ch 28 Questions Flashcards
All of the following systems contain organs that make up the contents of the abdominal cavity EXCEPT:
A. the digestive system
B. the urinary system
C. the genitourinary system
D. the limbic system
The limbic system
Which of the following is NOT a hollow organ of the abdomen?
A. Stomach
B. Liver
C. Bladder
D. Ureters
Liver
Which of the following is NOT a solid organ of the abdomen?
A. Liver
B. Spleen
C. Gallbladder
D. Pancreas
Gallbladder
The first signs of peritonitis include all of the following EXCEPT:
A. severe abdominal pain
B. tenderness
C. muscular spasm
D. nausea
nausea
Late signs of peritonitis may include:
A. a soft abdomen
B. nausea
C. normal bowel sounds
D. diarrhea
nausea
_________ takes place in the solid organs.
A. Digestion
B. Excretion
C. Energy production
D. Absorption
Energy production
Because solid organs have a rich supply of blood, any injury can result in major:
A. hemorrhaging
B. damage
C. pain
D. guarding
hemorrhaging
You are dispatched to a motor vehicle collision. You see a 25-year-old woman who was restrained but is complaining of abdominal pain. She is alert and oriented. The patient’s airway is open, and she is breathing normally. Her pulse is regular but weak and rapid. She has a radial pulse. You inspect the abdomen for possible bleeding. You would expect to see all of the following EXCEPT:
A. pain or tenderness
B. rigidity
C. urticaria
D. distention
urticaria
Air in the abdominal cavity can cause all of the following EXCEPT:
A. pain
B. diarrhea
C. infection
D. distention
diarrhea
The abdomen is divided into four:
A. quadrants
B. planes
C. sections
D. angles
quadrants
The largest organ in the abdomen is the:
A. liver
B. spleen
C. pancreas
D. kidneys
Liver
Open abdominal injuries are known as:
A. blunt injuries
B. eviscerations
C. penetrating injuries
D. peritoneal injuries
penetrating injuries
Blunt abdominal injuries may result from:
A. a stab wound
B. seatbelts
C. a gunshot wound
D. an impaled object
seatbelts
The major complaint of patients with abdominal injury is:
A. pain
B. tachycardia
C. rigidity
D. swelling
pain
The most common sign of significant abdominal injury is:
A. pain
B. tachycardia
C. rigidity
D. distention
tachycardia
Late signs of abdominal injury include all of the following EXCEPT:
A. distention
B. increased blood pressure
C. Change in mental status
D. pale, cool, moist skin
increased blood pressure
Your primary concern when dealing with an unresponsive patient with an open abdominal pain is:
A. covering the wound with a moist dressing
B. maintaining the airway
C. controlling the bleeding
D. monitoring vital signs
maintaining the airway
You respond to an 18-year-old high school football player who was hit in the right flank with a helmet several hours ago. He is complaining of pain in that area. He is alert and oriented. His airway is open, and his respirations are within normal limits. His pulse is rapid and regular. He has a radial pulse. He tells you that he is noticing blood in his urine. Based on this information, the patient is likely to have an injury to the:
A. liver
B. kidney
C. gallbladder
D. appendix
kidney
When preforming a history on a patient with abdominal trauma, which of the following questions would be appropriate regarding trauma?
A. is there any blood in your stool?
B. does your pain go anywhere?
C. do you have any nausea, vomiting, or diarrhea?
D. all of the above
all of the above
When used alone, diagonal shoulder safety belts can cause all of the following EXCEPT:
A. a bruised chest
B. a lacerated liver
C. decapitation
D. a ruptured appendix
a ruptured appendix
You are dispatched to a motor vehicle collision. Your patient is a 42-year-old restrained woman. The air bag did deploy, and the woman has abrasions on her face. She is complaining of pain to both her chest and abdomen. Her airway is open and respirations are within normal limits. Her pulse is a little rapid but strong and regular. She has distal pulses. In assessing this patient, which of the following statements is NOT true?
