Ch. 28 Flashcards

(21 cards)

1
Q

Bleeding from soft-tissue injuries to the face is most effectively controlled with:

-Ice pack and elevation of the patient’s head
-Digital pressure to an adjacent puise point
-Direct pressure using dry, sterile dressings
-Pressure dressing and chemical ice packs

A

Direct pressure using dry, sterile dressings

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2
Q

Facial injuries should be identified and treated as soon as possible because:

-Swelling might mask hidden injuries
-Bleeding must be controlled early
-Of the risk for airway problems
-The spine might be injured as well

A

Of the risk for airway problems

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3
Q

Frequent reassessments of the patient with face or neck injuries are most important because:

-Hospital staff frequent patient updates
-They end credibility to your documentation
-Such injuries can affect the respiratory system
-Rapid facial swelling might mask hidden system

A

Such injuries can affect the respiratory system

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4
Q

The cricoid cartilage:

-Lies superior to the thyroid cartilage in the neck
-Lies superior to teh cricothyroid membrane in the neck
-Is easier to see and palpate than the thyroid cartilage
-Is the only complete circular cartilage of the trachea

A

Is the only complete circular cartilage of the trachea

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5
Q

The eyeball itself is referred to as the:

-Orbit
-Sclera
-Globe
-Cornea

A

Globe

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6
Q

The inner surface of the eyelids and the expose surface of the eye itself are covered by a delicate membrane called the:

-Retina
-Sclera
-Conjunctiva
-Cornea

A

Conjunctiva

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7
Q

The skin and underlying tissues of the face:

-Have a rich blood supply and bleed profusely
-Are well protected by the maxillae and mandible
-Swell minimally when exposed to blunt trauma
-Contain a relatively small number of never fibers

A

Have a rich blood supply and bleed profusely

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8
Q

The white portion of the eye is called the:

-Cornea
-Iris
-Retina
-Sclera

A

Sclera

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9
Q

When a light is shone into the pupil:

-It should become larger in size
-The opposite pupil should dilate
-Both pupils should dilate together
-It should become smaller in size

A

Both pupils should dilate together

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10
Q

Which of the following findings would be least suggestive of a head injury:

-Briskly constricting pupils when exposed to light
-One pupil larger in size than the other pupil
-Failure of the eyes to move in the same direction
-Failure of the eyes to follow movement of an object

A

Briskly constricting pupils when exposed to light

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11
Q

Which of the following statements regarding the “Adam’s apply” is false?

-It is inferior to the cricoid cartilage
-It is formed by the thyroid cartilage
-It is the uppermost part of the larynx
-It is more prominent in men than in women

A

it is inferior to the cricoid cartilage

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12
Q

The globe of the eye is also called the:

-Lens
-Orbit
-Retina
-Eyeball

A

Eyeball

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13
Q

When a person is looking at an object op close, the pupils should:

-Dilate
-Constrict
-Remain the same size
-Dilate, and then constrict

A

Constrict

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14
Q

When caring for a chemical burn to the eye, the EMT should:

-Prevent contamination of the opposite eye
-Immediately cover the injured eye with a sterile dressing
-Avoid irrigating the eye, as this may cause further injury
-Irrigate both eyes simultaneously, even if only one eye is injured

A

Prevent contamination of the opposite eye

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15
Q

Which of the following signs is least indicative of a head injury?

-Asymmetrical pupils
-Pupillary constriction to bright light
-Both eyes moving in opposite directions
-Inability to look upward when instructed to

A

Pupillary contraction to bright light

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16
Q

The purpose of the Eustachian tube is to:

-Move in response to sound waves
-Transmit impulses from the brain to the ear
-Equalize pressure in the middle ear when external pressure changes
-House fluid within the inner chamber of the ear and support balance

A

Equalize pressure in the middle ear when external pressure changes

17
Q

When caring for a patient with facial trauma, the EMT should be most concerned with:

-Spinal trauma
-Airway compromise
-Associated eye injuries
-Severe external bleeding

A

Airway compromise

18
Q

The presence of subcutaneous emphysema following trauma to the face and throat to most suggestive of:

-Esophageal injury
-Cervical spine fracture
-Crushing tracheal injury
-Carotid artery laceration

A

Crushing tracheal injury

19
Q

A 21-year-old male has a larger 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:

-Apply a pressure dressing to his neck
-Sit the patient up to slow the bleeding
-Place your gloved hand over the wound
-Apply 100% oxygen via non-rebreathing mask

A

Place your gloved hand over the wound

20
Q

Which of the following mechanisms of injury would most likely cause a crushing injury of the larynx and/or trachea?

-Attempted suicide by hanging
-Gunshot wound to the lateral neck
-Car crash involving lateral impact
-Patient whose head hits the windshield

A

Attempted suicide by hanging

21
Q

What is subcutaneous emphysema?

A

Crackling sensation produced by the presence of air