Chapter 26 Quiz

Front 1

Which of the following organs is Least likely to be injured in penetrating trauma to the abdomen?

Back 1

Pancreas

Front 2

Your pt is 17 yom driver of a vehicle that received lateral impact on drivers door. No side airbags with 8 inches intrusion. Your pt complains of left shoulder pain and has a contusion on the left shoulder and deformity to left clavicle. He has erythema over the left lateral thorax from ribs 6 through 12 with crepitus on palpation. Which should you suspect?

Back 2

Blunt trauma to spleen
Penetrating trauma to spleen
Left pneumothorax
Fracture of left clavicle
Soft tissue injury to the left shoulder

Front 3

Which of the following is true of abdominal trauma?

Back 3

A significant amount of blood can accumulate in the abdominal cavity before signs and symptoms of abdominal injury appear.

Front 4

Which of the following is true of the epidemiology of abdominal trauma?

Back 4

Marbidity and mortality due to blunt trauma is decreasing, but morbidity and mortality due to penetrating trauma is increasing

Front 5

The largest reserve of blood of any body organ is contained in the?

Back 5

Liver

Front 6

Which of the following can reduce the potential for abdominal injury?

Back 6

All the above

Front 7

Which of the following best describes shear injuries to the abdominal organs?

Back 7

Tearing of the organ in which the organ is fixed at its point of attachment but free to move otherwise

Front 8

The liver is injured what percentage of the time with pentrating abdominal trauma?

Back 8

40

Front 9

Which of the following is NOT part of the prehospital examination of the patient with suspected abdominal trauma?

Back 9

Auscultating bowel sounds

Front 10

Which of the following guidelines applies to prehospital fluid resuscitation of hypotensive pt with intra-abdominal hemorrhage?

Back 10

In most cases, fluid administration should be limited to 3 liters of isotonic crystalloid solution