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Outdoor Emergency Care > Ch24 Practice Questions > Flashcards

Ch24 Practice Questions Flashcards

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1
Q

The abdomen is located between the:

A) diaphragm and the pelvic brim.
B) mid-chest and the level of the umbilicus.
C) nipple line and the coccyx of the spine.
D) base of the 5th rib and the pelvic base.

A

The abdomen is located between the:
A) diaphragm and the pelvic brim.
B) mid-chest and the level of the umbilicus.
C) nipple line and the coccyx of the spine.
D) base of the 5th rib and the pelvic base.

Ans: A

Complexity: Easy 
Ahead: Anatomy and Physiology
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 584
Objective: 24-1
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2
Q

The function of organs in the abdomen is:

A) only digestion.

B) the storage of fat.

C) the absorption of oxygen.

D) digestion, production of white blood cells, and the filtering of blood.

A

The function of organs in the abdomen is:
A) only digestion.
B) the storage of fat.
C) the absorption of oxygen.
D) digestion, production of white blood cells, and the filtering of blood.

Ans: D

Complexity: Easy 
Ahead: Anatomy and Physiology
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 584
Objective: 24-2
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3
Q

When palpating the anterior portion of a patient’s abdomen, you note tenderness in the left upper quadrant. You would recognize that which organ might be involved?

A) The kidney
B) The gallbladder
C) The spleen
D) The liver

A 
When palpating the anterior portion of a patient’s abdomen, you note tenderness in the left upper quadrant. You would recognize that which organ might be involved?
A) The kidney
B) The gallbladder
C) The spleen
D) The liver

Ans: C

Complexity: Moderate 
Ahead: Anatomy and Physiology
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 584-585
Objective: 24-1
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4
Q

A patient complains of severe and sharp pain in the right shoulder when palpating the right upper abdominal quadrant. Based on this sign and location, what organ or structure is most likely involved?

A) Liver
B) Kidney
C) Spleen
D) Appendix

A 
A patient complains of severe and sharp pain in the right shoulder when palpating the right upper abdominal quadrant. Based on this sign and location, what organ or structure is most likely involved?
A) Liver
B) Kidney
C) Spleen
D) Appendix

Ans: A

Complexity: Moderate
Ahead: Anatomy and Physiology
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 584-585
Objective: 24-1
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5
Q

You have been called to aid a patient with generalized abdominal pain. The patient states that he recently had his gallbladder removed. You know that the gallbladder is located in the:

A) left upper abdominal quadrant.
B) right upper abdominal quadrant.
C) lower left abdominal quadrant.
D) lower right abdominal quadrant.

A 
You have been called to aid a patient with generalized abdominal pain. The patient states that he recently had his gallbladder removed. You know that the gallbladder is located in the:
A) left upper abdominal quadrant. 
B) right upper abdominal quadrant.
C) lower left abdominal quadrant.
D) lower right abdominal quadrant.

Ans: B

Complexity: Moderate 
Ahead: Anatomy and Physiology
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 585
Objective: 24-1
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6
Q

Blunt trauma to the upper right abdominal quadrant can injure the:

A) pancreas.
B) spleen.
C) liver.
D) small intestines.

A 
Blunt trauma to the upper right abdominal quadrant can injure the:
A) pancreas.
B) spleen.
C) liver.
D) small intestines.

Ans: C

Complexity: Moderate
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 585
Objective: 24-3
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7
Q

Which of these organs is most fragile and, therefore, most likely to be injured by blunt trauma?

A) Spleen
B) Heart
C) Colon
D) Skin

A 
Which of these organs is most fragile and, therefore, most likely to be injured by blunt trauma?
A) Spleen
B) Heart
C) Colon
D) Skin

Ans: A

Complexity: Easy 
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 585
Objective: 24-3
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8
Q

The spleen of a patient has ruptured. Because the spleen is a solid organ, you recognize that the primary threat to life is most likely:

A) blood loss.
B) pain.
C) infection.
D) inflammation.

A 
The spleen of a patient has ruptured. Because the spleen is a solid organ, you recognize that the primary threat to life is most likely:
A) blood loss.
B) pain.
C) infection.
D) inflammation.

