Cleary Chapter 12

What muscle is the predominant muscle of the abdomen?

Rectus abdominis

Which of these organs is found in the retroperitoneum?

Liver

A patient comes to the clinic complaining of appendix pain. In which quadrant will her pain be located?

Lower right

What is the final aspect of abdominal evaluation prior to special test or diagnostic exams?

Percussion

Blunt-force trauma, such as a knee, elbow, or helmet to the abdominal region, frequently cause injury to which organ?

Liver

What is the initial complaint of a patient with a suspected adnominal injury?

Wind being knocked out of him

According to the AAST grading scale, a liver injury with a subcapsular hematoma of 10% to 50% in surface area is considered to be which grade?

III

A patient with a suspected kidney injury will suffer from which of these symptoms?

Hematuria

Certain medical conditions, infectious mononucleosis, and some blood disorders can predispose what organ to injury?

Liver

The pelvis is made up of two separate bones, called _______________, which are joined posteriorly by the sacrum.

ilia

Athletes involved in contact sports will be susceptible to injuries to the _______________, which is located in the upper-left quadrant.

spleen

_______________ is using a stethoscope to listen for sounds in each of the quadrants of the abdomen.

Auscultation

After a suspected injury to the spleen, a patient may have pain in the left shoulder, called _______________.

Kehr's sign

Athletes who have a history of _______________ should exercise caution and secure a physician's clearance before starting contact or collision sports.

hepatitis, chronic hepatic conditions

Grade _______________ of a splenic injury is described as a fractured spleen.

V, five

Upon determination that transportation is necessary, place the patient in a _______________ with the feet and legs elevated slightly, and provide supplemental oxygen.

modified Trendelenburg position

_______________ are created by salts crystalizing within the ureters, urinary bladder, or urethra, often forming a blockage.

Kidney stones

_______________ is a sign for a patient with suspected appendicitis.

McBurney's point, Rovsing's sign, Dunphy's sign

_______________ presents with a higher testicle than is typical for the patient, or a transverse lying of the affected testis.

Testicular torsion

In the abdomen and pelvis, protection arises from musculature, organs, and tissues that lie in close proximity to one another.

True

The mesentery supplies lymph and blood to the contents of the external peritoneum.

False

Tissues in the retroperitoneum are generally fixed and not able to move much.

False

During the second pass over the abdomen during palpation, the HCP uses her fingertips, seeking information such as the presence of fluid or gas, and areas of pain or tenderness.

False

A ruptured spleen is a life-threatening situation, but diagnosis is sometimes challenging and the spleen has an ability to form a strong hematoma to deter further blood loss.

False

Infectious mononucleosis and some blood disorders can enlarge the spleen, putting an athlete at risk for abdominal injuries.

True

The MRI is the gold standard for diagnosis of a splenic injury.

False

Hemodynamically unstable patients are in a life-or-death crisis, and one should not wait until this situation presents itself to call emergency medical services.

True

An ectopic pregnancy is when an egg released by the ovary is fertilized and begins to divide and grow in any area other than the uterus.

True