EMT – Chapter 18 – Flashcards
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Commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night
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Choleystitis
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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:
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Be alert for signs and symptoms of shock
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Which of the following organs lies in the retroperitoneal space?
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Pancreas
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Your patient complains of chronic "burning" stomach pain that improves after eating. You should suspect:
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Peptic ulcer disease
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A young female presents with costovertebral angle tenderness. She is conscious and alert with stable vital signs. Which of the following organs is MOST likely causing her pain?>
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Kidney
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Most patients with abdominal pain prefer to:
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Lie on their side with their knees drawn into the abdomen
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A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mm Hg. Your MOST immediate action should be to:
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Protect the airway from aspiration
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___ occurs when there is excess pressure within the portal system and surrounding vessel and may lead to life threatening bleeding.
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Esophageal varices
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When assessing a patient with abdominal pain, you should:
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Palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful
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You have been dispatched to the home of a 52-year-old woman with severe flank pain. Which of the following would be an appropriate question to ask regarding the pain?
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Is the pain constant or intermittent?
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When abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:
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guarding
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Which of the following statements regarding dialysis is correct:
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Patients who miss a dialysis treatment often present with weakness
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Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect:
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Cholecystitis
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Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
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referred pain
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An important aspect in the treatment of a patient with severe abdominal pain is to:
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provide emotional support en route to the hospital
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Which of the following statements regarding acute abdomen is correct:
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The initial pain associated with an acute abdomen tends to be vague and poorly localized
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A 59-year-old male presents with sudden-onset severe lower back pain. He is conscious and alert, but very restless and diaphoretic. Your assessment reveals a pulsating mass to the left of his umbilicus. You should:
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Administer oxygen and prepare for immediate transport
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For a patient with a gastrointestinal complaint, it is MOST important for the EMT to:
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identify whether the patient requires rapid transportation
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Which of the following is correct about the secondary assessment for a high priority patient:
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You may not have time to complete a secondary assessment
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A young female presents with costovertebral angle tenderness. She is conscious and alert with stable vital signs. Which of the following organs is MOST likely causing her pain
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Kidney (Kidney infection)
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Which of the following may help reduce your patient's nausea:
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low flow oxygen
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Severe back pain may be associated with which of the following conditions?
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Abdominal aortic aneurysm
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Peritonitis may result in shock because:
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fluid shifts from the bloodstream into the body tissues
