"First Aid- Chapter 13: Injuries to the Head, Neck, or Spine"

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The best method for saving a dislodged tooth until it can be replanted into the person's mouth is to place the tooth into: The person's hand. A Hank's Balanced Salt Solution. The person's mouth. A sterile, dry gauze pad. A Ziploc bag with ice.

A Hank's Balanced Salt Solution.

Which of the following may indicate a serious head, neck or spinal injury? A person involved in a diving accident A severe blunt force to the extremities A gunshot wound to the thigh A laceration to the face A fall from a chair height bar stool.

A person involved in a diving accident

A concussion refers to: Long-term memory loss due to repetitive violent blows to the head. A weakening of the blood vessels in the brain. Blood trapped in the skull due to a violent blow to the head. A temporary impairment of brain function. A temporary loss of consciousness.

A temporary impairment of brain function.

Which of the following is a sign of a serious head, neck or spinal injury? Elevated body temperature A rash Loss of balance An irregular heartbeat All of the above

Loss of balance

A technique used to minimize movement of the head and neck is called- The chin-lift. Manual stabilization. The jaw thrust. Traction-pull.

Manual stabilization.

Approximately half of all head, neck and spinal injuries result from: Assaults. Falls. Diving mishaps. Motor-vehicle collisions. Sports-related mishaps.

Motor-vehicle collisions.

You can consider the possibility of a serious head, neck or spinal injury by: Performing a scene size-up and thinking about the forces involved in the injury. Looking for evidence of a facial injury and broken teeth. Listening for complaints of pain in the legs. Having bystanders tell you a person may have hit their head.

Performing a scene size-up and thinking about the forces involved in the injury.

Which of the following would be most appropriate to do to control a nosebleed? Place cotton or tissues firmly in each nostril. Pinch the nostrils while the person tilts their head way back. Pinch the nostrils while the person sits with the head slightly forward. Allow blood coming from the nose to flow freely. None of the above.

Pinch the nostrils while the person sits with the head slightly forward.

While giving care to a person with a head, neck or spinal injury, you find that you are unable to maintain an open airway and need to leave them to call 9-1-1. Which action would be most appropriate? Place the person in a recovery position. Use a pillow to raise the person's head and neck slightly. Turn the head to look for a foreign object in the mouth. Prepare to give rescue breaths.

Place the person in a recovery position.

Which of the following is not a recommended care step for a person with an embedded object in the eye. Place the person face-up and enlist someone to help stabilize the person's head. Remove the embedded object. Stabilize the object by encircling the eye with a gauze dressing or soft sterile cloth, without applying any pressure to the area. Position bulky dressings around the embedded object and then cover it with a shield, such as a paper cup, making sure the cup does not touch the object. Bandage the shield and dressing in place with a self-adhering bandage and roller bandage covering the person's injured eye as well as the uninjured eye.

Remove the embedded object.

You come upon the scene of a motor-vehicle crash and suspect that a passenger has a head, neck or spinal injury. You notice that the person is lying face-down and motionless. How would you begin to care for this person? Roll the person onto their back without twisting the spine to check for breathing. Roll the person on their side and check for signs of life. Perform rescue breathing on the person in the position in which you found them. Try to give rescue breaths while the person is lying face-down.

Roll the person onto their back without twisting the spine to check for breathing.

The bundle of nerves that runs through the hollow part of the vertebrae is called the: Spinal cord. Spinal cartilage. Spinal column. Vertebral column.

Spinal cord.

To perform manual stabilization with a victim of a head, neck or back injury, you should- Support the victim's head in the position you found it. Move the head so the spine is in-line with the body. Splint the neck so that the head does not move any further. Move the victim so that he or she is lying on one side of his or her body.

Support the victim's head in the position you found it.

To help prevent further damage to the spinal column for a person with a head, neck or spinal injury, you would: Place your hands on both sides of the person's head while gently pulling the head away from the body slightly, maintaining this position. Place your hand on the person's forehead to stabilize the head in line with the rest of their body. Tell the person to roll onto their side in case they vomit. Tell the person to remain still and avoid moving their head, neck or back. None of the above, do not touch the victim.

Tell the person to remain still and avoid moving their head, neck or back.

A person is awake and bleeding from a mouth injury but has no suspected head, neck or spine injuries. It is recommended that the person be allowed to sit with the head tilted slightly forward to allow any blood that may accumulate to drain out of the mouth.

True

As you control bleeding with direct pressure to the victim's scalp, you feel a depression, a spongy area or a bone fragment. This may indicate that there is a skull fracture.

True

You should assume a possible head, neck or spine injury if the victim was involved in a motor vehicle crash.

True

Which of the following would be effective in helping to prevent head, neck and spinal injuries? Wearing lap and shoulder restraints when in the car Using small area rugs on bare floors Keeping hallways dimly lit at all times Pulling heavy objects out of reach over the head

Wearing lap and shoulder restraints when in the car

How does care for an injury to the cheek differ from care for other soft tissue injuries? You should not apply direct pressure to cheek wounds. You should not place dressings on a wound to the cheek. You can control bleeding from both sides of the wound. You should not use gloves or another barrier when controlling bleeding. A & B

You can control bleeding from both sides of the wound.

