EMTB-Chest and Abdominal Injuries

A condition characterized by inflammation of the appendix is called?

Appendicitis

Your patient has an evisceration. How would you manage his care?

Cover eviscerated parts with moist sterile dressings

Your patient is a 70 year old male who presents with acute abdominal pain, vomiting blood, blood pressure is 96/45, heart rate 122, respiratory rate 26, patient is cool and clammy. He states that he felt a tear in his stomach then had intense pain. What condition is your patient most likely presenting with?

Descending Abdominal Aneurysm

You arrive on scene with your partner Mandy to transport a patient that has been throwing up blood that looked like coffee grounds. This sign would lead you to believe that this patient has?

Gastrointestinal (GI) bleed

What is the term used to describe blood in pleural space?

Hemothorax

You and your partner Tracy are called to a hockey arena where a fan was struck in the side of the chest with a hockey puck that was hit over the protective glass and into the crowd. The man is having a painful time breathing at about sixteen times per minute. He says his ribs really hurt. What should your treatment include?

High flow oxygen via non rebreather and rapid transport

What is the term used to describe blood leakage into pericardial space?

Pericardial Tamponade

A hole in the lung where air becomes trapped between the visceral pleura and the parietal pleura is called?

Pneumothorax

What is the term used to describe a radiating pain that is felt at a location away from the point of origin?

Referred pain

You respond to an 88 year old female with abdominal pains. Vital signs are stable and your physical assessment reveals a distended abdomen. Patient claims she has not defecated in two days. Her temp is 98.6 and she appears pale. What medical condition is your patient most likely presenting with?

Small bowel obstruction

You are dispatched to a call of a woman with severe stomach ache. When you arrive on scene you find her doubled over in pain lying on the floor of the bathroom. There is vomit in the toilet and your patient is complaining that she is going to vomit again. She denies falling or having any pain anywhere but her stomach. Assessing her abdomen you find it to be very tender to touch and she pulls away when you palpate only ½ inch deep. What other signs and symptoms might you find with this patient?

Tachycardia-hypotension-fever

You applied a three sided dressing to an open chest wound. After five minutes you notice your patient's respiratory rate is increasing, heart rate is increased by 15%, pulse ox is down to 84% and cyanosis is present. What life threatening condition is presenting and what can an EMT do to remedy this situation?

Tension pneumothorax; lift a corner of the dressing to allow pressure to escape

Dispatch has called you and your partner Scott to a residence where a 26 year old man has suffered an accidental self-inflicted gunshot wound to the chest. Law enforcement is on scene and a deputy escorts the two of you into the house were the man is lying supine on the floor holding his chest. His respirations are approximately 28 breaths a minute and his pulse is 124. Moving the patient's hands away reveals a bullet entrance to the 10th rib on the right side. You hear air escaping and notice blood bubbling around the site with each breath. This type of wound is called ________________________ and is best managed by _______________________

a sucking chest wound / covering the wound with a 3 sided dressing in order to allow air to escape

Your patient is the driver of a car that was hit head on. You find her lying on the sidewalk with her knees drawn toward her chest. She has no specific complaints. You suspect:

abdominal trauma due to mechanism of injury and positioning

A 76-year-old male complains of vomiting and diarrhea. He tells you he has not been able to keep down food or water for two days. His conjunctivae are pale and dry. He has a history of hypertension. His vital signs are P 80, R 18, BP 108/92, and SpO2 is 92% on room air. You should:

administer oxygen

A 59-year-old male presents with a sudden onset of lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should:

administer oxygen and prepare for immediate transport

Your patient is supine on the sidewalk. As you approach, you observe an open wound to the anterior chest wall. You should first:

apply an occlusive dressing

Which of the following assessment procedures would best confirm your suspicion of an abdominal aortic aneurysm?

