CEN Domain 6: Maxillofacial, Ocular, Orthopedic and WoundEmergencies Welcome to your CEN Domain 6: Maxillofacial, Ocular, Orthopedic and WoundEmergencies 1. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies In the management of a patient with a suspected orbital blowout fracture, which of the following actions is most appropriate? A. Immediate pressure patching of both eyes B. Administration of systemic corticosteroids C. Encouraging the patient to blow their nose to clear blood clots D. Avoidance of nose blowing and sneezing None 2. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies When evaluating a patient with a chemical eye injury, what is the initial step in management? A. Administering topical anesthetic drops B. Immediate irrigation with a neutralizing solution C. Assessment of visual acuity D. Copious irrigation with normal saline or water None 3. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies Which of the following is the most appropriate management for a patient with a suspected compartment syndrome in the lower leg? A. Tight circumferential bandaging to reduce swelling B. Elevation of the limb above heart level C. Application of cold packs to the affected area D. Fasciotomy None 4. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies In patients with facial fractures, what is the primary reason for ensuring patency of the airway? A. Prevention of aspiration pneumonia B. Reduction of facial swelling C. Prevention of obstructive sleep apnea D. Mitigation of the risk of airway obstruction None 5. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies What is the most appropriate management for a patient presenting with an open fracture of the tibia? A. Immediate application of a tight tourniquet above the injury B. Administration of intravenous antibiotics and tetanus prophylaxis C. Reduction of the fracture in the emergency department D. Application of heat to promote circulation None 6. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies A patient presents with a laceration over the metacarpophalangeal joint of the hand. What is the most significant concern in this type of injury? A. Cosmetic appearance post-repair B. Development of a flexor tendon injury C. Infection leading to a "fight bite" scenario D. Loss of joint mobility None 7. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies What is the primary reason for immobilizing the spine in a patient with multiple trauma and suspected spinal injury? A. To alleviate pain B. To facilitate transportation C. To prevent secondary injury to the spinal cord D. To ensure early mobilization None 8. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies When managing a wound with significant soft tissue damage, which factor is most crucial in preventing infection? A. Immediate closure of the wound B. Application of a topical antibiotic C. Adequate debridement of necrotic tissue D. Use of prophylactic systemic antibiotics None 9. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies For a patient with a chemical burn to the hand, which treatment is essential to prevent contractures? A. Immediate grafting B. Application of ice C. Elevation and immobilization D. Physical therapy and range of motion exercises None 10. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies What is the most effective initial management strategy for an anterior shoulder dislocation? A. Long-term sling immobilization B. Surgical intervention C. Closed reduction D. Administration of systemic corticosteroids None 11. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies In the management of a patient with a globe laceration, which of the following is the most appropriate next step? A. Application of a firm pressure patch over the eye B. Immediate administration of oral antibiotics C. Urgent referral for ophthalmologic surgery D. Instillation of mydriatic eye drops to improve vision None 12. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies Which of the following diagnostic tools is most accurate for identifying a scaphoid fracture in the initial assessment following trauma? A. Plain radiography B. MRI C. CT scan D. Ultrasound None 13. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies For a patient with a suspected mandibular fracture, which clinical feature most strongly suggests the presence of this injury? A. Periorbital ecchymosis B. Malocclusion C. Subconjunctival hemorrhage D. Trismus None 14. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies When treating a patient with a full-thickness burn, which intervention is most critical to prevent hypothermic shock? A. Early escharotomy B. Intravenous fluid resuscitation C. Application of silver sulfadiazine cream D. Maintenance of a warm environment None 15. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies Which of the following signs is most indicative of a basilar skull fracture? A. Hemotympanum B. Periorbital ecchymosis (Raccoon eyes) C. Linear fracture on CT D. Deviation of the nose None 16. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies In the assessment of a patient with an ankle sprain, which grading system is used to classify the severity of ligament injury? A. Ottawa Ankle Rules B. West Point Ankle Grading System C. Lachman Test D. RICE protocol None 17. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies What is the primary concern in the initial evaluation of a patient with a chemical burn to the eye? A. Determining the pH of the substance B. Assessing for corneal abrasions C. Immediate measurement of intraocular pressure D. Visual acuity assessment None 18. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies Which intervention is most critical in the initial management of a patient with a suspected pelvic fracture and hemodynamic instability? A. Pelvic binder application B. Immediate laparotomy C. Administration of intravenous broad-spectrum antibiotics D. Skeletal traction None 19. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies When assessing a patient with a suspected Le Fort fracture, which clinical sign is most indicative of a Le Fort III fracture? A. Malocclusion B. Mobility of the maxilla when the head is stabilized C. Epistaxis D. CSF rhinorrhea None 20. CEN: Maxillofacial Ocular Orthopedic and Wound Emergencies For a patient with a traumatic amputation of a finger, which action is most critical for the preservation of the amputated part? A. Immediate reattachment without cooling B. Wrapping the part in dry gauze and placing it in a dry container C. Cooling the part by direct immersion in ice water D. Wrapping the part in moist gauze, placing it in a waterproof bag, and cooling it indirectly with ice None 1 out of 20 Time is Up! Time's up