Ans: A

Complexity: Moderate
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 586
Objective: 24-2
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9
Q

The pancreas is best described as a:

A) nonfunctional organ.
B) hollow organ.
C) solid organ.
D) fluid-filled organ.

A 
The pancreas is best described as a:
A) nonfunctional organ.
B) hollow organ.
C) solid organ.
D) fluid-filled organ.

Ans: C

Complexity: Easy 
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 586
Objective: 24-1
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10
Q

The most common mechanism of injury to the pancreas is:

A) trauma to the left flank.

B) rotational trauma to the chest wall.

C) direct trauma to the middle of the abdomen above the navel.

D) trauma to the right flank.

A

The most common mechanism of injury to the pancreas is:
A) trauma to the left flank.
B) rotational trauma to the chest wall.
C) direct trauma to the middle of the abdomen above the navel.
D) trauma to the right flank.

Ans: C

Complexity: Easy 
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 586
Objective: 24-3
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11
Q

In which of the following injuries can the abdominal cavity migrate into the thoracic cavity?

A) A rib fracture
B) An abdominal hernia
C) An intestinal tear
D) A tear in the diaphragm

A 
In which of the following injuries can the abdominal cavity migrate into the thoracic cavity?
A) A rib fracture
B) An abdominal hernia 
C) An intestinal tear
D) A tear in the diaphragm

Ans: D

Complexity: Moderate
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 587
Objective: 24-3
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12
Q

An injury to the abdominal wall allowing the intestines to come out of the abdominal cavity is a(n):

A) laceration.
B) evisceration.
C) contusion.
D) abrasion.

A 
An injury to the abdominal wall allowing the intestines to come out of the abdominal cavity is a(n):
A) laceration.
B) evisceration.
C) contusion.
D) abrasion.

Ans: B

Complexity: Easy 
Ahead: Common Abdominal and Pelvic Injuries
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 587
Objective: 24-5
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13
Q

You would recognize which one of the following situations as an acute abdominal emergency?

A) A patient who complains of stomach pain and has bad-smelling gas

B) A woman who says she drank tequila last night and now has stomach pain with diarrhea

C) A child whose sister has hepatitis and who has just vomited for the first time

D) A ski racer who hit a tree and has significant left flank pain prior to and during palpation

A

You would recognize which one of the following situations as an acute abdominal emergency?
A) A patient who complains of stomach pain and has bad-smelling gas
B) A woman who says she drank tequila last night and now has stomach pain with diarrhea
C) A child whose sister has hepatitis and who has just vomited for the first time
D) A ski racer who hit a tree and has significant left flank pain prior to and during palpation

Ans: D

Complexity: Easy 
Ahead: Patient Assessment of the Abdomen and Pelvis
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 588
Objective: 24-3
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14
Q

Which of the following statements indicates that you correctly understand the goal of assessing and managing a patient who has abdominal pain?

A) “It is important to determine if the liver is the cause of pain because that is the most life-threatening condition.”

B) “If the patient has tenderness upon any palpation of the abdomen, OEC technicians should assume that bleeding is the cause.”

C) “It is more important to recognize a possible abdominal injury or emergency than it is to identify the exact cause.”

D) “To best treat the patient, OEC technicians must identify the exact cause of the patient’s pain.”

A

Which of the following statements indicates that you correctly understand the goal of assessing and managing a patient who has abdominal pain?
A) “It is important to determine if the liver is the cause of pain because that is the most life-threatening condition.”
B) “If the patient has tenderness upon any palpation of the abdomen, OEC technicians should assume that bleeding is the cause.”
C) “It is more important to recognize a possible abdominal injury or emergency than it is to identify the exact cause.”
D) “To best treat the patient, OEC technicians must identify the exact cause of the patient’s pain.”

Ans: C

Complexity: Easy 
Ahead: Patient Assessment of the Abdomen and Pelvis
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 588
Objective: 24-3
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15
Q

When taking care of a patient with an abdominal injury, your first priority is:

A) controlling massive bleeding.

B) keeping the scene, patient, and all rescuers safe.

