Question 1

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?

Accepted Answer

A)   Liver
B)   Kidney
C)   Spleen
D)   Appendix

Question 2

Which of the following statements made by a female patient would make the EMT highly suspicious of mittelschmerz?

Accepted Answer

A)   "I had some sharp belly pain but it seems to be going away now."
B)   "My menstrual flow seems heavier than normal."
C)   "I finished my period yesterday and now I am nauseated."
D)   "It seems that I have had a yellow vaginal discharge for two days."

Question 3

A patient informs you that he was recently diagnosed with an abdominal aortic aneurysm (AAA) . He states that the surgeon did not want to operate on it immediately because he felt it was stable and not worth the risks that surgery posed. Tonight the patient states that he suddenly developed abdominal pain and wants to be evaluated in the hospital to see if the AAA has increased in size. Given this history, which of the following assessment findings would cause the EMT to suspect that the AAA is the cause of the abdominal pain?

Accepted Answer

A)   "Tearing" pain located to the back
B)   Temperature of 101°F
C)   Pain that subsides when the patient lies still
D)   Inability to urinate

Question 4

You have been dispatched for a patient with abdominal pain. On scene you find the patient lying supine complaining of severe pain to his lower abdomen. He is pale and has a look of distress on his face. Which of the following actions would the EMT do first?

Accepted Answer

A)   Inspect the abdomen.
B)   Obtain a blood pressure.
C)   Palpate the abdomen.
D)   Check the pulse.

Question 5

The pancreas would best be described as a(n)  ________ organ.

Accepted Answer

A)   absorption
B)   hollow
C)   solid
D)   fluid-filled

Question 6

When an EMT is inspecting the abdomen of a patient with pain to his right upper quadrant, it appears large and possibly distended. To determine if it is indeed distended, the EMT would ask:

Accepted Answer

A)   "Do you feel sick to your stomach?"
B)   "Is your belly normally this size?"
C)   "Are you allergic to any medications?"
D)   "Did you eat spicy food last night?"

Question 7

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 precipitating factors would the EMT identify as the most likely cause of the exacerbation?

Accepted Answer

A)   Recent upper respiratory infection
B)   Consumption of eight beers this afternoon
C)   Dehydration after working outside for several hours
D)   Use of antibiotic medication for a respiratory infection

Question 8

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

Accepted Answer

A)   Ovary
B)   Fallopian tube
C)   Vagina
D)   Upper uterus

Question 9

Assessment of a 21-year-old female reveals her to have severe abdominal pain localized to the right upper quadrant. She is alert and oriented and her vital signs are stable. After placing her supine on the stretcher, she quickly assumes a lateral recumbent position with her knees drawn up to her chest. Which response from the EMT would be appropriate?

Accepted Answer

A)   "It would be best if you stay on your back. That position will help decrease the pain."
B)   "You can stay on your side, but I will need you to keep your legs straight. That will help decrease the pain."
C)   "I need you to stay on your back and with your head up. If you vomit, that will prevent you from aspirating."
D)   "Are you comfortable in that position? If you are, you should stay on your side."

Question 10

A 19-year-old hemophiliac with behavioral problems has intentionally cut his right wrist. Assessment indicates an open airway, adequate breathing, and profound bleeding from the self-inflicted laceration. What instructions would you provide to other EMTs taking care of this patient?

Accepted Answer

A)   "Let's use normal bleeding-control procedures and see how that works."
B)   "Let's elevate his arm and place a tourniquet distal to the cut."
C)   "Since control is virtually impossible, we need to transport immediately."
D)   "We need to quickly apply a tourniquet directly above the cut."

Question 11

Which sign or symptom would reinforce the EMT's suspicion that a patient with a history of pancreatitis is having an exacerbation of the disease?

Accepted Answer

A)   Upper abdominal pain that radiates to the back
B)   Nausea, vomiting, and diarrhea
C)   Right upper quadrant pain with referral to the right shoulder
D)   Decreased heart rate and elevated blood pressure

Question 12

Your partner is performing the Markle (heel drop)  test on a patient complaining of abdominal pain. Which of the following instructions provided to the patient indicates that she is performing the test correctly?

Accepted Answer

A)   "Please raise each leg one at a time. I will need to know if you feel any pain, especially in your heels."
B)   "I am going to gently press inward on your belly and then quickly release the pressure."
C)   "I am going to press on your belly with my hands. Please tell me if you suddenly feel pain in your ankles."
D)   "I need you to stand on the tips of your toes, then on my command drop onto your heels."

Question 13

When assessing a patient with chronic anemia, the EMT would expect which finding?

