Deck 9: Injuries to the Chest, Abdomen, and Genitalia

Question 1

Which one of the following statements about chest injuries is not True?

A) All chest trauma should be considered life threatening until proven otherwise.
B) Chest injury is the number-one leading cause of death from trauma.
C) Victims of chest injury can look fine but deteriorate suddenly.
D) You should always assume cardiac damage with a chest injury until it is ruled out.

Answer 1

Chest injury is the number-one leading cause of death from trauma.

Question 2

Two of the most important signs of chest injury are:

A) coughing up blood and cyanosis.
B) weak pulse and shock.
C) tracheal deviation and cyanosis.
D) increase in respiratory rate and shortness of breath.

Answer 2

increase in respiratory rate and shortness of breath.

Question 3

Shortness of breath or difficulty in breathing is termed:

A) dyspnea.
B) cyanosis.
C) hemoptysis.
D) paradoxical breathing.

Answer 3

dyspnea.

Question 4

If a victim breathes more than ________ times a minute and experiences pain, there is probably a chest injury.

A) 20
B) 24
C) 30
D) 36

Question 5

Your first priority in caring for a victim with a chest injury is to:

A) control bleeding if needed.
B) remove any impaled objects.
C) treat for shock.
D) open the airway if needed, ensuring adequate ventilation.

Question 6

If an object is impaled in the chest, you should:

A) shorten the object as much as possible.
B) remove the object.
C) stabilize the object and leave it.
D) push the object through.

Question 7

To check for a flail chest, watch for:

A) discoloration of the head, neck, and shoulders.
B) bulging neck veins.
C) paradoxical movement.
D) bloodshot eyes.

Question 8

A condition in which the sides of the chest move opposite each other during breathing is called:

A) paradoxical movement.
B) crepitus.
C) traumatic asphyxia.
D) dyspnea.

Question 9

You should stabilize flail chest by applying:

A) direct pressure to the flail section.
B) a pillow or bulky dressing to the flail section.
C) a board splint to the chest.
D) placing a bandage around the chest.

Question 10

A sudden compression of the chest wall that forces blood to flow backward in the blood vessels is called:

A) pneumothorax.
B) crepitus.
C) traumatic asphyxia.
D) flail chest.

Question 11

The most common symptom of rib fracture is:

A) bleeding.
B) labored breathing.
C) obvious deformity.
D) severe pain.

Question 12

The top priority in caring for broken ribs is making sure the victim can breathe adequately by:

A) having the victim splint ribs with a pillow.
B) performing mouth to mouth resuscitation.
C) taping the ribs.
D) wrapping tape around the chest.

Question 13

Which of the following should you avoid doing when caring for a victim with broken ribs?

A) taping the ribs
B) have victim splint ribs with a pillow
C) using a sling and a swathe to make the victim's arm act as a splint for the chest
D) monitor the victim's ABCDs

Question 14

One of the few emergencies in which seconds count is:

A) hemothorax.
B) tension pneumothorax.
C) open pneumothorax.
D) pneumothorax.

Question 15

A condition in which air enters the pleural space, allowing the lung to collapse, is called:

A) hemothorax.
B) tension pneumothorax.
C) open pneumothorax.
D) pneumothorax.

Question 16

A pneumothorax is caused by air entering the pleural space through an open wound in the chest wall, is called:

A) hemothorax.
B) tension pneumothorax.
C) open pneumothorax.
D) pneumothorax.

Question 17

In caring for a victim with tension pneumothorax, it is important to remember to:

A) control external bleeding.
B) leave one corner of an occlusive dressing untaped.
C) apply an occlusive dressing to create an airtight seal.
D) keep the victim upright at all times.

Question 18

Which one of the following signs and symptoms would a victim of hemothorax most likely display?

A) tracheal deviation
B) bulging of neck veins
C) rapid, weak pulse
D) moist sucking or bubbling sounds as air passes in and out of the wound

Question 19

If a victim has suffered abdominal trauma, you should also assume that he or she has suffered ________ until proven otherwise.

