Shaps EMT ch 14 – Flashcards

question
Which of the following conditions is more common in women than in men?
answer
cystitis
question
Which of the following organs lies in the retroperitoneal space?
answer
gallbladder
question
Functions of the liver include:
answer
production of substances necessary for blood clotting.
question
You are dispatched to an apartment complex for a young male with abdominal pain. Your priority upon arriving at the scene should be to:
answer
assess the scene for potential hazards.
question
Peritonitis may result in shock because:
answer
fluid shifts from the bloodstream into body tissues.
question
In the presence of ileus, the only way the stomach can empty itself is by:
answer
vomiting.
question
Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of:
answer
appendicitis.
question
Elderly patients with abdominal problems may not exhibit the same pain response as younger patients because of:
answer
age-related deterioration of their sensory systems.
question
A 35-year-old mildly obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain is:
answer
acute cholecystitis
question
Which of the following statements regarding dialysis is correct?
answer
Patients who miss a dialysis treatment often present with weakness.
question
Esophageal varices MOST commonly occur in patients who
answer
drink a lot of alcohol.
question
Which of the following statements regarding the acute abdomen is correct?
answer
The initial pain associated with an acute abdomen tends to be vague and poorly localized.
question
In contrast to the parietal peritoneum, the visceral peritoneum:
answer
is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.
question
The MOST common and significant complication associated with an acute abdomen is:
answer
peritonitis.
question
Injury to a hollow abdominal organ would MOST likely result in:
answer
leakage of contents into the abdominal cavity.
question
The parietal peritoneum lines the:
answer
walls of the abdominal cavity.
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 organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?
answer
spleen
question
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:
answer
leave him in a sitting position, keep him warm, and prepare for immediate transport.
question
Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices results in:
answer
an ulcer.
question
The kidneys help to regulate blood pressure by:
answer
removing sodium, and thus water, from the body.
question
A 59-year-old male presents with a sudden onset of 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
Most patients with abdominal pain prefer to:
answer
lie on their side with their knees drawn into the abdomen.
question
Which of the following organs would MOST likely bleed profusely if injured?
answer
liver
question
Patients with acute abdominal pain should not be given anything to eat or drink because:
answer
substances in the stomach increase the risk of aspiration.
question
A strangulated hernia is one that:
answer
loses its blood supply due to compression by local tissues.
question
Which of the following statements regarding gastrointestinal bleeding is correct?
answer
Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself.
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 her airway from aspiration.
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
Which of the following is characteristic of peptic ulcer disease (PUD)?
answer
burning or pain in the stomach that subsides immediately after eating
question
Remember that the patient is in pain and is probably anxious; he or she requires all your skills of rapid assessment and:
answer
emotional support
question
Diverticulitis occurs in which quadrant?
answer
left lower quadrant
question
An aortic aneurysm will occur in which area of the body?
answer
lower back and lower quadrants
question
When forming a general impression of the patient during the initial assessment, which important "scale" information should be included?
answer
rule of nines scale
question
Use OPQRST to ask the patient what makes the pain better or worse. The "S" stands for:
answer
the severity of pain.
question
During the baseline vital sign check, the last vital sign to change is:
answer
blood pressure
question
Remember, the condition of a patient with an acute abdomen can change:
answer
rapidly from stable to unstable.
question
During the focused physical exam, the first step listed to assess the abdomen is:
answer
explain to the patient what you are about to do.
question
Where will you find localization of pain for a patient with a kidney stone?
answer
radiating to the genitalia
question
A bladder infection called cystitis is more common than kidney infection, especially in women. Patients with cystitis usually have:
answer
lower abdominal pain
question
When the waste product that is normally excreted into the urine remains in the blood, this can lead to which of the following conditions?
answer
uremia
question
The type of pain where the patient experiences tenderness when direct pressure is applied but severe pain when that pressure is released is called:
answer
rebound tenderness
question
In which condition does the junction between the esophagus and the stomach tear, causing severe bleeding and potentially death?
answer
Mallory-Weiss syndrome
question
acute abdomen
answer
condition of sudden onset of pain within the abdomen, usually indicating peritonitis; immediate medical or surgical treatment is necessary
question
appendicitis
answer
inflammation of the appendix
question
cholecystitis
answer
inflammation of the gallbladder
question
cystitis
answer
inflammation of the bladder
question
diverticulitis
answer
inflammation in small pockets at weak areas in the muscle walls
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question
Which of the following conditions is more common in women than in men?
