ch. 30 abdominal and genitourinary injuries

Question 1

Damage to solid organs typically leads to

Answer 1

hemorrhage

Question 2

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

Answer 2

falls

Question 3

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

Answer 3

cavitation

Question 4

Abdominal rigidity and periumbilical bruising are signs of

Answer 4

internal bleeding

Question 5

Management of evisceration injuries includes

Answer 5

keeping the injury moist and warm

Question 6

Most of the ________ system lies behind the digestive tract.

Answer 6

urinary

Question 7

Which of the following statements regarding trauma during pregnancy is correct?
Uterine trauma is likely to cause shock in the pregnant patient.

Answer 7

Uterine trauma is likely to cause shock in the pregnant patient.

Question 8

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

Answer 8

a poorly placed lap belt

Question 9

Which of the following statements regarding rebound tenderness is correct?

Answer 9

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

Question 10

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

Answer 10

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

Question 11

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

Answer 11

avoid speculation and document only factual data

Question 12

A sign of kidney damage following blunt trauma is:

Answer 12

hematuria

Question 13

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

Answer 13

urinary bladder

Question 14

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

Answer 14

infection

Question 15

All of the following are hollow abdominal organs, EXCEPT the

Answer 15

spleen

Question 16

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

Answer 16

prompt transport to the hospital is essential.

Question 17

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

Answer 17

diaphragm

Question 18

In pediatric patients, the liver and spleen are

Answer 18

larger in proportion to the abdomen

Question 19

Injuries to the external male genitalia

Answer 19

are rarely life-threatening

Question 20

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

Answer 20

may decrease the amount of blood that returns to the heart.

Question 21

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

Answer 21

peritonitis may not develop for several hours.

Question 22

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

Answer 22

guarding

Question 23

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

Answer 23

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

Question 24

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

Answer 24

Injury to the kidneys usually indicates injury to other organs.

Question 25

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

Answer 25

liver

Question 26

Which of the following statements regarding abdominal eviscerations is correct?

Answer 26

The protruding organs should be kept warm and moist.

Question 27

what is an evisceration

Answer 27

The displacement of organs outside of the body

Question 28

You should suspect a kidney injury anytime the patient presents with

Answer 28

a hematoma in the flank region

Question 29

Your documentation on a sexual assault victim should

Answer 29

be objective and factual

Question 30

Right upper quadrant (RUQ) consist of?

Answer 30

liver, gallbladder, duodenum of the intestines, and a small portion of the pancreas

Question 31

Left upper quadrant (LUQ)

Answer 31

The stomach occupies most of the LUQ, but it shares this space with the spleen. The pancreas occupies some of this space but is mostly posterior to the region.

Question 32

Left lower quadrant (LLQ)

Answer 32

The left lower quadrant holds both the large and small intestines, notably the descending colon and the left half of the transverse colon.

Question 33

Right lower quadrant (RLQ)

Answer 33

large and small intestines that include the ascending colon and the right half of the transverse colon. descending colon, called the appendix

Question 34

Structures through which materials pass, such as the stomach, small intestines, large intestines, ureters, and urinary bladder.

Answer 34

hollow organs

Question 35

peritoneal cavity

Answer 35

abdominal cavity

Question 36

The membrane lining the abdominal cavity (parietal peritoneum) and covering the abdominal organs (visceral peritoneum).

Answer 36

peritoneum

Question 37

Solid masses of tissue where much of the chemical work of the body takes place (e.g., the liver, spleen, pancreas, and kidneys).

Answer 37

solid organs

Question 38

An injury in which there is soft-tissue damage inside the body but the skin remains intact.

Answer 38

closed abdominal injuries

Question 39

Involuntary muscle contractions (spasm) of the abdominal wall to minimize the pain of movement and protect the inflamed abdomen; a sign of peritonitis

Answer 39

guarding

Question 40

An injury in which there is a break in the surface of the skin or mucous membrane, exposing deeper tissue to potential contamination

Answer 40

open abdominal injuries

Question 41

Caused by hand-held or hand-powered objects such as knives and other edged weapons

Answer 41

Low-velocity injuries

Question 42

Caused by smaller caliber handguns and shotguns

Answer 42

Medium-velocity penetrating wounds

Question 43

Caused by larger weapons such as high-powered rifles and the higher-powered handguns

Answer 43

High-velocity injuries:

Question 44

The region below the rib cage and above the hip.

Answer 44

flank

Question 45

Blood in the urine

Answer 45

hematuria

Question 46

Black, foul-smelling, tarry stool containing digested blood

Answer 46

melena

Question 47

The genitourinary system controls:

Answer 47

Reproductive functions | The waste discharge system

Question 48

Which of the following is true about injuries to the kidneys?

Answer 48

A sign of kidney damage is hematuria. A penetrating wound that reaches the kidneys almost involves other organs.

Question 49

Bruising over the right upper quadrant could indicate injury to which of the following?

Answer 49

liver

Question 50

You should have an index of suspicion that a patient with pain referred to the right shoulder has an injury to which organ?

Answer 50

liver

Question 51

Which of the following are considered solid organs?

Answer 51

pancreas and spleen

Question 52

Which of the following signs would indicate that an injury to the kidney has occurred?

Answer 52

hematuria

Question 53

You are assessing a patient who reports pain that is tearing and describes it as going from the abdomen posteriorly. What should you suspect?

Answer 53

dissecting abdominal aneurysm

Question 54

What is the major cause of death following injury to a hollow organ in the abdomen?

Answer 54

sepsis

Question 55

What is the purpose of wrapping a sexual assault victim in a burn sheet?

Answer 55

To preserve potential evidence

Question 56

Which of the following is an indication of a spleen injury?

Answer 56

Referred left shoulder pain