assess the pedal pulses

A 47-year-old male presents with severe abdominal pain of three hours duration. His abdomen is distended and guarded. Your most important consideration for this patient should be to:

be alert for signs and symptoms of shock

While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is irregular. You should be most suspicious for:

bruising of the heart muscle

A 30-year-old female complains of epigastric pain that radiates to her right shoulder. She tells you she vomited the French fries she ate 30 minutes ago. Her lungs are clear to auscultation. Her pain increases when she takes a deep breath while you are palpating her abdomen. Her vital signs are P 92, R 16, BP 124/80, and SpO2 is 97% on room air. You should suspect:

cholecystitis

A 35-year-old mildly obese woman is complaining of localized pain in her right upper quadrant and referred pain to her right shoulder. The most likely cause of her pain is:

cholecystitis

You are transporting a 49-year-old male with a tearing abdominal pain. You're approximately 30 miles away from the closest hospital. During your ongoing assessment, you determine the patient's condition has deteriorated significantly. You should:

consider requesting an ALS intercept

Colic is pain caused by:

distention or contraction of hollow organs

You get dispatched to a patient with a syncope episode. What is the definition of syncope?

fainted

A 70-year-old male complains of abdominal pain and vomited dark, brown material. He tells you that he has been under a lot of stress since his wife became ill. His vital signs are P 96, R 16, BP 152/94, and SpO2 is 96% on room air. You should suspect a(n):

gastric ulcer caused by stress

Your patient was kicked repeatedly in the chest and head during an assault. As you approach, you see him lying on the ground moaning, with paradoxical motion of the chest. His breathing is also rapid and deep. You should first:

have your partner hold cervical spine stabilization

A patient presents with a left-sided spontaneous pneumothorax. Which of the following would best suggest that a tension pneumothorax was developing?

jugular venous distention

All of the following are hollow organs EXCEPT: Intestines Gallbladder Kidneys Urinary

kidneys

All of the following are found in your right upper quadrant (RUQ) EXCEPT: Liver Gallbladder Part of the large intestine Spleen

liver

A 40-year-old male presents with pain to his upper right quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment you note that his skin and sclera are jaundice. You should suspect:

liver dysfunction

Following a bar fight, you have taken three sets of vitals on your patient. At 2330 vitals were: pulse 80/regular; respirations 20/regular; BP 140/78. The vitals at 2335 were: pulse 102/regular; respirations 24/regular; BP 120/88. Your latest set at 2340 were: pulse 130/regular; respirations 28/labored; BP 100/92. You suspect:

pericardial tamponade

The covering of the lungs is called:

pleura

A 23-year-old male presents conscious and alert, supine on the ground with an obvious abdominal evisceration. Bystanders tell you that he fell from a second-story balcony and struck an iron fence. You should first:

provide cervical spine stabilization

1 / 1 point An important aspect in the treatment of a patient with severe abdominal pain is to:

provide emotional support en route to the hospital

Your patient with an evisceration becomes tachycardic, cool, and hypotensive during transport; your next action should be to:

reevaluate priority status and expedite transport.

A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he is a barrel shaped chest, unilaterally diminished breast sounds, and tachycardia. What is the most likely cause of this patient's condition?

spontaneous pneumothorax

All of the following are solid organs EXCEPT: Liver Stomach Spleen Pancreas

stomach

A patient is ejected from his vehicle during a high-speed rollover crash. There is blood in his airway and he has gurgling respirations that are slow and shallow. You note paradoxical movement of the right and anterior chest wall, and unstable pelvis, and an open femur fracture. You should first:

suction the airway

You respond to an assault, upon arrival you find a 33 year old male patient who was hit in the chest with a golf club. He presents with; jugular venous distension, respiratory distress, and hypotension. What do you suspect as the injury?

tension pneumothorax

A 66-year-old female complains of diffuse abdominal pain and nausea. She has a history of hypotension and occasional depression. When caring for this patient, you should be most concerned with:

the possibility that she may vomit

A 21-year-old male complains of abdominal pain. His abdomen is soft to palpation, and the pain is the greatest in his left upper abdominal quadrant. He tells you his stool has been maroon in color for the past two days. His vital signs are P 104, R 16, BP 110/88, and SpO2 is 94% on room air. You should suspect:

upper GI Bleed

Your patient presents complaining of cloudy, foul-smelling urine, pain with urination, and left flank pain. Which of the following is most likely cause of the symptoms?

urinary tract infection

Your patient has hematemesis. What does this mean?

vomiting blood

A flail segment occurs:

with fracture of two or more ribs in two or more places