Ch16 EMT Gastrointestinal and Urologic Emergencies

jaywoody's version from 2017-07-26 23:45


Question Answer
In the presence of ileus, the only way the stomach can empty itself is byvomiting
Erosion of the stomach or duodenum secondary to overactivity of digestive juices results inan ulcer
Which of the following is a nonspecific complaint that is commonly associated with an acute abdomen?
a) Lower quadrant pain
b) High fever
c) Loss of appetite
d) Hematemesis
c) Loss of appetite
Peritonitis may result in shock becausefluid shifts from the bloodstream into body tissues
Which of the following statements regarding the acute abdomen is MOST correct?
a) An acute abdomen almost always occurs as the result of blunt trauma to solid abdominal organs
b) The parietal peritoneum is typically the first abdominal layer that becomes inflamed or irritated
c) The most common cause of an acute abdomen is inflammation of the gallbladder and liver
d) The initial pain associated with an acute abdomen tends to be vague and poorly localized
d) The initial pain associated with an acute abdomen tends to be vague and poorly localized.
The parietal peritoneum lines thewalls of the abdominal cavity
Pelvic inflammatory disease (PID) is an infection of thefallopian tubes
Colic is pain caused bydistention or contraction of hollow organs.
Which of the following is a late sign of shock in a patient with acute abdominal pain?
a) Diaphoresis
b) Hypotension
c) Tachycardia
d) Tachypnea
b) Hypotension
Which of the following organs lies in the retroperitoneal space?
a) Pancreas
b) Gallbladder
c) Spleen
d) Liver
a) Pancreas
Which of the following statements regarding an ectopic pregnancy is correct?
a) Signs of an ectopic pregnancy usually present within the first 6 to 8 weeks of pregnancy
b) Pain from a ruptured ectopic pregnancy is usually severe but the bleeding is typically rather minimal
c) The abdominal cavity is the most common location for abnormal implantation of a fertilized egg
d) An ectopic pregnancy almost always presents with acute signs and symptoms in the third trimester
a) Signs of an ectopic pregnancy usually present within the first 6 to 8 weeks of pregnancy.
Which of the following conditions is more common in women than in men?
a) Hepatitis
b) Pancreatitis
c) Cystitis
d) Cholecystitis
c) Cystitis
Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive ofan aortic aneurysm
Pain felt at a location other than its origin is calledReferred pain
When asking a patient if his or her abdominal pain “moves anywhere,” you are establishing the presence or absence ofradiating pain
Patients with acute abdominal pain should not be given anything by mouth becausea full stomach may make emergency surgery dangerous
When assessing a patient with right lower quadrant pain, you should first palpate theleft upper quadrant
An incarcerated hernia is one thatcannot be pushed back within its respective body cavity
Common signs and symptoms of acute abdomen include all of the following, EXCEPT:
a) hypertension
b) tachycardia
c) nausea and vomiting
d) abdominal guarding
a) hypertension
The MOST common and significant complication associated with an acute abdomen isperitonitis
A 66-year-old female complains of diffuse abdominal pain and nausea. She has a history of hypertension and occasional depression. When caring for this patient, you should be MOST concerned withthe possibility that she may vomit
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be tobe alert for signs and symptoms of shock.
A young female presents with costovertebral angle tenderness. She is conscious and alert with stable vital signs. Which of the following organs is MOST likely causing her pain?
a) Gallbladder
b) Kidney
c) Pancreas
d) Liver
b) Kidney
A 59-year-old male presents with a sudden onset of severe 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.
The MOST appropriate treatment for a patient with severe abdominal pain and signs of shock includes:transporting the patient without delay.