A. bowel sounds can be difficult to hear in the field
B. palpation is typically performed first with light touch
C. if light touch elicits pain, perform deep palpation to assess further injury
D. if you find an entry wound, you should always assess for an exit wound
if light touch elicits pain, perform deep palpation to assess further injury
Patients with open abdominal injuries often complain of:
A. pain
B. nausea
C. vomiting
D. dyspnea
pain
You are called to the local bar where a fight has taken place. The police department tells you that you have a 36-year-old man who has been stabbed twice in the abdomen. Upon your arrival, the patient is alert and oriented. His airway is ope. His respirations are at 24 breaths/min; pulse is rapid, regular, and weak. He has distal pulses. With the penetrating trauma, you should assume that the object:
A. has penetrated the peritoneum
B. has entered the abdominal cavity
C. has possibly injured one or more organs
D. all of the above
all of the above
When treating a patient with an evisceration, you should:
A. attempt to replace the abdominal cavity
B. cover the protruding organs with a dry, sterile dressing
C. cover the protruding organs with adherent dressing
D. cover the protruding organs with moist, sterile gauze compresses
cover the protruding organs with moist, sterile gauze compresses
The solid organs of the urinary system include the:
A. kidneys
B. ureters
C. bladder
D. urethra
kidneys
All of the following male genitalia lie outside the pelvic cavity EXCEPT the:
A. urethra
B. penis
C. seminal vesicles
D. testes
seminal vesicles
Suspect kidney damage if the patient has a history or physical evidence of all of the following EXCEPT:
A. an abrasion, laceration, or contusion in the flank
B. a penetrating wound in the region of the lower rib cage or the upper abdomen
C. fractures on either side of the lower rib cage
D. a hematoma in the umbilical region
a hematoma in the umbilical region
Signs of injury to the kidney may include any of the following findings EXCEPT:
A. bruises or lacerations on the overlying skin
B. shock
C. increased urgency to urinate
D. hematuria
increased urgency of urination
Suspect a possible injury of the urinary bladder in all of the following findings EXCEPT:
A. bruising to the left upper quadrant
B. blood at the urethral opening
C. blood at the tip of the penis or a stain on the patient’s underwear
D. physical signs of trauma on the lower abdomen, pelvis, or perineum
bruising to the left upper quadrant
When treating a patient with an amputation of the penile shaft, your top priority is:
A. locating the amputated part
B. controlling bleeding
C. keeping the remaining tissue dry
D. delaying transport until bleeding is controlled
controlling bleeding
In any case of trauma to a female patient, you should always determine if the patient:
A. is on birth control
B. is pregnant
C. is currently menstruating
D. has a history of ovarian cysts
is pregnant
In cases of sexual assault, which of the following is true?
A. you should always examine the genitalia for any sign of injury
B. advise the patient not to wash, urinate, or defecate
C. in addition to recording the facts, it is important to include your personal thoughts
D. you should always use plastic bags when collecting items such as clothes
advise the patient not to wash, urinate, or defecate
Severe bleeding may occur with injury to ________ organs.
solid
The _________ system is responsible for filtering waste.
urinary
Kidneys are located in the _____________ space.
retroperitoneal
A penetrating wound that reaches the kidneys almost always involves _______ ________.
multiple organs
When ruptured, the organs of the abdominal cavity can spill their contents into the peritoneal cavity, causing an intense inflammatory reaction called __________.
pertinitus
Blood may irritate the _________ _________ and cause the patient to report abdominal pain.
peritoneal cavity
Closed abdominal injuries are also know as _______ _________.
blunt injuries
Open abdominal injuries are also know as ________ __________.
penetrating injuries
Another name for the right and left upper quadrants is ________.
flank
An open would allows that allows internal organs or fat to protrude through the wound is called ___________.
evisceration
