EMT Chapter 31 Quiz
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Questions and Answers

Which of the following statements regarding rebound tenderness is correct?

  • It is only relevant in cases of blunt trauma.
  • It is discovered when the patient is jarred or moved suddenly. (correct)
  • It indicates the presence of a fracture.
  • It is always a sign of internal bleeding.
  • All of the following are hollow abdominal organs except the:

  • Colon
  • Stomach
  • Spleen (correct)
  • Bladder
  • The presence of tachycardia following a significant abdominal injury should be assumed to be a sign of shock.

    True

    Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:

    <p>liver</p> Signup and view all the answers

    When does peritonitis usually occur?

    <p>Hollow abdominal organs are damaged and spill their contents into the peritoneal cavity.</p> Signup and view all the answers

    What does bruising around the umbilicus indicate?

    <p>Intra-abdominal bleeding</p> Signup and view all the answers

    Early bruising following abdominal trauma often manifests as:

    <p>red areas of skin</p> Signup and view all the answers

    Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

    <p>A poorly placed lap belt</p> Signup and view all the answers

    Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:

    <p>diaphragm</p> Signup and view all the answers

    A sign of kidney damage following blunt trauma is:

    <p>hematuria</p> Signup and view all the answers

    What is the mesentery?

    <p>A membranous fold that attaches the intestines to the walls of the body.</p> Signup and view all the answers

    The absence of abdominal pain rules out intra-abdominal bleeding.

    <p>False</p> Signup and view all the answers

    Placing a pregnant patient in a supine position during the third trimester of pregnancy may decrease the amount of blood that returns to the heart.

    <p>True</p> Signup and view all the answers

    Contraction or tensing of the abdominal muscles in an effort to ease pain is called:

    <p>guarding</p> Signup and view all the answers

    Because the depth of an open abdominal wound is often difficult to determine, prompt transport to the hospital is essential.

    <p>True</p> Signup and view all the answers

    Which of the following organs are most likely to bleed profusely when injured?

    <p>liver</p> Signup and view all the answers

    Accumulation of blood in the abdominal cavity will MOST likely cause:

    <p>distention</p> Signup and view all the answers

    Which of the following organs is most at risk for injury as a result of pelvic fracture?

    <p>Urinary bladder</p> Signup and view all the answers

    When a hollow organ is punctured during a penetrating injury to the abdomen, peritonitis might not develop for several hours.

    <p>True</p> Signup and view all the answers

    What should be documented in the call involving a female patient who was sexually assaulted?

    <p>cute but avoid speculation and document only factual data</p> Signup and view all the answers

    Study Notes

    Rebound Tenderness

    • Discovered when a patient is jarred or moved suddenly; indicates possible abdominal issues.

    Hollow Abdominal Organs

    • The spleen is a solid organ, unlike all following hollow abdominal organs.

    Tachycardia Post-Abdominal Injury

    • Presence of tachycardia after significant abdominal injury suggests potential shock.

    Bruising Indicators

    • Bruising in the right upper quadrant points to possible liver injury.

    Peritonitis Causes

    • Occurs when hollow abdominal organs are compromised, allowing contents to spill into the peritoneal cavity.

    Bruising Signs

    • Bruising around the umbilicus indicates intra-abdominal bleeding.

    Early Bruising Appearance

    • Initially manifests as red areas of skin after abdominal trauma.

    Compression Injuries

    • Often the result of poorly placed lap belts during motor vehicle crashes.

    Breathing Difficulties

    • A sunken anterior abdominal wall coupled with difficulty breathing suggests a ruptured diaphragm.

    Kidney Damage Indicators

    • Hematuria (presence of blood in urine) is a sign of kidney trauma after blunt injury.

    Mesentery Description

    • A membranous fold that supports the intestines by attaching them to the body wall.

    Abdominal Trauma Awareness

    • Absence of abdominal pain does not exclude the possibility of intra-abdominal bleeding.

    Supine Position Risks in Pregnant Patients

    • Placing a pregnant patient supine in the third trimester may reduce blood return to the heart.

    Guarding Definition

    • Guarding refers to tensing of abdominal muscles to relieve pain.

    Open Abdominal Wound Management

    • Depth of open abdominal wounds can be uncertain, necessitating prompt hospital transport.

    Organs Prone to Profuse Bleeding

    • The liver is highly susceptible to significant bleeding when injured.

    Blood Accumulation Effects

    • Accumulated blood in the abdominal cavity typically leads to distention.

    Pelvic Fracture Victims

    • The urinary bladder is particularly vulnerable to injury from pelvic fractures.

    Delayed Peritonitis

    • Peritonitis from a punctured hollow organ may not appear for several hours following a penetrating injury.

    Documentation in Assault Cases

    • EMTs should focus on factual data and avoid speculation when documenting cases involving female patients who have been assaulted.

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    Description

    Test your knowledge with this EMT Chapter 31 quiz focused on abdominal injuries and assessment techniques. Each flashcard presents essential information that can help you identify critical symptoms and make informed decisions in emergency situations. Perfect for students preparing for exams in emergency medical training.

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