1. Which of the following structures works like a camera shutter to adjust the amount of light entering the eye?

a. b. c. d. The sclera The iris The lens The posterior chamber

Answer: b Objecti e: !!"1 #eference: $%& !. The part of the eye that focuses light on the retina is called the: a. itreous humor. b. sclera. c. lens. d. iris. Answer: c Objecti e: !!"1 #eference: $%& '. (ight stimulates ner e endings in which of the following structures to send signals to the brain ia the optic ner es? a. b. c. d. #etina )ris (achrymal glands (ens

Answer: a Objecti e: !!"1 #eference: $%* %. The largest bone of the face+ which forms the upper jaw+ the hard palate+ the floor of the nose+ and the lower portion of each eye socket+ is the: a. b. c. d. mandible. ,ygoma. frontal bone. ma-illa.

Answer: d Objecti e: !!"$ #eference: $%' &. The lower jaw+ the only .mo able/ bone of the face+ is hinged on both sides of the skull by the: a. frontal bones.

b. temporomandibular joints. c. foramen. d. ma-illa. Answer: b Objecti e: !!"$ #eference: $%' *. The three bones that con ert sound wa es into signals that are then carried to the brain are known as the: a. b. c. d. auditory foramina. auditory canals. auditory ossicles. tympanic membranes.

Answer: c Objecti e: 0upplemental #eference: $%% $. Which of the following statements concerning the eye socket or orbit is false? a. b. c. d. )t does not take much force to injure the orbital bones. )t protects the fluid"filled eyeball. )t anchors the muscles that control oluntary eye mo ement. )t is formed by the skull and facial bones.

Answer: a Objecti e: !!"$ #eference: $%% 1. The sternocleidomastoid muscle is responsible for: a. b. c. d. anatomically di iding the neck into right and left sides. protecting the laryn- from injury. securing the cla icle to the shoulder. side"to"side mo ements of the head.

Answer: d Objecti e: !!"$ #eference: $%$ 2. 3ou are assessing a patient who was punched in the eye. 3ou note blood in the white part of his eye. This area of the eye is known as the: a. b. c. d. sclera. cornea. lens. retina.

Answer: a

Objecti e: !!"! #eference: $%& 14. 3our friend tells you that she was diagnosed with a corneal abrasion a day ago. 0he is concerned because she still has some discomfort in the eye. 5ased on your training+ you know that: a. b. c. d. the lens of the eye must be in ol ed. the pain probably indicates that an infection has begun. something must be left in the eye. ongoing pain is not uncommon.

Answer: d Objecti e: !!"1 #eference: $*1 11. A patient who was hit in the face with a cloud of dust while working in an industrial setting is complaining of pain and discomfort to his left eye. While performing your assessment on the eye+ you note some redness of the globe but do not see any ob ious foreign object. The most appropriate care you can pro ide to this patient would be to: a. b. c. d. co er both eyes with a bandage. carefully wipe the eye with a soft piece of sterile gau,e. gently massage the eye to promote tearing. ha e the patient keep his eye open during transport to a medical facility.

Answer: a Objecti e: !!"14 #eference: $*4 1!. A young girl is complaining of eye pain after ha ing bleach thrown in her face. When assessing her eyes+ you note redness and significant tearing in the right eye. 3ou would treat this girl by: a. b. c. d. stopping the tearing by applying gentle pressure to the eye. co ering both eyes immediately. flushing the eye with sterile water. gently wiping the inner eye with pieces of sterile gau,e.

Answer: c Objecti e: !!"14 #eference: $*1 1'. 6uring an altercation+ your patient was cut with a sharp knife. 3our assessment re eals a laceration across the right eyelid down to the right cheek that is oo,ing dark red blood. )t also appears that the patient7s eye was cut with the knife. 3ou would: a. b. c. d. apply direct pressure to the eyelid and the eye to control the bleeding. apply cold packs to the eyelid to decrease swelling. clean the incisions with sterile water. co er both eyes with a sterile dressing.

Answer: d Objecti e: !!"14 #eference: $*4 1%. What instructions would you gi e to an O89 candidate who asks how to treat a patient who has isible blood in the anterior chamber of the eye? a. .)t is important to keep the pressure in the eye low+ so we will transport this patient in a sitting position./ b. .Apply a cold pack to the eye and transport this patient immediately./ c. .:ut a shield o er the eye and bandage tightly to apply some pressure to the eye./ d. .:ut a shield o er the eye and co er both eyes before immediately transporting this patient./ Answer: d Objecti e: !!"14 #eference: $*4 1&. 3ou ha e responded to a scene at which a young man tells you he splashed a chemical into his eye. ;e is complaining of burning and pain in his right eye. After performing a primary assessment and finding no life"threatening conditions+ you would: a. obtain a set of ital signs and 0A<:(8. b. identify the e-act chemical in ol ed so that you can get the antidote. c. hold the patient7s injured eye open and flush it with large amounts of sterile water from the nose to the outer edge of the eye. d. instruct the patient to keep his eyes closed and not rub them while you arrange for emergency transport. Answer: c Objecti e: !!"14 #eference: $*1 1*. 3ou respond to the ehicle maintenance department+ where a middle"aged man is flushing his eyes with tap water. ;e tells you that acid splashed in his eyes and that they are burning. Which of the following =uestions is the most important one to ask right away? a. .What is your past medical history?/ b. .Are you wearing contact lenses?/ c. .6o you take any medications?/ d. .;a e you e er had a pre ious eye injury?/ Answer: b Objecti e: !!"2 #eference: $*! 1$. A young boy was running through the lodge with a pencil and tripped. The pencil impaled the boy7s left eye and remains lodged in place. Appropriate care for the eye would include: a. stabili,ing the impaled object and pro iding immediate transport.

