EMT Chapter 30

Which of the following organs would MOST likely bleed profusely when injured?

Liver

When should you visually inspect the external genitalia on your patient?

Only when there is a complaint of severe pain or other injury

Which of the following statements regarding abdominal eviscerations is correct?

The protuding organs should be kept warm and moist

You should suspect a kidney injury anytime the patient presents with ___________.

a hematoma in the flank region

A 54 y/o male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes:

applying direct pressure with a dry, sterile dressing

Injuries to the external male genitalia _________.

are rarely life-threatening

Your documentation on a sexual assault victim should ___________.

be objective and factual

Suspect a possible injury for the urinary bladder in all of the following findings, EXCEPT:

bruising to the upper quadrant

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should:

closely monitor him and reassess him frequently

Your presence is requested by law enforcement to assess a 33 y/o female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressue is 98/58 mmHg, her pulse is 130 bpm, and her respirations are 24 breaths/min. You should:

control any external bleeding, administer oxygen, and transport at once

When treating a patient with evisceration, you should:

cover the protuding contents with moist, sterile gauze compresses

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:

diaphragm

When a patient stiffens the muscles of the abdomen, it is known as _____________.

guarding

Compression injury is most likely due to which of the following?

improperly placed lap belt

Abdominal pain, vomiting, and fever are most likely due to ____________.

infection

Which of the following is true regarding injury to the kidneys?

injury to the kidneys usually indicates injury to other organs

You are transporting a 42 y/o male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM

In any case of trauma to a female patient, you should always determine if that patient:

is pregnant

In pediatric patients, the liver and spleen are ___________.

larger in proportion to the abdomen

The largest organ in the abdomen is the:

liver

Placing a pregnant patient in a supine position during the third trimester of pregnancy:

may decrease the amount of blood that returns to the heart

The first signs of peritonitis include all of the following, EXCEPT:

nausea

When a hollow organ is punctured during a penetrating injury to the abdomen:

peritonitis may not develop for several hours

Because the depth of an open abdominal wound is often difficult to determine:

prompt transport to the hospital is essential

All of the following are hollow abdominal organs, EXCEPT the:

spleen