Ch. 24 Flashcards
Which abdominal quadrant contains the appendix?
A) Left lower
B) Right upper
C) Right lower
D) Left upper
C) Right lower
Page Ref: 609
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
Pain that originates in an organ, such as the intestines, is called ________ pain.
A) visceral
B) referred
C) acute
D) parietal
A) visceral
Page Ref: 614-615
Objective: 24.3 List the general mechanisms and types of abdominal pain.
Which of the following is TRUE concerning parietal pain?
A) It is often described as “crampy” or “colicky.”
B) It arises from solid organs.
C) It is usually intermittent in nature.
D) It is generally localized to a particular area.
D) It is generally localized to a particular area.
Page Ref: 615
Objective: 24.3 List the general mechanisms and types of abdominal pain.
An abdominal aneurysm of the ________ may cause the patient to have intense tearing pain in the lower back or abdomen, and the pain may radiate down one or both legs.
A) aorta
B) ovaries
C) liver
D) colon
A) aorta
Page Ref: 623
Objective: 24.3 List the general mechanisms and types of abdominal pain.
Which of the following is a characteristic of referred pain?
A) It is only felt in hollow organs.
B) It is felt in a location other than the organ causing it.
C) It is caused by psychological stress.
D) It is usually described as “crampy” or “colicky.”
B) It is felt in a location other than the organ causing it.
Page Ref: 615
Objective: 24.3 List the general mechanisms and types of abdominal pain.
What can occur when ammonia levels become high from progressive liver failure?
A) Influenza
B) Extreme diarrhea with dehydration
C) Hepatic encephalopathy
D) All of the above
C) Hepatic encephalopathy
Page Ref: 622
Objective: 24.4 Describe the pathophysiology, risk factors, assessment, and management of patients with emergencies related to hepatic diseases, including viral hepatitis, cirrhosis, and hepatic encephalopathy.
Injury to which of the following organs causes greatest concern for hemorrhagic shock?
A) Kidneys
B) Spleen
C) Appendix
D) Liver
B) Spleen
Page Ref: 623
Objective: 24.2 Compare and contrast the general characteristics of hollow and solid abdominal organs.
Which of the following is the main focus of your assessment and history taking of the patient with abdominal pain?
A) Determining the possible need for immediate surgery
B) Determining if the patient meets criteria to refuse treatment and transport
C) Determining the cause of the pain
D) Determining the presence of gastrointestinal bleeding
D) Determining the presence of gastrointestinal bleeding
Page Ref: 613-614
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
You suspect that your patient has a kidney infection because he is pointing to pain in his back. In your documentation, which of the following would you use to describe the area of pain?
A) Extraperitoneal
B) Peritoneum
C) Retroperitoneal
D) Parietal peritoneum
C) Retroperitoneal
Page Ref: 609
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
The detection of a pulsating mass upon palpation of a patient’s abdomen should make the EMT suspicious that the patient may be suffering from which of the following?
A) A hernia
B) An ulcer
C) Gastroenteritis
D) An abdominal aortic aneurysm
D) An abdominal aortic aneurysm
Page Ref: 614
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
Your patient is a 40-year-old woman who has been experiencing abdominal pain and vomiting for two days. She is now responsive to verbal stimulus; has cool, dry skin; a heart rate of 116; respirations of 24; and a blood pressure of 100/70. Which of the following is the BEST position for transporting this patient?
A) Supine with the knees bent
B) Left lateral recumbent with the legs bent
C) Sitting up at a 90-degree angle
D) Sitting up at a 45-degree angle
B) Left lateral recumbent with the legs bent
Page Ref: 614
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
When the gallbladder is diseased, the pain is NOT only felt in the RUQ but also in the:
A) epigastric area.
B) right shoulder.
C) left shoulder.
D) right scapula area.
B) right shoulder.
Page Ref: 622
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
You are documenting the pain felt by a patient with pneumonia. The pain he felt in the upper quadrant of the abdomen on the affected side is known as:
A) parietal pain.
B) visceral pain.
C) referred pain.
D) tearing pain.
C) referred pain.
Page Ref: 623
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
You are called to a 25-year-old man complaining of RLQ pain. His other symptoms are nausea and vomiting, fever, and decreasing pain in the umbilicus area. You should suspect:
A) appendicitis.
B) pancreatitis.
C) cholecystitis.
D) peritonitis.
A) appendicitis.
Page Ref: 613; 618-619
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
You respond, along with fire department medical responders, to a 48-year-old woman having a syncopal episode in the bathroom. You find the patient sitting on the commode vomiting into the trashcan. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has been weak for the past few days. She MOST likely has:
A) peritonitis.
B) abdominal aortic aneurysm.
C) hernia.
D) GI bleeding.
D) GI bleeding.
Page Ref: 617-618
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
What condition is characterized by flulike symptoms, and an enlarged and tender liver?
A) esophageal varices
B) cirrhosis
C) cholecystitis
D) hepatitis
D) hepatitis
Page Ref: 613
Objective: 24.1 Define key terms introduced in this chapter; 24.4 Describe the pathophysiology, risk factors, assessment, and management of patients with emergencies related to hepatic diseases, including viral hepatitis, cirrhosis, and hepatic encephalopathy.
You have documented that you patient has hematochezia. Which of the following BEST describes this problem?
A) Bloody stools
B) Vomiting blood
C) Coughing up blood
D) Occult blood
A) Bloody stools
Page Ref: 619
Objective: 24.1 Define key terms introduced in this chapter; 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
Which of the following disorders have signs and symptoms similar to appendicitis?
A) Mallory-Weiss tear
B) Diverticulitis
C) Esophageal varices
D) Cholecystitis
B) Diverticulitis
Page Ref: 619
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
You are caring for a 21-year-old woman who is apparently suffering from food poisoning. She has been forcefully vomiting for several hours and has begun to vomit a large amount of blood. What should you suspect?
A) Esophageal varices
B) Peptic ulcer
C) Esophagitis
D) Mallory-Weiss tear
D) Mallory-Weiss tear
Page Ref: 617
Objective: 24.1 Define key terms introduced in this chapter; 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
Esophageal varices are most associated with:
A) kidney disease.
B) pancreatitis.
C) liver disease.
D) gastroesophageal reflux disease.
C) liver disease.
Page Ref: 616
Objective: 24.5 Explain the pathophysiology, assessment, and management of abdominal and gastrointestinal disorders.