b. =uickly remo ing the pencil from the eye to pre ent the loss of ision. c. applying ice to the affected eye to decrease pressure and reduce subse=uent damage. d. applying gentle pressure to the pencil and the eye to keep the pencil from mo ing. Answer: a Objecti e: !!"% #eference: $*4 11. While running outside the lodge+ a teenage girl tripped and fell. 0he hit her face and mouth+ knocking one of her top front teeth from its socket. Although she is upset+ you ha e assessed no threats to life+ and the bleeding has been controlled. 3our partner finds the tooth and asks you what to do with it. Which of the following responses would be best? a. .Wrap the tooth in dry gau,e and put it in a plastic bag placed in cool water./ b. .A oid touching the root of the tooth. We will gently irrigate it and place it back in its socket./ c. .0crub the base of the tooth to be sure it7s clean and then we7ll place it back in its socket./ d. .>ust put it in dry gau,e and bring it with you. They probably won7t be able to do anything with it./ Answer: b Objecti e: !!"14 #eference: $&$ 12. 3ou respond to an accident in which a young male has sideswiped a tree on an e-pert trail. ;e has an abrasion on the left side of his face and neck and is spitting blood. ;e also lost se eral teeth+ two of which he is holding. ;e has an airway and is breathing ade=uately. 3our initial action when caring for the patient would be to: a. b. c. d. get a 0A<:(8 history. establish manual in"line spinal stabili,ation. obtain and properly preser e the teeth. apply a pressure dressing to stop the bleeding.

Answer: b Objecti e: !!"14 #eference: $&* !4. A 1&"year"old girl struck in the mouth with a baseball bat has lost her front teeth and is splitting a significant amount of blood. 3our primary concern in treating this patient is: a. b. c. d. sa ing her teeth so they can be reimplanted. checking her for a jaw fracture. watching her for sei,ure acti ity. obser ing her for possible airway compromise.

Answer: d Objecti e: !!"2 #eference: $&*

!1. A 14"year"old boy arri es in the aid room bleeding from his nose. ;e states that he did not injure himself and just started bleeding while he was skiing+ and that he can7t get it to stop. 5ased on your O89 training+ which of the following statements about treating epista-is is false? a. The nares+ or nostrils should be pressed together just below the bony prominence of the nose. b. 3ou should maintain pressure up to 1& minutes before e aluating ongoing bleeding. c. 3our initial treatment is to pack the nose with tightly rolled gau,e and then apply direct pressure to the nose. d. The most common mistake in the management of epista-is is letting go of pressure too soon. Answer: c Objecti e: !!"1 #eference: $&$ !!. 3ou are assisting another O89 Technician to treat a young male with a deep laceration on his neck. 3our partner appears to ha e controlled the bleeding. ;e asks you to apply a pressure dressing. )n addition to helping to control the bleeding+ you recogni,e that another important benefit to this type of dressing on a neck wound is: a. b. c. d. pre enting a cer ical collar from irritating the wound. promoting clot formation to pre ent further bleeding. pre enting the entry of air into the circulatory system. pro iding neck stabili,ation.

Answer: c Objecti e: !!"14 #eference: $*' !'. When treating a deep laceration to the neck+ bandaging should be applied o er the pressure dressing by: a. wrapping roller gau,e loosely around the neck and then firmly through the opposite a-illa. b. wrapping the bandages around the neck securely enough to maintain pressure on the dressing. c. wrapping roller gau,e tightly around the neck and then firmly under the a-illa on the same side. d. taping the dressing firmly to the neck. Answer: a Objecti e: !!"14 #eference: $*' !%. 3ou are on a snowmobiling trip with friends when you see members of the lead group hollering and wa ing their hands up ahead. When you get to the scene you note that the lead rider apparently did not see a chain across the road+ and he struck the chain with his neck so forcefully that he was thrown backward off his machine. 0omeone in the group is maintaining manual in"line stabili,ation. When you assess the injured person+ which of the following signs would indicate the injury that must be addressed and managed first?

a. b. c. d.

6ifficulty speaking A laceration to the forehead An open fracture of the left arm A partially a ulsed ear

Answer: a Objecti e: !!"* #eference: $&* !&. 3ou are caring for a 1&"year"old male with a laceration of the left ear. Which of the following actions would you not take in dressing this injury? a. b. c. d. :lacing a bulky dressing between the ear and the scalp 0ecuring the dressing with gau,e that is wrapped securely around the head ?sing direct pressure to control the bleeding Wrapping gau,e loosely around the head and under the opposite a-illa

Answer: d Objecti e: !!"14 #eference: $&1@$&2 !*. A mother brings her $"year"old child to the aid room and tells you that fluid is draining from the child7s right ear. 0he tells you that the child has had a fe er since this morning and was complaining of right ear pain. 5ased on your O89 training+ you would: a. b. c. d. use a % - % to pack the ear and then bandage it securely using gau,e around the head. put a pressure dressing o er the ear to stop the drainage. ha e the boy lie on his right side to allow the fluid to drain. arrange for A(0 transportation immediately.

Answer: c Objecti e: !!"14 #eference: $&2 !$. The condition characteri,ed by pupils of une=ual si,e is: a. b. c. d. anisocoria. malocclusion. hyphema. retinal detachment.

Answer: a Objecti e: 0upplemental #eference: $%& !1. 3ou and your partner are caring for a patient who tells you that she wears contact lenses. 3our partner wants to remo e the lenses. 3ou remind him that the remo al of contact lenses is indicated in all of the following situations except: a. significant altered le el of responsi eness.

b. any facial trauma. c. eye trauma. d. eye edema. Answer: b Objecti e: 0upplemental #eference: $*!