wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

Chapter 18 Gastrointestinal and Urologic Emergencies

Total questions: 45

Worksheet time: 2hrs 15mins

Name
Class
Date
1.

peritonitis, with associated fluid loss, is the result of:

a)

abnormal shift of fluid from body tissue into the bloodstream

b)

abnormal shift of fluid from the bloodstream into body tissue

c)

normal shift of fluid from body tissue into the bloodstream

d)

normal shift of fluid from the bloodstream into body tissue

2.

distention of the abdomen is gauged by:

a)

visualization

b)

ausculation

c)

palpation

d)

the patient's complaint of pain around the umbilicus

3.

a hernia that returns to its proper body cavity is said to be:

a)

reducible

b)

extractable

c)

incarcerated

d)

replaceable

4.

a patient who presents with vomiting, signs of shock, and history of eating disorder and alcohol abuse is likely to be suffering from:

a)

diverticulitis

b)

mallory-weirs syndrome

c)

appendicitis

d)

cholecystitis

5.

when an organ of the abdomen is enlarged, rough palpation may cause _______________of the organ

a)

distention

b)

nausea

c)

swelling

d)

rupture

6.

severe back pain may be associated with which of the following conditions?

a)

abdominal aortic aneurysm

b)

PID

c)

appendicitis

d)

mittelschmerz

7.

the _______________are found in the retroperitoneal space

a)

stomach and gallbladder

b)

kidneys, ovaries, and pancreas

c)

liver and pancreas

d)

adrenal glands and uterus

8.

_______________can be caused by an obstructing gallstone, alcohol abuse, and other diseases

a)

appendicitis

b)

a peptic ulcer

c)

pancreatitis

d)

diverticulitis

9.

_______________commonly produces symptoms about 30 minutes after a particularly fatty meal and usually at night

a)

a peptic ulcer

b)

cholecystitis

c)

appendicitis

d)

pancreatitis

10.

which of the following is NOT a common disease that produces signs of an acute abdomen?

a)

diverticulitis

b)

cholecystitis

c)

acute appendicitis

d)

glomerulonephritis

11.

_______________occur(s)when there is excess pressure within the portal system and surrounding vessel; may lead to life-threatening bleeding

a)

esophageal rupture

b)

esophageal varices

c)

esophageal ulcers

d)

esophageal reflux

12.

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?

a)

have you experienced any belching?

b)

do you feel nauseous?

c)

is the pain constant or intermittent?

d)

have you been urinating more or less?

13.

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?

a)

cholecystitis

b)

ileus

c)

appendicitis

d)

kidney stone

14.

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?

a)

diarrhea

b)

hematuria

c)

nausea

d)

vomiting

15.

you have ben dispatched to the home of a 52-year-old woman with severe flank pain.


you should transport her:

a)

in a position of comfort

b)

supine

c)

left lateral recumbent

d)

in the recovery position

16.

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?

a)

it filters toxic substances

b)

it creates glucose stores

c)

it acts as a reservoir for bile

d)

it produces substances for blood clotting

17.

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?

a)

cholecystitis

b)

cystitis

c)

gastroenteritis

d)

diverticulitis

18.

infected pouches in the lining of the colon are described as:

a)

cholecystitis

b)

cystitis

c)

gastroenteritis

d)

diverticulitis

19.

pregnancy, straining at stool, and chronic constipation use increased pressure that could result in:

a)

mallory-weirs syndrome

b)

diverticulitis

c)

hemorrhoids

d)

gallstones

20.

diarrhea is the principle symptom in:

a)

gastroenteritis

b)

esophagitis

c)

pancreatitis

d)

peptic ulcers

21.

bowel inflammation, diverticulitis, and hemorrhoids are common causes of bleeding in the:

a)

upper GI tract

b)

middle GI tract

c)

lower GI tract

d)

urinary tract

22.

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?

a)

esophageal varices

b)

esophagitis

c)

peptic ulcer

d)

gastroenteritis

23.

pain that initially starts in the umbilical area and then later moves to the lower right quadrant is typically associated with:

a)

gastroenteritis

b)

pancreatitis

c)

appendicitis

d)

diverticulitis

24.

when the abdominal muscles become rigid in an effort to protect the abdomen from further irritation, this is referred to as:

a)

guarding

b)

tenderness

c)

rebound tenderness

d)

referred pain

25.

if a patient misses a dialysis treatment, weakness and _______________can be the first in a series of conditions that can become progressively more serious

a)

diarrhea

b)

chest pain

c)

vomiting

d)

pulmonary edema

26.

_______________regulates the amount of glucose in the bloodstream

a)

bicarbonate

b)

amylase

c)

insulin

d)

bile

27.

regulation of acidity and blood pressure is largely attributed to the:

a)

liver

b)

kidneys

c)

gallbladder

d)

pancreas

28.

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?

a)

blader

b)

liver

c)

spleen

d)

pancreas

29.

which of the following is NOT part of the male reproductive system

a)

epididymis

b)

prostate gland

c)

seminal vesicles

d)

fallopian tubes

30.

__________is responsible for the breakdown of starches into sugar

a)

insulin

b)

bile

c)

anylase

d)

bicarbonate

31.

referred pain is a result of connection between ligaments in the abdominal and chest cavities

a)

true

b)

false

32.

the adverse effects of dialysis include hypotension, muscle cramps, nausea and vomiting, and hemorrhage and infection at the access site

a)

true

b)

false

33.

questioning about bowel habits and flatulence is not necessary and considered unprofessional

a)

true

b)

false

34.

if a female is of childbearing age, you should question her about her last menstrual period

a)

true

b)

false

35.

the parietal peritoneum lines the walls of the abdominal cavitiy

a)

treu

b)

false

36.

peritonitis is associated with a loss of blood from the abdominal cavitity

a)

true

b)

false

37.

when palpating the abdomen, always start with the quadrant where patient complains of the most severe pain

a)

true

b)

false

38.

massive hemorrhaging is associated with the rupture of an abdominal aortic aneurysm

a)

true

b)

false

39.

peptic ulcer disease affects both men and women equally

a)

true

b)

false

40.

patents with abdominal pain should be placed in a position of comfort but should not be given oxygen unless they show sign of shock

a)

true

b)

false

41.

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?

a)

the priority of car

b)

the patient's level of consciousness

c)

findin and treating any life threats

d)

patent history

42.

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?

a)

"do you know what medications you are currently taking?"

b)

"where is your wife?"

c)

"have you traveled out of the country recently?"

d)

"rate your pain on a scale from 1 to 10"

43.

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?

a)

"do you have a headache?"

b)

"do you have pain when you urinate?"

c)

"how long have you lived here?"

d)

"when was you last tetanus shot?"

44.

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:

a)

expose the abdomen and visually assess it

b)

palpate the painful area first

c)

place the patient on a semi-fowler's position

d)

palpate without watching the patient's face

45.

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:

a)

repeat the primary assessment

b)

repeat the secondary assessment

c)

reassure the patient

d)

make your initial transport decision