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emt > ch. 30 abdominal and genitourinary injuries > Flashcards

ch. 30 abdominal and genitourinary injuries Flashcards

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1
Q

Damage to solid organs typically leads to

A

hemorrhage

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2
Q

What is the most common mechanism of injury in geriatric patients?

A

falls

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3
Q

The temporary wound channel caused by high-velocity weapons is called

A

cavitation

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4
Q

Abdominal rigidity and periumbilical bruising are signs of

A

internal bleeding

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5
Q

Management of evisceration injuries includes

A

keeping the injury moist and warm

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6
Q

Most of the ________ system lies behind the digestive tract.

A

urinary

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7
Q

Which of the following statements regarding trauma during pregnancy is correct?
Uterine trauma is likely to cause shock in the pregnant patient.

A

Uterine trauma is likely to cause shock in the pregnant patient.

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8
Q

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

A

a poorly placed lap belt

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9
Q

Which of the following statements regarding rebound tenderness is correct?

A

It is often discovered when the patient is jarred or moved suddenly.

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10
Q

While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her air bag deployed. You should

A

lift the air bag and look for deformity to the steering wheel.

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11
Q

When documenting a call involving a female patient who was sexually assaulted, the EMT should:
.

A

avoid speculation and document only factual data

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12
Q

A sign of kidney damage following blunt trauma is:

A

hematuria

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13
Q

Which of the following organs is at MOST risk for injury as the result of a pelvic fracture?

A

urinary bladder

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14
Q

Abdominal pain, vomiting, and fever are most likely due to

A

infection

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15
Q

All of the following are hollow abdominal organs, EXCEPT the

A

spleen

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16
Q

Because the depth of an open abdominal wound is often difficult to determine:

A

prompt transport to the hospital is essential.

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17
Q

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:

A

diaphragm

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18
Q

In pediatric patients, the liver and spleen are

A

larger in proportion to the abdomen

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19
Q

Injuries to the external male genitalia

A

are rarely life-threatening

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20
Q

Placing a pregnant patient in a supine position during the third trimester of pregnancy

A

may decrease the amount of blood that returns to the heart.

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21
Q

When a hollow organ is punctured during a penetrating injury to the abdomen:

A

peritonitis may not develop for several hours.

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22
Q

When a patient stiffens the muscles of the abdomen, it is known as

A

guarding

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23
Q

When should you visually inspect the external genitalia on your patient?

A

Only when there is a complaint of severe pain or other injury

24
Q

Which of the following is true regarding injury to the kidneys?

A

Injury to the kidneys usually indicates injury to other organs.

25
Q

Which of the following organs would MOST likely bleed profusely when injured?

A

liver

26
Q

Which of the following statements regarding abdominal eviscerations is correct?

A

The protruding organs should be kept warm and moist.

27
Q

what is an evisceration

A

The displacement of organs outside of the body

28
Q

You should suspect a kidney injury anytime the patient presents with

A

a hematoma in the flank region

29
Q

Your documentation on a sexual assault victim should

A

be objective and factual

30
Q

Right upper quadrant (RUQ) consist of?

A

liver, gallbladder, duodenum of the intestines, and a small portion of the pancreas

31
Q

Left upper quadrant (LUQ)

A

The stomach occupies most of the LUQ, but it shares this space with the spleen.
The pancreas occupies some of this space but is mostly posterior to the region.

32
Q

Left lower quadrant (LLQ)

A

The left lower quadrant holds both the large and small intestines, notably the descending colon and the left half of the transverse colon.

33
Q

Right lower quadrant (RLQ)

A

large and small intestines that include the ascending colon and the right half of the transverse colon.
descending colon, called the appendix

34
Q

Structures through which materials pass, such as the stomach, small intestines, large intestines, ureters, and urinary bladder.

A

hollow organs

35
Q

peritoneal cavity

A

abdominal cavity

36
Q

The membrane lining the abdominal cavity (parietal peritoneum) and covering the abdominal organs (visceral peritoneum).

A

peritoneum

37
Q

Solid masses of tissue where much of the chemical work of the body takes place (e.g., the liver, spleen, pancreas, and kidneys).

A

solid organs

38
Q

An injury in which there is soft-tissue damage inside the body but the skin remains intact.

A

closed abdominal injuries

39
Q

Involuntary muscle contractions (spasm) of the abdominal wall to minimize the pain of movement and protect the inflamed abdomen; a sign of peritonitis

A

guarding

40
Q

An injury in which there is a break in the surface of the skin or mucous membrane, exposing deeper tissue to potential contamination

A

open abdominal injuries

41
Q

Caused by hand-held or hand-powered objects such as knives and other edged weapons

A

Low-velocity injuries

42
Q

Caused by smaller caliber handguns and shotguns

A

Medium-velocity penetrating wounds

43
Q

Caused by larger weapons such as high-powered rifles and the higher-powered handguns

A

High-velocity injuries:

44
Q

The region below the rib cage and above the hip.

A

flank

45
Q

Blood in the urine

A

hematuria

46
Q

Black, foul-smelling, tarry stool containing digested blood

A

melena

47
Q

The genitourinary system controls:

A

Reproductive functions

The waste discharge system

48
Q

Which of the following is true about injuries to the kidneys?

A

A sign of kidney damage is hematuria. A penetrating wound that reaches the kidneys almost involves other organs.

49
Q

Bruising over the right upper quadrant could indicate injury to which of the following?

A

liver

50
Q

You should have an index of suspicion that a patient with pain referred to the right shoulder has an injury to which organ?

A

liver

51
Q

Which of the following are considered solid organs?

A

pancreas and spleen

52
Q

Which of the following signs would indicate that an injury to the kidney has occurred?

A

hematuria

53
Q

You are assessing a patient who reports pain that is tearing and describes it as going from the abdomen posteriorly. What should you suspect?

A

dissecting abdominal aneurysm

54
Q

What is the major cause of death following injury to a hollow organ in the abdomen?

A

sepsis

55
Q

What is the purpose of wrapping a sexual assault victim in a burn sheet?

A

To preserve potential evidence

56
Q

Which of the following is an indication of a spleen injury?

A

Referred left shoulder pain

emt (21 decks)

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