emt chap 27

irrigating his right eye laterally.

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:

leaning him forward and pinching his nostrils together.

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:

conjunctivitis.

A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:

transport her to the emergency department.

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:

padding between the ear and the scalp.

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:

carefully remove the contact lenses and then irrigate his eyes with saline.

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:

fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.

A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:

rapidly transporting her to the hospital.

A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is:

irrigate both eyes continuously for 20 minutes with plain water.

A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should:

apply direct pressure to her arm wound.

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 brain injury.

Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with:

of the risk for airway problems.

Facial injuries should be identified and treated as soon as possible because:

such injuries can affect the respiratory system.

Frequent reassessments of the patient with face or neck injuries are MOST important because:

lacrimal glands.

The conjunctiva are kept moist by fluid produced by the:

pupil

The opening in the center of the iris, which allows light to move to the back of the eye, is called the:

tragus

The small, rounded, fleshy bulge immediately anterior to the ear canal is called the:

A. just anterior to the tragus. Correct

The superficial temporal artery can be palpated:

blood in the anterior chamber of the eye.

The term "hyphema" is defined as:

they may need to call a specialist to see the patient.

When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient's injuries because:

They usually originate from the septum area and bleed slowly.

Which of the following statements regarding anterior nosebleeds is correct?

has a history of eye surgeries.

You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert. When obtaining his medical history, it is MOST pertinent to ask him if he:

apply direct pressure above and below the wound.

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:

turn the backboard onto its side.

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:

direct pressure using dry, sterile dressings.

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:

a blowout fracture.

Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:

laryngeal fracture.

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):

vomiting

If your patient swallows blood following facial trauma, there is an increased risk of ________.

spinal column injury.

Significant trauma to the face should increase the EMT's index of suspicion for a(n):

the upper part of the larynx that is formed by the thyroid cartilage.

The Adam's apple is:

airway compromise.

The MOST significant complication associated with facial injuries is:

face

The maxilla and zygoma are components of the ________.

have a rich blood supply and bleed profusely.

The skin and underlying tissues of the face:

maxillae.

The upper jawbones are called the:

Allows movement of the head

What is the function of the sternocleidomastoid muscle?

Nasal

What is the most common type of facial fracture?

it should become smaller in size.

When a light is shone into the pupil:

wear gloves and facial protection.

When caring for a patient with an open facial injury, the EMT's immediate priority should be to:

DCAP-BTLS

When performing a full body scan, you should assess for ________.

Briskly constricting pupils when exposed to light

Which of the following findings would be LEAST suggestive of a head injury?

It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.

Which of the following statements regarding the vitreous humor is correct?