EMT CH27

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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:

conjunctivitis

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.

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:

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

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:

rapidly transporting her to the hospital

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

Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:

direct pressure using dry, sterile dressings

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

If your patient swallows blood following facial trauma, there is an increased risk of ________.

vomiting

Significant trauma to the face should increase the EMT’s index of suspicion for a(n):

spinal column injury

The Adam’s apple is:

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

The MOST significant complication associated with facial injuries is:

airway compromise

The superficial temporal artery can be palpated:

just anterior to the tragus.

The upper jawbones are called the:

maxillae.

When a light is shone into the pupil:

it should become smaller in size.

When caring for a patient with an open facial injury, the EMT’s immediate priority should be to:

wear gloves and facial protection.

When performing a full body scan, you should assess for ________.

DCAP-BTLS

Which of the following statements regarding anterior nosebleeds is correct?

They usually originate from the septum area and bleed slowly

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

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:

has a history of eye surgeries.

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:

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

The globe of the eye is also called the:

eyeball

When a person is looking at an object up close, the pupils should:

constrict

When caring for a chemical burn to the eye, the EMT should:

prevent contamination of the opposite eye

the sign that is LEAST indicative of a head injury

pupillary constriction to bright light

The purpose of the eustachian tube is to:

equalize pressure in the middle ear when external pressure changes

The eardrum

moves in response to sound waves

The bony chambers in the inner ear

support balance and house fluid within the inner chamber of the ear

When caring for a patient with facial trauma, the EMT should be MOST concerned with

airway compromise

The presence of subcutaneous emphysema following trauma to the face an throat is MOST suggestive of

crushing tracheal injury

Esophageal injury will produce

bleeding, which may be observed in the patients mouth or through difficulty swallowing

Cervical spine fracture may be indicated by

pain and/or paralysis

Carotid artery laceration could be assessed by

extensive swelling or the presence of a large hematoma in the neck area

A 21 year old male has a large laceration to his neck. When you assess him, you note that bright red blood is spurting from the left side of his neck. You should immediately:

place your gloved hand over the wound

Which of the following mechanisms of injury would MOST likely cause a crushing injury of the larynx and/or trachea?

attempted suicide by hanging

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