Ch16&17 Practice Questions Flashcards

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1
Q

When a patient can point to an exact location of pain over their abdomen, this is known as _________________ pain.

A) diffuse
B) parietal
C) visceral
D) referred

A
When a patient can point to an exact location of pain over their abdomen, this is known as \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ pain.
A) diffuse
B) parietal
C) visceral
D) referred

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 339
Objective: 16-1
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2
Q

When a patient has generalized abdominal pain and can only describe a larger area that is painful, it is known as _____________ pain.

A) parietal
B) rebound
C) visceral
D) celiac

A
When a patient has generalized abdominal pain and can only describe a larger area that is painful, it is known as \_\_\_\_\_\_\_\_\_\_\_\_\_ pain.
A) parietal
B) rebound
C) visceral
D) celiac

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 339
Objective: 16-1
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3
Q

Which one of the following organs is not located in the abdomen?

A) Stomach
B) Kidney
C) Pancreas
D) Small intestines

A
Which one of the following organs is not located in the abdomen?
A) Stomach
B) Kidney
C) Pancreas
D) Small intestines

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 339
Objective: 16-2
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4
Q

Lower abdominal pain could indicate which of the following conditions?

A) An irregular heart beat
B) An auditory tract infection
C) A fractured rib
D) A urinary tract infection

A
Lower abdominal pain could indicate which of the following conditions?
A) An irregular heart beat
B) An auditory tract infection
C) A fractured rib
D) A urinary tract infection

Ans: D

Complexity: Easy
Ahead: Medical Problems Occurring In The Gi, Gu, and Reproductive Systems
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 345
Objective: 16-2

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5
Q

A 28-year old healthy male presents with recent signs and symptoms of nausea and vomiting but very little abdominal pain. Which one of the following is your best course of action?

A) Suggest he follow up with his physician if the symptoms continue.

B) Call for ALS since you suspect the patient is having a myocardial infarction.

C) Have the patient urinate in a cup and look for blood in the urine.

D) Suggest the patient take some over the counter analgesics to see if they help and release back to skiing.

A

A 28-year old healthy male presents with recent signs and symptoms of nausea and vomiting but very little abdominal pain. Which one of the following is your best course of action?
A) Suggest he follow up with his physician if the symptoms continue.
B) Call for ALS since you suspect the patient is having a myocardial infarction.
C) Have the patient urinate in a cup and look for blood in the urine.
D) Suggest the patient take some over the counter analgesics to see if they help and release back to skiing.

Ans: A

Complexity: Moderate
Ahead: Medical Problems Occurring In The Gi, Gu, and Reproductive Systems
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 346
Objective: 16-3

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6
Q

Which one of the following statements regarding an acute abdomen is true?

A) OEC technicians need to be able to pinpoint the exact source of an acute abdomen.

B) Rarely is there nausea and vomiting accompanying an acute abdomen.

C) OEC technicians should recognize that a patient is very ill and needs to go to the hospital.

D) An acute abdomen rarely results in sepsis or hypovolemic shock.

A

Which one of the following statements regarding an acute abdomen is true?
A) OEC technicians need to be able to pinpoint the exact source of an acute abdomen.
B) Rarely is there nausea and vomiting accompanying an acute abdomen.
C) OEC technicians should recognize that a patient is very ill and needs to go to the hospital.
D) An acute abdomen rarely results in sepsis or hypovolemic shock.

Ans: C

Complexity: Easy
Feedback: 347-348
Objective: 16-5

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7
Q

Which of the following statements regarding assessment of the abdomen is false?

A) Assessing abdominal complaints can be difficult because the nerve pathways for the gastrointestinal, urinary, and reproductive systems are in relatively close proximity to each other.

B) Abdominal and pelvic organs are close to each other, and problems affecting one system or organ can seriously affect organs in another system.

C) Assessment of the abdominal organs is straightforward because the abdominal organs are specifically located and easily palpated.

D) One of the problems encountered while assessing abdominal complaints is a patient’s reluctance to allow the exam due to embarrassment or pain.