answer
cystitis
question
Which of the following organs lies in the retroperitoneal space?
answer
gallbladder
question
Functions of the liver include:
answer
production of substances necessary for blood clotting.
question
You are dispatched to an apartment complex for a young male with abdominal pain. Your priority upon arriving at the scene should be to:
answer
assess the scene for potential hazards.
question
Peritonitis may result in shock because:
answer
fluid shifts from the bloodstream into body tissues.
question
In the presence of ileus, the only way the stomach can empty itself is by:
answer
vomiting.
question
Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and anorexia are MOST indicative of:
answer
appendicitis.
question
Elderly patients with abdominal problems may not exhibit the same pain response as younger patients because of:
answer
age-related deterioration of their sensory systems.
question
A 35-year-old mildly obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain is:
answer
acute cholecystitis
question
Which of the following statements regarding dialysis is correct?
answer
Patients who miss a dialysis treatment often present with weakness.
question
Esophageal varices MOST commonly occur in patients who
answer
drink a lot of alcohol.
question
Which of the following statements regarding the acute abdomen is correct?
answer
The initial pain associated with an acute abdomen tends to be vague and poorly localized.
question
In contrast to the parietal peritoneum, the visceral peritoneum:
answer
is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.
question
The MOST common and significant complication associated with an acute abdomen is:
answer
peritonitis.
question
Injury to a hollow abdominal organ would MOST likely result in:
answer
leakage of contents into the abdominal cavity.
question
The parietal peritoneum lines the:
answer
walls of the abdominal cavity.
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 organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?
answer
spleen
question
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:
answer
leave him in a sitting position, keep him warm, and prepare for immediate transport.
question
Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices results in:
answer
an ulcer.
question
The kidneys help to regulate blood pressure by:
answer
removing sodium, and thus water, from the body.
question
A 59-year-old male presents with a sudden onset of 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
Most patients with abdominal pain prefer to:
answer
lie on their side with their knees drawn into the abdomen.
question
Which of the following organs would MOST likely bleed profusely if injured?
answer
liver
question
Patients with acute abdominal pain should not be given anything to eat or drink because:
answer
substances in the stomach increase the risk of aspiration.
question
A strangulated hernia is one that:
answer
loses its blood supply due to compression by local tissues.
question
Which of the following statements regarding gastrointestinal bleeding is correct?
answer
Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself.
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 her airway from aspiration.
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
Which of the following is characteristic of peptic ulcer disease (PUD)?
answer
burning or pain in the stomach that subsides immediately after eating
question
Remember that the patient is in pain and is probably anxious; he or she requires all your skills of rapid assessment and:
answer
emotional support
question
Diverticulitis occurs in which quadrant?
answer
left lower quadrant
question
An aortic aneurysm will occur in which area of the body?
answer
lower back and lower quadrants
question
When forming a general impression of the patient during the initial assessment, which important "scale" information should be included?
answer
rule of nines scale
question
Use OPQRST to ask the patient what makes the pain better or worse. The "S" stands for:
answer
the severity of pain.
question
During the baseline vital sign check, the last vital sign to change is:
answer
blood pressure
question
Remember, the condition of a patient with an acute abdomen can change:
answer
rapidly from stable to unstable.
question
During the focused physical exam, the first step listed to assess the abdomen is:
answer
explain to the patient what you are about to do.
question
Where will you find localization of pain for a patient with a kidney stone?
answer
radiating to the genitalia
question
A bladder infection called cystitis is more common than kidney infection, especially in women. Patients with cystitis usually have:
answer
lower abdominal pain
question
When the waste product that is normally excreted into the urine remains in the blood, this can lead to which of the following conditions?
answer
uremia
question
The type of pain where the patient experiences tenderness when direct pressure is applied but severe pain when that pressure is released is called:
answer
rebound tenderness
question
In which condition does the junction between the esophagus and the stomach tear, causing severe bleeding and potentially death?
answer
Mallory-Weiss syndrome
question
acute abdomen
answer
condition of sudden onset of pain within the abdomen, usually indicating peritonitis; immediate medical or surgical treatment is necessary
question
appendicitis
answer
inflammation of the appendix
question
cholecystitis
answer
inflammation of the gallbladder
question
cystitis
answer
inflammation of the bladder
question
diverticulitis
answer
inflammation in small pockets at weak areas in the muscle walls