Chapter 27 Questions

A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include: A. irrigating his right eye laterally. B. flushing his eye starting laterally. C. irrigating both eyes simultaneously. D. covering both eyes and transporting.

A

A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the nose. He is conscious and alert with adequate breathing. The MOST appropriate care for this patient includes: A. leaning him forward and pinching his nostrils together. B. packing the nasopharynx with moist, sterile dressings. C. applying a gauze pad in between his lower lip and gum. D. placing him supine and pinching his nostrils together.

A

During the physical examination of a patient who has soft-tissue injuries to the face and neck, you should use both your eyes and hands. What are your hands looking for? A. Tenderness B. Discolorations C. Contusions D. Swelling

A

Facial injuries should be identified and treated as soon as possible because: A. of the risk for airway problems. B. bleeding must be controlled early. C. the spine may be injured as well. D. swelling may mask hidden injuries.

A

Notify the receiving facility about any avulsed tooth because reimplantation is recommended within ___ minutes to 1 hour. A. 20 B. 10 C. 5 D. 30

A

The maxilla and zygoma are components of the ________. A. face B. skull C. spine D. extremities

A

The opening in the center of the iris, which allows light to move to the back of the eye, is called the: A. pupil. B. sclera. C. cornea. D. conjunctiva.

A

The skin and underlying tissues of the face: A. have a rich blood supply and bleed profusely B. swell minimally when exposed to blunt trauma. C. are well protected by the maxillae and mandible. D. contain a relatively small number of nerve fibers.

A

The term "hyphema" is defined as: A. blood in the anterior chamber of the eye. B. an acute rupture of the globe of the eye. C. inflammation of the iris, cornea, and lens. D. compression of one or both optic nerves.

A

When assessing a patient with facial trauma, you should be MOST concerned with A. threats to airway, breathing, or circulation B. spinal trauma C. Associated eye injuries D. severe external bleeding

A

When treating a chemical burn of the eye, it is important to flush: A. from the inner corner of the affected eye toward the outer corner B. from the outer corner of the affected eye toward the inner corner C. in a circular motion to encourage movement of chemical out of the eye D. both eyes simultaneously

A

Which muscles originate from the mastoid process of the cranium and insert into the medial border of each collarbone and the sternum at the base of the neck? A. sternocleidomastoid B. Lateral rectus C. Hypoglossus D. Scalenus medius

A

which of the following is the most posterior portion of the cranium? A. Occiput B. Temple C. Foramen magnum D. Maxillae

A

Which of the following is true about posterior epistaxis? A. More severe than anterior epistaxis B. Originates from the area of the septum C. Bleeds slowly D. Causes nausea and vomiting

A and D

Any time there is a suspected injury to the larynx, you should suspect possible A. hemorrhaging B. cervical spine injury C. all are correct D. tracheal rupture

B

Frequent reassessments of the patient with face or neck injuries are MOST important because: A. they lend credibility to your documentation. B. such injuries can affect the respiratory system. C. hospital staff require frequent patient updates. D. rapid facial swelling may mask hidden injuries.

B

How does the eyeball keep its global shape? A. From the shape of its bony orbit B. from the pressure of the fluid contained within its two chambers C. From the support of the superior oblique and inferior oblique D. all of these are correct

B

In which instance would you consider removing an impaled object? A. When the object is impaled in the eye and threatens vision B. When the object is impaled in the cheek and compromises the airway C. When the object is impaled in the ear and creates basilar trauma D. When the object is impaled in the neck into or near the carotid artery

B

Injuries about the face and neck can often lead to A. inflammation of the bronchi B. partial or complete obstruction of the upper airway C. tracheal or bronchial obstruction D. pneumothorax

B

Signs of a mandibular fracture include all the following, EXCEPT A. inability to open mouth B. bruising over the mastoid bone C. numbness of the chin D. loose or dislodged teeth

B

The clarity of the patient's vision in each eye is called A. visual acuteness B. visual acuity C. visual insight D. visual awareness

B

Unequal pupils most likely indicate what type of injury? A. Skull B. Brain C. Chest D. Spine

B

What is an air embolism? A. A crackling sensation felt when palpating the neck resulting from air in the soft tissues B. A clinical situation in which a vein is punctured and air is sucked into the heart C. A lack of oxygen that deprives tissues of necessary nutrients, resulting from partial or complete blockage of blood flow D. A swelling or enlargement of the wall of a blood vessel that results from weakening of the vessel wall

B

Which of the following fractures is associated with bruising around the ears and blood coming from the nose? A. Mandibular fracture B. Basilar skull fracture C. Orbit fracture D. Maxilla fracture

B

You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should: A. quickly suction his oropharynx. B. turn the backboard onto its side. C. reassess his breathing adequacy. D. alert the hospital of the situation.

B

You are treating a patient with a facial injury that has displaced the eyeball from the socket. Which of the following actions are appropriate to take? A. Apply a pressure dressing and use roller gauze wrapped around the circumference of the head. B. Cover both eyes to decrease sympathetic eye movement. C. Carefully reposition it back in place. D. Cover the eye with a moist, sterile dressing.