C) achieving proper airway management.

D) stabilizing the patient.

A

When taking care of a patient with an abdominal injury, your first priority is:
A) controlling massive bleeding.
B) keeping the scene, patient, and all rescuers safe.
C) achieving proper airway management.
D) stabilizing the patient.

Ans: B

Complexity: Easy 
Ahead: Patient Assessment of the Abdomen and Pelvis
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 588-590
Objective: 24-4
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16
Q

A crying 42-year-old woman states that she has sharp abdominal pain that she localizes to her right lower quadrant. When assessing this patient’s abdomen, you would look for distention and symmetry and then:

A) start the exam by palpating the abdomen in the quadrant farthest away from the one that is painful.

B) avoid palpating the entire abdomen.

C) start the abdominal exam by palpating the right lower quadrant.

D) avoid palpating the right lower quadrant.

A

A crying 42-year-old woman states that she has sharp abdominal pain that she localizes to her right lower quadrant. When assessing this patient’s abdomen, you would look for distention and symmetry and then:
A) start the exam by palpating the abdomen in the quadrant farthest away from the one that is painful.
B) avoid palpating the entire abdomen.
C) start the abdominal exam by palpating the right lower quadrant.
D) avoid palpating the right lower quadrant.

Ans: A

Complexity: Easy 
Ahead: Patient Assessment of the Abdomen and Pelvis
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 589
Objective: 24-3
17
Q

When presented with a 6-year-old female with a stick impaled through her lower left abdominal quadrant, an OEC technician should:

A) stabilize the stick.

B) push the stick through the back of the abdominal cavity.

C) pull the stick out partway.

D) saw the stick off, leaving some in place.

A

When presented with a 6-year-old female with a stick impaled through her lower left abdominal quadrant, an OEC technician should:
A) stabilize the stick.
B) push the stick through the back of the abdominal cavity.
C) pull the stick out partway.
D) saw the stick off, leaving some in place.

Ans: A

Complexity: Easy 
Ahead: Management of Abdominal and Pelvic Trauma
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 590
Objective: 24-7
18
Q

In most cases, the position of comfort in abdominopelvic trauma is:

A) supine, with padding under the knees to keep them slightly bent.

B) in a right recumbent position with the knees straight.

C) in a left recumbent position with the back bent.

D) supine feet elevated at least twelve inches.

A

In most cases, the position of comfort in abdominopelvic trauma is:
A) supine, with padding under the knees to keep them slightly bent.
B) in a right recumbent position with the knees straight.
C) in a left recumbent position with the back bent.
D) supine feet elevated at least twelve inches.

Ans: A

Complexity: Easy 
Ahead: Management of Abdominal and Pelvic Trauma
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 590
Objective: 24-4
19
Q

To prepare a patient with a pelvic fracture for transportation, you should:

A) apply a pelvic binder.

B) place the patient on a scoop stretcher in the right recumbent position.

C) place the patient in a supine position on a backboard.

D) place the patient in a seated position in a toboggan.

A

To prepare a patient with a pelvic fracture for transportation, you should:
A) apply a pelvic binder.
B) place the patient on a scoop stretcher in the right recumbent position.
C) place the patient in a supine position on a backboard.
D) place the patient in a seated position in a toboggan.

Ans: A

Complexity: Easy 
Ahead: Management of Abdominal and Pelvic Trauma
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 591
Objective: 24-7
20
Q

Because pelvic fractures are often associated with heavy internal bleeding, you should expect:

A) to find other fractures as well.

B) that cardiac arrest may occur.

C) to see hypovolemic shock.

D) to need air evacuation for the patient.

A

Because pelvic fractures are often associated with heavy internal bleeding, you should expect:
A) to find other fractures as well.
B) that cardiac arrest may occur.
C) to see hypovolemic shock.
D) to need air evacuation for the patient.

Ans: C

Complexity: Moderate
Ahead: Management of Abdominal and Pelvic Trauma
Subject: Chapter 24
Title: Abdominal and Pelvic Trauma
Feedback: 593
Objective: 24-7

Outdoor Emergency Care (68 decks)

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