Chapter 28: Abdomen and Genitourinary Injuries

Question 1

When solid organs are injured, the EMT should suspect:

Answer 1

severe internal bleeding

Question 2

What is the soft tissue landmark used in determining the four quadrants of the abdomen?

Answer 2

umbilicus

Question 3

Bruising of the upper right quadrant might lead the EMT to suspect an internal injury to the:

Answer 3

liver

Question 4

When you suspect an internal injury to the abdomen, you should always:

Answer 4

• take cervical and spinal precautions.
• treat for shock.
• administer high-flow oxygen.

Question 5

When dealing with an evisceration, the EMT should:

Answer 5

cover the wound with a wet sterile dressing

Question 6

When a patient has his or her knees drawn up to the chest to minimize abdominal pain, it is called:

Answer 6

guarding

Question 7

Which organ in the urinary system is a solid organ?

Answer 7

kidney

Question 8

When there is blunt trauma to the kidney area and blood appears in the urine, this is called:

Answer 8

hematuria

Question 9

Because of supine hypotensive syndrome, a pregnant patient should be placed in what position when a backboard is not necessary?

Answer 9

on her left side

Question 10

An abdominal injury caused by a small caliber handgun would be considered a _________ injury.

Answer 10

medium velocity

Question 11

What is usually the primary complaint of a patient with an abdominal injury?

Answer 11

pain

Question 12

Bruises known as the Grey Turner sign may suggest injury to what organs

Answer 12

liver, spleen, kidney

Question 13

Which of the following is true regarding injuries to the external genitalia?

• They are usually not life-threatening.
• They are usually quite painful.
• Bleeding may be severe.
• all of the above

Answer 13

all of the above

Question 14

Which of the following is true regarding injuries to the external genitalia?

• They are usually not life-threatening.
• They are usually quite painful.
• Bleeding may be severe.
• all of the above

Answer 14

all of the above

Question 15

Abdominal injuries are categorized as either ____ (_____) or ____ (____)

Answer 15

open (penetrating trauma) or closed (blunt force trauma).

Question 16

_____ is often a result of a gunshot wound or stab wound.

Answer 16

Penetrating trauma

Question 17

Injury to the solid internal organs often causes ____ that can be life threatening.

Answer 17

significant unseen bleeding

Question 18

Injury to the _____ of the abdomen may cause irritation and inflammation to the peritoneum as caustic digestive juices leak into the peritoneum. A serious infection may also occur over several hours.

Answer 18

hollow organs

Question 19

Always maintain a _____ for serious intra-abdominal injury in the trauma patient, particularly in the patient who exhibits signs of shock.

Answer 19

high index of suspicion

Question 20

Assess the abdomen for signs of _____, _____, ____ and ____

Answer 20

bruising, rigidity, penetrating injuries, and pain.

Question 21

Never ______ an impaled object from the abdominal region. Secure it in place with a _____ and provide prompt transport.

Answer 21

remove, large bulky dressing

Question 22

Injuries to the kidneys may be difficult to detect because of the well-protected region of the body where they are located. Be alert for ______

Answer 22

hematoma in the flank region.

Question 23

Injury to the external genitalia of male and female patients is very _____ but not usually _____.

Answer 23

painful, not usually life threatening