EMS1055 QUIZZES 8-14 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
The most important treatment for a patient with severe abdominal pain and signs
of shock includes:
transporting the patient without delay
You are assessing a 45 y/o female c/o abdominal pain. Patient complains of a
sharp pain in the RUQ that worsens when she eats. You notice that the sclera of
her eyes have a yellowish color. Patient states last bowel movement was 2 hours
ago and it was a dusky, clay color. You are about to assess the abdomen. What
do you expect to find?
Murphy's Sign (appendicitis)
You are assessing a 67 y/o c/o abdominal pain. The patient describes the pain as
sharp and it radiates to the back. When you assess the abdomen, you notice
point tenderness and pulsations. Last bowel movement was this morning. The
patient has a 50 year history of smoking. What condition is most likely?
AAA (abdominal aortic aneurysm)
You are assessing a 32 y/o female patient c/o abdominal pain. Patient states the
pain started an hour ago. The pain is dull and it started at the umbilicus, but has
moved to the RLQ. The patient states that the pain worsens when she tried to
walk. You begin to assess the abdomen. Which of the following signs do you
expect to find?
,Rovsing sign (sign of acute appendicitis)
You are assessing a 20 y/o female complaining of severe cramping in the lower
abdomen. The patient states that she has some spotting vaginal bleeding even
though her menses ended 2 weeks ago. Additionally, the patient states that it
burns when she pees with a foul smelling discharge. What condition do you
suspect?
PID (pelvic inflammatory disease)
You are assessing a 50 y/o obese female c/o abdominal pain for the past 12
hours. Patient states pain in LUQ and epigastric region which radiates to the back
and gets worse after she eats. Patient c/o nausea and has thrown up twice. When
examining the abdomen, you notice contusions around the umbilicus. The patient
has a history of alcohol abuse. Last bowel movement was an hour ago and was
very oily. What condition do you suspect?
Acute pancreatitis
You are assessing a patient who states his last bowel movement had bright red
blood involved. What is this condition called?
Hematochezia
What is the most common cause of peptic ulcer disease?
Helicobacter pylori
Which of the following conditions present with pain at McBurney's point?
Appendicitis (point on the lower right quadrant of the abdomen at which tenderness is
maximal in cases of acute appendicitis)
, You are assessing a 28 y/o male complaining of severe abdominal pain for the
past hour. Patient states that the pain started in the umbilicus, then moved to the
RLQ and now it's everywhere. Additionally, the patient is complaining of nausea
and has thrown up several times. Assessment shows the patients skin is hot with
a temperature of 102.4 degrees F. When you assess the abdomen, you notice it is
rigid and distended. You note rebound tenderness with palpation. What condition
do you suspect?
Peritonitis
Which of the following is NOT a contraindication for a Hare Traction Splint?
A. Hip Dislocation on the same side as the femur fracture
B. Ankle fracture on same side as femur fracture
C. Tib/fib fracture on same side as femur fracture
ANS: D. An isolated femur fracture with no life threatening injuries
You are assessing an elderly patient who fell. They are lying on the floor. You
notice that their left leg is medially rotated with shortening. What injury do you
suspect?
Posterior hip dislocation
Which of the following patients should you apply a Hare Traction Splint?
A 23 y/o female with an isolated femur fracture
Which is true regarding splinting?
You should always check PMS before and after splinting.
Which is the most common complication of an extremity fracture?
Injuries to the nerves and vessels that serve the hands or feet
WITH COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
The most important treatment for a patient with severe abdominal pain and signs
of shock includes:
transporting the patient without delay
You are assessing a 45 y/o female c/o abdominal pain. Patient complains of a
sharp pain in the RUQ that worsens when she eats. You notice that the sclera of
her eyes have a yellowish color. Patient states last bowel movement was 2 hours
ago and it was a dusky, clay color. You are about to assess the abdomen. What
do you expect to find?
Murphy's Sign (appendicitis)
You are assessing a 67 y/o c/o abdominal pain. The patient describes the pain as
sharp and it radiates to the back. When you assess the abdomen, you notice
point tenderness and pulsations. Last bowel movement was this morning. The
patient has a 50 year history of smoking. What condition is most likely?
AAA (abdominal aortic aneurysm)
You are assessing a 32 y/o female patient c/o abdominal pain. Patient states the
pain started an hour ago. The pain is dull and it started at the umbilicus, but has
moved to the RLQ. The patient states that the pain worsens when she tried to
walk. You begin to assess the abdomen. Which of the following signs do you
expect to find?
,Rovsing sign (sign of acute appendicitis)
You are assessing a 20 y/o female complaining of severe cramping in the lower
abdomen. The patient states that she has some spotting vaginal bleeding even
though her menses ended 2 weeks ago. Additionally, the patient states that it
burns when she pees with a foul smelling discharge. What condition do you
suspect?
PID (pelvic inflammatory disease)
You are assessing a 50 y/o obese female c/o abdominal pain for the past 12
hours. Patient states pain in LUQ and epigastric region which radiates to the back
and gets worse after she eats. Patient c/o nausea and has thrown up twice. When
examining the abdomen, you notice contusions around the umbilicus. The patient
has a history of alcohol abuse. Last bowel movement was an hour ago and was
very oily. What condition do you suspect?
Acute pancreatitis
You are assessing a patient who states his last bowel movement had bright red
blood involved. What is this condition called?
Hematochezia
What is the most common cause of peptic ulcer disease?
Helicobacter pylori
Which of the following conditions present with pain at McBurney's point?
Appendicitis (point on the lower right quadrant of the abdomen at which tenderness is
maximal in cases of acute appendicitis)
, You are assessing a 28 y/o male complaining of severe abdominal pain for the
past hour. Patient states that the pain started in the umbilicus, then moved to the
RLQ and now it's everywhere. Additionally, the patient is complaining of nausea
and has thrown up several times. Assessment shows the patients skin is hot with
a temperature of 102.4 degrees F. When you assess the abdomen, you notice it is
rigid and distended. You note rebound tenderness with palpation. What condition
do you suspect?
Peritonitis
Which of the following is NOT a contraindication for a Hare Traction Splint?
A. Hip Dislocation on the same side as the femur fracture
B. Ankle fracture on same side as femur fracture
C. Tib/fib fracture on same side as femur fracture
ANS: D. An isolated femur fracture with no life threatening injuries
You are assessing an elderly patient who fell. They are lying on the floor. You
notice that their left leg is medially rotated with shortening. What injury do you
suspect?
Posterior hip dislocation
Which of the following patients should you apply a Hare Traction Splint?
A 23 y/o female with an isolated femur fracture
Which is true regarding splinting?
You should always check PMS before and after splinting.
Which is the most common complication of an extremity fracture?
Injuries to the nerves and vessels that serve the hands or feet
