Quiz #10 Review

Question 0

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 0

injury to the spleen

Not retro peritoneal bleeding, lacerated liver

Question 1

Paraumbilicus ecchymosis is

Answer 1

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

Question 2

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

Answer 2

Mesentery

Question 3

Pain following a injury to the

Answer 3

Bladder

Question 4

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

Answer 4

Size of the patient

Question 5

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 5

Liver injury

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

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 7

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 8

During the 3rd collision in a motor vehicle crash:

Answer 8

Abdominal organs sheer from their points of attachment

Question 9

Anatomically the abdomen cavity extends from the _________to the __________?

Answer 9

Diaphragm and pelvis

Question 10

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

Answer 10

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

Question 11

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

Answer 11

Liver or spleen

Question 12

Which of the following statements regarding the liver is correct:

Answer 12

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

Question 13

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

Answer 13

The intra abdominal cavity can accommodate large amounts of blood.

Question 14

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

Answer 14

Signs of shock

Not diffused tenderness

Question 15

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

Answer 15

Rear end crash

Question 16

As content exits the stomach first pass through the

Answer 16

pylorus

Not gallbladder, duodenum, cardiac sphincter

Question 17

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 17

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

Question 18

The least helpful technique when assessing the patient abdominal trauma is

Answer 18

Auscultation

Not palpation, percussion, inspection

Question 19

Which of the following is not a function of the pancreas

Answer 19

Reservoir for bile

Question 20

The paraumbilical also refers to the

Answer 20

Area around the umbilicus

Question 21

Which of the following organs lie within the retroperitoneal space:

Answer 21

Kidneys

Not liver, spleen, ovaries

Question 22

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

Answer 22

Diffused peritoneal contamination

Not gas accumulation, severe intra abdominal bleeding

Question 23

Intraperitoneal organs include all the following except:

Answer 23

Pancreas

Not small bowel, stomach, or gallbladder

Question 24

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

Answer 24

Flank and retroperitoneal bleeding