katab 19 al-ma'da

Question 1

47 yr old ptnt, with 3 hrs abdominal pain, abdominal guarding and distention. your most important consideration is:

Answer 1

be alert for signs/symptoms of shock

Question 2

which is true regarding dialysis:

Answer 2

patients who miss dialysis treatments may present with weakness

Question 3

injury to hollow, abdominal organ likely result in:

Answer 3

leak of contents into abdominal cavity

Question 4

pain localized to lower back and/or lower abdom quadrants most suggestive of:

kidney infection
pancreatitis
aortic aneurism

Answer 4

aortic aneurysm (why?)

from online:

Many people have no symptoms and don’t know they have an (ABDOMINAL) aortic aneurysm until it ruptures, which is often quickly fatal. Symptoms, when they do occur, include PAIN IN THE BACK or near the naval. An extremely sharp and severe pain may indicate rupture, requiring emergency medical treatment.

Question 5

solid abd. organs include:

Answer 5

spleen, kidneys, pancreas

Question 6

characteristic of peptic ulcer disease:

Answer 6

gnawing/burning stomach pain subsides after eating

Question 7

most ptnts with abdominal pain prefer what position:

Answer 7

lie on side with knees drawn into abdomen

Question 8

ptnt past med history includes heart failure, hypotension, diabetes. acute renal failure likely a cause of:

NOT diabetes, NOT siezures

Answer 8

answer: heart failure

Relatively recent research has shown that heart failure is a significant

Question 9

70 yr ptnt with weakness, short breath, and a dialysis patient. his wife says he missed two treatments. you give O2, hear rhonchi in his lungs. he’s conscious but confused, 98/54 BP, pulse 120 and irregular, 24 breaths/min and LABORED. you should:

Answer 9

leave him sitting, keep him warm, transport immediately

Question 10

which is true regarding gastrointestinal bleed:

NOT in the majority of cases…

Answer 10

bleed in the gastrointestinal tract is a symptom of another disease not a disease itself

Question 11

young fem with costovertebral angle tenderness likely has problems with which organ:

Answer 11

kidney

online fact:
Costovertebral angle tenderness (CVAT) is a widely used physical examination maneuver to differentiate renal pathology, such as pyelonephritis and ureteral stones. CVA is at 12th rib and spine area. CVA tenderness can indicate kidney pathology.

Question 12

functions of the liver include:
choose one:

absorb nutrients

store bile and filter toxins

Answer 12

secretion of bile and filter toxic substances

The liver is the most solid organ in the body and sits below the diaphragm on the right upper quadrant of the abdomen. It functions to store sugars and starches as well as produce blood factors that increase the body’s ability to clot.

The liver produces proteins that help your blood to clot

Question 13

pain radiates from RT lower quadrant from umbilical area, nausea, vomiting, lack of appetite is likely:

Answer 13

appendicitis

Question 14

statements regarding acute abdomen pain is correct:

Answer 14

initial pain tends to be vague, poorly localized

Question 15

in presence of ileus, the only way the stomach can empty itself is by:

Answer 15

vomit

An ileus is the temporary slowing of digestive tract mobility which can lead to a buildup and blockage in the digestive tract. The smooth muscle of the digestive tract moves in a series of waves called peristalsis, pushing the contents of food or drink from the esophagus through the large intestine. Disruptions in peristalsis can occur anywhere throughout the digestive tract

Question 16

59 yr ptnt with sudden onset lower back pain, conscious, alert, restless and diaphoretic. there’s a pulsating mass LFT of his umbilicus. you:

Answer 16

Administer O2, prepare for immediate transport.

Question 17

in contrast to the parietal peritoneum, the visceral peritoneum:

is supplied by the same nerves from spinal cord that supply the skin on the abdomen

lines abdominal wall cavity adn stimulated when solid abdominal organs contract

less likely to become inflamed or infected

is supplied by nerves of the autonomic nervous system which are less able to localize pain or sensation

Answer 17

is supplied by nerves of the autonomic nervous system. solid abdominal organs include the.

details:
The parietal peritoneum provides protection and support for the abdomen and its organs. This peritoneal layer covers the abdominal walls and acts as a lubricating surface, thereby decreasing the friction between the organs.

Question 18

kidneys help regulate BP by:

Answer 18

removing sodium and water from the body

Question 19

most common and significant complication asw acute abdomen is:

Answer 19

peritonitis

Question 20

peritonitis may result in shock because:

Answer 20

fluid shifts from bloodstream into body tissues

Question 21

60 yr female, tearing sensation and pain in lower back. sweaty, tachycardia. you suspect:

kidney stones
aortic aneurysm
strangulated hernia
acute pancreatitis

Answer 21

aortic aneurysm

Question 22

a strangulated hernia:

Answer 22

loses its blood supply due to compression by local tissues

Question 23

35 yr old ptnt, pain in upper RT abdominal quadrant, referred RT shoulder pain, likely has:

Answer 23

acute cholecystitis

*The gallbladder holds a digestive fluid known as bile that is released into your small intestine.

Question 24

most important treatment for severe abdom pain and signs of shock:
high flow O2

transport w/out delay

Answer 24

transport ptnt without delay

Question 25

important aspect in treatment of severe abdom pain is to:

Answer 25

provide emotional support en route to hospital

Question 26

organ in the retroperitoneal space:
liver (NO)
spleen
pancreas
gallbladder

Answer 26

pancreas

The organs in the retroperitoneum include the adrenal glands, aorta, kidneys, esophagus, ureters, pancreas, rectum, and parts of the stomach and colon.

Question 27

which organ assists in blood filtration and serves as a blood reservoir and produces antibodies.

Answer 27

spleen

Question 28

you are tranporting patient with a tearing sensation in abdomen, you are 30 mins from hospital, his condition deteriorates, you:

Answer 28

consider requesting meetup with ALS

Question 29

parietal peritoneum lines the:

Answer 29

abdominal cavity walls

Question 30

FACT:

Answer 30

The retroperitoneal space contains the kidneys, adrenal glands, pancreas, nerve roots, lymph nodes, abdominal aorta, and inferior vena cava

Question 31

abdom pain in left side can be both spleen and ….

Answer 31

pain in Left quadrant and referred left shoulder pain is a symptom of spleen issue