Acute Abdominal Emergencies From Bradys’ Emergency Care 10th Edition 1. Which organ is responsible for storing bile before it is released into the intestine? a) b) c) d) Appendix Stomach Gallbladder Pancreas 2. What should be done in the second step of an assessment of the patient with abdominal distress? a) b) c) d) Apply oxygen Take history Perform size-up Expose the site 3. What additionally information should be gathered from a female abdominal patient who is 30 years old? a) b) c) d) If If If If she she she she believes believes believes believes she she she she has food poisoning has diabetes could be pregnant could be having an allergic reaction 4. What is a protrusion of the intestine through the abdominal wall? a) b) c) d) Ulcer Renal colic Hernia Aneurysm 5. How many sections is the abdomen divided into? a) b) c) d) 4 8 6 2 6. Where does an ectopic pregnancy occur? a) b) c) d) Outside of the abdomen Outside of the uterus Inside of the appendix Inside of the uterus 7. Which type of questions should be asked when getting details on how the patient with abdominal distress is feeling? a) b) c) d) Yes or no Open-ended True or false Closed-ended 8. How can blood in vomit appear? a) b) c) d) Maroon Coffee-ground Tarry Tea-leaves 9. Which type of abdominal pain is a localized, intense pain? a) b) c) d) Referred Parietal Visceral Tearing 10. What is the membrane that lines the abdominal cavity? a) b) c) d) Duodenum Peritoneum Viscereal Pariteal 11. Which is NOT the most common type of abdominal pain? a) b) c) d) Tearing Parietal Referred Visceral 12. Which quadrant is the pain in with appendicitis? a) b) c) d) Left lower Right upper Right lower Left upper 13. How should oxygen be administered to the abdominal patient? a) b) c) d) 10 10 10 10 to to to to 15 15 15 15 lpm lpm lpm lpm by by by by n-95 mask pocket face mask nonrebreather mask bag-valve mask 14. When will the signs of shock become apparent when assessing a patient with abdominal distress? a) b) c) d) SAMPLE history Physical exam Initial assessment Scene size-up 15. Which should never be done with an abdominal pain? a) b) c) d) Give medication by mouth Administer oxygen Lay in the recumbent position Treat for shock 16. Where is the pain of gallstones often referred to? a) b) c) d) Pelvis Arm Stomach Shoulder 17. What is the area outside of the membrane that lines the abdomen? a) b) c) d) Retroviscereal Retroduodenum Retroperitoneal Retroparteal 18. What would indicate an abdominal aortic aneurysm? a) b) c) d) Pulsating Pulsating Pulsating Pulsating tick knot mass vein 19. How often should vital signs be taken in a patient complaining of abdominal pain? a) b) c) d) 10 minutes 5 minutes 15 minutes 20 minutes 20. What is called when the patient draws the arms down across the stomach? a) b) c) d) Protecting Guarding Lowering Kneeling 21. When should the area of the stomach with the pain be palpated? a) b) c) d) First Second Last Third 22. Which type of abdominal pain is poorly localized, dull or diffuse pain that arises from the abdominal organs? a) b) c) d) Visceral Tearing Referred Parietal 23. What information should be gathered once the signs and symptoms are obtained in the abdominal patient? a) b) c) d) Past history Last oral intake Medications Allergies