Chapter 26: Abdominal Emergencies Flashcards
Pain that originates in the walls of the hollow organs is called:
Visceral
The mnemonic used to help remember questions to ask regarding pain for a patient with an abdominal complaint is:
OPQRST
Pain that is felt in a place other than where it originates is called:
Referred
Which of the following conditions in females is a life-threatening emergency?
- 1. Mittelschmer
- 2. Ectopic pregnancy
- 3. Premenstrual syndrome
- 4. Cramps
Ectopic pregnancy
Which of the following signs indicates internal bleeding?
- 1. Greenish emesis
- 2. Sweet smell to emesis
- 3. Mucous in emesis and feces
- 4. Coffee-ground-like emesis
Coffee-ground-like emesis
Which type of medication can cause bleeding in the stomach?
Aspirin
What term is used to indicate voluntary or involuntary protecting of the abdomen to prevent further pain upon palpation?
Guarding
The best position in which to place a conscious patient with acute abdominal pain is:
A position of comfort
A patient with pain in the right lower quadrant (RLQ) is most likely suffering from which of the following?
- 1. Abdominal Aortic Aneurysm (AAA)
- 2. Pancreatitis
- 3. Gallstones
- 4. Appendicitis
Appendicitis
The retroperitoneal space contains which of the following organs?
- 1. Kidneys
- 2. Liver
- 3. Spleen
- 4. Gallbladder
Kidneys
The 4 quadrants of the abdomen are:
- Right Upper Quadrant (RUQ)
- Left Upper Quadrant (LUQ)
- Right Lower Quadrant (RLQ)
- Left Lower Quadrant (LLQ)
Most organs of the abdomen are enclosed in the [__________].
Peritoneum
The 4 classic patterns of abdominal pain are:
- Visceral
- Parietal
- Tearing
- Referred
The OPQRST mnemonic for assessing pain/distress stands for:
- Onset
- Provocation/ Palliation
- Quality
- Region/ Radiation
- Severity
- Time
Tearing pain that is felt in the back is a symptom of what serious medical problem?
Abdominal Aortic Aneurysm (AAA)
When a patient draws their arms across the abdomen in response to pain, this is called:
Guarding
Patients experiencing severe flank pain are most likely suffering from:
Renal Colic (Kidney stones)
TRUE/FALSE: Upper quadrant abdominal pain can be signs of a myocardial infarction or other cardiac problem.
True
TRUE/FALSE: “Crampy and colicky” is a description of parietal pain.
False
TRUE/FALSE: The T in OPQRST mnemonic stands for tenderness.
False
TRUE/FALSE: Tearing pain is a sign of an abdominal aortic aneurysm (AAA).
True
TRUE/FALSE: Ectopic pregnancy should always be considered as a potential problem when the woman of childbearing age has abdominal pain.
True
TRUE/FALSE: A coffee-ground-like substance in vomitus is a sign of internal bleeding.
True
TRUE/FALSE: Elderly people have no decreased ability to perceive pain.
False
TRUE/FALSE: During the assessment, palpate the abdomen before you inspect it.
False
TRUE/FALSE: Whenever possible, a patient with abdominal pain should be transported in a position of comfort.
True
TRUE/FALSE: The EMT can be confident that there is no serious problem with the abdomen if the assessment shows no abnormal findings.
False
