Handout Ch33-1 PDF - Chapter 33 Quiz

Handout 33-1 Student’s Name CHAPTER 33 QUIZ Write the letter of the best answer in the space provided. 1. The part of the eye that contains the aqueous humor is the A....

Handout 33-1 Student’s Name CHAPTER 33 QUIZ Write the letter of the best answer in the space provided. 1. The part of the eye that contains the aqueous humor is the A. lens. C. anterior chamber. B. cornea. D. vitreous body. 2. An eye injury that involves an eye being pulled out of its socket is called a(n) A. extrusion. C. orbital fracture. B. evisceration. D. periorbital ecchymosis. 3. The neck contains all the following structures except the A. carotid arteries. C. jugular veins. B. mandible. D. trachea. 4. The facial bone that is not fused into immovable joints is the A. mandible. C. temporal bone. B. malar. D. maxillae. 5. An EMT should only attempt to remove a foreign object from the A. retina. C. globe. B. cornea. D. conjunctiva. 6. The globe of the eye, or eyeball, is a sphere approximately 1 inch in diameter that is covered with a tough outer coat called the A. cornea. C. sclera. B. pupil. D. iris. 7. A primary treatment for a patient with chemical burns to the eye is A. plentiful irrigation. B. bandaging only the injured eye. C. covering both eyes with dry dressings. D. covering both eyes with soaked gauze pads. 8. The signs and symptoms of orbital fracture include all of the following except A. vision improvement. C. nasal discharge. B. double vision. D. tenderness to palpation. 9. The portion of the eye that focuses light to the retina is the A. cornea. C. iris. B. pupil. D. lens. 10. If a patient has sustained a chemical burn to the eye, the EMT should irrigate the eye for at least 20 minutes or, if the injury involves an alkali, for at least A. 1½ hours. C. 45 minutes. B. 1 hour. D. 30 minutes. 11. An appropriate irrigant for an EMT to use for a chemical burn is A. diluted vinegar. C. saline. B. alcohol. D. sodium bicarbonate. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed. Handout 33-1 (continued) 12. The thin covering of the inner eyelids is called the A. conjunctiva. C. retina. B. sclera. D. orbit. 13. The correct emergency treatment for profuse bleeding with facial injuries includes A. application of cold packs. C. application of alum. B. application of heat packs. D. application of direct pressure. 14. Clear or bloody fluid draining from the ear can indicate a A. dangerously high fever. C. foreign body. B. skull fracture. D. flexion injury. 15. If a nose fracture is suspected, the EMT should A. apply direct pressure. C. apply warm compresses. B. apply cold compresses. D. pack the nose with saline gauze. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed. Handout 33-2 Student’s Name IN THE FIELD Review the following real-life situation. Then answer the questions that follow. Today is a particularly warm day in July. You and your partner respond to a call to a residence not far from your station. As you approach the address, you see a woman standing in the front yard and flagging you down; she appears to be quite upset. As you follow her to the back of the house, she explains to you, between sobs, that her 8-year-old son was hosting a pool party for his baseball team. Two of the young boys were scuffling, and her son was inadvertently pushed into a plate glass window into the house. You enter the house, where you see a very upset and crying child lying just inside the den. You note moderate bleeding from the patient’s face and neck. In addition, the boy is holding his hand over his left eye. He complains of pain in that eye. After you convince him to remove his hand and allow you to inspect the injury, you note a 1-inch vertical laceration on the left lower eyelid. There is also a laceration on the left side of the neck. 1. List the initial steps you would take in treating this patient. 2. List the steps in your management of the eyelid injury. 3. Name at least four considerations for the assessment and treatment of this patient’s face and neck injuries. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed. Handout 33-3 Student’s Name CHAPTER 33 REVIEW Write the word or words that best complete each sentence in the space provided. 1. The bony structures of the skull that surround the eyes are called the. 2. The face has ______________ bones. 3. The proper medical term for the cheekbones is the _________________ bones. 4. When considering an injury to the eye, the EMT must be aware that is a critical consideration in the treatment. 5. If a foreign object becomes lodged in the , the EMT should not attempt to disturb it. 6. The face has many ______________________ ___________________, so any facial injuries may bleed profusely. 