Chapter 23 Quiz - EMT Studies

You suspect a patient with right lower quadrant pain may have appendicitis. The patient states that he has no health insurance and wants to refuse care and transport. He asks you what can happen if it is appendicitis and he does not go to the hospital. Yo

c. "Your appendix could rupture, causing a major infection and shock.

You have completed the initial assessment on a 62-year-old male complaining of the sudden onset of epigastric pain. His airway is patent, his breathing is fast but adequate, and his radial pulse is weak and thready. His skin is cool to the touch. Your nex

a. apply oxygen at 15 lpm via a nonrebreather mask.

A patient with a history of upper gastrointestinal bleeding is complaining of weakness and abdominal pain. He informs you that he vomited 5 minutes before you arrived. Which of the following questions is it most important that the EMT ask first regarding

c. "Was the vomit red or did it look like coffee grounds?

When assessing a patient with abdominal pain, you note that his abdomen feels rigid. Which of the following would the EMT do next?

b. Ask the patient to take a deep breath and re-palpate the rigid area.

You are transporting a visibly upset female that was raped after she let a male stranger into her house. When questioning the patient, which of the following would be appropriate for the EMT to ask?

d. "Please tell me exactly where you are hurting.

When you are obtaining information for the medical history, which of the following items would be significant for a patient with suspected cholecystitis?

b. Fried chicken and potato salad for dinner.

When he enters the room or a 62-year-old female with unknonw medical complaint, which of the following clues observed during the scene size-up would most increase the EMT's suspicion that the patient is suffering from an acute abdominal condition?

c. The patient is lying on her side with her knees drawn to her chest.

A 56-year-old male informs you that he has gastric ulcers. He states that he has had them for several months, but just recently the pain has been steadily increasing. If the cause of the abdominal pain is the gastric ulcers, how would you expect him to de

a. Burning pain located in the left upper quadrant.

While assessing a patient with acute abdominal pain, you note that his abdomen is very rigid. When asked to relax his stomach muscles, he does. The EMT would recognize:

b. voluntary guarding.

On scene, you have a 57-year-old female with profuse hemorrhage coming from her dialysis graft located on her left arm. To control the bleeding you would immediately:

c. apply direct pressure to the graft.

A 38-year-old female was violently raped. The patient is conscious, upset, and actively bleeding from her vaginal canal. As an EMT, your best care would involve:

a. applying a bulky dressing and gental pressure to the external genitalia.

An alert, but confused patient called 911 with the complaint of abdominal pain. Assessment reveals her to be nauseated with pain that she localizes to the right lower quadrant of the abdomen. She states that she was not able to take her blood pressure med

b. tell her that she should not take her medication or drink juice.

The EMT would recognize which of the following patients as suffering from an acute abdomen?

d. 62-year-old male with no medical history with suddent pain to the lower abdomen.

You have been dispatched for a male patient who is "sick". While enroute, Emergency Medical Responders inform you that the patient has espophageal varices, which appear to have ruptured. You would inform your partner to prepare what materials or piece of

d. Suction machine.

You are responding to a patient with a complication related to her chronic ambulatory peritoneal dialysis (CAPD). Based on this description, the paramedic would anticipate which of the following?

c. Catheter placed in the abdomen.

You are treating a woman with heavy vaginal bleeding. When estimated the blood loss, which of the following will be most useful to the EMT?

b. Total number of sanitary napkins used.

Which statement indicates that the EMT correctly understands the goal of assessing a patient wih abdominal pain?

c. "It is more important to recognize the possible abdominal emergency as opposed to determining the exact cause.

You are providing continuing education for a group of EMTs. The topic is acute abdominal pain. What point would you stress when discussing the EMT's treatment of the patient with acute abdominal pain?

b. Definitive care for patients with abdominal pain is hospital evaluation and possible surgical intervention.

Assessment of a confused and lethargic paitent with diabetes and renal failure reveals her to be lying in bed with notable significant edema to the face, torso, and extremities. Her respirations are labored associated with a "grunting" sound. Her airway i

b. sit the patient upright.

Which of the following assessment findings on a patient complaining of abdominal pain and back pain would the EMT be most concerned about?

c. Pulsating mass above the umbilicus.

The EMT has an accurate understanding of the solid organs contained within the abdomen when she states:

b. "Solid organs are very vascular and may bleed excessively when injured.

Which of the following best describes the structure and function of the stomach?

b. A hollow organ that secretes digestive enzymes and fluids.

You have been dispatched for a patient with severe abdominal pain. On scene, a 57-year-old male informs you that he has a past medical history of chronic pancreatitis, which has "flared up." Which of the following precipitationg factors would the EMT iden

b. Consumption of 8 beers this afternoon.

Which of the following statements is true concerning the functions of the vagina?

d. The vagina serves as a passage for the fetus during delivery as well as an outlet for blood during menstruation.

When obtaining a medical history from a female patient with abdominal pain, she tells you that she suffers from endometriosis. As an EMT, you know that this condition describes:

a. endometrial tissue located outside the uterus.

A patient complains of severe and sharp pain to the right lower abdominal quadrant. Based on location, what organ or structure is most likely involved?

d. Appendix.

You have been called to transfer a male patient from an out-patient clinic to the hospital. The patient has been diagnosed with peritonitis and requires transport to the hospital for definiive care. As a knowledgeable EMT, you would recognize which of the

a. The lining of the patient's abdominal cavity is inflamed.

The pancreas would be best described as a __________ organ.

c. solid.

For a normal pregnancy, within what structure must the sperm and egg come together for fertilization?

c. Fallopian tube.

Which of the following conditions would the EMT recognize as an acute abdominal emergency?

c. Rupture of the bladder.