Question 1

Which of the following refers to ecchymosis in the flanks?

Accepted Answer

Turner's sign refers to ecchymosis (bruising) in the flanks, which can be a sign of retroperitoneal bleeding, often associated with pancreatitis or other abdominal pathologies.

Question 2

Which of the following are indications on plain x-ray of an enlarged spleen?

Accepted Answer

All of the options listed (displacement of the stomach, left transverse colon, small bowel loops, and left kidney) can be indications of an enlarged spleen on a plain x-ray. The spleen enlargement can push or displace adjacent organs and structures, leading to the observations mentioned.

Question 3

Ballone sign is _________.

Accepted Answer

Ballone sign is characterized by fixed dullness in the left flank and shifting dullness in the right flank, indicating the presence of fluid in the abdominal cavity, such as in cases of ascites.

Question 4

As part of the history portion of your assessment, you decide to ask the patient if he has any pain associated with coughing, laughing, and general movement. Is this a necessary question to ask your patient during his assessment?

Accepted Answer

Asking about pain associated with coughing, laughing, and general movement can help identify if the pain worsens with these activities, which is common in various conditions including peritonitis. This information is crucial for a thorough assessment and accurate diagnosis.

Question 5

Which of the following should be performed during the observation portion of an abdominal assessment?

Accepted Answer

The answer of Which of the following should be performed...

Question 6

Treatment of an abdominal wall contusion or hematoma should be treated with which of the following?

Accepted Answer

All of the options listed are appropriate treatments for an abdominal wall contusion or hematoma. Ice helps to reduce bleeding and swelling, padding protects the injured area, continued observation is necessary to rule out more severe injuries, and placing the athlete in a relaxed and flexed posture reduces tension on the tissues, aiding in pain relief and healing.

Question 7

Auscultation for bowel sounds is critically important when dealing with acute injuries, because hydration and electrolyte imbalance may alter bowel sounds.

Accepted Answer

Auscultation for bowel sounds is important in assessing gastrointestinal function, not directly for evaluating hydration and electrolyte imbalances. These imbalances may have indirect effects on bowel function, but the primary reason for auscultating bowel sounds is to assess for signs of bowel obstruction, motility issues, or other gastrointestinal problems.

Question 8

When diagnosing splenic injuries, presentation of the injury may be delayed because of bleeding contained in the capsule. Delayed rupture of a splenic injury, although an important concern, is a very uncommon complication.

Accepted Answer

Both statements are accurate. The spleen's capsule can initially contain bleeding, leading to a delayed presentation of the injury. While delayed rupture is a significant concern, it is indeed an uncommon complication.

Question 9

In order to identify whether or not a patient is experiencing circulatory collapse, vital signs should be monitored __________.

Accepted Answer

Monitoring vital signs at set intervals over a period of time allows for the observation of trends in the patient's condition, which is crucial for identifying circulatory collapse or any changes in the patient's status.

Question 10

Which of the following refers to ecchymosis in the periumbilical area?

Accepted Answer

Cullen's sign refers to ecchymosis in the periumbilical area, often associated with acute pancreatitis or other intra-abdominal bleeding conditions.

Question 11

One of your athletes comes over to you during the second half of a game complaining of having been struck in the abdomen. Initially, the athlete was having difficulty breathing. Those signs and symptoms have subsided and you decide to send him back into the game. Following the match, the athlete begins to complain of discomfort in the abdomen. Which of the following might explain the discomfort?

Accepted Answer

A hollow organ injury or a solid organ injury could explain the discomfort in the abdomen after being struck. Hollow organ injuries can cause delayed symptoms, and solid organ injuries can lead to internal bleeding and pain.

Question 12

Differentiating between benign injuries and injuries that require transport to a hospital can often be challenging. Abdominal injuries are infrequent, and the resulting lack of experience in evaluating them becomes a problem in their management.

Accepted Answer

Both statements are true. Differentiating between benign and serious injuries can be challenging, especially with abdominal injuries, which are less common. This infrequency can lead to a lack of experience in evaluating such injuries, complicating their management.

Question 13

In the general population, which of the following can often mask an abdominal injury?

Accepted Answer

Head injuries can distract from pain elsewhere due to altered mental status or focus on more immediate symptoms. Orthopedic injuries can similarly divert attention due to their often more visible and immediately painful nature. Medications, especially painkillers or sedatives, can mask pain or discomfort from an abdominal injury. Ergogenic aids, which are used to improve physical performance, might also obscure the symptoms of an abdominal injury, either by their physiological effects or by the user's heightened tolerance for discomfort.

Question 14

The occurrence rate of liver injuries is extremely high in sports.

Accepted Answer

The answer of The occurrence rate of liver injuries is...

Question 15

Which of the following should be identified with respect to pain during the history portion of your evaluation?

Accepted Answer

During the history portion of an evaluation, it's important to identify various aspects of the patient's pain to understand its nature and potential causes. This includes the description, location, quality, and progression of the pain.

Question 16

What percentage of rib fractures on the left side of the body involves hepatic injuries?

Accepted Answer

The answer of What percentage of rib fractures on the...

Question 17

Deceleration injuries are typically involved with which of these organs?

Accepted Answer

Deceleration injuries can affect all of the listed organs: liver, spleen, kidneys, and other abdominal viscera. These injuries occur when the body is abruptly slowed down, causing organs to shift and potentially sustain damage due to their inertia.

Question 18

Which of the following are signs and symptoms initially observed in patients with splenic injury?

Accepted Answer

Fainting, dizziness, and weakness are common initial signs and symptoms of splenic injury, as they reflect the body's response to internal bleeding and the resulting decrease in blood circulation.

Question 19

Splenic injuries are often associated with rib fractures. What percentage of rib fractures on the right side of the body involves injuries to the spleen?

Accepted Answer

The answer of Splenic injuries are often associated with rib...

Question 20

Injuries to this region result in the "wind being knocked out" of the person.

Accepted Answer

The epigastrium is the upper central region of the abdomen. A blow to this area can temporarily paralyze the diaphragm, causing the sensation of having the "wind knocked out."

Quiz 10: Abdominal Emergencies