CH 37 Flashcards
Which of the following organs or structures lies in the retroperitoneal space?
Spleen
Pancreas
Transverse colon
Ascending colon
Pancreas
When assessing a patient with abdominal trauma for distention, you should recall that:
a significant amount of blood accumulation in the abdominal cavity is required to produce distention.
because distention is a late sign of intra-abdominal bleeding, it should not be assessed for in the field.
a distended abdomen is one of the earliest clinical findings in patients with abdominal trauma.
abdominal distention is usually caused by muscle tensing rather than intra-abdominal bleeding.
a significant amount of blood accumulation in the abdominal cavity is required to produce distention.
The major complication associated with injury of a hollow organ is:
immediate death secondary to a massive infection.
massive internal hemorrhage and profound shock.
peritonitis caused by rupture and spillage of toxins.
delayed treatment due to the absence of external signs.
peritonitis caused by rupture and spillage of toxins.
Because of its anatomic position in the retroperitoneum, it typically takes high-energy force to damage the:
spleen.
stomach.
liver.
pancreas.
Pancreas
The upper peritoneal cavity includes the:
sigmoid colon.
pancreas.
spleen.
bladder.
Spleen
Which of the following factors primarily contributes to the extent of injury from a gunshot wound to the abdomen?
Trajectory of the bullet
Physical fitness of the patient
Size of the patient
Length of the gun barrel
Trajectory of the bullet
The periumbilical area refers to the:
area lateral to the umbilicus.
space behind the navel.
external umbilical orifice.
area around the umbilicus.
area around the umbilicus.
Fractures of the lower rib cage should make you most suspicious for injuries to the:
urinary bladder.
kidneys or pancreas.
ascending aorta.
liver or spleen.
liver or spleen.
A 24-year-old male intentionally placed a commercially manufactured constricting object around the base of his penis. He complains of moderate pain, and assessment of his penis reveals that it is cyanotic. You should:
administer a narcotic analgesic prior to removing the constricting object.
make one attempt to cut the constricting object away from his penis.
apply ice to the area to reduce any swelling and then remove the object.
transport him to the hospital and provide emotional support en route.
transport him to the hospital and provide emotional support en route.
Which of the following factors can decrease the potential damage caused by trauma to the abdomen?
Toned abdominal muscles and an empty bladder
A seat belt that is worn above the iliac crests
Air bags and being younger than 44 years old
Abdominal muscle tensing at the time of impact
Toned abdominal muscles and an empty bladder
