ch. 31 Flashcards
(22 cards)
A sign of kidney damage after blunt trauma is:
-Hematemesis
-Hematochezia
-Hemoptysis
-Hematuria
Hematuria
Accumulation of blood in the abdominal cavity will most likely cause:
-Referred pain
-Diffuse bruising
-Nausea or vomiting
-Distention
Distention
All of the following are hollow abdominal organs, except the:
-Spleen
-Bladder
-Ureters
-Stomach
Spleen
Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:
-Rapid vehicle deceleration
-A poorly placed lap belt
-Airbag deployment
-Failure to wear seat belts
A poorly placed lap belt
During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of:
-Severe liver laceration
-Rupture of a hollow organ
-A ruptured spleen
-Intra-abdominal bleeding
intra-abdominal bleeding
Placing a pregnant patient in a supine position during the third trimester of pregnancy:
-Might decrease the amount of blood that returns to the heart
-Often causes hypotension secondary to cardiac compression
-Is recommended if the patient has severe abdominal discomfort
-Results in spontaneous urinary incontinence if the bladder is full
Might decrease the amount of blood that returns to the heart
When a hollow organ is punctured during a penetrating injury to the abdomen:
-It commonly protrudes through the injury site
-Peritonitis might not develop for several hours
-The abdomen will become instantly distended
-It will bleed profusely and rapidly cause shock
Peritonitis might not develop for several hours
Which of the following organs is at most risk for injury as the results of a pelvic fracture?
-Fallopian tubes
-Urinary bladder
-Pancreas
-Liver or spleen
Urinary bladder
Which of the following organs would most likely bleed profusely when injured?
-Stomach
-Intestine
-Bladder
-Liver
Liver
Which of the following statements regarding rebound tenderness is correct?
-Rebound tenderness is a specific sign found with a spleen injury
-The absence of tenderness rules out intra-abdominal injury
-It is often discovered when the patient is jarred or moved suddenly
It is often discovered when the patient is jarred or moved suddenly
Peritonitis would most likely result following injury to the:
-Liver
-Spleen
-Kidney
-Stomach
Stomach
Which of the following organs would be the most likely to bleed profusely if severely injured?
-Liver
-Kidney
-Stomach
-Gallbladder
Liver
Which of the following statements regarding intra-abdominal bleeding is false?
-Intra-abdominal bleeding often causes abdominal distention
-Intra-abdominal bleeding is common following blunt force trauma
-The absence of pain and tenderness rules out intra-abdominal bleeding
-Bruising may not occur immediately following blunt abdominal trauma
The absence of pain and tenderness rules out intra-abdominal bleeding
Even when seatbelts are worn properly and the airbags deploy, injury may occur to the:
-Chest
-Extremities
-Iliac crest
-Lower ribcage
Iliac crest
While inspecting the interior of a wrecked automobile, you should be most suspicious that the driver experienced an abdominal injury if you find:
-A deformed steering wheel
-That the airbags deployed
-A crushed instrument panel
-Damage to the lower dashboard
A deformed steering wheel
Other than applying a moist, sterile dressing covered with a dry dressing to treat an abdominal evisceration, an alternative form of management may include:
-Placing dry towels over the open wound
-Cleaning the exposed bowel with sterile saline
-Applying the PASG to stop the associated bleeding
-Applying an occlusive dressing, secured by trauma dressings
Applying an occlusive dressing, secured by trauma dressings
You are transporting a patient with possible peritonitis following trauma to the abdomen. Which position will be most likely prefer to assume?
-Sitting up
-Legs drawn up
-Legs outstretched
-On his right side
Legs drawn up
A 16-year-old boy was playing football and was struck in the left flank during a tackle. His vital signs are stable; however, he is in severe pain. You should be MOST concerned that he has injured his:
-Liver
-Spleen
-Kidney
-Bladder
Kidney
The term ‘hematuria” is defined as:
-Blood in the stool
-Blood in the urine
-Vomiting up blood
-Urinary bladder rupture
Blood in the urine
When caring for a female with trauma to the external genitalia, the EMT should:
-Use local pressure to control bleeding
-Carefully pack the vagina to reduce bleeding
-Remove any impaled objects from the vagina
-Cover any open wounds with moist, sterile dressings
Use local pressure to control bleeding
Hollow organs
Stomach, intestines, ureters, bladder
Most contain digested food, urine, or bile
When ruptured or lacerated, contents spill into peritoneal cavity. Can cause intense inflammatory reaction and infection such as peritonitis
Intestinal blood supply comes from mesentery. Connects the small intestine to the abdominal wall. Patients with injuries to the mesentery can bleed into the peritoneal cavity.
Solid organs
Liver, spleen, pancreas, kidneys
Perform chemical work of the body: enzyme production, blood cleansing, energy production
Because of rich blood supply, hemorrhage can be severe