A) multiple fractures
B) chest trauma
C) cervical spine damage
D) head trauma

Question 20

Closed abdominal wounds may be extremely dangerous because of:

A) severe pain.
B) internal bleeding.
C) infection.
D) spine injury.

Question 21

When assessing a victim for abdominal injury, gently palpate all:

A) upper extremities.
B) parts of the head and neck.
C) lower extremities.
D) quadrants.

Question 22

Often victims with abdominal injuries will be found:

A) sitting upright.
B) on their back with head elevated.
C) on their side in fetal position.
D) on their back.

Question 23

Abdominal contents protruding through an open wound is called a/an:

A) hernia.
B) evisceration.
C) impalement.
D) abdominal trauma.

Question 24

Which of the following organs is most frequently damaged by penetrating abdominal trauma?

A) liver, large intestine, colon
B) liver, small intestine, colon
C) liver, pancreas, colon
D) liver, spleen, colon

Question 25

If a victim has suffered an abdominal evisceration, you should:

A) push the organs back in.
B) check the organs for leaks.
C) cover the organ with paper towels.
D) not touch the protruding organs.

Question 26

While watching some youth play hockey at the park, you see one of the players get hit in the abdomen with a hockey puck. The player is doubled up in severe pain. You should:

A) tell the player to get up and walk it off.
B) have someone call the player's parents.
C) first check the player's ABCs, then the abdomen.
D) wrap a bandana or cloth around the abdomen to ease the pain.

Question 27

Most abdominal injury victims will want their legs ________ to help relieve the pain.

A) drawn up
B) flat
C) crossed
D) elevated 20 minutes

Question 28

A young child has accidentally caught a large section of his scrotum skin in his pant zipper. You should:

A) quickly unzip the zipper.
B) pull the zipper apart.
C) carefully cut the zipper from the pants.
D) apply a heat pack.

Question 29

In preserving the chain of evidence of a female victim of sexual assault, you should:

A) allow her to bathe or douche.
B) clean wounds if possible.
C) put objects with blood on them in plastic bags.
D) not allow her to clean under her fingernails.

Question 30

In treating injuries to the genitalia, it is important to:

A) find out how the injury happened.
B) protect the victim's reputation.
C) protect the victim's privacy.
D) act quickly.

Question 31

The most dramatic chest injuries are usually the most life-threatening as well.

Question 32

There are two categories of chest injury: open and closed.

Question 33

Hemoptysis is the coughing up of dark brown blood.

Question 34

Flail chest, defined by two or more adjacent ribs fractured in two or more places, is considered a life-threatening injury.

Question 35

Traumatic asphyxia occurs from a sudden compression of the throat, cutting off the ability for the victim to breathe.

Question 36

Flail chest is a life-threatening injury because it involves bruising of the lung tissue and inadequate oxygenation.

Question 37

While broken ribs themselves are not life threatening, they can cause injuries that are.

Question 38

Pneumothorax is a condition in which blood fills the chest cavity.

Question 39

If abdominal contents are protruding through a wound, never touch them or try to replace them in the abdominal cavity.

Question 40

Guarding, rigidity, pain, and tenderness are all signs of an obvious chest injury.

Question 41

If a victim has an abdominal evisceration, you should try to replace the organs back in the abdominal cavity.

Question 42

A hernia is a closed injury involving the abdominal wall.

Question 43

Deep underlying damage may occur with an abdominal injury, with only little external hemorrhage.

Question 44

Two of the most important signs of a chest injury are obvious trauma and decrease in the respiratory rate.

Question 45

Injuries to the external male genitalia are excruciatingly painful and usually life threatening.

Question 46

Broken ribs are often life threatening and therefore require aggressive care.

Question 47

If a victim has a genital injury, you should take measures to protect his privacy by draping him with sheets while treating the injury.

Question 48

If a sexual assault has resulted in genitalia injuries, you should have the victim shower and wash immediately.