Deck 3: Neck and Facial Trauma

Question 1

Lacerations that are on the outer surface of the eyelid are complex and may require a specialist to repair the laceration to prevent eyelid dysfunction.

Answer 1

False

Question 2

During a(n) ____, force causes an inferior and medial displacement of the orbital walls, without fracturing the stronger and thicker orbital rim.

A) global orbit fracture
B) orbital blowout fracture
C) global medial rupture
D) Tympanic membrane blowout

Answer 2

orbital blowout fracture

Question 3

The ____ fracture is a horizontal fracture of the maxilla that causes a separation of the hard palate from the rest of the face.

A) Le Fort I
B) Le Fort II
C) Le Fort III
D) Le Fort IV

Answer 3

Le Fort I

Question 4

In a patient who has received blunt trauma to the face, globe ruptures may not be immediately noticeable, especially if the patient has altered mental status due to a head injury or intoxication.

Question 5

____ tooth fractures extend down to the pulp and can be extremely painful.

A) Ellis I
B) Ellis II
C) Ellis III
D) Ellis IV

Question 6

The two muscles that are most likely trapped are the inferior rectus muscle in orbital floor fractures and the ____ muscle in medial wall fractures.

A) lateral rectus
B) medial rectus
C) superior rectus
D) inferior oblique

Question 7

Laryngotracheal injury occurs frequently in blunt trauma.

Question 8

The ____ is the most injured part of the body when children play baseball.

A) face
B) neck
C) arm
D) leg

Question 9

Both blunt and penetrating trauma can cause injury to the head, face, and neck.

Question 10

A ____ fracture occurs when the fracture line is along the separation between the cranial bones and the facial bones.

A) Le Fort I
B) Le Fort II
C) Le Fort III
D) Le Fort IV

Question 11

In general, orbital fractures are serious injuries.

Question 12

A ____ fracture occurs slightly posteriorly and involves separation of the nasal bones and maxilla from the rest of the face.

A) Le Fort I
B) Le Fort II
C) Le Fort III
D) Le Fort IV

Question 13

____ tooth fractures only involve the enamel and tend to not produce significant pain.

A) Ellis I
B) Ellis II
C) Ellis III
D) Ellis IV

Question 14

Injuries to the mid to lower airways can affect the Paramedic's ability to maintain a patent airway.

Question 15

Facial injuries most commonly occur in the setting of penetrating trauma.

Question 16

If the inferior rectus muscle is trapped in the orbital fracture fragments, the patient will not be able to look ____ and may have pain with extraocular movements (EOM).

A) left
B) right
C) upward
D) downward

Question 17

Auricular hematomas require drainage at the emergency department.

Question 18

Scalp wounds may require direct pressure or pressure bandaging.

Question 19

Patients who have the potential for multiple system injuries should be transported directly to a Level I or Level II Trauma Center.

Question 20

A French surgeon by the name of ____ studied fracture patterns of the facial bones by applying forces to the face using various methods.

A) Dr. Pierre Curie
B) Dr. René Le Fort
C) Dr. Georges Duby
D) Dr. Paul Langevin

Question 21

Laryngotracheal injury occurs infrequently in blunt trauma but is present in up to ____ of penetrating neck trauma.

A) 10%
B) 20%
C) 40%
D) 50%

Question 22

____ may occur either from direct penetrating trauma to the tympanic membrane (for example, from a projectile or cotton-tipped swab) or can occur from barotraumas, often seen with blast injuries.

A) Orbital fracture
B) Retinal detachment
C) Tympanic membrane perforation
D) Dental malocclusion

Question 23

From a ventilation standpoint, the Paramedic should treat a tension pneumothorax with ____.

A) needle decompression
B) direct pressure
C) intubation
D) analgesia

Question 24

A loss of the eyeball's integrity is called a(n) ____.

A) socket crumple
B) rotational malocclusion
C) orbital blowout
D) globe rupture

Question 25

Patients who receive direct blunt trauma to the ear may also develop bleeding within the cartilage and soft tissues that make up the ear, which may result in a(n) ____.

A) subarachnoid hemorrhage
B) contrecoup injury
C) diffuse axonal injury
D) auricular hematoma

Question 26

A(n) ____ is blood that collects in the anterior chamber of the eye between the cornea and the iris.

A) auricular hematoma
B) hyphema
C) membrane perforation
D) hygroma

Question 27

Any hoarseness of the patient's voice or difficult or painful swallowing should alert the Paramedic to the potential for an impending ____ issue.

A) neurological
B) airway
C) circulatory
D) cardiac

Question 28

Clear fluid from the nose or ear, ecchymosis around the eyes, or ecchymosis at the base of the skull suggests a ____.

A) depressed skull fracture
B) diastatic skull fracture
C) basilar skull fracture
D) linear skull fracture

Question 29

As with all trauma patients, the Paramedic should assess for and immediately treat all conditions that compromise the airway, breathing, and ____.

A) circulation
B) blood pressure
C) reflexes
D) cardiac output

Question 30

Symptoms associated with a cerebrovascular accident often begin ____ the accident.

A) immediately following
B) an hour after
C) several hours after
D) several days after

Question 31

In ____, the iris is contused and has difficulty contracting.

A) subconjunctival hemorrhage
B) iris detachment
C) traumatic iritis
D) globe rupture

Question 32

Injuries that penetrate the ____, the sheet-like muscle that superficially covers the anterior portion of the neck from the floor of the mouth to the clavicle, typically undergo surgical exploration.

A) rhomboid
B) platysma
C) splenius
D) deltoid

Question 33

____ tooth fractures run through the enamel into the dentin, leaving the yellowish colored dentin exposed.

A) Ellis I
B) Ellis II
C) Ellis III
D) Ellis IV

Question 34

In a ____, the retina lifts up from the posterior portion of the globe, interrupting its blood supply and causing ischemia.

A) subconjunctival hemorrhage
B) retinal hemorrhage
C) globe rupture
D) retinal detachment

Question 35

____ occurs due to capillary leaking within the conjunctiva over the sclera.

A) Subconjunctival hemorrhage
B) Tympanic membrane perforation
C) Retinal detachment
D) Auricular hematoma