7. Injuries serious enough to cause orbital fractures may also cause trauma to the. 8. Eyelid injuries include , , and. 9. Injuries to the globe are best treated at the. 10. A chemical burn to the eye represents a(n). 11. If an eyeball injury is not suspected, the EMT should cover an injured eyelid with a(n) to help reduce swelling. 12. In all calls involving chemical burns to the eye, the EMT should begin with or immediately on contact with the patient. 13. The primary concern with facial fractures is. 14. With chemical burns to the eye, the EMT should irrigate the eye for at least minutes or until arrival at the hospital. 15. Eye injuries are often complicated by the presence of. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed. Handout 33-4 Student’s Name EYE, FACE, AND NECK TRAUMA: LISTING 1. List five anatomic structures of the eye. 2. List four structures contained in the neck. 3. List four types of facial fractures. 4. List four signs and/or symptoms of orbital fractures. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed. Handout 33-5 Student’s Name EYE, FACE, AND NECK TRAUMA: TRUE OR FALSE Indicate if the following statements are true or false by writing T or F in the space provided. 1. When treating bleeding wounds to the neck, the EMT should use circumferential bandages. 2. When treating an injury to the nose, the EMT should not probe for a foreign body. 3. Maintaining the airway is extremely important in neck injuries, as is maintaining a high index of suspicion for spine injuries. 4. When dressing an injured ear, the EMT would place part of the dressing between the ear and the side of the head. 5. If the patient has a foreign object impaled in the cheek of the face, the EMT should immediately remove it and transport the patient. 6. When assessing and treating a facial fracture, your first priorities should be to establish and maintain a patent airway, support breathing, and control bleeding. 7. If a patient has lost a tooth, the EMT should wrap the tooth in dry gauze to preserve it for possible reimplantation. 8. The specialized structures of the face are prone to injury because of their location, but injuries to them are rare. 9. The EMT should only attempt removal of objects in the conjunctiva; the EMT should not attempt removal of objects on or lodged in the cornea. 10. Even though they are designed for extended wear, soft contact lenses can cause damage if left in for a long time. 11. Generally, you should not remove contact lenses if there has been a chemical burn to the eye. 12. The EMT should always attempt to replace an extruded eyeball back into the socket. 13. If fracture of the orbits is suspected, you should establish and maintain spine motion restriction. 14. In any case of severe facial trauma, the EMT should suspect cervical spine injury. ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed.  CHAPTER 33 ANSWER KEY HANDOUT 33-1: Chapter 33 Quiz 8. bruising, burns, lacerations 9. hospital 1. C 5. D 9. D 13. D 10. dire emergency 2. A 6. C 10. B 14. B 11. cold compresses 3. B 7. A 11. C 15. B 12. irrigation, water, saline 4. A 8. A 12. A 13. airway compromise 14. 20 HANDOUT 33-2: In the Field 15. contact lenses 1. Take Standard Precautions; ensure motion HANDOUT 33-4: Eye, Face, and Neck Trauma: restriction of the cervical spine; assess and control Listing the airway, breathing, and circulation. 2. Control bleeding with light pressure; cover the lid with 1. Any five: sclera, cornea, pupil, lens, retina, sterile gauze soaked in saline (if the lid skin is avulsed, conjunctiva, aqueous humor, vitreous humor, preserve it and transport it with the patient); cover the orbit. lid with cold compresses; patch both eyes. 2. Any four: carotid arteries, jugular arteries, trachea, 3. Assess the bleeding wounds and the amount of larynx, cervical spine. blood lost. Apply a sterile dressing with direct 3. Any four: maxilla fracture, mandible fracture, pressure to the open wounds. Use an occlusive nasal‒orbital fracture, malar (cheek) fracture, dressing on the neck wound to prevent air from maxilla–nasal–orbital fracture. entering. Spine motion restriction precautions. 4. Any four: double vision; marked decrease in vision; loss of sensation above the eyebrow, over the cheek, or HANDOUT 33-3: Chapter 33 Review in the upper lip; nasal discharge; tenderness upon palpation; bony “step-off”; paralysis of an upward gaze 1. orbits in the involved eye. 2. 14 3. zygomatic HANDOUT 33-5: Eye, Face, and Neck Trauma: 4. time 5. eyeball True or False 6. blood vessels 1. F 5. F 9. T 13. T 7. cervical spine 2. T 6. T 10. T 14. T 3. T 7. F 11. F 4. T 8. F 12. F ©2018 by Pearson Education, Inc. C H A P T E R 3 3 Eye, Face, and Neck Trauma Prehospital Emergency Care, 11th Ed.