Question

1. patients with open abdominal injuries often complain of:

a. pain
b. nausea
c. vomiting
d. drowsiness

1. you are called to the local bar where a fight has taken place. the police department tells you that you have a 36 - year - old man who has been stabbed twice in the abdomen. on arrival, the patient is alert and oriented. his airway is open. his respirations are at 24 breaths/min, pulse is rapid, regular, and weak. he has distal pulses. with the penetrating trauma, you should assume that the object has done all of the following except:

a. damaged the peritoneum
b. has entered the abdominal cavity
c. has possibly injured one or more organs
d. has damaged only the skin

1. when treating a patient with abdominal evisceration, you should:

a. attempt to replace the abdominal contents
b. cover the protruding organs with a dry, sterile dressing
c. cover the protruding organs with adherent dressings
d. cover the protruding contents with moist, sterile gauze compresses

1. the solid organs of the urinary system include the:

a. kidneys
b. ureters
c. bladder
d. urethra

1. all of the following male genitalia lie outside the pelvic cavity except:

a. the urethra
b. the penis
c. the seminal vesicles
d. the testes

1. suspect kidney damage if the patient has a history or physical evidence of all of the following except:

a. an abrasion, laceration, or contusion in the flank
b. a penetrating wound in the region of the lower rib cage or the upper abdomen
c. fractures on either side of the lower rib cage
d. a hematoma in the umbilical region

1. signs of injury to the kidney may include any of the following except:

a. bruises or lacerations on the overlying skin
b. shock
c. vomiting
d. hematuria

1. suspect a possible injury of the urinary bladder in all of the following findings except:

a. bruising to the left upper quadrant
b. blood at the urethral opening
c. blood at the tip of the penis or a stain on the patients underwear
d. physical signs of trauma on the lower abdomen, pelvis, or perineum

1. when treating a patient with an amputation of the penile shaft, your top priority is:

a. locating the amputated part
b. controlling bleeding
c. keeping the remaining tissue dry
d. delaying transport until bleeding is controlled

Explanation:

These are multiple - choice questions related to medical trauma care, so the discipline is Natural Science and the subfield is Medicine and Health. Here are the answers and explanations for each question:

Question 22

Patients with open abdominal injuries often experience pain. Nausea can occur but is not as common a primary complaint as pain. Vomiting may happen but again, pain is more typical. Dizziness is not a typical main complaint for open abdominal injuries.

With penetrating trauma to the abdomen (like being stabbed), we can't assume only the skin is damaged (D is wrong) or that it has not entered the abdominal cavity (A is wrong) or that it has definitely injured one or more organs (we can't be certain, so C is wrong). We should assume that the object has possibly injured one or more organs.

When treating an evisceration (protruding abdominal contents), we should cover the protruding contents with moist, sterile gauze compresses. We should not attempt to replace the abdominal contents (A is wrong), use a dry dressing (B is wrong) or adherent dressings (C is wrong) as they can cause damage or infection.

Answer:

A. pain

Question 23