16 - ABD and Genitourinary / Orthropaedic Injuries

Question 1

What organ is found in the right upper quadrant.

Answer 1

Liver
Gallbladder

Question 2

The skeletal system has several functions, list three.

Answer 2

Protect organs
Support and hold organs and muscles in place
Give structure to the body

Question 3

What are the names of the two bones that make up the lower leg?

Answer 3

Tibia
Fibula

Question 4

Most often, the term mesentery is used to reference:

Answer 4

The folded tissue that connects the abdominal wall to the peritoneum

Question 5

A common sign of bleeding in the abdomen is:

Answer 5

Bruising around the umbilicus

Question 6

You are treating an 11-year old who fell off a skateboard. There is obvious deformity to the left forearm and with crepitus presents. This type of injury is known as a(n):

Answer 6

Displaced Fracture (1153)

Question 7

The text lists 5 different hazards of improper splinting, list three of these hazards.

Answer 7

Compression of nerves, tissues and blood vessels

Delay in transport of a patient with a life threatening injury

Reduction of distal circulation

Aggravation of the injury

Injury to tissue, nerves, blood vessels, or muscles as a result of excessive movement of the bone or joint.

Question 8

A patient ℅ pain that is tearing and describes it as going from the abdomen posteriorly. These symptoms are MOST often seen with what condition?

Answer 8

Aortic aneurysm

Question 9

During your secondary assessment on a trauma patient who is lying supine you find ABD rigidity and neck pain. When is the MOST appropriate time to examine the patients back.

Answer 9

On the ambulance

Question 10

When splinting a fracture of the radius and ulna, the EMT-B should immobilize what two areas?

Answer 10

Stabilize the joints above and below the fracture (1165)

Question 11

What is the treatment for an evisceration?

Answer 11

If an evisceration is discovered, place a sterile dressing moistened with normal saline over the wound, apply bandage, and transport.

Never attempt to push eviscerated tissue organs back into the abdominal cavity.

(1130)

Question 12

A 17-year-old who fell off a bicycle is complaining of shoulder pain. There is pain and obvious deformity to the clavicle. Briefly describe how to immobilize this type of injury?

Answer 12

Fractures of the clavicle and scapula and the acromioclavicular separations can all be splinted effectively with a sling and swathe. (1170)

Question 13

A patient involved in a vehicle accident hits their knee on the dashboard, which fractures their pelvis. What type of injury is this pelvic fracture

Answer 13

Indirect compression from a heavy blow to the from force that was transmitted along the line of the femur. (1178)

Question 14

What is the treatment for the patient with a pelvic fracture?

Answer 14

Remove clothing
Use a pelvic binder to temporary stabilize the fracture

If patient is stable, load to a backboard or scoop stretcher

Rapid transport to the ER
Monitor vitals for potential hypovolemic shock which is common in patients with pelvic fracture (1178)

Question 15

What is a ligament ? What is a tendon?

Answer 15

Ligaments: Connects bone to bone

Tendon: Attach muscle to bone

Question 16

Which organ would likely be damaged from a blunt trauma to the flank region?

Answer 16

Kidney

Question 17

What should be checked before and after splinting an extremity?

Answer 17

CMSTP: Color, mobility, temperature, pulse

Question 18

What is the MOST effective way to manage an avulsion to the penis of a patient?

Answer 18

Apply moist sterile dressing, apply direct bleeding to control bleeding
If the avulsed penis is still partially attached, place back in position and wrap with sterile moist dressing.
If penis is amputated, wrap in sterile moist dressing, store in paper/plastic bad, keep cool, deliver to ER
Rapid transport to the ER

Question 19

Referred pain in the left shoulder can occur in injuries to which organ?

Answer 19

Spleen