Chapter 24
When a patient complains of having dark, tarry stools, what medication might be the cause?
Pepto Bismol
If a patient is experiencing nausea and vomiting, what medication might the EMT provide to try and relieve these symptoms?
Zofran
Esophageal varices are most associated with:
liver disease
Severe back pain radiating into the legs is associated with which of the following conditions?
Abdominal aortic aneurysm
While assessing a patient at the scene, you note that the patient is experiencing intense, tearing pain in the lower back and abdomen, with the pain radiating down the right leg. Which of the following conditions might these symptoms indicate?
Abdominal aortic aneurysm
The detection of a pulsating mass upon palpation of a patient's abdomen should make the EMT suspicious that the patient may be suffering from which of the following?
An abdominal aortic aneurysm
When conducting a secondary assessment on a patient with abdominal issues, what condition might the patient's pallor indicate?
Anemia
With the exception of the ________, MOST abdominal organs are NOT able to sense tearing sensations.
Aorta
When the gallbladder is diseased, the pain is NOT only felt in the RUQ but also in the:
Right shoulder
You are called to a 25-year-old man complaining of RLQ pain. His other symptoms are nausea an vomiting, fever, and decreasing pain in the umbilicus area. You should suspect:
Appendicitis
You are called to a doctor's office for a patient with hematuria. You know that hematuria is:
Blood in the urine
You have documented that your patient has hematochezia. Which of the following BEST describes this problem?
Bloody stools
At the scene, you are treating Justine, a 78-year-old woman. Justine is in generally good health but is complaining about intermittent, colicky pain. Given her age, what is more likely to be the cause of her pain?
Bowel obstruction
Which of the following is the main focus of your assessment and history taking of the patient with abdominal pain?
Determining the presence of shock
A patient who is complaining of intense midabdominal pain may indicate the presence of which of the following conditions?
Pancreatitis
Grey Turner's sign is indicative of acute:
Pancreatitis
What term describes the inflammation usually bu an occlusion of the gallbladder duct?
Cholecystitis
The disease process related to chronic inflammation of the liver is:
Cirrhosis
Cholecystitis often occurs after:
Consuming a meal high in fat
One of the inflammatory disease process that can occur in any part of the gastrointestinal tract is:
Crohn's disease
The term that refers to inflammation of small outpouchings in the walls of the large intestine is:
Diverticulitis
Which of the following disorders have signs and symptoms similar to appendicitis?
Diverticulitis
A 46-year-old woman alcoholic is hypotensive, in severe distress, complaining of dysphagia, and vomiting bright red blood. Of the following which is the MOST likely cause of this patient's clinical condition?
Esophageal varices
A Mallory-Weiss tear is a disorder of the:
Esophagus
You respond, along with fire department medical responders, to a 48-year-old female having a syncope episode in the bathroom. You find the patient sitting on the commode vomiting into the trashcan. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has been weak for the past few days. She MOST likely has:
GI bleeding
A patient who is complaining of having pain 30-60 minutes after eating may be experiencing problems with which of the following organs?
Gallbladder
The condition that presents with inflammation of the stomach and small intestines commonly associated with abdominopelvic pain is known as:
Gastroenteritis
One sign of _________ is asterixis, a condition in which the patient's hands involuntary "flap" when he holds his hands up with the wrists flexed, such as signaling someone to stop.
Hepatic encephalopathy
Which of the following statements about hepatitis is TRUE?
Hepatitis is caused by a variety of infectious agents and chemicals
For a patient with a possible bowel obstruction or infraction, which would you administer oxygen?
If the SpO2 indicates hypoxia
Solid organs are:
Inelastic
Which of the following is a characteristic of referred pain?
It is felt in a location other than the organ causing it
Which of the following is TRUE concerning parietal pain?
It is generally localized to a particular area
You should suspect ______ when your patient has hematuria and sharp, colicky pain that radiates to the groin.
Kidney stones
Your patient is a 40-year-old woman who has been experiencing abdominal pain and vomiting for two days. She is now responsive to verbal stimulus; has cool, dry skin; a heart rate of 116; respirations of 24; and a blood pressure of 100/70. Which of the following is the BEST position for transporting this patient?
Left lateral recumbent with the legs bent
Which of the following would be MOST typical of a patient suffering from diverticulitis
Left lower quadrant pain
When assessing a patient, you might suspect a splenic problem if the patient is complaining of left upper quadrant pain, which may radiate to the:
Left shoulder
If a patient complains of right upper quadrant pain, what organ may be involved?
Liver
You are caring for a 21-year-old woman who is apparently suffering from food poisoning. She has been forcefully vomiting for several hours and has begun to vomit a large amount of blood. What should you suspect?
Mallory-Weiss tear
You are caring for a patient complaining of epigastric pain. You are concerned because of the possibility of which of the following?
Myocardial infarction
You suspect that your patient has a kidney infection because he is pointing to pain in his back. In your documentation, which of the following would you use to describe the area of pain?
Retroperitoneal
A patient with acute peritonitis may present with rapid, shallow breathing resulting from:
Pain
What is considered the hallmark of acute abdominal emergency?
Pain
You are documenting the pain felt by a patient with pneumonia. The pain he felt in the upper quadrant of the abdomen on the affected side is known as:
Referred pain
Which abdominal quadrant contains the appendix?
Right Lower
Which of the following is the MOST common chief complaint related to acute pancreatitis?
Severe pain
If a patient complains of left upper quadrant pain, what organ may be involved?
Spleen
Injury to which of the following organs causes greatest concern for hemorrhagic shock?
Spleen
Sickle cell disease can result in damage or disease of what abdominal orgaan?
Spleen
Pain that originates in an organ, such as the intestines, is called ________ pain.
Visceral
For a child with a foreign body in the rectum, what should be the course of treatment at the scene?
Transport the patient for further evaluation by a physician
An example of a hollow organ would be the:
Urinary bladder