Quiz #10

Question 0

What type of motor vehicle crash causes the least threat for abdominal trauma to patients who are properly restrained

Answer 0

Rear end crash

Question 1

Pain following a injury to the

Answer 1

Bladder

Question 2

A 36 yr old Female was sexual assault and is experiencing intense pain. Assessment reveals severe open laceration vagina area and a painful distended abdomen, her blood pressure is 86/50 mmhg heart rate is 120/min and week,in addition administrating supplemental oxygen you should:

Answer 2

Cover her open wounds with a sterile dressing establishing a least one large bore IV and give 20 ml/kg/ fluid bolus.

Question 3

Following blunt force trauma to the lower right rib cage a 40yr old man present with restlessness, tachycardia, and unlabored tachypnea you should be most concerned that he has a:

Answer 3

Liver injury

Question 4

Anatomically the abdomen cavity extends from the _________to the __________?

Answer 4

Diaphragm and pelvis

Question 5

As content exits the stomach first pass through the

Answer 5

pylorus

Not gallbladder, duodenum, cardiac sphincter

Question 6

Ems providers can have the most positive impact on mortality and mobility from abdominal trauma by:

Answer 6

Recognizing the need for rapid transport

Question 7

A17-year-old high school football player will strucking in the abdomen by another player during a tackle, your assessment reveals signs of shocking and pain to the left shoulder which is unremarkable for trauma. Examination to the patient’s abdomen is also unremarkable obvious injury, based on your assessment findings in the patient’s clinical presentation you should be most suspicious of?

Answer 7

injury to the spleen

Not retro peritoneal bleeding, lacerated liver

Question 8

Generalized abdominal pain following a rupture of a hollow organ is most suggestive of a:

Answer 8

Diffused peritoneal contamination

Not gas accumulation, severe intra abdominal bleeding

Question 9

What membranous tissue functions as a point of attachment for the various abdominal organs:

Answer 9

Mesentery

Question 10

A 39 yr old man sustained an abdominal evisceration after he was cut in the abdomen with a machete, the patient semi conscious and is bringing shallowly you should:

Answer 10

Assist ventilation a with a BVM, cover the exposed bowel with a moist sterile dressing and protect them from injury transport at once and initiate IV therapy enroute

Question 11

Intraperitoneal organs include all the following except:

Answer 11

Pancreas

Not small bowel, stomach, or gallbladder

Question 12

The least helpful technique when assessing the patient abdominal trauma is

Answer 12

Auscultation

Not palpation, percussion, inspection

Question 13

Fractures of the lower rib cage should make you most specious for an injury to the:

Answer 13

Liver or spleen

Question 14

Intra abdominal bleeding may produce few sign and symptoms of trauma because

Answer 14

The intra abdominal cavity can accommodate large amounts of blood.

Question 15

When assessing a patient with abdominal trauma for distention you must recall that:

Answer 15

A significant amount of blood volume in the abdominal cavity is required to produce distention

Question 16

Grey turners sign is defined as ecchymosis to the______ and indicative of _________.

Answer 16

Flank and retroperitoneal bleeding

Question 17

Which of the following organs lie within the retroperitoneal space:

Answer 17

Kidneys

Not liver, spleen, ovaries

Question 18

The paraumbilical also refers to the

Answer 18

Area around the umbilicus

Question 19

Paraumbilicus ecchymosis is

Answer 19

Referred to the Cullen’s signs and may take hours or days to develop following abdominal trauma.

Question 20

Which of the following is not a function of the pancreas

Answer 20

Reservoir for bile

Question 21

Which of the following factors does not contribute to the extent of injury from a gun shot wound to the abdomen:

Answer 21

Size of the patient

Question 22

Which of the following assessment findings is most suggestive of intra abdominal hemorrhage shock:

Answer 22

Signs of shock

Not diffused tenderness

Question 23

During the 3rd collision in a motor vehicle crash:

Answer 23

Abdominal organs sheer from their points of attachment

Question 24

Which of the following statements regarding the liver is correct:

Answer 24

The liver is a solid organ that lies in the right upper abdominal quadrant and detoxifies the blood.