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Questions and Answers
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to:
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to:
- Be alert for signs and symptoms of shock. (correct)
- Determine the exact location and cause of his pain.
- Assess his blood pressure to determine perfusion adequacy.
- Transport him in a supine position.
A strangulated hernia is one that:
A strangulated hernia is one that:
- Is reducible if surgical intervention occurs within 2 hours.
- Can be pushed back into the body cavity to which it belongs.
- Spontaneously reduces without any surgical intervention.
- Loses its blood supply due to compression by local tissues. (correct)
In the presence of ileus, the only way the stomach can empty itself is by:
In the presence of ileus, the only way the stomach can empty itself is by:
- Spontaneous rupture.
- Diarrhea.
- Vomiting. (correct)
- Muscular contraction.
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
Injury to a hollow abdominal organ would MOST likely result in:
Injury to a hollow abdominal organ would MOST likely result in:
Elderly patients with abdominal problems may not exhibit the same pain response as younger patients because of:
Elderly patients with abdominal problems may not exhibit the same pain response as younger patients because of:
Which of the following organs lies in the retroperitoneal space?
Which of the following organs lies in the retroperitoneal space?
Esophageal varices MOST commonly occur in patients who:
Esophageal varices MOST commonly occur in patients who:
Patients with acute abdominal pain should not be given anything to eat or drink because:
Patients with acute abdominal pain should not be given anything to eat or drink because:
Which of the following conditions is more common in women than in men?
Which of the following conditions is more common in women than in men?
You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:
You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:
Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of:
Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of:
Chronic renal failure is a condition that:
Chronic renal failure is a condition that:
Study Notes
Gastrointestinal and Urologic Emergencies
- For a 47-year-old male with severe abdominal pain, it's crucial to be alert for signs and symptoms of shock.
- A strangulated hernia loses its blood supply due to local tissue compression.
- In the presence of ileus, the stomach empties primarily through vomiting.
- Referred pain is pain perceived at a location distant from its source.
- Injury to a hollow abdominal organ typically results in leakage of contents into the abdominal cavity.
- Elderly patients might not show the same pain response as younger patients due to age-related deterioration of sensory systems.
- The gallbladder is located in the retroperitoneal space.
- Esophageal varices are most commonly seen in patients who drink excessive alcohol.
- Patients with acute abdominal pain should not consume food or drink to reduce the risk of aspiration due to stomach contents.
- Cystitis occurs more frequently in women compared to men.
- In evaluating a 70-year-old male dialysis patient, maintaining him in a sitting position while preparing for transport is recommended.
- Right lower quadrant pain radiating from the umbilical area, accompanied by nausea and vomiting, often indicates appendicitis.
- Chronic renal failure is commonly caused by hypertension or diabetes, rather than dehydration or reversible conditions.
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Description
Test your knowledge on gastrointestinal and urologic emergencies with this quiz based on Chapter 18. Focus on critical aspects such as patient assessment and signs of shock. Perfect for reviewing key concepts in emergency medical care.
