Has Fuchs

• Most abdominal injuries:


  involve blunt trauma.
• When a patient presents with fractures of the lower rib cage, you should suspect injuries to the:

  spleen or liver
• Which of the following organs or structures lies in the retroperitoneal space?

  kidneys
• Fractures of the lower rib cage should make you most suspicious for injuries to the:

  liver or spleen
• When assessing a patient with a crushing abdominal injury, injury to which of the following organs is associated with the greatest amount of hemorrhage?

  liver
• The major complication associated with injury of a hollow organ is:

  peritonitis caused by rupture and spillage of toxins.
• The major complication associated with injury of a hollow organ is:

  peritonitis caused by rupture and spillage of toxins.
• Which of the following factors primarily contributes to the extent of injury from a gunshot wound to the abdomen?

  the trajectory of a bullet
• Because of its anatomic position in the retroperitoneum, it typically takes high-energy force to damage the:

  pancreas
• What membranous tissue functions as the point of attachment for the various abdominal organs?

  mesentery
• Generalized abdominal pain following rupture of a hollow organ is most suggestive of:

  diffuse peritoneal contamination.
• Cullen sign and Grey Turner sign are typically found how many hours after the initial intra-abdominal injury?

  12-24 hours
• During the third collision in a motor vehicle crash:

  abdominal organs shear from their points of attachment.
• When indicated, you should administer oxygen to maintain an oxygen saturation of at least which value when treating pregnant patients?

  94%
• Which sign or symptom may be the first manifestation of hypovolemia and hemodynamic compromise in a patient with suspected hemorrhage?

  confusion
• Which of the following is a function of the pancreas?

  Secretion of insulin
• The periumbilical area refers to the:

  area around umbilicus
• A 17-year-old high school football player was struck in the abdomen by another player during a tackle. Your assessment reveals signs of shock and pain to the patient's left shoulder, which is unremarkable for trauma. Examination of the patient's abdomen is also unremarkable for obvious injury. Based on your assessment findings and the patient's clinical presentation, you should suspect:

  an injury to the spleen.
• A 59-year-old construction worker collapsed on the job and fell into a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 12-inch steel rod impaled in his epigastrium. As your partner and an emergency medical responder begin CPR, you should:

  control any external bleeding, stabilize the rod in place with bulky dressings, apply the cardiac monitor, and start at least one large-bore IV line en route to the hospital.
• A 39-year-old woman sustained an abdominal evisceration after she was cut in the abdomen with a large knife. The patient is semiconscious and is breathing shallowly. You should:

  assist ventilations with a bag-mask device; cover the exposed bowel with moist, sterile dressings and protect them from injury; transport at once; and initiate IV therapy en route.
• For adults who experience a fall, consider immediate transport to a trauma center with falls greater than:

  20 feet
• Which of the following is a cardinal sign of injury to the genitourinary tract?

  hematuria
• The upper left peritoneal cavity includes the:

  Spleen
• Intra-abdominal bleeding may produce few signs and symptoms of trauma because:

  The intra abdominal cavity can accommodate large amounts of blood
• When assessing a patient with abdominal trauma for distention, you should recall that:

  a significant amount of blood volume in the abdominal cavity is required to produce distention.
• Upon assessing a 72-year-old patient who fell down the steps, you note that he has a distended and tender abdomen. Your priority is to:

  Treat for shock and transport immediately
• A 36-year-old female was sexually assaulted and is experiencing intense pain. Your assessment reveals several open lacerations to her vaginal area and a painful distended abdomen. Her blood pressure is 86/50 mm Hg and her heart rate is 120 beats/min and weak. In addition to administering supplemental oxygen, you should:


  cover her open wounds with sterile dressings, establish at least one large-bore IV, and administer IV fluid.
• The likelihood of significant intra-abdominal injury is high when a patient has which of the following injuries or conditions?

  Major chest injury
• The likelihood of significant intra-abdominal injury is high when a patient has which of the following injuries or conditions?

  Major chest injury
• When blood is released into the peritoneal cavity:

  nonspecific signs such as tachycardia and hypotension may occur.
• Anatomically, the abdominal cavity extends from the:

  diaphragm to pelvis
• Gross hematuria and suprapubic pain following a pelvic injury is most indicative of injury to the:

  bladder
• When a patient presents with fractures of the lower rib cage, you should suspect injuries to the:

  spleen or liver
• The major complication associated with injury of a hollow organ is:

  peritonitis caused by rupture and spillage of toxins.
• The upper left peritoneal cavity includes the:

  Spleen
• The likelihood of significant intra-abdominal injury is high when a patient has which of the following injuries or conditions?

  Major chest injury
• When assessing a patient with abdominal trauma for distention, you should recall that:

  a significant amount of blood volume in the abdominal cavity is required to produce distention.
• Immediate pain from the heel to the calf and a sudden inability for plantar flexion of the foot is most indicative of:

  Achilles tendon rupture
• Upon palpating the clavicle of a patient with a suspected fracture, you hear a faint grating sound.

  You identify this as:

  crepitus
• During your assessment of a patient with a femur fracture, you discover a rapidly expanding hematoma on the medial aspect of his thigh. What should you suspect?

  Arterial injury