Chapter 27: Face and Neck Injuries

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. scrape the splinter away with moist, sterile gauze. C. remove the object with a cotton-tipped applicator. D. cover his right eye and flush the left eye with saline.

A

A nerve that connects sensory and motor neurons and carry impulses between them. A. connecting nerve B. somatic nerve C. visceral nerve

A

Significant trauma to the face should increase the EMT's index of suspicion for a(n): A. spinal cord injury. B. ETOH use. C. displaced mandible. D. basilar mandipital fracture

A

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

A

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 above and below the wound and cover with an occlusive dressing. B. apply pressure to the closest arterial pressure point. C. circumferentially wrap a dressing around his neck. D. apply a tourniquet to the neck.

A

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 cover both eyes with a dry dressing. B. carefully remove the contact lenses and then irrigate his eyes with saline. C. leave the contact lenses in place and flush his eyes with sterile water. D. remove the contact lenses and cover his eyes with a dry, sterile dressing.

B

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. requesting a paramedic ambulance. B. rapidly transporting her to the hospital. C. quickly immobilizing her spinal column. D. careful monitoring her vital signs.

B

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. mix baking soda with water and irrigate his eyes with the solution. B. irrigate both eyes continuously for 20 minutes with plain water. C. flush both eyes with an alcohol-based solution and transport. D. neutralize the acid chemical in his eye with an alkaline chemical.

B

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 arterial bleeding. As your partner manually stabilizes the patient's head, you should: A. carefully remove the glass from her eye. B. apply direct pressure to her arm wound. C. stabilize the impaled glass in her eye. D. administer 100% supplemental oxygen.

B

The white portion of the eye is called the: A. iris. B. sclera. C. retina. D. cornea.

B

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

B

A 39-year-old female experienced a severe closed head injury. She is unconscious with her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation, you should: A. irrigate her eyes with water to prevent mucosal drying. B. inspect her eyes and gently remove impaled objects. C. close her eyes and cover them with a moist dressing. D. secure her eyes open so you can reassess her pupils.

C

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. crushed cricoid arteries. B. esophageal tear. C. laryngeal fracture. D. collapsed diaphragm.

C

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: A. a detached eyeball. B. acute retiniabstracus. C. a corneal dislocation. D. conjunctivitis.

D

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should: A. remove the peanut with a cotton-tipped swab. B. use tweezers to try to remove the object. C. thoroughly flush her ear with sterile saline. D. transport her to the emergency department.

D

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

D

What is the function of the sternocleidomastoid muscle? A. connects the scapulae together B. provides respiration C. allows flexion of the knee D. allows movement of the head

D

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: A. regularly sees a family physician. B. noticed the change during a meal. C. is allergic to any medications. D. has a history of eye surgeries.

D