The Head, Face, Eyes, Ears, Nose, and Throat

CHAPTER 22

The Head, Face, Eyes, Ears, Nose, and Throat

MULTIPLE CHOICE

1. An athlete has been hit in the head with no loss of consciousness, is

M, K experiencing dizziness, and has some disorientation that resolves in 10 minutes.

(509) What grade of concussion does this athlete have?

A. Grade 1 C. Grade 3

B. Grade 2 D. Grade 4

2. An athlete has sustained a grade 1 concussion. If this injury is the athlete’s first

M, A concussion, when should this athlete be allowed to return to practice?

(510)A. After being asymptomatic for 20 minutes

B. After being asymptomatic for 2 days

E. After being asymptomatic for 1 week

F. After being asymptomatic for 2 weeks

3. Which of the following membranes contain spinal fluid?

M, K A. Dura materC. Pia mater

(505) B. Arachnoid spaceD. Subarachnoid space

4.Which of the following is the single most important consideration in preventing

E, K head injury?

(503) A. Wearing a helmet C. Wearing a mouthpiece

B. Correct tackling techniqueD. Warning labels on helmets

5. Which of the following describes the inability of an athlete to remember events

M, K after the injury has occurred?

(508)A. Retrograde amnesiaC. Tinnitus

B. UnconsciousnessD. Posttraumatic amnesia

6. Management of an avulsed tooth includes all the following except:

M, A A. attempting re-implantation of the tooth in the socket.

(517) B. scrubbing the tooth with a sterile gauze pad to get the dirt off.

C. referring immediately to a dentist.

D. placing the tooth in saline solution if unable to re-implant

7. Trauma to the ear which causes tearing of the overlying tissue from the

E, K cartilaginous plate and results in fluid accumulation is commonly referred to as:

(520) A. retinal detachment. C. hyphema.

B. cauliflower ear. D. lobular swelling.

8. Which of the following is the third most common facial fracture and

D, K results in a nosebleed, diplopia, and numbness of the cheek?

(513) A. Zygomatic fractureC. Mandibular fracture

B. Maxillary fractureD. Occiput fracture

9. Which of the following symptoms are not indicative of a serious eye injury?

M, K A. Blurred vision

(522) B. Excessive watering of the eye

C. Diplopia

D. Partial loss of the visual field

10. Which part of the eye is responsible for the production of tears?

E, K A. The inner conjunctiva C. The sclera

(522) B. Lacrimal glands D. The choroid layer

11. The outermost meninge consisting of a dense, fibrous, inelastic sheath

E, K and enclosing the brain and spinal cord is the:

(504) A. arachnoid. C. dura mater.

B. cerebral cortex. D. pia mater.

12. When evaluating an unconscious athlete you would first:

M, A A. call a physician.

(505) B. look for the possibility of impaired breathing.

C. remove any protective equipment such as a helmet.

D. roll the athlete face up and start CPR.

13. Which of the following can occur if an athlete who has sustained a previous

M, K concussion is returned to play prior to resolution of symptoms and then receives

(510) another head injury?

A. Migraine headachesC. Cerebral hyperemia

B. Postconcussion syndromeD. Second-impact syndrome

14. After the head is struck, the brain continues to move in the fluid and may be

M, K contused against the opposite side. This injury is called:

(508) A. contrecoup. C. cerebral.

B. direct. D. whiplash.

15. An athlete that was unconsciousness for over five minutes and has post

M,K concussion symptoms that have lasted longer than 7 days is presenting with

(509) symptoms consistent with a ______concussion.

A. grade 1 C. grade 3

B. grade 2 D. grade 4

16. An athlete can return to participation following a concussion if all of the

M, A following are true except:

(509)A. having clearance from the physician.

B. having a slight headache.

C. being normal neurologically.

D. having normal motor function.

17. Which of the following should not be done when managing a bleeding nose?

E, A A. Tilt the head back to decrease bleeding

(519) B. Lie on the same side as the bleeding septum

C. Place a cold compress over the nose

D. Apply finger pressure to the affected nostrils for 5 minutes

18. The thin bony substance that covers the root of the tooth is known as the:

D, K A. crown.C. dentin.

(515) B. gingiva.D. cementum.

19. Which portion of the ear is shaped like a shell and directs waves of sound

D, K into the auditory canal?

