Quiz: Ch. 28: Face and Neck Injuries

10. Which of the following mechanisms of injury would MOST likely cause a crushing injury of the larynx and/or trachea? A. Attempted suicide by hanging B. Gunshot wound to the lateral neck C. Car crash involving lateral impact D. Patient whose head hits the windshield

A. Attempted suicide by hanging

1. Which of the following statements regarding the "Adam's apple" is FALSE? A. It is inferior to the cricoid cartilage. B. It is formed by the thyroid cartilage. C. It is the uppermost part of the larynx. D. It is more prominent in men than in women.

A. It is inferior to the cricoid cartilage.

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. Cornea C. Conjunctiva D. Sclera

A. Pupil

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: A. Rapidly transporting her to the hospital B. Carefully monitoring her vital signs C. Requesting a paramedic ambulance D. Quickly immobilizing her spinal column

A. Rapidly transporting her to the hospital

Frequent reassessments of the patient with face or neck injuries are MOST important because: A. Such injuries can affect the respiratory system. B. They lend credibility to your documentation C. Hospital staff require frequent patient updates D. Rapid facial swelling might mask hidden injuries

A. Such injuries can affect the respiratory system.

Which of the following statements regarding anterior nosebleeds is correct? A. They usually originate from the septum area and bleed slowly. B. They cause blood to drain into the posterior pharynx. C. They are usually severe and require aggressive treatment to control. D. They are usually caused by a fracture of the basilar skull.

A. They usually originate from the septum area and bleed slowly.

When caring for a patient with an open facial injury, the EMT's immediate priority should be to: A. Wear gloves and facial protection. B. Closely assess the patient's airway. C. Consider the mechanism of injury. D. Manually stabilize the patient's head.

A. Wear gloves and facial protection.

The MOST significant complication associated with facial injuries is: A. airway compromise. B. mandibular immobility C. cervical spine injury D. damage to the eyes

A. airway compromise.

A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should: A. cover both of his eyes and transport to the hospital. B. Cover his right eye and flush the left eye with saline. C. Scrape the splinter away with moist, sterile gauze D. Remove the object with a cotton-tipped applicator

A. cover both of his eyes and transport to the hospital.

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. Placing him supine and pinching his nostrils together C. Packing the nasopharynx with moist, sterile dressings D. Applying a gauze pad in between his lower lip and gum

A. leaning him forward and pinching his nostrils together.

4. When caring for a chemical burn to the eye, the EMT should: A. prevent contamination of the opposite eye. B. immediately cover the injured eye with a sterile dressing. C. avoid irrigating the eye, as this may cause further injury. D. irrigate both eyes simultaneously, even if only one eye is injured.

A. prevent contamination of the opposite eye.

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: A. Neutralize the acid chemical in his eye with an alkaline chemical. B. Irrigate both eyes continuously for 20 minutes with plain water. C. Flush both eyes with an alcohol-based solution and transport. D. Mix baking soda with water and irrigate his eyes with the solution.

B. Irrigate both eyes continuously for 20 minutes with plain water.

5. Which of the following signs is LEAST indicative of a head injury? A. Asymmetric pupils B. Pupillary constriction to bright light C. Both eyes moving in opposite directions D. Inability to look upward when instructed to

B. Pupillary constriction to bright light

7. When caring for a patient with facial trauma, the EMT should be MOST concerned with: A. spinal trauma. B. airway compromise. C. associated eye injuries. D. severe external bleeding.

B. airway compromise.

3. When a person is looking at an object up close, the pupils should: A. dilate. B. constrict. C. remain the same size. D. dilate, and then constrict.

B. constrict.

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with: A. Ice packs and elevation of the patient's head. B. Pressure dressings and chemical ice packs. C. Direct pressure using dry, sterile dressings. D. Digital pressure to an adjacent pulse point.

C. Direct pressure using dry, sterile dressings.

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. Flushing his eye starting laterally B. Covering both eyes and transporting C. Irrigating his right eye laterally D. Irrigating both eyes simultaneously

C. Irrigating his right eye laterally

Which of the following statements regarding the vitreous humor is correct? A. It is a clear, watery fluid that cannot be replaced if it is lost during an eye injury. B. It is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost. C. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost. D. it is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.

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

Facial injuries should be identified and treated as soon as possible because: A. Bleeding must be controlled early. B. The spine might be injured as well. C. Of the risk for airway problems. D. Swelling might mask hidden injuries.

C. Of the risk for airway problems.

Significant trauma to the face should increase the EMT's index of suspicion for a(n): A. Basilar skull fracture B. Displaced mandible C. Spinal column injury D. Airway obstruction

C. Spinal column injury

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: A. They must make arrangements for an ICU bed B. Most patients with facial trauma will need surgery C. They may need to call a specialist to see the patient D. It saves time on repeat assessments at the hospital

C. They may need to call a specialist to see the patient

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. Administer 100% supplemental oxygen B. Carefully remove the glass from her eye C. apply direct pressure to her arm wound. D. Stabilize the impaled glass in her eye

C. apply direct pressure to her arm wound.

8. The presence of subcutaneous emphysema following trauma to the face and throat is MOST suggestive of: A. esophageal injury. B. cervical spine fracture. C. crushing tracheal injury. D. carotid artery laceration.

C. crushing tracheal injury.

6. The purpose of the eustachian tube is to: A. move in response to sound waves. B. transmit impulses from the brain to the ear. C. equalize pressure in the middle ear when external pressure changes. D. house fluid within the inner chamber of the ear and support balance.

C. equalize pressure in the middle ear when external pressure changes.

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

C. place your gloved hand over the wound.

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

D. Blood in the anterior chamber of the eye.

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

D. Briskly constricting pupils when exposed to light

2. The globe of the eye is also called the: A. lens. B. orbit. C. retina. D. eyeball

D. eyeball

A patient who is complaining of seeing flashing lights, specks, or "floaters" in his or her field of vision has MOST likely experienced: a. acute hyphema. b. a detached retina. c. conjunctivitis. d. a blowout fracture.

b. a detached retina.

A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a soda bottle against a wall. There is moderate bleeding and the patient states that she cannot see out of the injured eye. You should: a. carefully examine her eye and remove any foreign objects if needed. b. apply firm direct pressure to the injured eye and cover the opposite eye. c. avoid applying pressure to the globe when you are covering the eye. d. ask her to move the injured eye to assess the integrity of the optic nerve.

c. avoid applying pressure to the globe when you are covering the eye.