Maxillofacial trauma Exam Questions And
Answers Latest Update 2025
Airway management -
correct answer ✅Airway compromise is common in patients with
severe maxillofacial injuries
Since airway compromise can be abrupt, continuous monitoring is
necessary
Immediate surgery may be necessary to reduce fractured facial
bones which are encroaching on the airway
A surgical airway may be necessary to facilitate later surgical
procedures
Airway management: warning signs -
correct answer ✅hoarseness, subcutaneous emphysema of the
neck, laryngeal pain, visible edema, or the presence of an
expanding hematoma
Airway management: assessment -
correct answer ✅Initial jaw thrust and clearing of debris often will
be sufficient
,Maxillofacial trauma Exam Questions And
Answers Latest Update 2025
Rapid sequence intubation (RSI) is the preferred method of
securing an airway in a patient without contraindications...however
Avoid paralytics if the facial injury will make use of a bag-valve mask
impossible
Intubation with only sedatives is an option
Remember the importance of C-spine immobilization
Airway management: neck -
correct answer ✅Concurrent neck injury will dictate the approach
to airway management
Endotracheal intubation is possible in associated pharyngeal,
laryngeal and tracheal airway injuries
Surgical airway is a distinct possibility (emergency
crichothyroidotomy preferred)
Airway management: caution -
correct answer ✅Avoid nasotracheal intubation
, Maxillofacial trauma Exam Questions And
Answers Latest Update 2025
1. Possible disruption of cribiform plate
2. Potential for massive nasal hemorrhage
3. Nasocranial intubation
Facial trauma: PE-- inspection/ palpate -
correct answer ✅Inspect the face, examining the patient from the
front
View the face from above looking down and from below looking up
Examining from different perspectives can help to reveal subtle
asymmetries
Palpate the entire face carefully for tenderness, crepitus, or
subcutaneous air
Subcutaneous air is pathognomic for fracture of sinus or nose
While palpating, target vulnerable sutures: infraorbital rim, and the
zygomatic-frontal suture (upper lateral aspect of orbit)
Answers Latest Update 2025
Airway management -
correct answer ✅Airway compromise is common in patients with
severe maxillofacial injuries
Since airway compromise can be abrupt, continuous monitoring is
necessary
Immediate surgery may be necessary to reduce fractured facial
bones which are encroaching on the airway
A surgical airway may be necessary to facilitate later surgical
procedures
Airway management: warning signs -
correct answer ✅hoarseness, subcutaneous emphysema of the
neck, laryngeal pain, visible edema, or the presence of an
expanding hematoma
Airway management: assessment -
correct answer ✅Initial jaw thrust and clearing of debris often will
be sufficient
,Maxillofacial trauma Exam Questions And
Answers Latest Update 2025
Rapid sequence intubation (RSI) is the preferred method of
securing an airway in a patient without contraindications...however
Avoid paralytics if the facial injury will make use of a bag-valve mask
impossible
Intubation with only sedatives is an option
Remember the importance of C-spine immobilization
Airway management: neck -
correct answer ✅Concurrent neck injury will dictate the approach
to airway management
Endotracheal intubation is possible in associated pharyngeal,
laryngeal and tracheal airway injuries
Surgical airway is a distinct possibility (emergency
crichothyroidotomy preferred)
Airway management: caution -
correct answer ✅Avoid nasotracheal intubation
, Maxillofacial trauma Exam Questions And
Answers Latest Update 2025
1. Possible disruption of cribiform plate
2. Potential for massive nasal hemorrhage
3. Nasocranial intubation
Facial trauma: PE-- inspection/ palpate -
correct answer ✅Inspect the face, examining the patient from the
front
View the face from above looking down and from below looking up
Examining from different perspectives can help to reveal subtle
asymmetries
Palpate the entire face carefully for tenderness, crepitus, or
subcutaneous air
Subcutaneous air is pathognomic for fracture of sinus or nose
While palpating, target vulnerable sutures: infraorbital rim, and the
zygomatic-frontal suture (upper lateral aspect of orbit)
