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A person exhibiting hematuria might have an injury to the


A) liver.
B) kidneys.
C) appendix.
D) spleen.

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In addition to the abdominal aorta, which major vessel is located in the abdomen?


A) Inferior vena cava
B) Femoral veins
C) Superior vena cava
D) Subclavian veins

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A responsive male patient in a motor vehicle crash appears to have a genitourinary injury. After putting on PPE and checking the patient's airway, you first should


A) explain to the patient that you need to view the area, and ask permission to do so.
B) explain to the patient that you need to view the area, and then remove the patient's clothing.
C) remove the patient's clothing and ask him to assess pain on a 0 to 10 scale.
D) remove the patient's clothing, cover it from view, and view the area.

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Which injury might cause hematuria?


A) A laceration to the stomach
B) A penetration of the liver
C) A bruising of the kidney
D) A compression of the spleen

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In abdominal stabbings, what is the most commonly involved organ?


A) Liver
B) Diaphragm
C) Large intestine
D) Small intestine

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Which would MOST likely cause a laceration to the external female genitalia?


A) A sexual assault
B) A motor vehicle crash
C) A kick from a horse
D) A bicycle crash

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Which of the following would be classified as a compression injury?


A) Abdominal organs are compressed by other distended organs, like an enlarged liver or stomach.
B) Blood drains into the abdominal cavity and reduces perfusion.
C) Abdominal organs are squeezed between the vertebral column and the impacting object.
D) A blunt trauma injury results in contusions to more than one abdominal organ.

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Which is a possible sign of abdominal injury?


A) Hematoma
B) Hematemesis
C) Hemophilia
D) Hemangioma

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Rupture of the duodenum might be caused by


A) a pelvic fracture from a fall.
B) a 9th rib fracture on the right side.
C) a stab wound to the liver.
D) the lap portion of a seat belt in a motor vehicle crash.

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A bike crash victim says he was "high" while riding. You suspect an abdominal injury, but the patient complains of no pain. You should


A) ask the patient to avoid movement until the drugs wear off.
B) search the patient for drugs or drug paraphernalia.
C) remember that drug use can mask the pain of injury.
D) delay treatment of the injury until the arrival of ALS.

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Your 32 year old patient was kicked in the abdomen. He is pale but does not complain of abdominal pain. When you place him in a supine position with elevated legs, he complains of a sharp pain in his left shoulder. You should suspect


A) a myocardial contusion.
B) a dislocated shoulder.
C) a sternal fracture.
D) a ruptured spleen.

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Which is an example of a medium-energy weapon?


A) A handgun
B) An ice pick
C) A hunting rifle
D) A knife

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Which is true of examining the genital area?


A) You can insert bandages and dressings into the vagina.
B) With responsive patients, you need permission to view the area.
C) With responsive patients, you can do an internal vaginal examination.
D) None of these are correct.

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The ascending colon is found in the


A) left upper quadrant.
B) left lower quadrant.
C) right lower quadrant.
D) right upper quadrant.

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Which three are all hollow organs?


A) Gallbladder, stomach, uterus
B) Urinary bladder, gallbladder, pancreas
C) Kidneys, adrenal glands, stomach
D) Small intestine, large intestine, ovaries

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What is a deceleration injury?


A) When the human body stops a falling object, becoming crushed in the process.
B) When a moving human body stops, but the organs continue forward motion past normal capacity.
C) When a moving human body stops and twists, causing injury to ligaments and muscles.
D) When the human body stops a blunt object like a bat, and the energy is transferred to the organs.

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Which of the following statements about emergency care for abdominal and genitourinary trauma is TRUE?


A) You can put dressings into the vagina.
B) You can remove embedded objects.
C) You should refrain from touching protruding organs directly.
D) You should keep a wound site covered.

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You should suspect an injury to the urethra when there is also damage to the


A) kidneys.
B) peritoneum.
C) perineum.
D) ureters.

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A patient has just been stabbed in the left upper quadrant. There is profuse bleeding, but the patient says there is little pain. You should suspect damage to the


A) stomach.
B) liver.
C) spleen.
D) transverse colon.

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A likely cause of peritonitis is leakage of the ________ into the peritoneum.


A) aorta or vena cava
B) stomach or intestines
C) urinary bladder or rectum
D) lungs or alveoli

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