Deck 36: Abdominal and Genitourinary Trauma

Question 1

Which is important information to consider regarding mechanism of injury (MOI) and abdominal trauma?

A) The patient's level of physical fitness
B) The type of restraint used in a motor vehicle crash
C) Whether or not the patient regularly smokes
D) Whether or not the patient used a helmet

Answer 1

The type of restraint used in a motor vehicle crash

Question 2

With a penetrating trauma, why is it important to assume injuries to both the chest and abdominal cavities?

A) A chest injury usually bleeds into the abdomen.
B) A penetrating injury to one of these areas always affects the other.
C) Many internal organs reside in both cavities.
D) Breathing moves and changes the location of each cavity.

Answer 2

Breathing moves and changes the location of each cavity.

Question 3

A patient has just been stabbed in the left upper quadrant. There is profuse bleeding, but the patient says there is little pain. You should suspect damage to the

A) stomach.
B) liver.
C) spleen.
D) transverse colon.

Answer 3

spleen.

Question 4

Which is a possible sign of abdominal injury?

A) Hematoma
B) Hematemesis
C) Hemophilia
D) Hemangioma

Question 5

The ascending colon is found in the

A) left upper quadrant.
B) left lower quadrant.
C) right lower quadrant.
D) right upper quadrant.

Question 6

Which three are all hollow organs?

A) Gallbladder, stomach, uterus
B) Urinary bladder, gallbladder, pancreas
C) Kidneys, adrenal glands, stomach
D) Small intestine, large intestine, ovaries

Question 7

Which is a mechanism of injury (MOI) of blunt trauma to the abdomen?

A) A point-blank gunshot wound
B) Debris lodged in the skin due to a blast
C) A knife wedged in the abdominal wall
D) A motorcycle collision

Question 8

Which organ is most often damaged by blunt trauma to the abdomen?

A) Diaphragm
B) Spleen
C) Small intestine
D) Liver

Question 9

What is Kehr's sign?

A) Right upper quadrant pain that radiates to the right shoulder, suggesting damage to the liver or duodenum
B) Right lower quadrant pain that radiates through the abdomen, suggesting damage to the appendix
C) Left upper quadrant pain that radiates to the left shoulder, suggesting damage to the spleen or diaphragm
D) Left lower quadrant pain that radiates through the abdomen, suggesting damage to the ovaries

Question 10

Rupture of the duodenum might be caused by

A) a pelvic fracture from a fall.
B) a 9th rib fracture on the right side.
C) a stab wound to the liver.
D) the lap portion of a seat belt in a motor vehicle crash.

Question 11

Which organs are parts of the genitourinary system?

A) Kidneys, ureters, bladder, urethra, and external genitalia
B) Gallbladder, bladder, prostate gland, and external genitalia
C) Gallbladder, bladder, urethra, bladder, and external genitalia
D) Kidneys, adrenal glands, urethra, bladder, and external genitalia

Question 12

A person exhibiting hematuria might have an injury to the

A) liver.
B) kidneys.
C) appendix.
D) spleen.

Question 13

Complete or partial amputation of the penis is usually caused by

A) motor vehicle accidents.
B) physical assaults.
C) self-infliction by a mentally ill patient.
D) sports-related injuries.

Question 14

To properly assess the abdomen, you should

A) remove the patient's clothing, place him in a prone position, and check DCAP-BTLS.
B) remove the patient's clothing, place him in a supine position, and check OPQRST.
C) remove the patient's clothing, place him in a prone position, and check OPQRST.
D) remove the patient's clothing, place him in a supine position, and check DCAP-BTLS.

Question 15

A responsive male patient in a motor vehicle crash appears to have a genitourinary injury. After putting on PPE and checking the patient's airway, you first should

A) explain to the patient that you need to view the area, and ask permission to do so.
B) explain to the patient that you need to view the area, and then remove the patient's clothing.
C) remove the patient's clothing and ask him to assess pain on a 0 to 10 scale.
D) remove the patient's clothing, cover it from view, and view the area.

Question 16

Which of the following is not in the Emergency Medical Technician's scope of practice?

A) Examining the cervix
B) Examining the penis
C) Applying dressings to the external vagina
D) Applying dressings to the scrotum

Question 17

A bike crash victim says he was "high" while riding. You suspect an abdominal injury, but the patient complains of no pain. You should

A) ask the patient to avoid movement until the drugs wear off.
B) search the patient for drugs or drug paraphernalia.
C) remember that drug use can mask the pain of injury.
D) delay treatment of the injury until the arrival of ALS.

Question 18

With an abdominal injury where no spinal injury is suspected, you can let the patient seek comfort by

A) lying prone.
B) sitting up.
C) turning on his side.
D) flexing his hips and knees.

Question 19

Which of the following statements about emergency care for abdominal and genitourinary trauma is TRUE?

A) You can put dressings into the vagina.
B) You can remove embedded objects.
C) You should refrain from touching protruding organs directly.
D) You should keep a wound site covered.

Question 20

Which is an example of a compression injury?

A) Running at full speed and getting tackled
B) Being trapped under a fallen tree
C) Taking a punch to the face
D) A gunshot wound to the abdomen

Question 21

Which is an example of a medium-energy weapon?

A) A handgun
B) An ice pick
C) A hunting rifle
D) A knife

Question 22

Which of the following patients most likely has an injured pancreas?

A) A woman with lower abdominal pain after breaking the pelvis.
B) A man with upper abdominal pain after getting "punched in the stomach".
C) A man with lower abdominal pain after getting kicked by a cow.
D) A woman with upper abdominal pain after breaking a rib.

