Quiz 6-7 Head, Neck, Facial Trauma Pt 2

A ruptured tympanic membrane: commonly results in permanent hearing loss. commonly leads to an infection of the middle ear. is characterized by CSF leakage from the ears. is extremely painful but typically heals spontaneously.

is extremely painful but typically heals spontaneously.

Because significant force is required to fracture the mandible: it is often fractured in more than one place and is unstable to palpation patients with a possible mandibular fracture should be intubated routinely. a mandibular fracture can be ruled out in cases of minor blunt facial trauma. most mandibular fractures are associated with a spinal fracture.

it is often fractured in more than one place and is unstable to palpation

You are transporting a conscious middle-aged woman with anterior neck trauma. She is on high-flow oxygen, has spinal precautions in place, and has a large-bore IV line of normal saline in place. When you reassess her vital signs, you note that her blood pressure is 90/64 mm Hg, her pulse rate is 120 beats/min, and her respirations are 22 breaths/min with adequate depth. You should: keep the patient warm and infuse enough isotonic crystalloid solution to maintain adequate perfusion. begin assisting her ventilations with a bag-mask device, rapidly infuse 2 L of IV fluid, and reassess. start a second IV line and administer crystalloid IV fluids until her systolic blood pressure is at least 100 mm Hg. elevate her legs, apply a blanket, and administer IV fluid boluses until her heart rate is within a normal range.

keep the patient warm and infuse enough isotonic crystalloid solution to maintain adequate perfusion.

Vascular injury following trauma to the anterior neck would MOST likely present with: pulse deficits parasthesia. dysphagia. hemoptysis.

pulse deficits

Which of the following is the MOST significant complication associated with a fractured nasal bone? Facial swelling Damage to the septum Posterior epistaxis Lateral displacement

Posterior epistaxis

A fracture of all midfacial bones, separating the entire midface from the cranium: is almost always accompanied by multiple severe fractures of the mandible. should be stabilized by placing bulky dressings across the fractured area. is referred to as a Le Fort I fracture and most commonly results from a fall. is commonly associated with facial elongation and dental malocclusion.

is commonly associated with facial elongation and dental malocclusion.

If you are unable to orotracheally intubate a patient due to massive maxillofacial trauma and severe oropharyngeal and nasopharyngeal bleeding, you would MOST likely have to perform: digital (tactile) intubation. nasotracheal intubation. a needle or surgical cricothyrotomy. pharmacologically assisted intubation.

a needle or surgical cricothyrotomy.

Significant blunt injuries to the larynx or trachea pose an IMMEDIATE risk of: aspiration of gastric contents. hypovolemic shock. mediastinal inflammation. airway compromise.

airway compromise.

The primary risk associated with oral and dental injuries is: intraoral infection. malocclusion. permanent tooth loss. airway compromise.

airway compromise.

Following blunt trauma to the face, a 30-year-old man presents with epistaxis, double vision, and an inability to look upward. You should suspect: traumatic retinal detachment. an orbital blowout fracture traumatic conjunctivitis. fracture of the cribriform plate.

an orbital blowout fracture

When managing the airway of an unresponsive patient with serious anterior neck trauma and shallow breathing, you should: give oxygen via nonrebreathing mask and apply a pulse oximeter. ventilate the patient with an oxygen-powered ventilation device. assist ventilations with a bag-mask device and prepare to intubate. apply a cervical collar and perform intubation immediately.

assist ventilations with a bag-mask device and prepare to intubate.

Dislocation of the temporomandibular joint: can occur from opening the mouth too widely. requires aggressive airwy management. often requires surgical reduction. causes the patient's mouth to be locked in a closed position

can occur from opening the mouth too widely.

You are caring for a man with a chemical burn to both eyes. The patient, who has contact lenses in place, is in severe pain and tells you that he can't see. Proper care for this patient includes: leaving his contact lenses in place to avoid further injury and transporting at once with irrigation of both eyes performed en route. carefully removing his contact lenses, flushing both eyes for at least 20 minutes, and transporting with continuous eye irrigation. removing his contact lenses, covering both eyes with moist, sterile dressings, administering a narcotic analgesic, and transporting. asking the patient to remove his contact lenses, irrigating both eyes for no more than 10 minutes, covering both eyes with sterile dressings, and transporting.

carefully removing his contact lenses, flushing both eyes for at least 20 minutes, and transporting with continuous eye irrigation.

In addition to massive bleeding, injury to a carotid or vertebral artery would MOST likely cause: an air embolism. cerebral hypoxia. severe bradycardia. hemiparalysis.

cerebral hypoxia.

The ONLY indication for removing contact lenses in the prehospital setting is: cardiopulmonary arrest. chemical eye burns acute conjunctivitis. a foreign body in the eye.

chemical eye burns

A 51-year-old woman sustained a large laceration to her cheek when she was cut by a knife during a robbery attempt. The patient is conscious and alert and has severe oral bleeding. She denies any other trauma. Your FIRST action should be to: manually stabilize her head in a neutral position. ensure that she is sitting up and leaning forward. control the intraoral bleeding with sterile gauze. suction her oropharynx for up to 15 seconds.

ensure that she is sitting up and leaning forward.

Signs and symptoms of retinal detachment include: flashing lights, specks, or floaters in the field of vision. paralysis of upward gaze and greater than 50% loss of central vision. double vision and partial or complete loss of peripheral vision. immediate pain and total loss of vision following blunt eye trauma.

flashing lights, specks, or floaters in the field of vision.

The flattened "dish face" appearance of a Le fort III fracture is due to: multiple maxillary fractures. bilateral fractures of the zygomatic process and the sphenoid bone. fracture of the entire midface, separating it from the cranium. fracture of both the maxilla and the nasal bone.

fracture of the entire midface, separating it from the cranium.

Open soft-tissue facial trauma following a significant mechanism of injury: often requires removal of foreign bodies that are impaled in the face. dictates the need for immediate intubation to protect the patient's airway. is of most concern due to the possibility of permanent disfigurement. Correct! suggests that the patient may have a closed head injury or spinal injury.

suggests that the patient may have a closed head injury or spinal injury.

A flattened appearance to the face and loss of sensation over the cheek following blunt facial trauma is MOST indicative of a(n): Le Fort I fracture. zygomatic fracture temporomandibular joint dislocation. orbital skull fracture.

zygomatic fracture