Emt Chpater 30 Quiz

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 112/60 mm Hg. Which of the following questions would be MOST pertinent to ask him?

Have you experienced recent abdominal trauma?

Which of the following statements regarding rebound tenderness is correct?

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

Which of the following statements regarding trauma during pregnancy is correct?

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:

a poorly placed lap belt.

An unresponsive trauma patient has a large open abdominal wound with massive external bleeding. You should:

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:

assume that the arrow injured an internal organ.

When documenting a call involving a female patient who was sexually assaulted, the EMT should:

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:

blunt injury to the kidney.

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

bruising to the left upper quadrant

The temporary wound channel caused by high-velocity weapons is called _______.

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.

When treating a patient with an evisceration, you should:

cover the protruding contents with moist, sterile gauze compresses

What is the most common mechanism of injury in geriatric patients?

falls

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:

giving him small sips of plain water.

A sign of kidney damage following blunt trauma is:

hematuria

Damage to solid organs typically leads to _______.

hemorrhage

Abdominal rigidity and periumbilical bruising are signs of _______.

internal bleeding

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

is pregnant

Management of evisceration injuries includes _______.

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:

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:

lift the air bag and look for deformity to the steering wheel.

The largest organ in the abdomen is the:

liver

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

nausea

Most of the ________ system lies behind the digestive tract.

urinary

Which of the following organs is at MOST risk for injury as the result of a pelvic fracture?

urinary bladder