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CH 31-32
| Question | Answer |
|---|---|
| RUQ: | Liver, gallbladder, duodenum, pancreas |
| LUQ: | Stomach and spleen |
| LLQ: | Descending colon, left transverse colon |
| RLQ: | Large and small intestine, appendix |
| Hollow organs of the abdomen: | Stomach, intestines, ureters, bladder |
| hollow organs are where: | structures where materials pass through |
| solid organs are where: | masses of tissues that do much of the chemical work in the body and receive large amounts of rich blood |
| Low-velocity open injuries of the abdomen: | Knives, other edged weapons |
| Solid organs of the abdomen: | Liver, spleen, pancreas, kidneys |
| Medium-velocity open injuries of the abdomen: | Smaller caliber handguns and shotguns |
| High-velocity open injuries of the abdomen: | High-powered rifles and handguns |
| Evisceration: | bowel protrudes from peritoneum |
| Common complaints with genitourinary injuries are: | Nausea and vomiting. Diarrhea. Blood in urine. Vomiting blood. Abnormal bowel and bladder habits |
| Peritonitis would MOST likely result following injury to the: | stomach |
| Even when seat belts are worn properly and the airbags deploy, injury may occur to the: | iliac crests |
| While inspecting the interior of a wrecked automobile, you should be MOST suspicious that the driver experienced an abdominal injury if you find: | a deformed steering wheel |
| Other than applying a moist, sterile dressing covered with a dry dressing to treat an abdominal evisceration, an alternative form of management may include: | applying an occlusive dressing, secured by trauma dressings. |
| You are transporting a patient with possible peritonitis following trauma to the abdomen. Which position will he MOST likely prefer to assume? | legs drawn up |
| A 16-year-old boy was playing football and was struck in the left flank during a tackle. His vital signs are stable; however, he is in severe pain. You should be MOST concerned that he has injured his: | kidney |
| The term “hematuria” is defined as: | blood in the urine. |
| When caring for a female with trauma to the external genitalia, the EMT should: | use local pressure to control bleeding. |
| A sign of kidney damage after blunt trauma is: | hematuria. |
| Assuming that no obvious signs of intra-abdominal injury are present, which of the following injuries would most likely cause an injury to the liver or spleen to be overlooked? | Shoulder fracture |
| Peritonitis usually occurs when: | hollow abdominal organs are damaged and spill their contents. |
| Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of: | a poorly placed lap belt. |
| A football player was struck by another player in the R flank area just below posterior rib cage. He complains of severe pain and point tenderness to the area. You reveal that there is a small amount of blood in his underwear. U should be suspicious for: | blunt injury to the kidneys |
| Accumulation of blood in the abdominal cavity will most likely cause: | distention |
| Contraction or tensing of the abdominal muscles to ease pain is called: | guarding |
| While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her airbag deployed. You should: | lift the airbag and look for deformity to the steering wheel. |
| Bruising to the right upper quadrant of the abdomen after blunt trauma is most suggestive of injury to the: | liver |
| A 54 yr old M experienced an avulsion to his penis when it got caught in his pants. He was able to remove it prior to your arrival. Your assessment reveals that he is in severe pain and the avulsion is bleeding. Most appropriate tx for this pt: | applying direct pressure with a dry, sterile dressing. |
| You are transporting a pt with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 mins. After treating the pt appropriately, you should: | closely monitor him and reassess him frequently. |
| Your presence is requested by police to assess a 33 yr old F who was sexually assaulted. The pt is conscious and upset. You note an impressive amount of blood in her groin area. Her BP is 98/58, her pulse is 130, and her respirations are 24. You should: | control any external bleeding, administer oxygen, and transport at once. |
| A 22 yr old M was kicked in the abdomen. U find him lying on his L side with knees drawn up. He's conscious, alert, complains of pain and nausea when he straightens his legs. His BP is 142/82, pulse is 110, and RR are 22. Other than high-flow o2, u: | transport him in the position in which you found him. |
| The presence of tachycardia following a significant abdominal injury: | should be assumed to be a sign of shock |
| An unresponsive trauma patient has a large open abdominal wound with massive external bleeding. You should: | apply direct pressure to the wound |
| When a hollow organ is punctured during a penetrating injury to the abdomen: | peritonitis might not develop for several hours. |
| A man has a large laceration across his lower abdominal wall and a loop of bowel is protruding from the wound. He is conscious and alert and there is minimal bleeding from the wound. You should: | cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage. |
| During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of: | intra-abdominal bleeding |
| Difficulty breathing and a sunken appearance of the anterior abdominal wall is most indicative of a ruptured: | diaphragm |
| Because the depth of an open abdominal wound is often difficult to determine: | prompt transport to the hospital is essential |
| Placing a pregnant patient in a supine position during the third trimester of pregnancy: | might decrease the amount of blood that returns to the heart. |
| What type of muscle contracts and relaxes to control the movement of the contents within its structures? | smooth |
| During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should: | apply gentle manual traction in line with the limb and reassess for a pulse. |
| You and your partner are preparing to apply a traction splint to a patient's deformed thigh. As you apply manual traction, the patient resists your efforts and states that the pain is getting worse. You should: | stop and splint the leg in the deformed position. |
| Atrophy is a condition that occurs when: | muscle decreases in size and function because of disease or trauma. |
| Femoral shaft fractures can result in up to _____ mL of internal blood loss. | 1,000 |
| A 54 yr old M shot himself in the leg while cleaning his gun. U reveal a small entrance wound to the medial of his R leg. Exit wound is on the opposite side of the leg and is actively bleeding. The pt complains of numbness and tingling in his R foot. U: | control the bleeding and cover the wound with a sterile dressing. |
| Bone marrow produces: | blood cells |
| A Colles fracture involves a fracture of the: | distal radius. |
| When splinting an injury of the wrist, the hand should be placed: | in a functional position |
| In general, musculoskeletal injuries should be splinted before moving the patient unless: | the patient is clinically unstable. |
| During your secondary assessment of a 30 yr old M who fell 25 ft, you note crepitus when palpating his pelvis. Ur partner advises u that the pt's BP is 80/50, and his heart rate is 120 and weak. After completing your assessment, you should: | stabilize the pelvis with a pelvic binder and protect the spine. |
| After direct trauma to the L upper back, a 44 yr old M presents with diaphoresis and restlessness. His BP is 100/50, his pulse is 120 and weak, and his RRs are 24 and labored. Your assessment reveals abrasions and contusions over the L scapula. U: | apply high-flow oxygen, consider spinal precautions, and transport without delay. |
| When assessing a patient with a possible fracture of the leg, the EMT should: | compare it to the uninjured leg |
| A person who experiences a calcaneus fracture after jumping and landing on his or her feet would most likely experience an accompanying fracture of the: | lumbar spine |
| U receive a call to a gym for a bball player with a dislocated shoulder. You find the pt, a 17 yr old M, sitting on the ground. He's holding his L arm in a fixed position away from his body. There's an obvious anterior bulge to the area of injury. U: | assess distal pulse, motor, and sensory functions. |
| A 77 yr old F slipped and fell on a rug and landed on her L hip. She denies striking her head or LOC. Assessment of her left leg reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor functions are intact. You should: | place her onto a scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps. |
| A "hip" fracture is actually a fracture of the: | proximal femur |
| Care for a patient with a fractured tibia and suspected compartment syndrome includes: | keeping the leg at the level of the heart. |
| Traction splints primarily immobilize and secure fractures of the: | femur |
| Crepitus and false motion are: | positive indicators of a fracture. |
Created by:
bhicks701