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:
A. applying direct pressure with a dry, sterile dressing.
B. requesting a paramedic to administer pain medication
C. covering the avulsion with moist, sterile dressings
D. administering 100% oxygen via a nonrebreathing mask

Answer 1

A. applying direct pressure with a dry, sterile dressing

Question 2

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

Answer 2

C. infection

Question 3

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

Answer 3

C. Improperly placed lab belt

Question 4

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

Answer 4

C. diaphragm

Question 5

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

Answer 5

A. peritonitis may not develop for several hours

Question 6

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

Answer 6

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

Question 7

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

Answer 7

B. Liver

Question 8

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:
A. begin documenting the call on the patient care form
B. perform a comprehensive secondary assessment
C. forgo the hospital radio report because of his condition
D. closely monitor him and reassess him frequently

Answer 8

D. Closely monitor him and reassess him frequently

Question 9

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

Answer 9

C. a hematoma in the flank region

Question 10

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 mmHg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should:
A. control any external bleeding, administer oxygen, and transport at once.
B. visualize the vaginal area and pack the vagina with sterile dressings.
C. arrange for a rape crisis center representative to speak with the patient.
D. allow her to change her clothes and take a shower before you transport

Answer 10

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