Question 23

Which injury might cause hematuria?

A) A laceration to the stomach
B) A penetration of the liver
C) A bruising of the kidney
D) A compression of the spleen

Question 24

You suspect an abdominal injury in an inebriated driver after a motor vehicle crash. The driver does not complain of pain. You should remember

A) the police need to collect evidence, so avoid removing clothing.
B) not all motor vehicle accidents have internal injuries.
C) the driver might be embarrassed to admit his pain.
D) that alcohol can mask the pain of an injury.

Question 25

A likely cause of peritonitis is leakage of the ________ into the peritoneum.

A) aorta or vena cava
B) stomach or intestines
C) urinary bladder or rectum
D) lungs or alveoli

Question 26

Up to 75% of stab wounds to the anterior abdomen penetrate the

A) spleen.
B) kidneys.
C) diaphragm.
D) peritoneum.

Question 27

You should suspect an injury to the urethra when there is also damage to the

A) kidneys.
B) peritoneum.
C) perineum.
D) ureters.

Question 28

What causes most abdominal trauma deaths?

A) Blood clots
B) Hemorrhage or infection
C) Evisceration and infection
D) Abdominal aortic aneurysm

Question 29

With an abdominal trauma, you should assume that

A) both the abdominal and pleural cavities are injured.
B) the entire thoracic cavity is injured.
C) both the abdominal cavity and genital areas are injured.
D) both the abdominal and chest cavities are injured.

Question 30

A patient with a stab wound to the left upper quadrant has little bleeding and intense pain. You should suspect an injury to the

A) pancreas or liver.
B) stomach or small intestines.
C) stomach or large intestines.
D) spleen or kidney.

Question 31

In which quadrant is the sigmoid colon located?

A) Right upper quadrant
B) Left upper quadrant
C) Left lower quadrant
D) Right lower quadrant

Question 32

Which three are solid organs?

A) Spleen, large intestine, uterus
B) Pancreas, adrenal glands, kidneys
C) Stomach, liver, pancreas
D) Gallbladder, liver, ovaries

Question 33

Which of the following would be classified as a compression injury?

A) Abdominal organs are compressed by other distended organs, like an enlarged liver or stomach.
B) Blood drains into the abdominal cavity and reduces perfusion.
C) Abdominal organs are squeezed between the vertebral column and the impacting object.
D) A blunt trauma injury results in contusions to more than one abdominal organ.

Question 34

What is a deceleration injury?

A) When the human body stops a falling object, becoming crushed in the process.
B) When a moving human body stops, but the organs continue forward motion past normal capacity.
C) When a moving human body stops and twists, causing injury to ligaments and muscles.
D) When the human body stops a blunt object like a bat, and the energy is transferred to the organs.

Question 35

Which of the following findings suggests an abdominal injury?

A) The patient is self-splinting his stomach.
B) The patient is entirely unable to breathe.
C) The patient is curled into the fetal position.
D) None of these are correct.

Question 36

In abdominal stabbings, what is the most commonly involved organ?

A) Liver
B) Diaphragm
C) Large intestine
D) Small intestine

Question 37

Your 32 year old patient was kicked in the abdomen. He is pale but does not complain of abdominal pain. When you place him in a supine position with elevated legs, he complains of a sharp pain in his left shoulder. You should suspect

A) a myocardial contusion.
B) a dislocated shoulder.
C) a sternal fracture.
D) a ruptured spleen.

Question 38

An injury to the stomach can result in leakage of organ contents into the

A) abdominal cavity, resulting in hemorrhage and shock.
B) mediastinum, resulting in tension pneumothorax.
C) peritoneum, resulting in peritonitis and shock.
D) chest cavity, resulting in simple pneumothorax.

Question 39

In addition to the abdominal aorta, which major vessel is located in the abdomen?

A) Inferior vena cava
B) Femoral veins
C) Superior vena cava
D) Subclavian veins

Question 40

What organs are parts of the genitourinary system?

A) Kidneys, ureters, bladder, urethra, and external genitalia.
B) Kidneys, adrenal glands, bladder, urethra, and external genitalia.
C) Bladder, urethra, liver and external genitalia.
D) Liver, kidneys, bladder, urethra, and external genitalia.

Question 41

Which body part is rarely damaged because of its protected location?

A) Pancreas
B) Spleen
C) Bladder
D) Ureters

Question 42

Which would MOST likely cause a laceration to the external female genitalia?

A) A sexual assault
B) A motor vehicle crash
C) A kick from a horse
D) A bicycle crash

Question 43

To properly assess your patient's abdomen, you should

A) expose the area and place him in a prone position.
B) not expose the area and place him in a prone position.
C) expose the area and place him in a supine position.
D) not expose the area and place him in a supine position.

Question 44

Which is the proper way to assess your responsive male patient who has an abdominal injury?

A) Have the patient self-splint his most painful area while you look for hardness in the surrounding areas.
B) Have the patient indicate the painful area and palpate while watching the face, assessing the injured area last.
C) Ask the patient to point out the painful area, and begin palpating that area while watching the abdomen.
D) Ask the patient if his abdomen feels soft or hard, and then have the patient rate his pain on a 0 to 10 scale.

Question 45

Which is true of examining the genital area?

A) You can insert bandages and dressings into the vagina.
B) With responsive patients, you need permission to view the area.
C) With responsive patients, you can do an internal vaginal examination.
D) None of these are correct.