Chapter 28 - Abdominal Trauma

Question 1

A sign of kidney damage following blunt trauma is:
Select one:
A. hematemesis.
B. hematochezia.
C. hematuria.
D. hemoptysis.

Answer 1

C. hematuria.

Question 2

Abdominal pain, vomiting, and fever are most likely due to \_\_\_\_\_\_\_.
Select one:
A. hemorrhage 
B. infection
C. evisceration
D. hypovolemia

Answer 2

B. infection

Question 3

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
Select one:
A. failure to wear seatbelts.
B. a poorly placed lap belt.
C. air bag deployment.
D. rapid vehicle deceleration.

Answer 3

B. a poorly placed lap belt.

Question 4

Contraction or tensing of the abdominal muscles in an effort to ease pain is called:
Select one:
A. referring.
B. flexing.
C. guarding.
D. withdrawing.

Answer 4

C. guarding.

Question 5

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:
Select one:
A. diaphragm.
B. aorta.
C. spleen.
D. stomach.

Answer 5

A. diaphragm.

Question 6

The mesentery is:
Select one:
A. a membranous fold that attaches the intestines to the walls of the body.
B. the point of attachment between the small and large intestines.
C. a complex network of blood vessels that supply blood to the liver.
D. a layer of thick skeletal muscles that protects the abdominal organs.

Answer 6

A. a membranous fold that attaches the intestines to the walls of the body.

Question 7

When should you visually inspect the external genitalia on your patient?
Select one:
A. Only when ordered by medical direction
B. Anytime the patient agrees to treatment and transport
C. Only when there is a complaint of severe pain or other injury
D. Always during the secondary assessment

Answer 7

C. Only when there is a complaint of severe pain or other injury

Question 8

Which of the following is true regarding injury to the kidneys?
Select one:
A. Only minimal force is needed to damage the kidneys.
B. Injury to the kidneys usually indicates injury to other organs also.
C. Kidney injuries are rarely caused by blunt trauma.
D. The kidneys are not well protected.

Answer 8

B. Injury to the kidneys usually indicates injury to other organs also.

Question 9

Which of the following organs is at MOST risk for injury as the result of a pelvic fracture?
Select one:
A. urinary bladder
B. pancreas
C. liver or spleen
D. fallopian tubes

Answer 9

A. urinary bladder

Question 10

While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her air bag deployed. You should:
Select one:
A. carefully assess her upper chest for seatbelt-related injuries.
B. extricate her immediately and transport to a trauma center.
C. lift the air bag and look for deformity to the steering wheel.
D. perform a head-to-toe assessment while she is in the car.

Answer 10

C. lift the air bag and look for deformity to the steering wheel.