You perform the manual stabilization technique by placing- Your hand on the victim's forehead to stabilize the head in line with the rest of the victim's body. Your hands on both sides of the victim's head and gently pulling the head away from the body slightly, maintaining this position. Your hands on both sides of the victim's head and supporting the head in the position found. Your hands on both sides of the victim's head and slowly moving it to a normal position.

Your hands on both sides of the victim's head and supporting the head in the position found.

You should apply direct pressure, to control bleeding, to the following - a scraped knee fractured skull with an open wound a bleeding eye lid all of the above

a scraped knee

True or false: An embedded object in the eye should be removed to give care to the wound.

False

True or false: Blood or other fluid draining from the mouth is an indication of a serious head, neck or spinal injury.

False

True or false: Trained lay responders are generally able to determine the exact extent of damage in head, neck and spinal injuries so that they can tell emergency medical services (EMS) personnel about the injury.

False

True or false: When caring for a person with a head, neck or spinal injury, you would move the person's head so that it is in line with the body.

False

A person has an open wound on the scalp that is bleeding. While beginning to apply pressure to the area, you feel a depression. Which action would be most appropriate? Applying pressure directly on the depression with a sterile dressing Loosely applying several dressings using a roller bandage Applying pressure on the area around the wound Covering the area with an occlusive dressing

Applying pressure on the area around the wound

You control bleeding for a scalp wound that may have an underlying skull fracture by- Applying direct pressure on the wound. Applying direct pressure around the wound. Using the victim's hair to cover the wound. Using a pressure dressing on the wound.

Applying direct pressure around the wound.

The first and most important signal of a serious head injury is- The inability to breathe. A severe headache. Epileptic seizures. An altered level of consciousness.

An altered level of consciousness.

When caring for a large laceration to the neck, you should apply- An occlusive dressing to avoid getting air into a vein. Direct pressure over the carotid arteries. A pressure bandage around the neck. A pressure dressing around the neck.

An occlusive dressing to avoid getting air into a vein.

You have been moving and lifting boxes all day. While lifting a small box, you feel a sudden sharp pain in the lower back and cannot finish the task. You walk over to the nearest chair and sit down. How would you care for this injury? Apply hot packs and then cold packs to relieve the pain. Call 9-1-1 or the designated emergency number immediately. Apply cold and consult a physician about further care. Take pain-relieving medications and rest for a few days. Apply heat and consult a physician about further care.

Apply cold and consult a physician about further care.

When giving care to a person with a suspected head, neck or spinal injury, you observe the person's level of consciousness and: Body temperature. Breathing. Heart rate. Skin color. Blood pressure.

Breathing.

Which of the following would be the best way to remove a small foreign body, such as pollen or an eyelash, from the eye? Blink the eye several times, allowing tears to remove the foreign body. Rub the eye to encourage tear production. Wipe the eye with a tissue or piece of cotton. Use tweezers to grasp any visible foreign body. All of the above.

Blink the eye several times, allowing tears to remove the foreign body.

General care for head, neck and spinal injuries as a trained lay responder includes which of the following? Caring for life-threatening conditions Cooling the body Placing a splint on the neck Holding the head still Giving CPR to the victim

Caring for life-threatening conditions

Which of the following would be the first and most important sign of a serious head injury? Minor bleeding from the chin Epileptic seizures A severe headache Change in level of consciousness Swelling at the injury site.

Change in level of consciousness

You are playing ball and someone on the other team gets hit in the head with a baseball bat. The person is awake, but you notice blood coming from his right ear canal. Which action would be most appropriate? Apply direct pressure and a cold pack on the ear. Plug the ear with a sterile dressing and call 9-1-1 or the designated emergency number. Use direct pressure to stop the bleeding and then place a dressing over the ear. Cover the ear lightly with a sterile dressing and call 9-1-1 or the designated emergency number.

Cover the ear lightly with a sterile dressing and call 9-1-1 or the designated emergency number.

Blood or other fluid draining from the mouth is an indication of a serious head, neck or back injury.

False

It is important to minimize the movement of a person's head, neck and spine if you suspect an injury to that area since excessive movement can cause the heart to beat erratically.

False

Paralysis from a vertebral injury results from: Damage to the spinal cord. Damage to the vertebral column. Sprains to ligaments around the spinal column. Fractures to the vertebrae.

Damage to the spinal cord.

After you control a nose bleed, it is important to ask the victim to blow his nose to remove excess blood from the nostrils that may drain into the throat causing the victim to choke.

False

Why is it recommended that conscious victims of severe mouth injuries who have no suspected head, neck or back injuries be allowed to sit with the head tilted slightly forward? to allow blood to drain from the mouth. to keep the airways open. to prevent movement of the head, neck or spine. to lessen the chance of the victim passing out or losing consciousness.

to allow blood to drain from the mouth.


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