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Pain that originates in an organ,such as the intestines,is called ________ pain.


A) visceral
B) referred
C) acute
D) parietal

E) A) and B)
F) None of the above

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You are examining a 24-year-old female patient with lower quadrant abdominal pain.What is the MOST lethal possibility?


A) Pelvic inflammatory disease
B) Ectopic pregnancy
C) Cholecystitis
D) Mittelschmerz

E) All of the above
F) None of the above

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Which of the following questions is inappropriate when taking the history of a female patient with abdominal pain?


A) Are you having vaginal bleeding or discharge now?
B) What is your sexual orientation?
C) Have you had sexual intercourse since your last menstrual period?
D) If you are menstruating, is the flow normal?

E) B) and D)
F) None of the above

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You respond to the scene of a 50-year-old male complaining of severe abdominal pain.He has a history of alcohol and drug abuse.His vital signs are stable and he presents with epigastric pain that radiates to the back.He has guarding and point tenderness in the upper quadrants.You suspect:


A) cholecystitis.
B) myocardial infarction.
C) gastroesophageal reflux disease (GERD) .
D) pancreatitis.

E) A) and B)
F) A) and C)

Correct Answer

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You are called to a residence for a 48-year-old male patient.He is lying in bed and is incoherent.He is unable to follow commands.His blood pressure is 80/40,pulse 136,and respiratory rate of 36.His wife states that he had lower right abdominal pain for about two days and it progressively worsened.He said about an hour ago he had a sudden increase in pain and then became incoherent.The wife states the husband refused to see a doctor before,but she finally called 911.You suspect:


A) appendicitis.
B) splenic rupture.
C) renal colic.
D) peritonitis.

E) All of the above
F) None of the above

Correct Answer

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Pain felt in the epigastric region of the abdomen is of concern because of the possibility of which of the following?


A) Influenza
B) Extreme diarrhea with dehydration
C) Myocardial infarction
D) Kidney stones

E) B) and C)
F) None of the above

Correct Answer

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Which of the following is NOT a cause of parietal pain?


A) Muscle spasm
B) Bleeding into the abdominal cavity
C) Inflammation
D) Infection

E) All of the above
F) A) and D)

Correct Answer

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The patient complaining of parietal abdominal pain would concern you the MOST is the one who:


A) walks out to the ambulance informing you he has the worst "belly ache."
B) is sitting upright in a chair, moaning in pain, and drinking antacid.
C) is rolling about on the floor complaining of pain.
D) is lying on the floor very still and quiet with his knees drawn up to his chest.

E) A) and B)
F) B) and D)

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Your patient was diagnosed with cholecystitis (gallbladder inflammation) three days ago.The patient now presents with nausea,vomiting,and pain in the right shoulder.The pain in the shoulder can be classified as:


A) referred pain.
B) visceral pain.
C) pancreatic pain.
D) somatic pain.

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is the main focus of the EMT's assessment and history taking of the patient with abdominal pain?


A) Determining the possible need for immediate surgery
B) Determining if the patient meets criteria to refuse treatment and transport
C) Determining the cause of the pain
D) Determining the presence of shock

E) A) and C)
F) A) and B)

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Which of the following organs is located in the retroperitoneal space?


A) Liver
B) Stomach
C) Kidneys
D) Uterus

E) A) and D)
F) B) and D)

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Which of the following is NOT a cause of abdominal pain?


A) Stroke
B) Food poisoning
C) Heart attack
D) Diabetes

E) A) and B)
F) B) and C)

Correct Answer

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Pain that the patient feels in a body part or area of the body that has nothing to do with a diseased organ is termed:


A) epigastric pain.
B) abdominal pain.
C) retroperitoneal pain.
D) referred pain.

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal bleeding?


A) Finding out if the patient is currently sexually active
B) Monitoring for hypovolemic shock
C) Obtaining a thorough gynecological history
D) Preventing infection

E) A) and D)
F) A) and C)

Correct Answer

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Which patient is experiencing visceral pain?


A) 24-year-old male complaining of severe left flank pain
B) 19-year-old female complaining of severe cramps in the lower abdominal quadrants
C) 45-year-old female complaining of abdominal pain "all over"
D) 28-year-old male with rebound tenderness

E) B) and C)
F) A) and D)

Correct Answer

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You are called to a 25-year-old male complaining of right lower quadrant (RLQ) pain.His other symptoms are nausea and vomiting,fever,and decreasing pain in the umbilicus area.As an EMT,you feel this patient might have:


A) appendicitis.
B) pancreatitis.
C) cholecystitis.
D) peritonitis.

E) A) and D)
F) A) and C)

Correct Answer

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With the exception of the ________,most abdominal organs are not able to sense tearing sensations.


A) aorta
B) ovaries
C) liver
D) colon

E) All of the above
F) B) and D)

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Which of the following questions may help the EMT assess a patient with abdominal pain?


A) Do you have any allergies to foods or medicines?
B) Do you have any medical problems, such as diabetes or heart problems?
C) What medications are you taking?
D) All of the above

E) C) and D)
F) All of the above

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Most organs of the abdomen are enclosed within the:


A) extraperitoneal.
B) peritoneum.
C) retroperitoneal.
D) midline.

E) A) and D)
F) None of the above

Correct Answer

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Which of the following is a characteristic of referred pain?


A) It is only felt in hollow organs.
B) It is felt in a location other than the organ causing it.
C) It is caused by psychological stress.
D) It is usually described as "crampy" or "colicky."

E) C) and D)
F) None of the above

Correct Answer

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