Trauma 3
50 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most common cause of facial nerve injury at the geniculate ganglion?

  • Fracture of temporal bone (correct)
  • Mandibular injury
  • Scalp lacerations
  • Orbital blowout fractures

    • What is the recommended initial treatment for anterior nosebleeds?

  • Angioembolization
  • Packing (correct)
  • Epidural catheter
  • Balloon tamponade

    • What is the primary indicator of injury in mandibular injuries?

  • Facial nerve injury
  • Temporal bone fracture
  • Malocclusion (correct)
  • Orbital blowout fracture

    • What is the conservative therapy duration for nasoethmoidal orbital fractures with a CSF leak?

    <p>Up to 2 weeks</p> Signup and view all the answers

    What is indicated for prevertebral soft tissue swelling without bony injury?

    <p>MRI</p> Signup and view all the answers

    What is the most common spine injury?

    <p>C-1 burst (Jefferson fracture)</p> Signup and view all the answers

    What is the recommended treatment for a C-2 hangman’s fracture?

    <p>Traction and halo</p> Signup and view all the answers

    What is the primary indication for steroids in spine injury?

    <p>Worsening deficit</p> Signup and view all the answers

    When is the spine considered unstable and in need of operative fixation?

    <p>If more than 1 column is disrupted</p> Signup and view all the answers

    What type of odontoid fracture extends into the vertebral body?

    <p>Type III</p> Signup and view all the answers

    What causes a C-2 hangman's fracture?

    <p>Distraction and extension</p> Signup and view all the answers

    What type of fractures usually involve only the anterior column and are considered stable?

    <p>Compression (wedge) fractures</p> Signup and view all the answers

    What are the components of the middle column of the thoracolumbar spine?

    <p>Posterior ½ of the vertebral body and posterior longitudinal ligament</p> Signup and view all the answers

    What is required for clinical clearance of C-spine?

    <p>No other injuries, GCS 15, not intoxicated, no neck tenderness, and no neuro deficits</p> Signup and view all the answers

    What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?

    <p>Facet fractures or dislocations</p> Signup and view all the answers

    Which imaging technique is needed for neurologic deficits without bony injury to check for ligamentous injury?

    <p>MRI</p> Signup and view all the answers

    What is the most common cause of facial nerve injury?

    <p>Fracture of temporal bone</p> Signup and view all the answers

    What is used to diagnose mandibular and tripod fractures?

    <p>Fine-cut facial CT scans with reconstruction</p> Signup and view all the answers

    What is indicated for emergent surgical spine decompression?

    <p>Fracture or dislocation not reducible with distraction</p> Signup and view all the answers

    What is required for asymptomatic blunt or penetrating neck trauma?

    <p>Neck CTA</p> Signup and view all the answers

    What are patients with maxillofacial fractures at high risk for?

    <p>Cervical spine injuries</p> Signup and view all the answers

    What may be required for completely occluded carotid to prevent clot propagation?

    <p>Plavix or heparin</p> Signup and view all the answers

    What are nasoethmoidal orbital fractures often associated with?

    <p>CSF leak</p> Signup and view all the answers

    What is indicated for blunt cerebrovascular injury after significant blunt head/neck injury?

    <p>Neck CTA</p> Signup and view all the answers

    What may be required for diagnosis of esophageal injuries?

    <p>Esophagoscopy and esophagogram</p> Signup and view all the answers

    What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?

    <p>Upright fall</p> Signup and view all the answers

    What is the primary indicator of injury in mandibular injuries?

    <p>Prevertebral soft tissue swelling without bony injury</p> Signup and view all the answers

    What type of odontoid fracture extends into the vertebral body?

    <p>Type III – extends into vertebral body (will need fusion or halo)</p> Signup and view all the answers

    What causes a C-2 hangman's fracture?

    <p>Distraction and extension</p> Signup and view all the answers

    What is required for clinical clearance of C-spine?

    <p>No other injuries, GCS 15, not intoxicated, no neck tenderness, and no neuro deficits</p> Signup and view all the answers

    What is the recommended imaging technique for diagnosing mandibular and tripod fractures?

    <p>Cone beam CT scan</p> Signup and view all the answers

    What is the primary treatment for completely occluded carotid to prevent clot propagation?

    <p>Clopidogrel (Plavix)</p> Signup and view all the answers

    What is the most common cause of facial nerve injury at the geniculate ganglion?

    <p>Fracture of temporal bone</p> Signup and view all the answers

    What is indicated for asymptomatic blunt or penetrating neck trauma?

    <p>Neck CTA</p> Signup and view all the answers

    What is the primary imaging technique needed for neurologic deficits without bony injury to check for ligamentous injury?

    <p>MRI</p> Signup and view all the answers

    What is the recommended initial treatment for anterior nosebleeds?

    <p>Nasal packing</p> Signup and view all the answers

    What increases the risk for calcaneus, lumbar, and wrist/forearm fractures?

