EMT Chapter 18- Gastrointestinal And Urologic Emergencies

25 July 2022
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question
________ is the paralysis of the muscular contractions that normally propel material through the intestine.
answer
Ileus
question
In cholecystitis, where is the patient likely to feel referred pain?
answer
Right shoulder
question
You are assessing a patient reporting severe pain in his upper left and right abdominal quadrants radiating to the back. The patient reports that the pain got worse right after he ate lunch an hour ago. He also has nausea and vomiting, abdominal distention, and tenderness. Based on these signs and symptoms, what do you suspect?
answer
Pancreatitis
question
Rebound tenderness is a result of what?
answer
Peritoneal irritation
question
what is true about acute renal failure?
answer
Can be reversed with prompt diagnosis and treatment
question
What is the medical term for blood in the vomit?
answer
Hematemesis
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What is it called when a patient tenses his abdominal muscles during your assessment?
answer
Guarding
question
what does not produce upper intestinal bleeding?
answer
Ulcerative colitis. (Ulcerative colitis (UC) is a form of inflammatory bowel disease (IBD) that causes inflammation and ulcers in the colon.)
question
You are assessing a 76-year-old man complaining of severe tearing pain radiating into his lower back. He is hypotensive and tachycardic. what should you suspect?
answer
AAA
question
When assessing a patient's abdomen, what is the best position to place the patient in?
answer
Supine
question
What is a sign of peptic ulcer disease?
answer
Melena
question
Most patients with abdominal pain prefer to:
answer
lie on their side with their knees drawn into the abdomen.
question
Which of the following organs lies in the retroperitoneal space?
answer
Pancreas
question
A 30-year-old woman with a history of alcoholism presents with severe upper abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mm Hg. Your MOST immediate action should be to:
answer
protect her airway from aspiration.
question
Your patient complains of chronic "burning" stomach pain that improves after eating. You should suspect:
answer
: peptic ulcer disease.
question
A young female presents with costovertebral angle tenderness. She is conscious and alert with stable vital signs. what is most likely causing her pain?
answer
kidney
question
When assessing a patient with abdominal pain, you should:
answer
palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful.
question
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His abdomen is distended and guarded. Your MOST important consideration for this patient should be to:
answer
be alert for signs and symptoms of shock.
question
what is correct about the secondary assessment for a high-priority patient?
answer
You may not have time to complete a secondary assessment.
question
Peritonitis may result in shock because:
answer
fluid shifts from the bloodstream into body tissues.
question
what statement regarding the acute abdomen is correct?
answer
The initial pain associated with an acute abdomen tends to be vague and poorly localized.