Chapter 26 Quiz Flashcards
(47 cards)
You are called to a residence for a 48-year-old male patient. He is lying in bed, groaning in pain and curled into a fetal position. His blood pressure is 88/50, pulse 136, and respiratory rate of 32. His wife states that he complained of lower right abdominal pain for several days that got progressively worse, until about an hour ago when it became suddenly unbearable. The wife states the husband had been refusing to see a doctor, but she finally called 911. You suspect appendicitis and are concerned about the subsequent onset of:
peritonitis
When treating a patient with acute abdominal pain, you should do which of the following?
Have the patient lie still and assume a position of comfort.
Your patient was diagnosed with cholecystitis (gallbladder inflammation) three days ago. The patient now presents with nausea, vomiting, and pain in the right shoulder. The pain in the shoulder can be classified as:
referred pain.
In what position should the patient complaining of severe abdominal pain be placed if there are no signs or symptoms of shock?
One of comfort
Pain that the patient feels in a body part or area of the body that has nothing to do with a diseased organ is termed:
referred pain.
You respond, along with fire department Emergency Medical Responders, to a 48-year-old female having a syncope episode in the bathroom. You find the patient sitting on the commode vomiting into the trash can. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has been weak for the past few days. She has:
GI bleeding.
Which patient is experiencing visceral pain?
A.
24-year-old male complaining of severe left flank pain
B.
19-year-old female complaining of severe cramps in the lower abdominal quadrants
C.
45-year-old female complaining of abdominal pain “all over”
D.
28-year-old male with sharp pain in the right lower quadrant
45-year-old female complaining of abdominal pain “all over”
Which of the following structures is (are) not located in the abdominal cavity?
kidneys
You arrive on the scene to find an approximately 60-year-old male patient writhing on the floor. He is complaining of a tearing pain radiating to his lower back. He has absent femoral pulses and has a pulsatile mass just superior to his umbilicus. You suspect which of the following conditions?
Abdominal aortic aneurysm
You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. Why should the EMT use an oxygen mask with caution?
The patient cannot clear any additional vomit.
You are treating a 38-year-old female patient with abdominal distress. The patient’s vital signs are stable and you are getting ready to transport. What is the best position to transport the patient?
Position of comfort
Your patient is a 34-year-old male complaining of pain “in his right side.” He is pale and diaphoretic with a heart rate of 90 beats per minute, a respiratory rate of 28 breaths per minute, and a blood pressure of 132/80 mmHg. The patient is very agitated and anxious. Which approach is most appropriate?
Reassure him that you will make him as comfortable as possible and get him to the hospital for additional care.
You are called to a nursing home for an 85-year-old patient complaining of abdominal pain. The patient has a history of dementia and cannot describe the pain to you. The nurse states the patient has been vomiting for about an hour, and the vomit looks like dark coffee grounds. His blood pressure is 90/40, pulse 100, and respiratory rate of 24. Aside from the airway, what is your greatest concern?
The patient will go into shock.
You respond to a 75-year-old female who is complaining of epigastric pain that feels like heartburn and radiates to the right shoulder. Her vital signs are stable and she has a previous history of myocardial infarction. She has prescription nitroglycerine tablets. An ALS unit is en route. After performing a physical examination and applying oxygen by nasal cannula, you should:
contact medical control regarding the administration of the patient’s nitroglycerin.
Which of the following is not a cause of abdominal pain?
Stroke
Pain felt in the epigastric region of the abdomen is of concern because of the possibility of which of the following?
Myocardial infarction
Which of the following is the main focus of the EMT’s assessment and history taking of the patient with abdominal pain?
Determining the presence of shock
Your patient is a 17-year-old with a history of asthma. She is complaining of pain in her lower abdomen. Assessment reveals that her breath sounds are clear and equal, she has a respiratory rate of 28 breaths per minute, a heart rate of 96 beats per minute, and a blood pressure of 112/74 mmHg. Which of the following is the most appropriate next step?
Provide high-concentration oxygen.
Which abdominal quadrant contains the appendix?
Right lower
Your patient is a 35-year-old female with abdominal pain. Which of the following findings cannot be attributed to the patient experiencing pain?
Decreased level of consciousness
You are called to a residential neighborhood at 12:30 A.M. Your patient has just finished eating a super-sized meal of deep fried fish. He is now complaining of a “crampy” pain in the right upper quadrant and has had two episodes of nausea and vomiting with green vomit. What condition do you suspect that your patient is experiencing?
Cholecystitis
Which of the following questions may help the EMT assess a patient with abdominal pain?
A.
Do you have any allergies to foods or medicines?
B.
Do you have any medical problems, such as diabetes or heart problems?
C.
What medications are you taking?
D.
All of these
All of these
You respond to an abdominal pain call. Your partner suspects that the patient is having an abdominal aortic aneurysm (AAA). What type of pain is the patient most likely experiencing?
Tearing
You respond to the scene of a 50-year-old male complaining of severe abdominal pain. He has a history of alcohol and drug abuse. His vital signs are stable and he presents with epigastric pain that radiates to the back. He has guarding and point tenderness in the upper quadrants. You suspect:
pancreatitis
