ECITS

Question 1

What is the first step to assess an injured abdomen

Answer 1

Expose the skin

Question 2

Hematuria is a cardinal sign of what injury

Answer 2

Renal and urinary tract
Dark brown color is bleed and upper UT
Bright red color is a bleed in the lower UT

Question 3

Preventing vena cava syndrome should be done in all pregnant patients bet how many weeks gestation by tilting a backboard 15° to the left

Answer 3

20

Question 4

Signs and symptoms of a diaphragmatic rupture

Answer 4

Abdominal pain
Acute respiratory distress
Decreased breath sounds
Bowel sounds of the chest
Sub Q emphysema

Question 5

Two types of abdominal pain

Answer 5

Somatic

Visceral

Question 6

Describe somatic pain

Answer 6

More of a surface type pain
Sharp and localized
Responds well to medication

Question 7

Describe visceral pain

Answer 7

Comes from organs inside the body
Travels pain receptors in the nerves
Radiates
Typically in the thoracic abdomen and pelvis

Question 8

What is evisceration

Answer 8

The protrusion of abdominal organs through the abdominal wall

Question 9

Management of an evisceration

Answer 9

Cover with salt soaked sterile dressing
Keep warm
Do not replace

Question 10

What type of organ tends to bleed the most

Answer 10

Solid organs

Question 11

What type of organ tends to cause severe infections

Answer 11

Hollow organs

Question 12

Name the solid organs

Answer 12

Liver, Spleen, kidney, pancreas

Question 13

Name the hollow organs

Answer 13

Small and large intestines, Stomach, Bladder

Question 14

How much of the cardiac output does deliver receive

Answer 14

25%

Question 15

What organs should you suspect an injury in if there are rib fractures to the seventh through ninth rib

Answer 15

Liver

Question 16

What organ should you suspect is injured or when a patient reports left upper quadrant tenderness

Answer 16

Spleen

Question 17

An injury to the spleen can radiate pain where

Answer 17

To the left shoulder

Question 18

Where is the pancreas located

Answer 18

Left side retroperitoneal space

Question 19

A patient with the pancreas injury Will present with vague upper and mid abdominal pain that can radiate where

Answer 19

To the back

Question 20

Is the stomach more commonly injured with a penetrating trauma or blunt trauma

Answer 20

Penetrating trauma

Question 21

Name the structures with in the retroperitoneal cavity

Answer 21

Pancreas, kidney, vascular structures, part of the small intestine

Question 22

What is Grey Turner’s sign

Answer 22

Ecchymosis of the flanks

Question 23

What is Cullens sign

Answer 23

Ecchymosis around the umbilicus

Question 24

What organ should you suspect injured with fractures to the 11th and 12th the ribs or flank tenderness

Answer 24

Kidney

Question 25

Pain on inspiration in and flank areas typically signals what organ injury

Answer 25

Kidney rupture

Question 26

Is a full bladder or an empty bladder more likely to be injured

Answer 26

Full

Question 27

What is Kehr sign

Answer 27

Pain in the shoulder as a result of the presence of blood or other irritants and the peritoneal cavity causing diaphragmatic irritation

Question 28

Bladder injury should be suspected in any patient with the the trauma to the lower abdomen or

Answer 28

Pelvis

Question 29

What is Fournier gangrene

Answer 29

An infection of the scrotum that entered through a laceration