A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
transport her to the emergency department.
Which of the following findings would be LEAST suggestive of a head injury?
briskly constricting pupils when exposed to light
A 39-year-old female experienced a severe closed head injury. She is unconscious with her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation, you should:
close her eyes and cover them with a moist dressing
Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with
a brain injury
The optic nerve endings are located within the
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:
irrigate both eyes continuously for 20 minutes with plain water.
Frequent reassessments of the patient with face or neck injuries are MOST important because:
such injuries can affect the respiratory system
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:
a blowout fracture
The skin and underlying tissues of the face:
have a rich blood supply and bleed profusely
A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the nose. His is conscious and alert with adequate breathing. The MOST appropriate care for this patient includes:
leaning him forward and pinching his nostrils together
The upper jawbones are called the:
Which of the following statements regarding anterior nosebleeds is correct?
They usually originate from the septum area and bleed slowly
The inner surface of the eyelids and the exposed surface of the eye itself are covered by a delicate membrane called the:
The eyeball itself is referred to as the:
Significant trauma to the face should increase the EMT's index of suspicion for a
spinal cord injury
The cricoid cartilage:
is the only complete circular cartilage of the trachea
Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:
direct pressure using dry, sterile dressings
A 44-year-old male sustained a laceration to his left ear during a minor car accident. Your assessment reveals minimal bleeding. Appropriate care for this injury includes:
padding between the ear and the scalp
A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should:
suction her oropharynx for 15 seconds
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:
a specialist may need to be called
The mastoid process is located approximately:
1″ posterior to the external opening of the ear
The MOST significant complication associated with facial injuries is
The small, rounded, fleshy bulge immediately anterior to the ear canal is called the
A patient who is complaining of seeing flashing lights, specks, or "floaters" in his or her field of vision has MOST likely experienced:
a detached retina
The opening in the center of the iris, which allows light to move to the back of the eye, is called the
Which of the following statements regarding the vitreous humor is correct?
It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost
Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect
a laryngeal fracture
A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include:
irrigating his right eye laterally
You are dispatched to a convenience store, where the clerk sustained a laceration to the side of his neck during a robbery attempt. During your assessment, you note bright red blood spurting from the laceration. You should:
apply direct pressure above and below the wound
When a light is shone into the pupil:
it should become smaller in size
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:
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should:
carefully remove the contact lenses and then irrigate his eyes with saline
A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but with obvious difficulty. Your rapid trauma 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:
rapidly transporting her to the hospital.
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should:
cover both of his eyes and transport to the hospital.
You are assessing a 59-year-old male who complains of diplopia. When obtaining the patient's medical history, it is MOST pertinent to ask him if he:
has a history of eye surgeries.
The lower jaw bone is called the:
The light-sensitive area of the eye where images are projected is called the:
The conjunctiva is kept moist by fluid produced by the
the lacrimal gland
A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a soda bottle against a wall. There is moderate bleeding and the patient states that she cannot see out of the injured eye. You should:
avoid applying pressure to the globe when you are covering the eye.
A young female was involved in a motor-vehicle crash. She complains of pain to her left eye, which appears to have a piece of glass impaled in it. Further assessment reveals a large laceration to her left forearm with active venous bleeding. As your partner maintains manual stabilization of the patient's head, you should:
apply direct pressure to her arm wound.
The white portion of the eye is called the:
The term "hyphema" is MOST accurately defined as:
blood in the anterior chamber of the eye
What is the function of the sternocleidomastoid muscle?
allows movement of the head
A construction worker has a large sliver of metal impaled in his right eye. The MOST appropriate treatment for this injury includes:
stabilizing the object and covering both of his eyes
You are transporting a 20-year-old male with a laceration to the left external jugular vein. You have successfully controlled bleeding from the wound. Suddenly, he experiences an acute onset of labored breathing and cyanosis. You should suspect:
an acute air embolism
When caring for a patient with an open facial injury, the EMT-B must:
wear gloves and facial protection
Approximately 80% of the eyeball is protected by the:
In the normal, uninjured eye:
the pupils are equal in size and move together in the same direction.
You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should:
turn the backboard on its side
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 facial area 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, pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should:
apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.