A

Which of the following statements regarding assessment of the abdomen is false?
A) Assessing abdominal complaints can be difficult because the nerve pathways for the gastrointestinal, urinary, and reproductive systems are in relatively close proximity to each other.
B) Abdominal and pelvic organs are close to each other, and problems affecting one system or organ can seriously affect organs in another system.
C) Assessment of the abdominal organs is straightforward because the abdominal organs are specifically located and easily palpated.
D) One of the problems encountered while assessing abdominal complaints is a patient’s reluctance to allow the exam due to embarrassment or pain.

Ans: C

Complexity: Easy
Ahead: Patient Assessment for Gi, Gu, and Reproductive System Emergencies
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 349
Objective: 16-5

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8
Q

Colic is often caused by which one of the following?

A) Obstruction and distention of a hollow organ
B) Drinking too much water
C) Contraction of the abdominal muscles from injury
D) Passing a bloody stool

A

Colic is often caused by which one of the following?
A) Obstruction and distention of a hollow organ
B) Drinking too much water
C) Contraction of the abdominal muscles from injury
D) Passing a bloody stool

Ans: A

Complexity: Easy
Ahead: Patient Assessment for Gi, Gu, and Reproductive System Emergencies
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 350
Objective: 16-5

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9
Q

What is typically the most comfortable position for a responsive patient who is suffering from abdominal pain?

A) Supine with feet elevated 8 inches
B) Left lateral position
C) Trendelenburg position
D) Supine with knees slightly flexed

A
What is typically the most comfortable position for a responsive patient who is suffering from abdominal pain?
A) Supine with feet elevated 8 inches
B) Left lateral position
C) Trendelenburg position
D) Supine with knees slightly flexed

Ans: D

Complexity: Easy
Ahead: Physical Exam of the Abdomen
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 350
Objective: 16-6
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10
Q

When dealing with a 61-year-old female patient with acute lower right abdominal pain, which quadrant should be examined first?

A) Right upper
B) Left upper
C) Right lower
D) Left lower

A
When dealing with a 61-year-old female patient with acute lower right abdominal pain, which quadrant should be examined first?
A) Right upper
B) Left upper
C) Right lower
D) Left lower

Ans: B

Complexity: Moderate
Ahead: Physical Exam of the Abdomen
Subject: Chapter 16
Title: Gastrointestinal, Genitourinary, and Reproductive System Emergencies Objectives
Feedback: 351
Objective: 16-5
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11
Q

The function of the uterus in pregnancy is to:

A) permit the excretion of wastes from the baby to the mother.

B) protect the abdominal organs during fetal growth.

C) manufacture specific blood cells needed for fetal survival.

D) provide an environment for the ovum to develop into a fetus.

A

The function of the uterus in pregnancy is to:
A) permit the excretion of wastes from the baby to the mother.
B) protect the abdominal organs during fetal growth.
C) manufacture specific blood cells needed for fetal survival.
D) provide an environment for the ovum to develop into a fetus.

Ans: D

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 357
Objective: 17-2
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12
Q

Which of the following statements concerning the functions of the vagina is true?

A) The vagina allows the passage of a baby during delivery and the outflow of urine from the bladder.

B) The vagina permits the outflow of menstrual blood and is the site at which a sperm fertilizes an egg.

C) The vagina serves as a passageway for the fetus during delivery and an outlet for blood during menstruation.

D) The vagina allows the excretion of urine from the bladder and the outflow of menstrual blood.

A

Which of the following statements concerning the functions of the vagina is true?
A) The vagina allows the passage of a baby during delivery and the outflow of urine from the bladder.
B) The vagina permits the outflow of menstrual blood and is the site at which a sperm fertilizes an egg.
C) The vagina serves as a passageway for the fetus during delivery and an outlet for blood during menstruation.
D) The vagina allows the excretion of urine from the bladder and the outflow of menstrual blood.

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 357
Objective: 17-1
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13
Q

Which of the following statements about the umbilical cord is true?

A) It connects the placenta and the mother’s uterus.

B) It detoxifies blood reaching the baby before delivery.

C) It transmits nourishment from the placenta to the fetus.

D) It always connects to the top side of the uterus.

