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EMT Face, Head, Neck, and Spine Trauma

Total questions: 25

Worksheet time: 26mins

Name
Class
Date
1.

Identify the maxilla.

a)

1

b)

2

c)

3

d)

7

e)

9

2.

Which part of the neck makes the Adam's Apple?

a)

Upper larynx formed by the thyroid cartilage

b)

Upper larynx formed by the cricoid cartilage

c)

The thyroid and cricoid cartilage together

d)

The cricothyroid membrane

3.

What is the purpose of the foramen magnum?

a)
To protect the brain from injury.
b)
To facilitate the growth of brain tissue.
c)
To allow blood circulation to the brain.
d)
To serve as a point of attachment for neck muscles.
e)
To allow the passage of the spinal cord and connect the brain to the spinal column.
4.

What is the difference in function between the optic nerve and the oculomotor nerve ?

4 lines
5.

Which of the following is true?

a)

The face and neck are extremely vascular and minor injuries can result in significant bleeding.

b)

Hemorrhaging is the only threat to the airway with facial injuries.

c)

Blood loss from face and neck injuries are more significant in adults than pediatrics.

d)

C-spine injuries do not need to be considered in soft tissue facial trauma.

6.

What is conjunctivitis?

a)

Irritation of the pupils

b)
A bacterial infection of the throat
c)

A reaction of the eye when exposed to pollen

d)

Inflammation of the membranes that cover the inner surface of the eye

e)
A viral infection of the skin
7.

You respond to a local daycare for an 4 year old female c/o eye irritation after another student threw sand in her face. You note that her (L) eye is red and the patient is having difficulty opening it. No other injuries are noted. You should:

a)

Use a bulb syringe and flush the eye with saline from the lacrimal duct outward

b)

Irrigate the entire face with sterile water

c)

Expediate transport as this injury can cause permanent visual damage

d)

Use a nasal cannula and direct water across the face to cleanse both eyes

e)

None of the above

8.

You are treating a 22 y/o male who fell off the back of a pickup truck while tailgating. A stick was impaled into his (R) eye. you should: Select all that apply.

a)

Use a Styrofoam cup to cover the injured eye

b)

Prepare a doughnut ring to stabilize the impaled object

c)

Cover both eyes

d)

Prevent sympathetic eye movement

e)

Remove the impaled object an apply direct pressure to stop the bleeding

9.

Diplopia, sensation loss above eye/below cheek, and upward gaze paralysis are all signs and symptoms of what type of fracture?

a)

Zygomatic Fracture

b)

Blowout Fracture

c)

Mandibular Fracture

d)

Maxillary Fracture

10.

Which of the following is trues concerning burns to the eyes?

a)

Chemical burns require a minimum irrigation time of 3 minutes

b)

Retinal injuries from bright lights typically aren't painful

c)

UV ray burns may be initially painful but then pain dissipates

d)

You should never remove a contact lens to treat burns

11.

What is this?

a)

Retinal Detachment

b)

Aqueous Humor Leak

c)

Hyphema

d)

Globe Laceration

12.

Management of hyphema includes all of the following except: Select all that apply

a)

Direct pressure to the eye

b)

Elevate the head of the stretcher 40 degrees

c)

Taping eyes shut

d)

Irrigating the eye

13.

Which type of facial fracture is most common?

a)

Nasal

b)

Orbital

c)

Mandibular

d)

Zygomatic

14.

You are treating a female patient who has soft tissue injuries to her face around her nose secondary to an MVC. Further assessment reveals crepitus to the upper neck. The patient is breathing 4/min. You should:

a)

Apply a NRB

b)

Insert an NPA and ventilate

c)

Attempt to open the airway with a jaw thrust

d)

Ventilate without opening the airway

e)

Roll her on her side and apply direct pressure to her face

15.

What is the most common cause of epistaxis?

4 lines
16.

Which of the following is correct in the management of avulsed teeth? Select All that apply.

a)

Handle the tooth by the root

b)

Do not allow the tooth to dry

c)

Rinse with salt water

d)

Place the tooth in milk or saline

e)

Place the tooth in the pt's saliva

17.

What type of fracture is this?

a)

Le Fort I

b)

Le Fort II

c)

Le Fort III

d)

Le Fort IV

18.

You are treating a male patient involved in a bar fight who has sustained several injuries to the face an neck. Your assessment reveals subcutaneous emphysema, dysphagia, and hemoptysis. You suspect:

a)

Mediastinitis

b)

Jugular Air Embolism

c)

Carina Dislocation

d)

Laryngeal Fracture

19.

You are treating a patient with a suspected linear fracture to the left parietal lobe. The area is bleeding profusely. You should:

a)

Cover with a gloved hand and apply direct pressure

b)

Apply a pressure bandage

c)

Cover the area with dressings and apply light pressure with bandages

d)

None of the above

20.

Which of the following is the responsibility of the frontal lobe?

a)

Personality & Reasoning

b)

Somatic Muscle Control

c)

Autonomic Muscle Control

d)

Speech

e)

Smell and Vision

21.

What division of the nervous system controls involuntary bodily functions?

4 lines
22.

What is the most common type of skull fracture?

a)

Linear

b)

Basilar

c)

Depressed

d)

None of the above

23.

Which vital signs indicate Cushing's Triad?

a)

BP 180/90

RR 25 and labored

HR 58

b)

BP 172/88

RR 18 and shallow

HR 66

c)

BP 166/100

RR 22 and deep

HR 56

d)

BP 170/92

RR 10 and erratic

HR 57

24.

Give an example of a distraction spine injury.

4 lines
25.

How does the presentation of neurogenic shock differ from other types of shock?

4 lines