Chapter 27 Quiz

Question 1

A 30-year-old female presents with redness, inflammation, and pain to her left eye. During your assessment, you note that she is having difficulty keeping her eyes open. You should suspect that she is experiencing:
Select one:
A. a detached retina.
B. conjunctivitis.
C. a corneal abrasion.
D. acute retinitis.

Answer 1

B. conjunctivitis.

Question 2

A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
Select one:
A. transport her to the emergency department.
B. thoroughly flush her ear with sterile saline.
C. remove the peanut with a cotton-tipped swab.
D. use tweezers to try to remove the object.

Answer 2

A. transport her to the emergency department.

Question 3

A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
Select one:
A. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.
B. fully immobilize her spine, irrigate her empty tooth sockets, attempt to locate the dislodged teeth, and transport.
C. apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard the dislodged teeth, and transport.
D. assist ventilations with a BVM device, immobilize her spine, suction her oropharynx for 30 seconds, and transport.

Answer 3

A. fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.

Question 4

A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is:
Select one:
A. careful monitoring her vital signs.
B. rapidly transporting her to the hospital.
C. quickly immobilizing her spinal column.
D. requesting a paramedic ambulance.

Answer 4

B. rapidly transporting her to the hospital.

Question 5

A factory worker was splashed in the eyes with a strong acid chemical. He complains of intense pain and blurred vision. Your ambulance does not carry bottles of sterile saline or water. You should:
Select one:
A. irrigate both eyes continuously for 20 minutes with plain water.
B. flush both eyes with an alcohol-based solution and transport.
C. neutralize the acid chemical in his eye with an alkaline chemical.
D. mix baking soda with water and irrigate his eyes with the solution.

Answer 5

A. irrigate both eyes continuously for 20 minutes with plain water.

Question 6

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:
Select one:
A. direct pressure using dry, sterile dressings.
B. pressure dressings and chemical ice packs.
C. ice packs and elevation of the patient’s head.
D. digital pressure to an adjacent pulse point.

Answer 6

A. direct pressure using dry, sterile dressings.

Question 7

Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:
Select one:
A. a blowout fracture.
B. optic vessel compression.
C. a ruptured eyeball.
D. a lacerated globe.

Answer 7

A. a blowout fracture.

Question 8

If your patient swallows blood following facial trauma, there is an increased risk of \_\_\_\_\_\_\_\_.
Select one:
A. altered LOC
B. GI trauma
C. hypotension
D. vomiting

Answer 8

D. vomiting

Question 9

Significant trauma to the face should increase the EMT's index of suspicion for a(n):
Select one:
A. airway obstruction.
B. basilar skull fracture.
C. displaced mandible.
D. spinal column injury.

Answer 9

D. spinal column injury.

Question 10

The Adam’s apple is:
Select one:
A. below the thyroid cartilage and forms the upper part of the trachea.
B. the lower part of the larynx that is formed by the cricoid cartilage.
C. the small indentation in between the thyroid and cricoid cartilages.
D. the upper part of the larynx that is formed by the thyroid cartilage.

Answer 10

D. the upper part of the larynx that is formed by the thyroid cartilage.

Question 11

The MOST significant complication associated with facial injuries is:
Select one:
A. damage to the eyes.
B. mandibular immobility.
C. cervical spine injury.
D. airway compromise.

Answer 11

D. airway compromise.

Question 12

The superficial temporal artery can be palpated:
Select one:
A. at the angle of the jaw.
B. just anterior to the tragus.
C. over the mastoid process.
D. slightly above the ear.

Answer 12

B. just anterior to the tragus.

Question 13

The upper jawbones are called the:
Select one:
A. maxillae.
B. zygoma.
C. mastoid.
D. mandible.

Answer 13

A. maxillae.

Question 14

When a light is shone into the pupil:
Select one:
A. the opposite pupil should dilate.
B. both pupils should dilate together.
C. it should become smaller in size.
D. it should become larger in size.

Answer 14

C. it should become smaller in size.

Question 15

When caring for a patient with an open facial injury, the EMT’s immediate priority should be to:
Select one:
A. manually stabilize the patient’s head.
B. wear gloves and facial protection.
C. consider the mechanism of injury.
D. closely assess the patient’s airway.

Answer 15

B. wear gloves and facial protection.

Question 16

When performing a full body scan, you should assess for \_\_\_\_\_\_\_\_.
Select one:
A. SAMPLE
B. DCAP-BTLS
C. OPQRST
D. AVPU

Answer 16

B. DCAP-BTLS

Question 17

When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient’s injuries because:
Select one:
A. it saves time on repeat assessments at the hospital.
B. they must make arrangements for an ICU bed.
C. most patients with facial trauma will need surgery.
D. they may need to call a specialist to see the patient.

Answer 17

D. they may need to call a specialist to see the patient.

Question 18

Which of the following statements regarding anterior nosebleeds is correct?
Select one:
A. They usually originate from the septum area and bleed slowly.
B. They cause blood to drain into the posterior pharynx.
C. They are usually caused by a fracture of the basilar skull.
D. They are usually severe and require aggressive treatment to control.

Answer 18

A. They usually originate from the septum area and bleed slowly.

Question 19

Which of the following statements regarding the vitreous humor is correct?
Select one:
A. It is a clear, watery fluid surrounding the eye and can be replaced if it is lost.
B. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.
C. It is a clear fluid that is produced by the lacrimal glands and cannot be replaced if it is lost.
D. It is a clear, watery fluid that is located in front of the lens and can be replaced if it is lost.

Answer 19

B. It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.

Question 20

You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert. When obtaining his medical history, it is MOST pertinent to ask him if he:
Select one:
A. has a history of eye surgeries.
B. regularly sees a family physician.
C. noticed the change during a meal.
D. is allergic to any medications.

Answer 20

A. has a history of eye surgeries.