A

Which of the following statements about the umbilical cord is true?
A) It connects the placenta and the mother’s uterus.
B) It detoxifies blood reaching the baby before delivery.
C) It transmits nourishment from the placenta to the fetus.
D) It always connects to the top side of the uterus.

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 358
Objective: 17-5
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14
Q

Which of the following findings should be of greatest concern when assessing a 33-year-old woman who is 8 months pregnant?

A) Shortness of breath when lying flat
B) Recent onset of a fever of 99.3°F
C) Daily contractions that are irregular and painful
D) Vaginal bleeding and abdominal pain

A

Which of the following findings should be of greatest concern when assessing a 33-year-old woman who is 8 months pregnant?
A) Shortness of breath when lying flat
B) Recent onset of a fever of 99.3°F
C) Daily contractions that are irregular and painful
D) Vaginal bleeding and abdominal pain

Ans: D

Complexity: Moderate
Ahead: Common Obstetric Emergencies
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 360
Objective: 17-6
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15
Q

The most common cause of fetal death due to trauma to a pregnant woman’s abdomen is:

A) abruptio placentae.
B) a crushing injury to the fetus.
C) penetration of the uterus.
D) premature labor.

A
The most common cause of fetal death due to trauma to a pregnant woman’s abdomen is: 
A) abruptio placentae.
B) a crushing injury to the fetus.
C) penetration of the uterus.
D) premature labor.

Ans: A

Complexity: Easy
Ahead: Common Obstetric Emergencies
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 361
Objective: 17-6
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16
Q

In abruptio placentae, the greatest threat to the baby is:

A) infection.
B) maternal shock.
C) fetal death.
D) pain.

A
In abruptio placentae, the greatest threat to the baby is:
A) infection.
B) maternal shock.
C) fetal death.
D) pain.

Ans: C

Complexity: Moderate
Ahead: Common Obstetric Emergencies
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 361-362
Objective: 17-6
17
Q

Hypotension can occur after 20 weeks of gestation when a pregnant woman is in a supine position. Which of the following actions by an OEC technician will not prevent hypotension?

A) Placing her in the left lateral recumbent position
B) Elevating her right hip approximately 1–2 inches
C) Elevating her feet 6–12 inches
D) Tipping the spine board so that she is slightly tilted

A

Hypotension can occur after 20 weeks of gestation when a pregnant woman is in a supine position. Which of the following actions by an OEC technician will not prevent hypotension?
A) Placing her in the left lateral recumbent position
B) Elevating her right hip approximately 1–2 inches
C) Elevating her feet 6–12 inches
D) Tipping the spine board so that she is slightly tilted onto her left side

Ans: C

Complexity: Moderate
Ahead: Management of Obstetric Emergencies
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 365
Objective: 17-8

18
Q

The second stage of labor ends with:

A) contractions that become regular and occur every 3–4 minutes.

B) delivery of the placenta.

C) delivery of the baby.

D) rupture of the amniotic sac.

A
The second stage of labor ends with:
A) contractions that become regular and occur every 3–4 minutes.
B) delivery of the placenta.
C) delivery of the baby.
D) rupture of the amniotic sac.

Ans: C

Complexity: Easy 
Ahead: Childbirth
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 366
Objective: 17-10
19
Q

At what point during a delivery should you consider using suction to clear the airway of the baby?

A) After the baby’s head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing

B) Before the cord has been cut but after the baby has been assessed and determined to be stable and if there is obvious obstruction to spontaneous breathing

C) When the baby has been delivered and has been dried and warmed

D) When the baby’s chest has been delivered but before the legs are free of the vaginal canal

A

At what point during a delivery should you consider using suction to clear the airway of the baby?
A) After the baby’s head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing
B) Before the cord has been cut but after the baby has been assessed and determined to be stable and if there is obvious obstruction to spontaneous breathing
C) When the baby has been delivered and has been dried and warmed
D) When the baby’s chest has been delivered but before the legs are free of the vaginal canal

Ans: A

Complexity: Easy
Ahead: Basic Care of Newborns
Subject: Chapter 17
Title: Childbirth, Obstetric Emergencies, and Sexual Assault
Feedback: 370
Objective: 17-12