mrcem2-0944

A 28 year old woman presents to the emergency department following an assault by her spouse. The patient reports being punched in the face and experiencing severe pain while attempting to open her mouth. Upon examination of the oral cavity, a hematoma is observed on the buccal mucosa when lifting the patient’s tongue, along with a 1 cm laceration on the adjacent gum mucosa.

What is the probable diagnosis?

mrcem2-0945

You conduct an evaluation on a 25-year-old individual who has arrived at the emergency department with a suspected jaw fracture after a bicycle incident. During the assessment, you observe diminished sensation in the front of the chin and lower lip on the right side. Which nerve is most likely to have been damaged?

mrcem2-0946

You review the X-ray’s of a young patient and they confirm a zygomatic fracture.

All of the following are reasons for immediate referral to the ophthalmologist or maxillofacial surgeons EXCEPT for which one?

mrcem2-0947

A 30-year-old patient presents to the emergency department with an inability to close their mouth following an accidental elbow to the jaw. The suspicion is a dislocated temporomandibular joint (TMJ). Typically, in which direction does TMJ dislocation occur?

mrcem2-0948

A 25-year-old male presents to the emergency department with notable facial swelling following an assault. A facial fracture is suspected due to the patient losing consciousness during the incident. As a precaution, the decision is made to send him for CT scans of the brain and facial views. The CT results confirm a zygomaticomaxillary complex (ZMC) fracture, but no mandible fracture is observed. Upon examination, it is observed that the patient is experiencing difficulty fully opening or closing their mouth. What is the probable cause of this issue?

mrcem2-0949

A 30-year-old woman is injured in a car crash and sustains severe facial injuries. X-rays and CT scans of her face show that she has a Le Fort I fracture.
What is the most accurate description of a Le Fort I fracture?