Chapter 9 - Abdominal Trauma

Question 1

T/F - Due to the anatomy of the abdomen, injury to its contents often presents with limited signs and
symptoms.

Answer 1

pg 216

True

Question 2

Which abdominal organs is found in the left upper quadrant?

Answer 2

pg 217

Spleen

Question 3

What abdominal organs is found in the right lower quadrant?

Answer 3

pg 217

Appendix

Question 4

Which abdominal organ is found in all of the abdominal quadrants?

Answer 4

pg 217

small bowel.

Question 5

Which of the following statements is TRUE regarding the digestive tract?

It is a 25-foot-long hollow tube.

It moves food via peristalsis.

It churns food.

It introduces digestive juices.

All of the above.

Answer 5

pg 218

All of the above.

Question 6

In what order does digesting food pass through the digestive tract?

Answer 6

pg 218

Duodenum, jejunum, ileum, colon

Question 7

The movement of digesting material through the digestive system occurs through a process
called

Answer 7

pg 218

peristalsis

Question 8

The largest solid organ of the abdomen is the

Answer 8

pg 218

Liver.

Question 9

The delicate vascular organ that performs some immune functions is the

Answer 9

pg 220

spleen.

Question 10

The solid organ that produces insulin, glucagon, and some digestive juices is the

Answer 10

pg 218

pancreas.

Question 11

T/F - The urinary bladder may contain as little as 100 mL of fluid or as much as 2,000 mL of fluid.

Answer 11

pg 220

False

Question 12

The genital structure that contains the developing fetus during gestation is the

Answer 12

pg 221

uterus.

Question 13

The genital structure that releases an egg every 28 days is the

Answer 13

pg 221

ovary.

Question 14

At what point does the uterus and developing fetus fill the abdominal cavity to the lower rib
margin?

Answer 14

pg 221

32 weeks

Question 15

Pregnancy causes what change in the maternal blood volume?

Answer 15

pg 222

45%

Question 16

The abdominal aorta divides into what arteries as it enters the pelvic cavity?

Answer 16

pg 222

Iliac arteries

Question 17

The serous lining of the abdominal cavity is the

Answer 17

pg 223

peritoneum.

Question 18

Which of the following is a retroperitoneal organ?

Duodenum

Kidneys

Spleen

Urinary bladder

All of the above

Answer 18

pg 223

All of the above

Question 19

T/F - Bullets cause an abdominal wound mortality rate that is about equal to that caused by
slow-moving penetrating objects.

Answer 19

pg 224

False

Question 20

What percentage of the time does a penetrating mechanism injure the liver?

Answer 20

pg 224

40 percent

Question 21

What percentage of the time does a penetrating mechanism injure the large bowel?

Answer 21

pg 224

10%

Question 22

What organ is most frequently damaged during blunt abdominal trauma?

Answer 22

pg 224

spleen.

Question 23

Solid and hollow organs respond similarly to trauma

Answer 23

pg 224

False

Question 24

Penetration of the abdominal wall resulting in protrusion of the abdominal contents is called

Answer 24

pg 224

evisceration.

Question 25

The abdominal organs, with deep expiration, move as far up into the thorax as

Answer 25

pg 224 the nipple line.

Question 26

The term describing frank blood in the stool is

Answer 26

pg 225 hematochezia.

Question 27

The organ most likely to be injured by left-flank blunt trauma is the

Answer 27

pg 224 spleen.

Question 28

The organ that is likely to be injured in severe deceleration as its ligament restrains, then lacerates it, is the

Answer 28

pg 226 liver.

Question 29

Blunt injury to the right-flank region is likely to cause which of the following?

Answer 29

pg 225 Kidney injury.

Question 30

Penetrating injury to the central anterior abdomen is likely to cause which of the following?

Answer 30

pg 226 Bowel injury

Question 31

Most abdominal vascular injuries are associated with penetrating trauma.

Answer 31

pg 226 True

Question 32

Hemorrhage into the abdomen is of serious concern because it

Answer 32

pg 226 may trigger a vagal response, slowing the heart.

Question 33

Blunt injury to the mesentery often occurs at

Answer 33

pg 226 the duodenal-jejunal juncture & the ileocecal juncture

Question 34

How long does it take bacteria to grow in sufficient numbers to irritate the peritoneum?

Answer 34

pg 226 over 12 hours.

Question 35

The number-one killer of pregnant females is

Answer 35

pg 227 Trauma.

Question 36

Unrestrained pregnant occupants in vehicles are how many more times likely to suffer fetal mortality in an auto collision than their belted counterparts?

Answer 36

pg 227 4x more likely

Question 37

T/F - The late-term pregnant female is at increased risk for vomiting and aspiration.

Answer 37

pg 227 True

Question 38

Supine positioning of the mother may cause hypotension due to

Answer 38

pg 227 compression of the inferior vena cava.

Question 39

It may take a maternal blood loss of what percentage before the heart rate begins to increase in the late-term pregnancy?

Answer 39

pg 227 30 to 35 percent

Question 40

Due to the flexibility of the pediatric thorax, what injuries are more likely to occur with blunt trauma?

Answer 40

pg 228 Liver, Spleenic, and Kidney Injuries

Question 41

Children may not show signs of blood loss until they have lost what percentage of their volume?

Answer 41

pg 228 50 percent

Question 42

What percentage of patients with abdominal injury do not present with any signs or symptoms?

Answer 42

pg 229 30 percent

Question 43

Hemorrhage into the abdomen may account for how much blood loss before it becomes noticeable?

Answer 43

pg 230 1,500 mL

Question 44

Prehospital administration of IV fluid should be limited to

Answer 44

pg 232 3,000 mL.

Question 45

Care for the abdominal evisceration includes use of which of the following?

Answer 45

pg 233 A sterile dressing moistened with normal saline

Question 46

At what blood pressure would you consider applying the PASG in the presence of an abdominal evisceration?

Answer 46

pg 234 50 mmHg

Question 47

Which position is indicated for the late-pregnancy patient?

Answer 47

pg 234 Left lateral recumbent

Question 48

Unless the blood pressure is less than 50 mmHg, use of the PASG is contraindicated in

Answer 48

pg 234 abdominal evisceration patients.

Question 49

T/F - Aggressive fluid resuscitation may aggravate the relative anemia associated with late-term pregnancy.

Answer 49

pg 234 True

Question 50

T/F - Tilting the spine board 15 degrees for the immobilized, late-term mother may be beneficial.

Answer 50

pg 234 True