Accepted Answer

A)   Pale skin
B)   Yellow skin
C)   Joint pain
D)   Flushed skin

Question 14

A patient with abdominal pain shows you black and loosely formed stool in the toilet. You would advise the hospital that the patient has:

Accepted Answer

A)   melenic stool.
B)   hematemesis.
C)   bile-like stool.
D)   hematochezia.

Question 15

The EMT has an accurate understanding of acute abdominal pain when he states:

Accepted Answer

A)   "Abdominal pain is more of an emergency when the patient has a medical history related to the abdominal organs."
B)   "If the abdominal pain is not sharp in nature, it is most likely not a life-threatening condition."
C)   "Sometimes the cause of abdominal pain will be obvious, but most often the cause will not be that apparent."
D)   "If the patient complains of 'crampy' or colicky pain, the EMT should suspect that a solid organ has ruptured and is bleeding."

Question 16

The EMT recognizes that the most common complaint(s)  associated with a gynecologic emergency is:

Accepted Answer

A)   vaginal discharge.
B)   upper abdominal pain and vaginal bleeding.
C)   lower abdominal pain.
D)   nausea and vaginal discharge.

Exam 23: Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies

Correct Answer
verified

Which sign or symptom would reinforce the EMT's suspicion that a patient with a history of pancreatitis is having an exacerbation of the disease?

Correct Answer
verified

When assessing a patient with chronic anemia, the EMT would expect which finding?

Correct Answer
verified

You have been dispatched for a patient with abdominal pain. On scene you find the patient lying supine complaining of severe pain to his lower abdomen. He is pale and has a look of distress on his face. Which of the following actions would the EMT do first?

Correct Answer
verified

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

Correct Answer
verified

Your partner is performing the Markle (heel drop) test on a patient complaining of abdominal pain. Which of the following instructions provided to the patient indicates that she is performing the test correctly?

Correct Answer
verified

Correct Answer
verified

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?

Correct Answer
verified

A patient with abdominal pain shows you black and loosely formed stool in the toilet. You would advise the hospital that the patient has:

Correct Answer
verified

A 19-year-old hemophiliac with behavioral problems has intentionally cut his right wrist. Assessment indicates an open airway, adequate breathing, and profound bleeding from the self-inflicted laceration. What instructions would you provide to other EMTs taking care of this patient?

Correct Answer
verified

Which of the following statements made by a female patient would make the EMT highly suspicious of mittelschmerz?

Correct Answer
verified

The EMT recognizes that the most common complaint(s) associated with a gynecologic emergency is:

Correct Answer
verified

Correct Answer
verified

The pancreas would best be described as a(n) ________ organ.

Correct Answer
verified

When an EMT is inspecting the abdomen of a patient with pain to his right upper quadrant, it appears large and possibly distended. To determine if it is indeed distended, the EMT would ask:

Correct Answer
verified

The EMT has an accurate understanding of acute abdominal pain when he states:

Correct Answer
verified

Exam 23: Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies

Correct AnswerverifiedShow Answer

Which sign or symptom would reinforce the EMT's suspicion that a patient with a history of pancreatitis is having an exacerbation of the disease?

Correct AnswerverifiedShow Answer

When assessing a patient with chronic anemia, the EMT would expect which finding?

Correct AnswerverifiedShow Answer

You have been dispatched for a patient with abdominal pain. On scene you find the patient lying supine complaining of severe pain to his lower abdomen. He is pale and has a look of distress on his face. Which of the following actions would the EMT do first?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Your partner is performing the Markle (heel drop) test on a patient complaining of abdominal pain. Which of the following instructions provided to the patient indicates that she is performing the test correctly?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

A patient with abdominal pain shows you black and loosely formed stool in the toilet. You would advise the hospital that the patient has:

Correct AnswerverifiedShow Answer

A 19-year-old hemophiliac with behavioral problems has intentionally cut his right wrist. Assessment indicates an open airway, adequate breathing, and profound bleeding from the self-inflicted laceration. What instructions would you provide to other EMTs taking care of this patient?

Correct AnswerverifiedShow Answer

Which of the following statements made by a female patient would make the EMT highly suspicious of mittelschmerz?

Correct AnswerverifiedShow Answer

The EMT recognizes that the most common complaint(s) associated with a gynecologic emergency is:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The pancreas would best be described as a(n) ________ organ.

Correct AnswerverifiedShow Answer

When an EMT is inspecting the abdomen of a patient with pain to his right upper quadrant, it appears large and possibly distended. To determine if it is indeed distended, the EMT would ask:

Correct AnswerverifiedShow Answer

The EMT has an accurate understanding of acute abdominal pain when he states:

Correct AnswerverifiedShow Answer

Correct Answer
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