Chapter 30 Quiz

Question 1

A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes:
Select one:
A. requesting a paramedic to administer pain medication.
B. covering the avulsion with moist, sterile dressings.
C. administering 100% oxygen via a nonrebreathing mask.
D. applying direct pressure with a dry, sterile dressing.

Answer 1

D. applying direct pressure with a dry, sterile dressing.

Question 2

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

Answer 2

C. infection

Question 3

All of the following are hollow abdominal organs, EXCEPT the:
Select one:
A. ureters.
B. stomach.
C. spleen.
D. bladder.

Answer 3

C. spleen.

Question 4

Because the depth of an open abdominal wound is often difficult to determine:
Select one:
A. prompt transport to the hospital is essential.
B. the EMT must perform a thorough exam.
C. the abdomen must be vigorously palpated.
D. vital signs should be monitored frequently.

Answer 4

A. prompt transport to the hospital is essential.

Question 5

Compression injury is most likely due to which of the following?
Select one:
A. Improperly placed lab belt
B. Hollow-organ rupture
C. Ejection of unrestrained driver
D. Stabbing

Answer 5

A. Improperly placed lab belt

Question 6

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

Answer 6

C. diaphragm.

Question 7

In pediatric patients, the liver and spleen are _______.
Select one:
A. less likely to bleed when injured
B. smaller in proportion to the abdomen
C. more protected by the thorax compared to adults
D. larger in proportion to the abdomen

Answer 7

D. larger in proportion to the abdomen

Question 8

Injuries to the external male genitalia \_\_\_\_\_\_\_.
Select one:
A. are often life-threatening
B. usually result in permanent damage
C. frequently lead to hypovolemic shock
D. are rarely life-threatening

Answer 8

D. are rarely life-threatening

Question 9

Placing a pregnant patient in a supine position during the third trimester of pregnancy:
Select one:
A. results in spontaneous urinary incontinence if the bladder is full.
B. is recommended if the patient has severe abdominal discomfort.
C. often causes hypotension secondary to cardiac compression.
D. may decrease the amount of blood that returns to the heart.

Answer 9

D. may decrease the amount of blood that returns to the heart.

Question 10

When a hollow organ is punctured during a penetrating injury to the abdomen:
Select one:
A. the abdomen will become instantly distended.
B. it commonly protrudes through the injury site.
C. peritonitis may not develop for several hours.
D. it will bleed profusely and rapidly cause shock.

Answer 10

C. peritonitis may not develop for several hours.

Question 11

When a patient stiffens the muscles of the abdomen, it is known as \_\_\_\_\_\_\_.
Select one:
A. instability.
B. distention.
C. crepitus.
D. guarding.

Answer 11

D. guarding.

Question 12

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. Always during the secondary assessment
D. Only when there is a complaint of severe pain or other injury

Answer 12

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

Question 13

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

Answer 13

C. Injury to the kidneys usually indicates injury to other organs.

Question 14

Which of the following organs would MOST likely bleed profusely when injured?
Select one:
A. Bladder
B. Liver
C. Stomach
D. Intestine

Answer 14

B. Liver

Question 15

Which of the following statements regarding abdominal eviscerations is correct?
Select one:
A. The protruding organs should be kept warm and moist.
B. Adherent material is preferred when covering an evisceration.
C. The organs should be replaced carefully to avoid heat loss.
D. Most eviscerations occur to the left upper quadrant.

Answer 15

A. The protruding organs should be kept warm and moist.

Question 16

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:
Select one:
A. suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15 L/min.
B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.
C. perform a comprehensive secondary assessment to determine why his clinical status has changed.
D. reassess his vital signs and then notify the receiving hospital of the change in his clinical status.

Answer 16

B. insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

Question 17

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should:
Select one:
A. perform a comprehensive secondary assessment.
B. forgo the hospital radio report because of his condition.
C. begin documenting the call on the patient care form.
D. closely monitor him and reassess him frequently.

Answer 17

D. closely monitor him and reassess him frequently.

Question 18

You should suspect a kidney injury anytime the patient presents with \_\_\_\_\_\_\_.
Select one:
A. abdominal distention
B. dyspnea
C. a hematoma in the flank region
D. nausea

Answer 18

C. a hematoma in the flank region

Question 19

Your documentation on a sexual assault victim should _______.
Select one:
A. be subjective and summarize the crime
B. be objective and factual
C. include your opinion of the nature of the incident
D. describe the status of the suspect(s)

Answer 19

B. be objective and factual

Question 20

Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should:
Select one:
A. allow her to change her clothes and take a shower before you transport.
B. arrange for a rape crisis center representative to speak with the patient.
C. visualize the vaginal area and pack the vagina with sterile dressings.
D. control any external bleeding, administer oxygen, and transport at once.

Answer 20

D. control any external bleeding, administer oxygen, and transport at once.