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Chapter22 Abdominal Emergencies

Terms in this set (18)

Pain from appendicitis begins:

A.
in the area of the umbilicus and is followed by persistent pain in the right lower left quadrant
B.
in the right lower quadrant and is followed by persistent pain in the left lower quadrant
C.
in the area of the right shoulder and is followed by persistent pain in the right lower quadrant
D.
in the right shoulder and is followed by persistent pain in the umbilicus
A
What is an organ that is part of the retroperitoneal space?

A.
Spleen
B.
Bladder
C.
Liver
D.
Pancreas
D
Why does referred pain occur?

A.
Because adjacent visceral structures are also involved in the disease process
B.
Because of the stimulation of associated nerve pathways
C.
Because the nerve endings near the origin of the pain have been destroyed
D.
Because of patient misperception because it is not true pain
B
Dull, achy abdominal pain is difficult to locate is called:

A.
parietal pain
B.
referral pain
C.
tearing pain
D.
visceral pain
D
Cholecystitis pain is often confused with:

A.
GI bleeding
B.
shock
C.
hernia
D.
chest pain
D
The colon is also known as the:

A.
small intestine
B.
stomach
C.
large intestine
D.
gallbladder
C
Which of the following statements is true?

A.
EMTs should not delay transport to determine the specific cause of abdominal pain
B.
Abdominal pain complaints are typically easy to diagnose
C.
There are few serious causes of abdominal pain
D.
EMTs should determine the cause of abdominal pain before recommending transport
A
Nerve pathways from the gallbladder share pathways that sense shoulder pain. This commonly leads to:

A.
radiating pain
B.
hemorrhage
C.
referred pain
D.
vomiting
C
You are assessing a 23-year-old female patient complaining of abdominal pain. Which of the following questions should you ask the patient?

A.
Where are you in your menstrual cycle?
B.
Are you experiencing ectopic pregnancy?
C.
Could the pain be cause by ruptured ovarian cysts
D.
Do you have pelvic inflammatory disease?
A
Patients who are experiencing a heart attack often complain of:

A.
diarrhea
B.
extremity pain
C.
epigastric pain
D.
headache
C
Your patient complains of epigastric pain. He tells you he thinks his problem is indigestion, but he took several antacids before your arrival, and they provided no relief. You should suspect:

A.
stomach flu
B.
a cardiac problem
C.
expired antacids
D.
a diabetic problem
B
A patient with an ectopic pregnancy:

A.
will not look pregnant
B.
will be unwilling to answer questions concerning pregnancy
C.
will be in her third trimester
D.
will not experience abdominal pain
A
A patient with an abdominal pain aortic aneurysm would most likely complain of:

A.
tearing back pain
B.
palpitations
C.
altered mental status
D.
diffuse abdominal pain
A
Abdominal pain or discomfort should always be considered an emergency:

A.
only if the patient is in decompensated shock
B.
only if signs of shock are present
C.
even if signs of shock are not present
D.
unless the patient appears to be in compensated shock
C
The membrane that lines the abdominal cavity and covers the organs within it is the:

A.
peritoneum
B.
stomach
C.
viscera
D.
abdomen
A
Why is visceral pain more difficult to locate than parietal pain?

A.
Because nerve pathways from the viscera do not enter the spinal cord
B.
Because organs have fewer nerve sensory receptors
C.
Because visceral pain can be stimulated only by inflammation of the organ
D.
Because abdominal organs cover a greater area than the peritoneum
B
Which of the following abdominal quadrants contains the appendix?

A.
right upper
B.
left upper
C.
left lower
D.
right lower
D
Pain that originates from an organ?

A.
Parietal pain
B.
Tearing pain
C.
Visceral pain
D.
Referred pain
C
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