Vol. 2, Ch. 37 - Abdominal emergencies

Pain that originates in the walls of hollow organs is called:

• visceral pain

• peritoneal pain

• somatic pain

• referred pain

A dissecting abdominal aortic artery will produce a referred pain felt:

• in the chest

• in the lower extremities

• between the shoulder blades

• in the neck

            Observing distention in a patient’s abdomen is an ominous sign, because the abdomen can hold _________ of fluid before any noticeable change in abdominal girth occurs.

• 4-6 L

• 2-4 L

• 1-2 L

• 250-500 ml

 Abdominal pain lasting more than 6 hours is considered:

• a chronic condition

• a surgical emergency

• significant if V/S are unstable

• a typical amount of time for most abdominal complaints.

Bloody vomitus is called:

• melena

• hemoptysis

• hematemesis

• hematuria

A swollen vein in the esophagus is called a(n):

• portal

• esophageal aneurysm

• diverticulitis

• esophageal varix

Hernias, intussusception, volvulus, and adhesions are the four MOST frequent causes of:

• abdominal pain

• gastroenteritis

• inflammatory bowel disorder

• bowel obstruction

A common site of pain in cases of appendicitis is

• Hey's ligament

• Schultze's tract

• Charcot's joint

• McBurney' point

Ninety percent of cholecystitis cases are caused by:

• bowel obstruction

• hepatitis

• gallstones

• colon lesions

You are treating a 26 year old patient who was in a car accident and is complaining of abdominal pain. While obtaining patient history, you find that she recently had mononucleosis. Given the patient's history and mechanism of injury, which of the following conditions is MOST likely?

• ruptured spleen

• Appendicitis

• Ruptured Aortic aneurysm

• Ruptured ectopic pregnancy