PMED CH 33 EXAM QUESTIONS
WITH ALL CORRECT ANSWERS
Appropriate management for a patient with severe epistaxis, tachycardia, and
diaphoresis following an injury to the face includes:
A) positioning the patient supine and elevating his or her legs 12 to 18 inches.
B) administering enough IV crystalloid fluids to maintain adequate perfusion.
C) pinching the patient's nares together and instructing him or her to lean back.
D) applying direct pressure to the bridge of the nose and keeping the patient calm. -
Answer-B
General care for an eye injury involves:
A) applying direct pressure to the globe.
B) irrigating the eye with sterile saline solution.
C) covering both eyes to minimize further injury.
D) applying a cold compress to the eyeball. - Answer-C
Hyphema is defined as:
A) severe ecchymosis to the orbital region.
B) blood in the anterior chamber of the eye.
C) marked swelling of the globe of the eye.
D) double vision following blunt eye trauma. - Answer-B
Signs and symptoms of retinal detachment include:
A) flashing lights, specks, or floaters in the field of vision.
B) double vision and partial or complete loss of peripheral vision.
C) immediate pain and total loss of vision following blunt eye trauma.
D) paralysis of upward gaze and greater than 50% loss of central vision. - Answer-A
What part of the eye is MOST commonly injured following a thermal burn?
A) Globe
B) Retina
C) Cornea
D) Eyelid - Answer-D
Which of the following statements regarding anisocoria is correct?
A) Anisocoria is a condition in which the pupils are unequal.
B) Anisocoria is a normal finding in the majority of the population
C) Physiologic anisocoria indicates significant intracranial pressure.
D) Anisocoria is a condition characterized by bilateral pupillary dilation. - Answer-A
, A patient with a dysconjugate gaze following an ocular injury:
A) most likely has a concomitant basilar skull fracture.
B) should have ice applied to the eyes to prevent blindness.
C) has discoordination between the movements of both eyes.
D) should be treated by irrigating both eyes for 20 minutes. - Answer-C
When treating a patient with an ocular injury, what should you do to avoid an increase in
intraocular pressure?
A) Apply light pressure to both eyes.
B) Discourage the patient from coughing.
C) Administer prophylactic atropine sulfate.
D) Ensure that the patient remains supine. - Answer-B
Movement of both of the eyes in unison is called:
A) dysconjugate gaze.
B) sympathetic eye movement.
C) extraocular movement.
D) physiologic anisocoria. - Answer-B
Alkali or strong acid burns to the eye should be irrigated continuously for at least ___
minutes.
A) 10
B) 15
C) 20
D) 30 - Answer-C
The ONLY indication for removing contact lenses in the prehospital setting is:
A) chemical eye burns.
B) acute conjunctivitis.
C) cardiopulmonary arrest.
D) a foreign body in the eye. - Answer-A
A ruptured tympanic membrane:
A) commonly results in permanent hearing loss.
B) is characterized by CSF leakage from the ears.
C) commonly leads to an infection of the middle ear.
D) is extremely painful but typically heals spontaneously. - Answer-D
When caring for a patient with a seemingly isolated ear injury, you should:
A) carefully assess the external ear canal and inner ear for blood or CSF.
B) perform a careful assessment to detect or rule out more serious injuries.
C) recall that the pinna of the ear is highly vascular and bleeds profusely.
D) consider direct transport of the patient to an audiologist for evaluation. - Answer-B
The primary risk associated with oral and dental injuries is:
WITH ALL CORRECT ANSWERS
Appropriate management for a patient with severe epistaxis, tachycardia, and
diaphoresis following an injury to the face includes:
A) positioning the patient supine and elevating his or her legs 12 to 18 inches.
B) administering enough IV crystalloid fluids to maintain adequate perfusion.
C) pinching the patient's nares together and instructing him or her to lean back.
D) applying direct pressure to the bridge of the nose and keeping the patient calm. -
Answer-B
General care for an eye injury involves:
A) applying direct pressure to the globe.
B) irrigating the eye with sterile saline solution.
C) covering both eyes to minimize further injury.
D) applying a cold compress to the eyeball. - Answer-C
Hyphema is defined as:
A) severe ecchymosis to the orbital region.
B) blood in the anterior chamber of the eye.
C) marked swelling of the globe of the eye.
D) double vision following blunt eye trauma. - Answer-B
Signs and symptoms of retinal detachment include:
A) flashing lights, specks, or floaters in the field of vision.
B) double vision and partial or complete loss of peripheral vision.
C) immediate pain and total loss of vision following blunt eye trauma.
D) paralysis of upward gaze and greater than 50% loss of central vision. - Answer-A
What part of the eye is MOST commonly injured following a thermal burn?
A) Globe
B) Retina
C) Cornea
D) Eyelid - Answer-D
Which of the following statements regarding anisocoria is correct?
A) Anisocoria is a condition in which the pupils are unequal.
B) Anisocoria is a normal finding in the majority of the population
C) Physiologic anisocoria indicates significant intracranial pressure.
D) Anisocoria is a condition characterized by bilateral pupillary dilation. - Answer-A
, A patient with a dysconjugate gaze following an ocular injury:
A) most likely has a concomitant basilar skull fracture.
B) should have ice applied to the eyes to prevent blindness.
C) has discoordination between the movements of both eyes.
D) should be treated by irrigating both eyes for 20 minutes. - Answer-C
When treating a patient with an ocular injury, what should you do to avoid an increase in
intraocular pressure?
A) Apply light pressure to both eyes.
B) Discourage the patient from coughing.
C) Administer prophylactic atropine sulfate.
D) Ensure that the patient remains supine. - Answer-B
Movement of both of the eyes in unison is called:
A) dysconjugate gaze.
B) sympathetic eye movement.
C) extraocular movement.
D) physiologic anisocoria. - Answer-B
Alkali or strong acid burns to the eye should be irrigated continuously for at least ___
minutes.
A) 10
B) 15
C) 20
D) 30 - Answer-C
The ONLY indication for removing contact lenses in the prehospital setting is:
A) chemical eye burns.
B) acute conjunctivitis.
C) cardiopulmonary arrest.
D) a foreign body in the eye. - Answer-A
A ruptured tympanic membrane:
A) commonly results in permanent hearing loss.
B) is characterized by CSF leakage from the ears.
C) commonly leads to an infection of the middle ear.
D) is extremely painful but typically heals spontaneously. - Answer-D
When caring for a patient with a seemingly isolated ear injury, you should:
A) carefully assess the external ear canal and inner ear for blood or CSF.
B) perform a careful assessment to detect or rule out more serious injuries.
C) recall that the pinna of the ear is highly vascular and bleeds profusely.
D) consider direct transport of the patient to an audiologist for evaluation. - Answer-B
The primary risk associated with oral and dental injuries is:
