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Prehospital Emergency Care Practice Test: Handing Eye, Face, and Neck Trauma
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Here are some signs of serious head injuries: Altered consciousness, Skull deformities, Clear fluid from the ears or nose, Vision changes, and Nausea and vomiting.  First aid for head injuries includes: Encouraging the injured person to minimize any movement of their head or neck Controlling any significant blood loss from head wounds with direct pressure and a dressing Monitoring their airway and breathing until the arrival of an ambulance  Some signs of penetrating neck trauma include: Minor hemoptysis Hematemesis Dysphonia Dysphagia Subcutaneous, or mediastinal air Non-expanding... Show more
Prehospital Emergency Care Practice Test: Handing Eye, Face, and Neck Trauma
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25 Questions

1. A young male who was drinking heavily has been involved in a motor vehicle accident. As an unrestrained driver, his head went through the driver's-side window; in the process, a portion of his ear was severed. Blood is now coming from the remaining portion of his left ear. In overseeing the care of this patient, which action by another EMT would require corrective action?
2. A 21-year-old male has a stab wound to the left side of his neck. Emergency Medical Responders are holding manual spine motion restriction. As you approach the patient, you note blood on his shirt and pale-looking skin color. As team leader, which direction would you give first?
3. A young boy riding an ATV did not see a chain stretched between two poles and hit it with his neck while traveling forward. Subsequently, he was thrown backward from the vehicle with significant force. He was not wearing a helmet. Emergency Medical Responders are with the patient and are holding manual spine motion restriction as well as administering oxygen. When you are assessing this patient, which sign would indicate the injury that must be addressed and managed first?
4. A patient complains of pain and discomfort to the left eye after being hit in the face with a cloud of dust while working at a manufacturing complex. As you specifically assess the eye, you note some redness to the globe but do not see any obvious foreign object. The most appropriate care you can provide to this patient would be:
5. While running in a parking lot, a young boy tripped and fell. He hit his face and mouth on a curb, knocking one of his top front teeth from its socket. Bleeding has been controlled and the tooth found. Which instructions would you give your partner when caring for the tooth?
6. A baseball player was struck in the side of the face by a baseball. Assessment findings include swelling and numbness to the left side of the face and left eyelid, as well as crepitus in the same area. Assessment of the eye reveals no obvious injury. The patient denies any problem with his eyesight, but is having difficulty visually tracking your finger upward. What would be appropriate care for this injury?
7. During an altercation, an intoxicated male was cut with a sharp knife. Assessment reveals a laceration, oozing dark red blood, across the right eyelid down to the right cheek. It also appears that the patient's eye was cut with the knife, a suspicion reinforced by the patient's complaint of eye pain and collection of blood in the sclera. The EMT would:
8. When assessing a male patient who was punched in the face by another man, you detect blood in the white portion of his eye. Which optical structure has been injured?
9. You suspect that a patient has a fracture of the left orbit. Which statement made by the patient would reinforce this suspicion?
10. A young male golfer has been struck in the right eye with a golf club. The upper and lower lids are swollen shut and ecchymotic. There are also blood clots between the two eyelids. What would be an indication that the EMT is providing proper care to this patient?
11. An elderly woman experienced a closed head injury when she fell down five steps. She is responsive to painful stimuli and her breathing is irregular and shallow. When evaluating her airway, you note that she has both upper and lower dentures. Her upper dentures are secure, but her lower dentures are loose. Prior to providing positive pressure ventilation, you would:
12. A 36-year-old male patient was involved in an altercation and now has a 2-inch laceration from a knife to the right side of his neck. Bleeding was controlled prior to your arrival by Emergency Medical Responders. Your paramedic partner has asked you to apply an occlusive dressing to the wound. You recognize that the primary benefit of the action is to:
13. A 3-year-old child has stuck a crayon in his nose. Assessment reveals the crayon to be deeply embedded in the right nostril, with some irritation and swelling noted. His vital signs are pulse, 124 beats/min; respiration, 20 breaths/min; and SpO2, 99%. What would be most appropriate action to take when caring for this child?
14. A construction worker complains of pain to both eyes after an extended period spent welding on a gas well. The light is bothering him, and he rates the pain as a 10/10. He states that this problem occurred once before and was caused by the intense light of his welding tool. The primary assessment reveals no deficits. The patient's vital signs are pulse, 80 beats/min; respirations, 14 breaths/min; blood pressure, 132/68 mmHg; and SpO2, 98%. Although the injury is very painful, his vision is not compromised. Which set of instructions indicates proper care of this patient?
15. Blood in the anterior chamber of the eye is called:
16. While working to build a house, a construction worker was hit in the head by a 2-inch × 4- inch plank that slid from the roof and fell to the ground below. The patient has a sizable laceration to the left side of his face and is spitting and coughing blood. He also lost several teeth, two of which he is holding. Your initial action when caring for this patient would be to:
17. A 22-year-old male attempted to hang himself in a garage using chains suspended from the roof trusses. He was quickly found by family members and taken down to the ground. Currently he is complaining of neck pain as well as mild difficulty breathing. Assessment shows his airway to be patent, breathing adequate, and skin warm and dry. His neck is red, but free of any subcutaneous air or swelling. Your partner has identified an abnormal bony protrusion to a couple of his cervical vertebrae. What should you do first when caring for this patient?
18. A 19-year-old female was assaulted by her intoxicated boyfriend. After punching her in the chest, he slashed her face with a knife. Assessment reveals the patient to be stable with a large laceration from beneath her right eye to her right ear. She is very upset and crying and repeatedly asks you if this injury will leave a permanent scar on her face. Your best response would be:
19. A young girl complains of eye pain after having sand thrown in her face by another girl at the park. When assessing her eyes, you note large particles of sand in the right eye. The sand appears to be on the conjunctiva, which also seems to be scratched and irritated. Your initial management of this injury would be:
20. A man grinding metal took his safety goggles off and was struck in the face with a shower of tiny metal fragments. He now complains of pain and visual disturbance in his right eye. When assessing the eye, you note that the globe is red, with several pieces of metal embedded in the tissue. Proper care of this patient would include:
21. A patient had an unknown chemical splashed into her left eye at a factory. You have been irrigating the eye on scene and are now getting ready to transfer the patient to the stretcher. Knowing that you will need to continue irrigation throughout transport, how will you position this patient on the stretcher?
22. The function of the lens of the eye is to:
23. What is a general guideline to use when deciding whether to remove a patient's contact lenses?
24. A female patient with a maxillary fracture has sustained injury to her:
25. A worker in a factory complex has a sliver of metal lodged in the colored portion of his eye. The EMT would recognize the foreign body as lying in the:

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