    <p>Upright fall</p> Signup and view all the answers

    What is required for clinical clearance of C-spine?

    <p>Both MRI and CT scan</p> Signup and view all the answers

    What causes a C-2 hangman's fracture?

    <p>Hyperextension injury</p> Signup and view all the answers

    What are nasoethmoidal orbital fractures often associated with?

    <p>Penetrating trauma</p> Signup and view all the answers

    What is the best indication for steroid use in spine injury?

    <p>Worsening deficit</p> Signup and view all the answers

    What is the primary treatment for a C-1 burst (Jefferson fracture)?

    <p>Rigid collar</p> Signup and view all the answers

    What type of odontoid fracture is unstable and will need fusion or halo?

    <p>Type II – at base, unstable</p> Signup and view all the answers

    What must be present for clinical clearance of C-spine?

    <p>No other injuries, GCS 15, not intoxicated, no neck tenderness, and no neuro deficits</p> Signup and view all the answers

    What is the primary treatment for a C-2 hangman’s fracture?

    <p>Traction and halo</p> Signup and view all the answers

    What can cause cord injury and is usually associated with hyperextension and rotation with ligamentous disruption?

    <p>Facet fractures or dislocations</p> Signup and view all the answers

    What indicates that the spine is considered unstable and needs operative fixation?

    <p>Disruption of more than 1 column of the thoracolumbar spine</p> Signup and view all the answers

    What kind of fractures usually involve the anterior column only and are considered stable?

    <p>Compression (wedge) fractures</p> Signup and view all the answers

    What are the components of the middle column of the thoracolumbar spine?

    <p>Posterior ½ of the vertebral body and posterior longitudinal ligament</p> Signup and view all the answers

    What is required for asymptomatic blunt or penetrating neck trauma?

    <p>Clinical clearance of C-spine with GCS 15 and no neck tenderness</p> Signup and view all the answers

    Study Notes

    Management of Trauma to the Neck and Maxillofacial Region

    • Burst fractures are considered unstable and require spinal fusion
    • Upright fall increases the risk for calcaneus, lumbar, and wrist/forearm fractures
    • MRI is needed for neurologic deficits without bony injury to check for ligamentous injury
    • Indications for emergent surgical spine decompression include fracture or dislocation not reducible with distraction
    • Fracture of temporal bone is the most common cause of facial nerve injury
    • Nasoethmoidal orbital fractures often have a CSF leak and may require surgical closure
    • Fine-cut facial CT scans with reconstruction are used to diagnose mandibular and tripod fractures
    • Patients with maxillofacial fractures are at high risk for cervical spine injuries
    • Asymptomatic blunt or penetrating neck trauma requires neck CTA
    • Blunt cerebrovascular injury requires neck CTA for any significant blunt head/neck injury
    • Completely occluded carotid may be treated with Plavix or heparin to prevent clot propagation
    • Esophageal injuries are the hardest neck injury to find and may require esophagoscopy and esophagogram for diagnosis

    Management of Trauma to the Neck and Maxillofacial Region

    • Burst fractures are considered unstable and require spinal fusion
    • Upright fall increases the risk for calcaneus, lumbar, and wrist/forearm fractures
    • MRI is needed for neurologic deficits without bony injury to check for ligamentous injury
    • Indications for emergent surgical spine decompression include fracture or dislocation not reducible with distraction
    • Fracture of temporal bone is the most common cause of facial nerve injury
    • Nasoethmoidal orbital fractures often have a CSF leak and may require surgical closure
    • Fine-cut facial CT scans with reconstruction are used to diagnose mandibular and tripod fractures
    • Patients with maxillofacial fractures are at high risk for cervical spine injuries
    • Asymptomatic blunt or penetrating neck trauma requires neck CTA
    • Blunt cerebrovascular injury requires neck CTA for any significant blunt head/neck injury
    • Completely occluded carotid may be treated with Plavix or heparin to prevent clot propagation
    • Esophageal injuries are the hardest neck injury to find and may require esophagoscopy and esophagogram for diagnosis

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on spine trauma with this quiz. Learn about the screening for spine injury, indications for steroids, and treatment options for specific cervical spine fractures.

    More Like This

    Spinal Trauma Assessment Quiz
    5 questions

    Spinal Trauma Assessment Quiz

    ArtisticTortoise6995 avatar
    ArtisticTortoise6995
    Trauma Care and Cervical Spine Protection
    32 questions

    Trauma Care and Cervical Spine Protection

    SmartestLesNabis avatar
    SmartestLesNabis
    Lesión Traumática de la Médula Espinal
    40 questions

    Lesión Traumática de la Médula Espinal

    AffableAestheticism avatar
    AffableAestheticism
    Traumatismos Raquimedulares en la Atención Inicial
    40 questions

    Traumatismos Raquimedulares en la Atención Inicial

    AffableAestheticism avatar
    AffableAestheticism
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser