EMT – Chapter 18 – Flashcards

question
Commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night
answer
Choleystitis
question
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:
answer
Be alert for signs and symptoms of shock
question
Which of the following organs lies in the retroperitoneal space?
answer
Pancreas
question
Your patient complains of chronic "burning" stomach pain that improves after eating. You should suspect:
answer
Peptic ulcer disease
question
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?>
answer
Kidney
question
Most patients with abdominal pain prefer to:
answer
Lie on their side with their knees drawn into the abdomen
question
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:
answer
Protect the airway from aspiration
question
___ occurs when there is excess pressure within the portal system and surrounding vessel and may lead to life threatening bleeding.
answer
Esophageal varices
question
When assessing a patient with abdominal pain, you should:
answer
Palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful
question
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?
answer
Is the pain constant or intermittent?
question
When abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:
answer
guarding
question
Which of the following statements regarding dialysis is correct:
answer
Patients who miss a dialysis treatment often present with weakness
question
Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect:
answer
Cholecystitis
question
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
answer
referred pain
question
An important aspect in the treatment of a patient with severe abdominal pain is to:
answer
provide emotional support en route to the hospital
question
Which of the following statements regarding acute abdomen is correct:
answer
The initial pain associated with an acute abdomen tends to be vague and poorly localized
question
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:
answer
Administer oxygen and prepare for immediate transport
question
For a patient with a gastrointestinal complaint, it is MOST important for the EMT to:
answer
identify whether the patient requires rapid transportation
question
Which of the following is correct about the secondary assessment for a high priority patient:
answer
You may not have time to complete a secondary assessment
question
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
answer
Kidney (Kidney infection)
question
Which of the following may help reduce your patient's nausea:
answer
low flow oxygen
question
Severe back pain may be associated with which of the following conditions?
answer
Abdominal aortic aneurysm
question
Peritonitis may result in shock because:
answer
fluid shifts from the bloodstream into the body tissues
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question
Commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night
answer
Choleystitis
question
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:
answer
Be alert for signs and symptoms of shock
question
Which of the following organs lies in the retroperitoneal space?
answer
Pancreas
question
Your patient complains of chronic "burning" stomach pain that improves after eating. You should suspect:
answer
Peptic ulcer disease
question
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?>
answer
Kidney
question
Most patients with abdominal pain prefer to:
answer
Lie on their side with their knees drawn into the abdomen
question
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:
answer
Protect the airway from aspiration
question
___ occurs when there is excess pressure within the portal system and surrounding vessel and may lead to life threatening bleeding.
answer
Esophageal varices
question
When assessing a patient with abdominal pain, you should:
answer
Palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful
question
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?
answer
Is the pain constant or intermittent?
question
When abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:
answer
guarding
question
Which of the following statements regarding dialysis is correct:
answer
Patients who miss a dialysis treatment often present with weakness
question
Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect:
answer
Cholecystitis
question
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
answer
referred pain
question
An important aspect in the treatment of a patient with severe abdominal pain is to:
answer
provide emotional support en route to the hospital
question
Which of the following statements regarding acute abdomen is correct:
answer
The initial pain associated with an acute abdomen tends to be vague and poorly localized
question
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:
answer
Administer oxygen and prepare for immediate transport
question
For a patient with a gastrointestinal complaint, it is MOST important for the EMT to:
answer
identify whether the patient requires rapid transportation
question
Which of the following is correct about the secondary assessment for a high priority patient:
answer
You may not have time to complete a secondary assessment
question
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
answer
Kidney (Kidney infection)
question
Which of the following may help reduce your patient's nausea:
answer
low flow oxygen
question
Severe back pain may be associated with which of the following conditions?
answer
Abdominal aortic aneurysm
question
Peritonitis may result in shock because:
answer
fluid shifts from the bloodstream into the body tissues