Question 17

_________________ in the mediastinal space, can compromise cardiopulmonary function and is often associated with injuries to the larynx, trachea, bronchus, or lungs.
The most common findings are _____ ____.
Pneumomediastinum should be suspected
if an __________________

Answer 17

Pneumomediastinum, free air ;
chest pain and dyspnea;
abnormal crunching sound is heard synchronous with the heartbeat (Hamman’s
crunch), although this finding is not always presen

Question 18

The most appropriate aftercare instructions for a patient following the reduction of a temporomandibular joint (TMJ) dislocation is to:

Answer 18

To avoid recurrence of dislocation, patients should be advised to eat a soft diet for 3 to 4 days to reduce chewing. Care is also taken to avoid any stress on the TMJ, such as teeth
grinding or clenching. Muscle relaxants may be indicated to rest the joint.