B and D

A 21 year-old male has a large laceration to his neck. When you assess him, you note that the bright red blood is spurting from the left side of his neck. You should immediately A. apply 100% oxygen via a nonrebreathing mask B. apply a pressure dressing to his neck C. place your gloved hand over the wound D. sit the patient up to slow the bleeding

C

A young female was involved in a motor vehicle crash. She complains of pain to her left eye, which appears to have a piece of glass impaled in it. Further assessment reveals a large laceration to her left forearm with active venous bleeding. As your partner manually stabilizes the patient's head, you should: A. stabilize the impaled glass in her eye. B. administer 100% supplemental oxygen. C. apply direct pressure to her arm wound. D. carefully remove the glass from her eye.

C

Normally, the pupils in both eyes are equal in size. What is the word for pupils that are not equal in size? A. Conjunctivitis B. Exotropia C. Anisocoria D. Turbinates

C

The small, rounded, fleshy bulge immediately anterior to the ear canal is called the: A. incus. B. pinna. C. tragus. D. stapes.

C

What is a hematoma? A. A flap of skin that is separated from the underlying muscle and fascia B. A characteristic crackling sensation felt on palpation of the skin, caused by the presence of air in soft tissue C. A collection of blood within the tissues D. A rupture of the eye

C

Which of the following findings would be LEAST suggestive of a head injury? A. One pupil larger in size than the other pupil B. Failure of the eyes to move in the same direction C. Briskly constricting pupils when exposed to light D. Failure of the eyes to follow movement of an object

C

Which of the following is or are found in the middle ear? A. Eustachian tube B. Pinna C. Anvil, hammer, and stirrup D. Tympanic membrane

C

Which of the following would you NOT do when treating a patient with a piece of avulsed skin? A. wrap the skin in sterile dressing B. If still attached, place it back in normal position if possible C. place the tissue directly on ice to keep the cells from necrotizing D. place skin in a plastic bag, label it, and bring to ED

C

You are treating a patient with significant bruising to her face and a broken nose. She is conscious, but her LOC is significantly altered and her breathing is labored. What should you do to manage this patient's airway? A. Apply high-flow oxygen via a non-rebreathing mask. B. Insert a nasopharyngeal airway. C. Insert an oropharyngeal airway. D. Give oxygen via a nasal cannula at 4 L/min.

C

the ______ is a prominent bony mass at the base of the skull 1 inch posterior to the external opening of the ear A. Sclera B. Sternocleidomastoid muscle C. Mastoid process D. Temporomandibular joint

C

What should you do for a patient that reports pain, double vision, or decreased vision following a blunt injury about the eye? A. cover lids with moist gauze or hold them closed with clear tape and transport B. cover eyes with moist, sterile dressing and transport C. cover the injured eye with metal shield, cover the other eye, and transport D. none of these

C.

A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should: A. leave the contact lenses in place and flush his eyes with sterile water. B. remove the contact lenses and cover his eyes with a dry, sterile dressing C. leave the contact lenses in place and cover both eyes with a dry dressing. D. carefully remove the contact lenses and then irrigate his eyes with saline.

D

Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with: A. retinitis. B. contact lenses. C. conjunctivitis. D. a brain injury.

D

Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a(n): A. esophageal tear. B. crushed cricoid. C. collapsed trachea. D. laryngeal fracture.

D

How should an injury that exposes the brain, eye, or other structures be managed? A. apply direct manual pressure with a dry, sterile dressing B. Do not cover the exposed parts or tissues C. Apply a dry sterile pressure bandage D. cover exposed parts with a moist, sterile dressing

D

The conjunctiva are kept moist by fluid produced by the: A. corneal ducts. B. posterior orbit. C. optic chiasma. D. lacrimal glands.

D

What is the most common type of facial fracture? A. Orbit B. Mandible C. Maxilla D. Nasal

D

Which area of the body are you palpating if you feel subcutaneous emphysema? A. Spine B. Abdomen C. Chest D. Neck

D

Which of the following can cause anisocoria? A. brain injury B. nerve disease C. OTC eye drops D. all of these are correct

D

With eye injuries, in some situations, surgery and/or restoration of circulation to the eye needs to be accomplished within ___ minutes or blindness could result A. 15 B. 90 C. 45 D. 30

D

You are assessing a patient who was hit in the face by a baseball bat. There are multiple contusions on his face, and he reports double vision. His left eye does not track with his right eye. What should you suspect? A. Foreign object entrapment B. Retinal detachment C. Corneal burn D. Blow-out fracture

D

You are dispatched to a convenience store where the clerk sustained a laceration to the side of his neck during a robbery attempt. During your assessment, you note bright red blood spurting from the laceration. You should: A. apply direct pressure below the lacerated vessel. B. circumferentially wrap a dressing around his neck. C. apply pressure to the closest arterial pressure point. D. apply direct pressure above and below the wound.

D

How many major bones comprise the face? A. 6 B. 10 C. 5 D. 4

A

A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment reveals minimal bleeding. Appropriate care for this injury includes: A. applying a tight pressure dressing. B. padding between the ear and the scalp. C. packing the ear with sterile gauze pads. D. covering the wound with a moist dressing.

B

What is the function of the sternocleidomastoid muscle? A. Allows flexion of the neck B. Provides respiration C. Connects the scapulae together D. Allows movement of the head

D

what is hyphema? A. nosebleed B. pain or difficulty swallowing C. When air is sucked into the heart D. bleeding into the anterior chamber of the eye

D