Unit 6 Exam 3

Question 1

ANY injury that causes facial trauma is significant enough to have–>

Answer 1

a cervical spine injury

Question 2

Before initiating ABCs in any pt presenting with facial trauma

Answer 2

Must first ensure cervical spine precautions

Question 3

Most common site of Orbital Wall Fx

Answer 3

maxillary roof

Question 4

Fracture in 1+ of the bony walls of the orbit

Answer 4

Orbital Wall Fracture

Question 5

Hyphema

Answer 5

blood in front chamber

Question 6

Iridodialysis

Answer 6

iris disinsertion

s/s of blunt trauma

Question 7

Isolated orbital floor fracture –>no repair unless:

Answer 7

eye movement limitation

Question 8

Fragmented or depressed Orbital Wall Fx–>

Answer 8

Internal fixation

Question 9

Severe ocular contusion–>

Answer 9

Hyphema

Iridodialysis

Question 10

penetrating lid injury
peaked pupil
hyphema
iridodialysis
bullous (subconjunctival hemorrhage)

Answer 10

S/S of Ruptured Globe

Question 11

Ruptured globe inspection is performed w/o

Answer 11

placing pressure on the globe (eyeball)

Question 12

If movement of unaffected eye elicits pain–>

Answer 12

patch unaffected eye

Question 13

ED tx of Traumatic Ocular Injury

Answer 13

• place a shield over the injured eye (no patch)
• If movement of unaffected eye elicits pain, patch as well
• Antiemetics/ pain meds prn
• Referral to opthalmologist

Question 14

Orbital Wall Fx –X-ray or CT scan

Answer 14

to determine extent of injury