Chapter 30 Abdominal and Genitourinary Injuries quiz

What is the most common mechanism of injury in geriatric patients? -Falls -Motor vehicle accidents -Assaults -Suicide

Falls

A 66-year-old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert; however, his skin is cool and clammy and his pulse is rapid. Further assessment reveals that his blood pressure is 112-30 mm Hg. Which of the following questions would be MOST pertinent to ask him? -What does your blood pressure normally run? -Do you take any over-the-counter medications? -Has blood soaked through your undergarments? -Have you experienced recent abdominal trauma?

Have you experienced recent abdominal trauma?

Which of the following statements regarding rebound tenderness is correct? -It should be assessed b=for by vigorously palpating the abdomen. -Rebound tenderness is a specific sign found with a spleen injury. -It is often discovered when the patient is jarred or moved suddenly. -The absence of rebound tenderness rules out intra-abdominal injury.

It is often discovered when the patient is jarred or moved suddenly.

Which of the following organs is at MOST risk for injury as a result of a pelvic fracture? -Pancreas -Fallopian tubes -Urinary bladder -Liver or spleen

Urinary bladder

Which of the following statements regarding trauma during pregnancy is correct? -Uterine trauma in the pregnant patient rarely leads to severe bleeding. -Uterine trauma is likely to cause shock in the pregnant patient. -Uterine blood supply is greatly reduced during pregnancy. -The uterus serves as a reservoir for blood supply during pregnancy.

Uterine trauma is likely to cause shock in the pregnant patient.

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of: -air bag deployment. -failure to wear seatbelts. -a poorly placed lap belt. -rapid vehicle deceleration.

a poorly placed lap belt.

An unresponsive trauma patient has a large open abdominal wound with massive external bleeding. You should: -open the patient's airway. -apply direct pressure to the wound. -apply oxygen via nonrebreathing mask. -ventilate the patient with a BVM.

apply direct pressure to the wound.

A 20-year-old male was accidentally shot in the right upper abdominal quadrant with an arrow during an archery contest. Prior to your arrival, the patient removed the arrow. Your assessment reveals that he is conscious and alert with stable vital signs. The entrance wound is bleeding minimally and appears to be superficial. You should: -transport only if signs of shock begin to develop. -carefully probe the wound to determine its depth. -assume that the arrow injured an internal organ. -clean the wound and apply a dry, sterile dressing.

assume that the arrow injured an internal organ.

When documenting a call involving a female patient who was sexually assaulted, the EMT should: -theorize as to why the sexual assault occurred. -include the results of his or her internal vaginal exam. -include a description of the suspected perpetrator. -avoid speculation and document only factual data.

avoid speculation and document only factual data.

A football player was struck by another player in the right flank area just below the posterior rib cage. He complains of severe pain and point tenderness to the area. Your assessment reveals that there is a small amount of blood in his underwear. You should be MOST suspicious for: -external genitalia injury. -a lacerated liver or spleen. -blunt injury to the kidney. -a ruptured urinary bladder.

blunt injury to the kidney.

The temporary wound channel caused by high-velocity weapons is called _____. -ballistics -a projectile -cavitation -wound cycling

cavitation

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: -cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage. -gently irrigate the exposed bowel with sterile saline and then cover the wound with a dry sterile dressing. -cover the bowel with a dry sterile dressing, elevate his lower extremities, and cover him with a blanket. -make one attempt to replace the bowel back into the abdomen and then cover the wound with a sterile dressing.

cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.

A 40-year-old male presents with severe abdominal pain following blunt trauma. He is diaphoretic, intensely thirsty, and has a weak and rapid pulse. Appropriate treatment for this patient includes all of the following, EXCEPT: -covering him with a warm blanket. -giving him small sips of plain water. -promptly transporting to the hospital. -administering supplemental oxygen.

giving him small sips of plain water.

A sign of kidney damage following blunt trauma is: -hematuria. -hemoptysis. -hematemesis. -hematochezia.

hematuria.

Damage to solid organs typically leads to _____. -sepsis -fever -hypertension -hemorrhage

hemorrhage

Abdominal rigidity and periumbilical bruising are signs of _____. -infection -umbilical trauma -internal bleeding -intestinal blockage

internal bleeding

Management of evisceration injuries includes _____. -keeping the injury cool and dry. -applying firm, direct pressure -closing the injury with duct tape -keeping the injury moist and warm

keeping the injury moist and warm

You are dispatched to a residence for a young female who was kicked in the abdomen. While en route to the scene, you should ask the dispatcher if: -the patient is conscious. -law enforcement is at the scene. -there are other patients involved. -the severity of the injury is known.

law enforcement is at the scene.

While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her air bag deployed. You should: -perform a head-to-toe assessment while she is in the car. -lift the airbag and look for deformity to the steering wheel. -carefully assess her upper chest for seatbelt-related injuries. -extricate her immediately and transport to a trauma center.

lift the airbag and look for deformity to the steering wheel.

Most of the _____ system lies behind the digestive tract. -reproductive -urinary -endocrine -peripheral nervous

urinary