Wk 4: Quiz Flashcards
Pain that originates in an organ, such as the intestines, is called ________ pain.
visceral
Your patient was diagnosed with cholecystitis (gallbladder inflammation) three days ago. The patient now presents with nausea, vomiting, and pain in the right shoulder. The pain in the shoulder can be classified as:
referred pain
Which abdominal quadrant contains the appendix?
Right lower
Most organs of the abdomen are enclosed within the:
peritoneum.
Organs of the right upper quadrant include:
most of the liver, gallbladder, and part of the large intestine.
Which patient is experiencing visceral pain?
45-year-old female complaining of abdominal pain “all over”
You respond to a 65-year-old patient complaining of abdominal pain. Your physical exam reveals a nonpulsating mass in the lower left quadrant. You suspect:
hernia
You respond to a 75-year-old female who is complaining of epigastric pain that feels like heartburn. The pain radiates to the right shoulder. Her vital signs are stable and she has a previous history of a myocardial infarction. She has prescription nitroglycerin tablets. She is most likely suffering from:
cholecystitis.
Which of the following is not a cause of abdominal pain?
stroke
You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. Aside from the airway, what is your greatest concern?
The patient will go into shock.
Which of the following is the main focus of the EMT’s assessment and history taking of the patient with abdominal pain?
Determining the presence of shock
Which of the following is a concern when caring for the patient with abdominal pain?
Shock
Patient comfort
Airway management
Your patient is a 34-year-old male complaining of pain “in his right side.” He is pale and diaphoretic with a heart rate of 90 beats per minute, a respiratory rate of 28 breaths per minute, and a blood pressure of 132/80 mmHg. The patient is very agitated and anxious. Which approach is most appropriate?
Reassure him that you will make him as comfortable as possible and get him to the hospital for additional care.
You are treating a 38-year-old female patient with abdominal distress. The patient’s vital signs are stable and you are getting ready to transport. What is the best position to transport the patient?
Position of comfort
Your patient is exhibiting bizarre and aggressive behavior; he starts shouting and becomes violent. He has extra strength and appears insensitive to pain. Drug paraphernalia is visible on-scene. This behavior is known as:
excited delirium.
When a patient or bystander at the scene of an emergency displays fear, anger, or grief, this is best described as which of the following?
stress reaction
According to coworkers, your 25-year-old female patient suddenly began acting aggressively and being verbally abusive. She tells you she is “starving” and you notice that she is pale and diaphoretic. Which of the following would be an appropriate general impression?
An underlying physical illness
Which of the following traumatic conditions could account for signs and symptoms of a behavioral emergency?
Hemorrhage
Which of the following communication strategies should be used when dealing with a patient with a behavioral emergency?
Acknowledge the patient’s feelings.
Which of the following is acceptable when managing the patient with a behavioral or psychiatric emergency?
Make supportive statements such as, “That must have been very hard for you.”
When providing emergency care to an aggressive or hostile patient, what is the highest priority?
Performing a scene size-up
You are dispatched to a psychiatric emergency for a 68-year-old male. Dispatch provides no other information and, when questioned by you, they do not have any more information. Although all steps are important for dealing with this situation, which step is the most important?
Scene size-up
Which of the following must be treated by the EMT if present in a patient with an apparent behavioral emergency?
Hypoglycemia
Your patient is a 15-year-old female who has been diagnosed with a personality disorder. She has no history of violent behavior. The staff at her residential care facility wants her to be transported for evaluation of a possible urinary tract infection. Which of the following is the best way to handle this situation?
Have a female EMT attend to the patient.
All of the following are general rules for dealing with a psychiatric patient except:
do not be judgmental; instead, show pity, because he needs to know that you understand him.
Concerning attempted suicide, which of the following statements is true?
All suicide attempts must be taken seriously.
You are called to the scene of an attempted suicide. You arrive to find a 25-year-old man sitting on the sofa who apparently cut his wrists. Family members have bandaged them, and there does not appear to be any bleeding risk at this time. The scene is secure. Which action would not be appropriate in treating this patient?
Take charge of the situation; let the patient know that what he has done is wrong and tell him he is coming with you whether he likes it or not.
Which of the following statements concerning people who have made prior suicide attempts is true?
They are at an increased risk for a subsequent successful suicide.
When restraining a patient, which of the following is not a consideration?
Patient’s informed consent
Your patient is a 22-year-old male who has ingested a large amount of alcohol and is vomiting. He is conscious but uncooperative. He allows you to examine him but refuses transport to the hospital. You have sought assistance from law enforcement on scene. Which of the following is the best action?
Contact medical direction for further advice.