(520) A. Tympanic membraneC. Labyrinth

B. MeatusD. Auricle

20. An orbital fracture of the eye:

M, KA. is caused by an object striking the forehead.

(523)B. can result in double vision.

C. is more common in athletes with nearsightedness.

D. causes hemorrhage around the superior margin of the eye.

21. Which of the following eye injuries is painless and results in the athlete seeing

M, K floating specks, flashes of light, and having blurred vision?

(525) A. HyphemaC. Corneal abrasion

B. ConjuctivitisD. Detached retina

22. Which of the following can be prevented by using a solution of 3% boric acid

M, K and alcohol?

(522) A. Otitis externaC. Epistaxis

B. Otitis media D. Hyphema

23. Which of the following tests is not used to test coordination following a

M, K head injury?

(507) A. Finger to noseC. Heel to knee

B. RombergD. Heel to toe walking

24. Which dental condition is characterized by loosening of the teeth, recession

M, K of the gingival, and infection?

(515) A. GingivitisC. Abscess

B. PeridontitisD. Dental caries

TRUE/FALSE

25. Because the brain is suspended in fluid, a blow to the head can injure

M, K the brain at either the point of contact or on the opposite side.

(508)

26. Acute conjunctivitis is due to allegens and is not highly infectious.

M, K

(525)

27. Naming the months of the year in reverse order is commonly used on the field

E, K cognitive test.

(507)

28. “Raccoon eyes” is a common sign for a nasal fracture.

M, K

(507)

29. If a facial laceration occurs at the brow line, the eye brow should be shaved

E, K off in order to afford better closure of the wound.

(514)

30. If an athlete has sustained an uncomplicated crown fracture of a tooth, he/she

M, K is unable to continue to play and must be referred to a dentist immediately.

(516)

31. In second-impact syndrome the athlete may receive a minor blow to the head,

M, K appear stunned, and then collapse in 15 seconds.

(510)

32. The most prevalent cause of facial injury is a direct blow that injures soft and

M, K boney tissue.

(514)

33. The area of the mandible that is most frequently fractured is the area near the

M, K jaw's frontal angle.

(513)

34. Skull fractures most often occur from blunt trauma and, due to complications

M, K from the injury, require immediate medical attention.

(507)

35. Fractures to the tooth below the gum line require referral to a dentist.

M, K

(516)

36. The most common sign of a jaw fracture is loss of normal occlusion of the

M, K teeth.

(513)

37. If an athlete appears to have a detached retina or hyphema the athlete should be

M, A monitored carefully for signs of increasing seriousness.

(525)

38. A hyphema is a collection of blood within the anterior chamber of the eye.

E, K

(525)

39. Cerebrospinal fluid is contained between the dura mater and arachnoid and acts

M, K as a cushion, helping to diminish the transmission of shocking forces.

(505)

40. A subdural hematoma occurs as a result of an arterial bleed within the skull.

M, K

(511)

41. Unequal pupil size following a head injury is always a sign of significant

M, A brain damage.

(507)

42. When an athlete is unconscious, head and neck injury are always assumed.

E, A

(505)

43. Cerebral contusion is a focal injury that commonly occurs as a result of the

M, K head striking the floor.

(511)

44. Following a cerebral injury, an athlete may be returned to competition even

M, A if he or she has a slight headache as long as other neurological and vasomotor

(510) functions are normal.

45. The mandibular fracture is the most common facial fracture.

E, K

(513)

46. Teeth in which the enamel or dentin is chipped fail to rejuvenate and require

M, K a dentist to reattach the fractured piece.

(514)

47. A lateral force to the nose causes greater deformity than does a "straight on"

M, A blow.

(518)

48. A blow to the athlete's eye can partially or completely separate the retina from

M, A its underlying attachment, causing an immediate painful condition and a lack of

(525) vision in that eye.

49. When removing something from the eye, the athlete should not rub the eye.

M, A Instead, he should pull the top lid over the bottom lid causing the eye to tear, which (524) may flush out the object.

50. A deviated septum occurs from a lateral or compressive blow and may result in

M, K a hematoma, which needs to be surgically drained.

(519)

51. A rupture of the tympanic membrane requires a surgical procedure for repair.

M, K

(521)

52. Following a throat contusion, the most immediate concern is the integrity of the

M, K airway.

(526)

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