What were the findings on the head and face examination?

• A. No head or face injuries.
• B. Severe facial fracture with intracranial bleed.
• C. Multiple abrasions and contusions to face with no other abnormalities.
• D. Facial swelling without abrasion.

Answer: (C)

In a head and face exam, you’re looking to separate soft-tissue injuries from bone or brain injury. The finding described—multiple abrasions and contusions on the face with no other abnormalities—best fits superficial facial trauma without signs of skull fracture or intracranial involvement. Abrasions and contusions are common after blunt impact and indicate skin and soft-tissue injury rather than a fracture or brain bleed. The absence of other abnormalities suggests there are no deformities, neurologic changes, or signs of intracranial injury at this time, which is why this option aligns with a stable, minor facial injury.

If there were no injuries at all, that would contradict the observed abrasions. If there were a severe facial fracture with intracranial bleed, you’d expect deformity, instability, or neurological symptoms and imaging findings. If swelling were present without abrasion, it wouldn’t account for the actual abrasions and contusions observed.