Deck 6: Abdominal and Genitourinary Trauma

Question 1

Referred pain from the spleen is felt in the ____.

A) left leg
B) right leg
C) left shoulder
D) right shoulder

Answer 1

left shoulder

Question 2

A history of hematuria in the setting of trauma indicates an injury somewhere along the pulmonary artery.

Answer 2

False

Question 3

Blunt trauma to the urinary bladder most often occurs from vascular injury.

Answer 3

False

Question 4

During an examination, palpation should start with the quadrant closest to the location of pain.

Question 5

The ureter is a common site of injury.

Question 6

An injury to the testes is a ____ injury.

A) hollow organ
B) solid organ
C) vascular
D) genitourinary

Question 7

Injuries to the abdominal contents may not be apparent immediately after the injury.

Question 8

An injury to the kidneys is a ____ injury.

A) solid organ and vascular
B) solid organ and genitourinary
C) hollow organ and genitourinary
D) hollow organ and vascular

Question 9

____ hematomas are hematomas that form between the surface of the organ and the inner face of the capsule surrounding the solid organ.

A) Simple
B) Subcapsular
C) Tension
D) Pulmonary

Question 10

The spleen is one of the body's filters.

Question 11

Diaphragmatic rupture is exceedingly rare, occurring in less than five percent of blunt abdominal trauma patients.

Question 12

An injury to the stomach is a ____ injury.

A) solid organ
B) hollow organ
C) vascular
D) genitourinary

Question 13

The presence of free fluid is assessed in the emergency department or aboard a medevac helicopter by performing a(n) ____ exam.

A) AMPLE
B) ABC
C) FAST
D) SAMPLE

Question 14

The abdominal cavity can hold up to three liters of blood, or one-third to one-half of the body's blood volume, before abdominal distention occurs.

Question 15

Referred pain from the liver is appreciated in the ____.

A) back
B) neck
C) right shoulder
D) left shoulder

Question 16

Bleeding within the retroperitoneal space often causes ____ rather than abdominal pain, which may lead the Paramedic to suspect a spinal injury rather than an intra-abdominal injury.

A) neck pain
B) nausea
C) headache
D) back pain

Question 17

Pain from the pancreas will often refer to the ____.

A) neck
B) head
C) midback
D) buttocks

Question 18

An injury to the liver is a ____ injury.

A) solid organ
B) hollow organ
C) vascular
D) genitourinary

Question 19

Hypotension in the setting of trauma is three times more likely to require an emergent intervention by the emergency physician or trauma surgeon than trauma without hypotension.

Question 20

Patients who sustain a spinal cord injury have a higher incidence of intra-abdominal injury.

Question 21

According to the American Association for the Surgery of Trauma grading system, a major laceration to the pancreas without duct injury or tissue loss would be classified as a ____ injury.

A) Grade I
B) Grade II
C) Grade III
D) Grade IV

Question 22

When obtaining a history during an abdominal and genitourinary injury, it is important that the Paramedic ask about ____.

A) headache
B) neck pain
C) abdominal pain
D) leg pain

Question 23

Hollow viscus injury is most likely to occur in patients sustaining injury due to ____.

A) stab wounds
B) falls
C) vehicle crashes
D) gunshot wounds

Question 24

According to the American Association for the Surgery of Trauma grading system, a laceration to the liver over three centimeters in parenchymal depth would be classified as a ____ injury.

A) Grade I
B) Grade II
C) Grade III
D) Grade IV

Question 25

Patients who have sustained kidney trauma may complain of ____ pain on the side of the injury.

A) neck
B) shoulder
C) back or flank
D) leg

Question 26

In the setting of poor perfusion, ____ should be applied.

A) pressure bandaging
B) analgesia
C) high-flow, high-concentration oxygen
D) continuous positive airway pressure

Question 27

When assessing the abdomen, which sequence should the Paramedic follow?

A) Inspection, auscultation, palpation, and percussion
B) Auscultation, inspection, percussion, and palpation
C) Inspection, palpation, auscultation, and percussion
D) Palpation, inspection, percussion, and auscultation

Question 28

Visible blood in the urine is known as a ____.

A) gross hematuria
B) subcapsular hematuria
C) retroperitoneal hematoma
D) hypoperitoneal hematoma

Question 29

____ injury is a generic term used to describe any number of injuries that can occur to the hollow abdominal organs.

A) Abdominal vascular
B) Genitourinary
C) Hollow viscus
D) Gross viscus

Question 30

Internal bleeding posterior to the peritoneum is called ____.

A) retroperitoneal hematoma
B) subcapsular hematoma
C) ligamentum hematuria
D) gross hematuria

Question 31

According to the American Association for the Surgery of Trauma grading system, a laceration to the kidney under one centimeter in depth without urine leak would be classified as a ____ injury.

A) Grade II
B) Grade III
C) Grade IV
D) Grade V

Question 32

The ____ is the first part of the small intestine just downstream from the stomach.

A) falciform
B) duodenum
C) sacrum
D) patellar

Question 33

The liver is attached to the diaphragm by the coronary ligament and to the anterior body wall by the ____ ligament.

A) cricothyroid
B) falciform
C) cruciate
D) patellar

Question 34

____ injury includes injuries to the kidneys, ureters, urinary bladder, urethra, external genitalia, and reproductive organs.

A) Hollow viscus
B) Abdominal vascular
C) Diaphragmatic
D) Genitourinary

Question 35

According to the American Association for the Surgery of Trauma grading system, a laceration to the spleen under one centimeter in depth would be classified as a ____ injury.

A) Grade I
B) Grade II
C) Grade III
D) Grade IV