EMT Chapter 18- Gastrointestinal & Urologic Emergencies eBook practice test

Which of the following is a solid organ?

A. Spleen

B. Gallbladder

C. Intestine

D. Bladder

Spleen

Injury to a solid organ causes ____________.

bleeding

Which of the following is part of the male anatomy only?

A. Urethra

B. Ureter

C. Prostate

D. Bladder

C. Prostate

Which of the following is a factor in peptic ulcer disease in older adults?

A. Hyperactive immune system

B. Decreased muscle mass

C. Decreased bone mass

D. Increased use of nonsteroidal anti-inflammatory drugs

Increased use of nonsteroidal anti-inflammatory drugs

A difference in pulse strength or blood pressure in each arm indicates possible _________.

abdominal aortic aneurysm

Your abdominal pain patient denies chest pain or vomiting. These findings are considered ____________.

A. associated symptoms

B. pertinent negatives

C. irrelevant

D. secondary complaints

B. pertinent negatives

Peritoneal dialysis carries a high risk of ____________.

peritonitis

The MOST common and significant complication associated with an acute abdomen is:

peritonitis

A 35-year-old obese woman is complaining of localized pain in the right upper quadrant with referred pain to the right shoulder. The MOST likely cause of her pain is:

A. acute cystitis.

B. acute cholecystitis.

C. appendicitis.

D. pancreatitis.

B. acute cholecystitis.

Pain that radiates to the right lower quadrant from the umbilical area, nausea and vomiting, and lack of appetite are MOST indicative of:

A. pancreatitis.

B. appendicitis.

C. cholecystitis.

D. gastroenteritis.

B. appendicitis.

Esophageal varices MOST commonly occur in patients who:

consume a lot of alcohol.

Your patient's past medical history includes hypertension, congestive heart failure, diabetes, and seizures. Today, he presents with signs of acute renal failure. Which of his medical problems MOST likely caused this?

A. Seizures

B. Diabetes

C. Hypertension

D. Heart failure

D. Heart failure

You are dispatched to an apartment complex for a young male with abdominal pain. Your priority upon arriving at the scene should be to:

assess the scene for potential hazards.

Patients with acute abdominal pain should not be given anything to eat or drink because:

A. it will create referred pain and obscure the diagnosis.

B. food will rapidly travel through the digestive system.

C. substances in the stomach increase the risk of aspiration.

D. digestion prevents accurate auscultation of bowel sounds.

C. substances in the stomach increase the risk of aspiration.

Older patients with abdominal problems may not exhibit the same pain response as younger patients because of:

age-related deterioration of their sensory systems.

You are transporting a 49-year-old male with "tearing" abdominal pain. You are approximately 30 miles away from the closest hospital. During your reassessment, you determine that the patient's condition has deteriorated significantly. You should:

A. assist his ventilations with a bag-valve mask.

B. immediately perform a rapid physical examination.

C. continue transporting and alert the receiving hospital.

D. consider requesting a rendezvous with an ALS unit.

D. consider requesting a rendezvous with an ALS unit.

You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should:

A. leave him in a sitting position, keep him warm, and prepare for immediate transport.

B. place him in a supine position, elevate his lower extremities, and transport at once.

C. treat for shock and request a paramedic unit to respond to the scene and assist you.

D. perform a detailed secondary assessment and then transport him to a dialysis center.

A. leave him in a sitting position, keep him warm, and prepare for immediate transport.

Pain that is localized to the lower back and/or lower abdominal quadrants is MOST suggestive of:

A. acute pancreatitis.

B. an aortic aneurysm.

C. a kidney infection.

D. acute appendicitis.

B. an aortic aneurysm.

In the presence of ileus, the only way the stomach can empty itself is by:

A. diarrhea.

B. vomiting.

C. muscular contraction.

D. spontaneous rupture.

B. vomiting.

Which of the following conditions is more common in women than in men?

A. Cystitis

B. Hepatitis

C. Pancreatitis

D. Cholecystitis

A. Cystitis