NEW
Font size
WorksheetsChapter 18 Gastrointestinal and Urologic Emergencies
Total questions: 45
Worksheet time: 2hrs 15mins
peritonitis, with associated fluid loss, is the result of:
abnormal shift of fluid from body tissue into the bloodstream
abnormal shift of fluid from the bloodstream into body tissue
normal shift of fluid from body tissue into the bloodstream
normal shift of fluid from the bloodstream into body tissue
distention of the abdomen is gauged by:
visualization
ausculation
palpation
the patient's complaint of pain around the umbilicus
a hernia that returns to its proper body cavity is said to be:
reducible
extractable
incarcerated
replaceable
a patient who presents with vomiting, signs of shock, and history of eating disorder and alcohol abuse is likely to be suffering from:
diverticulitis
mallory-weirs syndrome
appendicitis
cholecystitis
when an organ of the abdomen is enlarged, rough palpation may cause _______________of the organ
distention
nausea
swelling
rupture
severe back pain may be associated with which of the following conditions?
abdominal aortic aneurysm
PID
appendicitis
mittelschmerz
the _______________are found in the retroperitoneal space
stomach and gallbladder
kidneys, ovaries, and pancreas
liver and pancreas
adrenal glands and uterus
_______________can be caused by an obstructing gallstone, alcohol abuse, and other diseases
appendicitis
a peptic ulcer
pancreatitis
diverticulitis
_______________commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night
a peptic ulcer
cholecystitis
appendicitis
pancreatitis
which of the following is NOT a common disease that produces signs of an acute abdomen?
diverticulitis
cholecystitis
acute appendicitis
glomerulonephritis
_______________occur(s)when there is excess pressure within the portal system and surrounding vessel; may lead to life-threatening bleeding
esophageal rupture
esophageal varices
esophageal ulcers
esophageal reflux
you have ben dispatched to the home of a 52-year-old woman with severe flank pain.
which of the following would be an appropriate question to ask regarding the pain?
have you experienced any belching?
do you feel nauseous?
is the pain constant or intermittent?
have you been urinating more or less?
you have ben dispatched to the home of a 52-year-old woman with severe flank pain.
the patient tells you that she has right flank pain that radiates into her groin. what is the most likely cause of her condition?
cholecystitis
ileus
appendicitis
kidney stone
you have ben dispatched to the home of a 52-year-old woman with severe flank pain.
in addition to the patient's presentation, which of the following would NOT be an additional expected sign or symptom?
diarrhea
hematuria
nausea
vomiting
you have ben dispatched to the home of a 52-year-old woman with severe flank pain.
you should transport her:
in a position of comfort
supine
left lateral recumbent
in the recovery position
you have ben dispatched to the home of a 52-year-old woman with severe flank pain.
which of the following is NOT a function of the liver?
it filters toxic substances
it creates glucose stores
it acts as a reservoir for bile
it produces substances for blood clotting
a patient presents with lower quadrant abdominal pain, tenderness above the pubic bone, and frequent urination with urgency. what is the most likely underlying condition?
cholecystitis
cystitis
gastroenteritis
diverticulitis
infected pouches in the lining of the colon are described as:
cholecystitis
cystitis
gastroenteritis
diverticulitis
pregnancy, straining at stool, and chronic constipation use increased pressure that could result in:
mallory-weirs syndrome
diverticulitis
hemorrhoids
gallstones
diarrhea is the principle symptom in:
gastroenteritis
esophagitis
pancreatitis
peptic ulcers
bowel inflammation, diverticulitis, and hemorrhoids are common causes of bleeding in the:
upper GI tract
middle GI tract
lower GI tract
urinary tract
a patient complains of heartburn, pain with swallowing, and feeling like an object is stuck in the throat. which of the following is most likely that cause?
esophageal varices
esophagitis
peptic ulcer
gastroenteritis
pain that initially starts in the umbilical area and then later moves to the lower right quadrant is typically associated with:
gastroenteritis
pancreatitis
appendicitis
diverticulitis
when the abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:
guarding
tenderness
rebound tenderness
referred pain
if a patient misses a dialysis treatment, weakness and _______________can be the first in a series of conditions that can become progressively more serious
diarrhea
chest pain
vomiting
pulmonary edema
_______________regulates the amount of glucose in the bloodstream
bicarbonate
amylase
insulin
bile
regulation of acidity and blood pressure is largely attributed to the:
liver
kidneys
gallbladder
pancreas
which of the following organs is part of the lymphatic system and plays a role in regulation of red blood cells and the immune system?
blader
liver
spleen
pancreas
which of the following is NOT part of the male reproductive system
epididymis
prostate gland
seminal vesicles
fallopian tubes
__________is responsible for the breakdown of starches into sugar
insulin
bile
anylase
bicarbonate
referred pain is a result of connection between ligaments in the abdominal and chest cavities
true
false
the adverse effects of dialysis include hypotension, muscle cramps, nausea and vomiting, and hemorrhage and infection at the access site
true
false
questioning about bowel habits and flatulence is not necessary and considered unprofessional
true
false
if a female is of childbearing age, you should question her about her last menstrual period
true
false
the parietal peritoneum lines the walls of the abdominal cavitiy
treu
false
peritonitis is associated with a loss of blood from the abdominal cavitity
true
false
when palpating the abdomen, always start with the quadrant where patient complains of the most severe pain
true
false
massive hemorrhaging is associated with the rupture of an abdominal aortic aneurysm
true
false
peptic ulcer disease affects both men and women equally
true
false
patents with abdominal pain should be placed in a position of comfort but should not be given oxygen unless they show sign of shock
true
false
you respond the he home of a 46-year-old malmecomplaining of severe bak pain. you find the patient in the fetal position in obvious pain. he tells you that his pain is along his right flank and radiates to his groin?
what will you NOT be able to determine during the primary assessment?
the priority of car
the patient's level of consciousness
findin and treating any life threats
patent history
you respond the he home of a 46-year-old malmecomplaining of severe bak pain. you find the patient in the fetal position in obvious pain. he tells you that his pain is along his right flank and radiates to his groin?
you partner obtains a SAMPLE history. what question(s) should she ask?
"do you know what medications you are currently taking?"
"where is your wife?"
"have you traveled out of the country recently?"
"rate your pain on a scale from 1 to 10"
you respond the he home of a 46-year-old malmecomplaining of severe bak pain. you find the patient in the fetal position in obvious pain. he tells you that his pain is along his right flank and radiates to his groin?
which of the following questions would be appropriate given the patient's presentation?
"do you have a headache?"
"do you have pain when you urinate?"
"how long have you lived here?"
"when was you last tetanus shot?"
you respond the he home of a 46-year-old malmecomplaining of severe bak pain. you find the patient in the fetal position in obvious pain. he tells you that his pain is along his right flank and radiates to his groin?
on examination of the abdomen, you should:
expose the abdomen and visually assess it
palpate the painful area first
place the patient on a semi-fowler's position
palpate without watching the patient's face
you respond the he home of a 46-year-old malmecomplaining of severe bak pain. you find the patient in the fetal position in obvious pain. he tells you that his pain is along his right flank and radiates to his groin?
during your reassessment, you should do all of the following EXCEPT:
repeat the primary assessment
repeat the secondary assessment
reassure the patient
make your initial transport decision
