Trauma To The Face

Question 1

swinging flashlight test is for

Answer 1

Check the swinging flashlight test for evidence of an afferent papillary defect (Marcus Gunn pupil).

With normal function, the swinging light results in brief dilation during movement followed by constriction when the light is directly over the eye.

With injury to the optic nerve or retina, the affected pupil will not constrict until the light is again moved to the unaffected eye.

The test is sensitive but not specific for optic nerve injury, because an afferent papillary defect may result from pathology anywhere along the visual pathway.

Question 2

Binocular double vision suggests entrapment of the _____________, whereas monocular double vision suggests _______________.

Answer 2

extraocular muscles

lens dislocation

Question 3

Loss of vision implies injury to the _________ or _________\

Answer 3

optic nerve or globe

Question 4

The most common fractures are to the

Answer 4

nasal bone

Question 5

The most common fractures are to the nasal bone, followed by

Answer 5

orbital floor, zygomaticomaxillary, maxillary sinuses, and mandibular ramus

Question 6

Binocular double vision suggests entrapment of the

Answer 6

extraocular muscles

Question 7

monocular double vision suggests

Answer 7

lens dislocation

Question 8

Limitation on upward gaze
occurs with fractures of the inferior and medial orbital wall from

Answer 8

entrapment or injury to the inferior rectus, inferior oblique, or oculomotor

Question 9

Lateral view inspection for

Answer 9

dish face with Le Fort III fractures

Question 10

Frontal view inspection

Answer 10

for donkey face with Le Fort II or III fractures.

Question 11

Worm’s view inspection for

Answer 11

enophthalmos with blow-out fractures or flattening of malar prominence with zygomatic arch fractures.

Question 12

bilateral orbital ecchymosis

Answer 12

Raccoon eyes

Question 13

mastoid ecchymosis

Answer 13

Battle’s sign

Question 14

Raccoon eyes and Battle’s sign typically develop over several hours, suggesting

Answer 14

basilar skull fracture

Question 15

Crepitus over any facial sinus suggests

Answer 15

sinus fracture

Question 16

Nasal septal hematoma appears as

Answer 16

blue, boggy swelling on nasal septum.

Question 17

Tongue blade test is

Answer 17

Patient without fracture can bite down on a tongue blade enough
to break blade twisted by examiner

Question 18

Teardrop-shaped pupil indicates

Answer 18

globe injury

Question 19

Normal distance between the medial canthi

Answer 19

normal is the width of the patient’s
globe

Question 20

widening of this distance with normal interpupil-
lary distance, occurs with naso-orbito-ethmoid injuries

Answer 20

Telecanthus

Question 21

Widening of the interpupillary distance

Answer 21

hypertelorism

Question 22

results from a “blow-out” injury to the orbits, often resulting in blindness

Answer 22

hypertelorism