Chapter 18 Gastrointestinal and Urologic Emergencies

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Solid abdominal organs include the:

spleen, kidneys, and pancreas.

A 60-year-old female presents with a tearing sensation in her lower back. Her skin is sweaty and she is tachycardic. The EMT should suspect:

aortic aneurysm.

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:

be alert for signs and symptoms of shock.

Urinary tract infections are more common in ____________.


Which of the following statements regarding dialysis is correct?

Patients who miss a dialysis treatment often present with weakness.

When assessing a patient with abdominal pain, you should:

palpate the abdomen in a clockwise direction, beginning with the quadrant after the one the patient indicates is painful.

Which of the following may help reduce your patient’s nausea?

Low-flow oxygen

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:

protect her airway from aspiration.

A strangulated hernia is one that:

loses its blood supply due to compression by local tissues.

The MOST important treatment for a patient with severe abdominal pain and signs of shock is:

transporting the patient without delay.

Which of the following organs lies in the retroperitoneal space?


The kidneys help to regulate blood pressure by:

removing sodium and water from the body.

In contrast to the parietal peritoneum, the visceral peritoneum:

is supplied by nerves of the autonomic nervous system, which are less able to localize pain or sensation.

Which of the following is correct about the secondary assessment for a high-priority patient?

You may not have time to complete a secondary assessment.

Functions of the liver include:

secretion of bile and filtration of toxic substances.

Which of the following is characteristic of peptic ulcer disease (PUD)?

Burning or pain in the stomach that subsides immediately after eating

Chronic renal failure is a condition that:

is often caused by hypertension or diabetes.

Your patient complains of abdominal pain that occurs mostly at night or after eating fatty foods. You should suspect ____________.


The parietal peritoneum lines the:

walls of the abdominal cavity.

For a patient with a gastrointestinal complaint, it is MOST important for the EMT to _________.

identify whether the patient requires rapid transport

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