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WorksheetsGastrointestinal / Endocrine Emergencies
Total questions: 25
Worksheet time: 13mins
Solid abdominal organs include the:
stomach and small intestine.
spleen, kidneys, and pancreas.
gallbladder and large intestine.
urinary bladder, colon, and ureters.
Which of the following organs would MOST likely bleed profusely if injured?
Liver
Stomach
Appendix
Gallbladder
Which of the following organs assists in the filtration of blood, serves as a blood reservoir, and produces antibodies?
Liver
Kidneys
Spleen
Pancreas
Which of the following is characteristic of peptic ulcer disease (PUD)?
Symptom relief after taking nonsteroidal anti-inflammatory drugs
The passage of bright red blood in the stool or coughing up blood
Sharp pain that is typically located in both lower abdominal quadrants
Burning or pain in the stomach that subsides immediately after eating
A 60-year-old female presents with a tearing sensation in her lower back. Her skin is sweaty and she is tachycardic. The EMT should suspect:
kidney stones.
aortic aneurysm.
strangulated hernia.
acute pancreatitis.
The MOST important treatment for a patient with severe abdominal pain and signs of shock is:
transporting the patient without delay.
administering high-flow oxygen.
giving oral fluids to maintain perfusion.
placing them in a diaper immediately.
The main function of the endocrine system is to _________.
produce glandular secretions
regulate glucose and calcium
regulate blood flow
maintain homeostasis
The two main types of cells contained in blood are called _________.
erythrocytes and leukocytes
platelets and plasma
transport and clotting
hemoglobin A and S
In contrast to type 1 diabetes, type 2 diabetes:
occurs when antibodies attack insulin-producing cells.
is caused by resistance to insulin at the cellular level.
is caused by a complete lack of insulin in the body.
is commonly diagnosed in children and young adults.
The EMT should assess for hypoglycemia in small children with a severe illness or injury because:
a child's cells do not uptake glucose as rapidly as adults' do.
illness or injury causes the pancreas to produce less insulin.
children cannot store excess glucose as effectively as adults.
children overproduce insulin during severe illness or injury.
Proper procedure for administering oral glucose to a patient includes all of the following, EXCEPT:
assessing the patient's mental status.
ensuring the absence of a gag reflex.
checking the medication's expiration date.
requesting permission from medical control.
Which of the following statements regarding sickle cell disease is correct?
Sickle cell disease is an inherited blood disorder that causes the blood to clot too quickly.
In sickle cell disease, the red blood cells are abnormally shaped and are less able to carry oxygen.
The red blood cells of patients with sickle cell disease are round and contain hemoglobin.
Because of their abnormal shape, red blood cells in patients with sickle cell disease are less apt to lodge in a blood vessel.
Your patient complains of chronic “burning” stomach pain that improves after eating. You should suspect:
peptic ulcer disease.
aortic aneurysm.
pneumonia.
kidney stones.
Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect ____________.
appendicitis
cholecystitis
a hernia
kidney stones
Urinary tract infections are more common in ____________.
women
men
sedentary adults
active adults
Which of the following may help reduce your patient's nausea?
Cricoid pressure
Positive-pressure ventilation
Low-flow oxygen
Singing to them in a sweet, calming tone
Which of the following statements regarding the acute abdomen is correct?
The most common cause of an acute abdomen is inflammation of the gallbladder and liver.
The parietal peritoneum is typically the first abdominal layer that becomes inflamed or irritated.
The initial pain associated with an acute abdomen tends to be vague and poorly localized
An acute abdomen almost always occurs as the result of blunt trauma to solid abdominal organs.
Pain that may be perceived at a distant point on the surface of the body, such as the back or shoulder, is called:
referred pain.
radiating pain.
visceral pain.
remote pain.
A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mm Hg. Your MOST immediate action should be to:
protect her airway from aspiration.
keep her supine and keep her warm.
rapidly transport her to the hospital.
give her high-flow supplemental oxygen.
Ketone production is the result of:
acidosis when blood glucose levels are low.
blood glucose levels higher than 120 mg/dL.
fat metabolization when glucose is unavailable.
rapid entry of glucose across the cell membrane.
Kussmaul respirations are an indication that the body is:
attempting to eliminate acids from the blood.
trying to generate energy by breathing deeply.
severely hypoxic and is eliminating excess CO2.
compensating for decreased blood glucose levels.
Which of the following signs or symptoms would the EMT MOST likely encounter in a patient with new-onset type 1 diabetes?
Total lack of appetite
Weight gain and edema
Weight loss and polyuria
Low blood glucose level
When assessing an unresponsive diabetic patient, the primary visible difference between hyperglycemia and hypoglycemia is the:
patient's mental status.
rate of the patient's pulse.
presence of a medical identification tag.
rate and depth of breathing.
To which of the following diabetic patients should you administer oral glucose?
An unconscious 33-year-old male with cool, clammy skin
A conscious 37-year-old female with nausea and vomiting
A semiconscious 40-year-old female without a gag reflex
A confused 55-year-old male with tachycardia and pallor
You respond to a residence for a patient who is “not acting right.” As you approach the door, the patient, a 35-year-old male, begins shouting profanities at you and your partner while holding a baseball bat. The man is confused and diaphoretic, and is wearing a medical identification bracelet. You should:
calm him down so you can assess him.
be assertive and talk the patient down.
contact medical control for instructions.
retreat at once and call law enforcement.
