SOLVED

1) Which of the following patients may have trauma to abdominal organs? 1. A 30-year-old construction worker who fell from a second-story roof but managed to land on his feet 2. A 17-year-old male with a gunshot wound to the right buttock 3. A 50-year-old male with a stab wound 4 cm inferior to the right scapula 4. A 45-year-old female restrained driver of an SUV with a moderate-speed frontal impact A) 1, 2, 3, 4 B) 3, 4 C) 4 D) 1, 3, 4 2) Which of the following changes is NOT of concern in the pregnant trauma patient? A) Disproportionate increase in vascular volume as compared to red blood cells B) The high likelihood of trauma to the uterus in the first trimester C) Compression of the inferior vena cava D) All of the above 3) Which of the following about the use of PASG in the pregnant patient is NOT true? A) The abdominal section may be inflated in early pregnancy. B) Their use is absolutely contraindicated in pregnancy. C) Their use even in late pregnancy is often indicated. D) None of the above are true. 4) Which of the following best describes shear injuries to the abdominal organs? A) Sudden compression of gas-containing hollow organs resulting in their rupture B) Sudden decompression of solid or hollow organs C) Tearing of the organ in which the organ is fixed at its point of attachment but free to move otherwise D) Impact of solid organs with the abdominal wall in rapid deceleration 5) The liver is injured ________ percent of the time with penetrating abdominal trauma. A) 10 B) 40 C) 25 D) 75 6) Your patient is a 30-year-old pregnant woman at 36 weeks’ gestation. She was injured in a fall from a horse and is complaining of painful contractions. Her abdomen is tender to palpation over the uterus, and the uterus becomes firm with contractions, but she denies vaginal bleeding. The patient is anxious, but her skin is warm and dry. Her blood pressure is 112/70, her heart rate is 92, and her respirations are 24. Which of the following statements best describes this situation? A) The mechanism and patient complaints are suspicious for placental abruption. The mother’s condition is not life threatening, but fetal demise has most likely already occurred. B) The mechanism and patient complaints are consistent with placenta previa. The mother is stable, but the fetus is in jeopardy. C) The mechanism and patient complaints are consistent with uterine rupture. Both the mother and fetus are in jeopardy. D) The mechanism and patient complaints are suspicious for placental abruption. Both the mother and the fetus are in jeopardy. 7) Which of the following can reduce the potential for abdominal injury? A) Proper placement of automobile lap belts in adults B) Side-impact airbags C) Proper placement of automobile lap belts in children D) All of the above 8) Which of the following is TRUE of abdominal trauma? A) A soft, nontender, nondistended abdomen with intact bowel sounds reliably rules out hollow organ injury. B) Due to the vascular nature of abdominopelvic organs, the onset of signs and symptoms is abrupt and severe. C) A soft, nontender, nondistended abdomen reliably rules out solid organ injury. D) A significant amount of blood can accumulate in the abdominal cavity before signs and symptoms of abdominal injury appear. 9) Which of the following describes definitive care of the patient with traumatic intraabdominal hemorrhage? A) Admission to the ICU for observation B) Aggressive oxygenation and fluid resuscitation C) Administration of blood or blood products D) Rapid surgical intervention 10) The suspicion of blunt abdominal trauma should be based primarily on: A) The mechanism of injury B) Distension of the abdomen on palpation C) The patient’s complaint of abdominal pain D) The presence of contusions 1