Chapter 31 - [additional] Abdominal and Genitourinary Injuries Flashcards
Peritonitis would MOST likely result following injury to the:
A. liver.
B. spleen.
C. kidney.
D. stomach.
D. stomach.
Which of the following statements regarding intra-abdominal bleeding is FALSE?
A. Intra-abdominal bleeding often causes abdominal distention.
B. Intra-abdominal bleeding is common following blunt force trauma.
C. The absence of pain and tenderness rules out intra-abdominal bleeding.
D. Bruising may not occur immediately following blunt abdominal trauma.
C. The absence of pain and tenderness rules out intra-abdominal bleeding.
Even when seat belts are worn properly and the airbags deploy, injury may occur to the:
A. chest.
B. extremities.
C. iliac crests.
D. lower ribcage.
C. iliac crests.
While inspecting the interior of a wrecked automobile, you should be MOST suspicious that the driver experienced an abdominal injury if you find:
A. a deformed steering wheel.
B. that the airbags deployed.
C. a crushed instrument panel.
D. damage to the lower dashboard.
A. a deformed steering wheel.
Other than applying a moist, sterile dressing covered with a dry dressing to treat an abdominal evisceration, an alternative form of management may include:
A. placing dry towels over the open wound.
B. cleaning the exposed bowel with sterile saline.
C. applying the PASG to stop the associated bleeding.
D. applying an occlusive dressing, secured by trauma dressings.
D. applying an occlusive dressing, secured by trauma dressings.
You are transporting a patient with possible peritonitis following trauma to the abdomen. Which position will he MOST likely prefer to assume?
A. Sitting up
B. Legs drawn up
C. Legs outstretched
D. On his right side
B. Legs drawn up
When caring for a female with trauma to the external genitalia, the EMT should:
A. use local pressure to control bleeding.
B. carefully pack the vagina to reduce bleeding.
C. remove any impaled objects from the vagina.
D. cover any open wounds with moist, sterile dressings.
A. use local pressure to control bleeding.
Peritonitis usually occurs when:
Select one:
A.
the vessels that supply the abdominal organs become inflamed.
B.
hollow abdominal organs are damaged and spill their contents.
C.
solid abdominal organs bleed secondary to penetrating trauma.
D.
bacteria or viruses invade the walls of the gastrointestinal tract.
B.
hollow abdominal organs are damaged and spill their contents.
A man has a large laceration across his lower abdominal wall and a loop of bowel is protruding from the wound. He is conscious and alert and there is minimal bleeding from the wound. You should:
Select one:
A.
make one attempt to replace the bowel back into the abdomen and then cover the wound with a sterile dressing.
B.
cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.
C.
cover the bowel with a dry sterile dressing, elevate his lower extremities, and cover him with a blanket.
D.
gently irrigate the exposed bowel with sterile saline and then cover the wound with a dry sterile dressing.
B.
cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.
Contraction or tensing of the abdominal muscles to ease pain is called:
Select one:
A.
flexing.
B.
guarding.
C.
referring.
D.
withdrawing.
B.
guarding.
Accumulation of blood in the abdominal cavity will most likely cause:
Select one:
A.
referred pain.
B.
distention.
C.
nausea or vomiting.
D.
diffuse bruising.
B.
distention.
A 22-year-old male was kicked in the abdomen several times. You find him lying on his left side with his knees drawn up. He is conscious and alert and complains of increased pain and nausea when he tries to straighten his legs. His blood pressure is 142/82 mm Hg, his pulse rate is 110 beats/min and strong, and his respirations are 22 breaths/min and regular. In addition to administering high-flow oxygen, you should:
Select one:
A.
place him supine but allow him to keep his knees bent.
B.
apply full spinal motion restriction precautions.
C.
keep him on his side but gently straighten his legs.
D.
transport him in the position in which you found him.
D.
transport him in the position in which you found him.
