EMT Acute Abdomen Quiz

Section

Question	Answer
In the presence of ileus, the only way the stomach can empty itself is by	vomiting
Erosion of the stomach or duodenum secondary to overactivity of digestive juices results in	an ulcer
	memorize

Which of the following is a nonspecific complaint that is commonly associated with an acute abdomen? Loss of appetite

Question	Answer
Peritonitis may result in shock because	fluid shifts from the bloodstream into body tissues
	memorize

Which of the following statements regarding the acute abdomen is MOST correct? The initial pain associated with an acute abdomen tends to be vague and poorly localized.

Question	Answer
The parietal peritoneum lines the	walls of the abdominal cavity
Pelvic inflammatory disease (PID) is an infection of the	fallopian tubes
Colic is pain caused by	distention or contraction of hollow organs.
	memorize

Which of the following is a late sign of shock in a patient with acute abdominal pain? Hypotension
Which of the following organs lies in the retroperitoneal space? Pancreas
Which of the following statements regarding an ectopic pregnancy is correct? 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? Cystitis

Question	Answer
Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive of	an aortic aneurysm
Pain felt at a location other than its origin is called	Referred pain
When asking a patient if his or her abdominal pain “moves anywhere,” you are establishing the presence or absence of	radiating pain
Patients with acute abdominal pain should not be given anything by mouth because	a full stomach may make emergency surgery dangerous
When assessing a patient with right lower quadrant pain, you should first palpate the	left upper quadrant
An incarcerated hernia is one that	cannot be pushed back within its respective body cavity
	memorize

Common signs and symptoms of acute abdomen include all of the following, EXCEPT: hypertension

Question	Answer
The MOST common and significant complication associated with an acute abdomen is	peritonitis
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 with	the 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 to	be alert for signs and symptoms of shock.
	memorize

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? Kidney

Question	Answer
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.
	memorize

Most patients with abdominal pain prefer to: lie on their side with their knees drawn into the abdomen.
A strangulated hernia is one that: loses its blood supply due to compression by local tissues.
Injury to a hollow abdominal organ would MOST likely result in: leakage of contents into the abdominal cavity.
Patients with acute abdominal pain should not be given anything to eat or drink because: substances in the stomach increase the risk of aspiration.
Solid abdominal organs include the: spleen, kidneys, and pancreas.
Which of the following organs would MOST likely bleed profusely if injured? liver
Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies? spleen
You are dispatched to an apartment complex for a young male with abdominal pain. Your priority upon arriving at the scene should be to: assess the scene for potential hazards.
*Which of the following organs lies in the retroperitoneal space? gallbladder
Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of: appendicitis
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called: referred pain
A 35-year-old mildly obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain is: acute cholecystitis
Which of the following is characteristic of peptic ulcer disease (PUD)? burning or pain in the stomach that subsides immediately after eating