2nd Quarter 2011 CE Packet

Abdominal Trauma

Your Name:
Department:
Email:
1) You arrive on the scene of a reported stabbing to find a 25-year old male patient standing on the curb, screaming in pain, holding a handle of a steak knife that remains impaled in his abdomen. You begin your assessment. The knife is impaled two inches below the inferior aspect of the rib cage along the right mid-clavicular line. Based on the knife's location, which organ has likely been injured?
A. Spleen
B. Kidney
C. Bladder
D. Liver
2) The stabbing victim is begging to have the knife removed from his abdomen due to the significant pain. Your best action is to:
A. Remove the knife and apply well-aimed direct pressure.
B. Remove the knife part way to make sure no severe bleeding occurs. If there is none, remove the knife completely.
C. Leave the knife in place, stabilize the knife with bulky dressing and flex the patients knees.
D. Leave the knife in place, keeping the patients legs straight so the abdominal muscles help keep the knife in place.
3) Which organ is found in the intra-thoracic abdominal region?
A. Spleen
B. Ovary
C. Kidney
D. Pancreas
4) The kidneys are found in which abdominal region?
A. Intrathoracic
B. True Abdomen
C. Pelvic
D. Retroperitoneal
5) Which of the following is a hollow organ?
A. Kidney
B. Intestine
C. Pancreas
D. Liver
6) When injured, hollow organs differ from solid organs in that:
A. Hollow organs bleed more heavily than solid organs.
B. Solid organs are more likely to cause peritonitis.
C. Hollow organs are more likely to cause peritonitis.
D. Hollow organ injuries are associated with fewer complications.
7) Which organ can most easily hide blood-pooling following a traumatic injury?
A. Intestine
B. Pancreas
C. Liver
D. Spleen
8) How many different time periods, or instances exist where an organ can be injured during blunt force trauma?
A. 1
B. 2
C. 3
D. 4
9) In regard to penetrating trauma, the chances of serious injury decrease once the distance an object travels exceeds:
A. 5 feet
B. 10 feet
C. 15 feet
D. distance has no effect on acuity of injury
10) Why is it important to reassess the abdomen after the initial assessment?
A. Bruising doesn't appear for at least 15 minutes following injury.
B. It is necessary to determine how quickly bruising develops and spreads.
C. The initial assessment only identifies injuries 45% of the time.
D. The initial assessment only identifies injuries 65% of the time.
11) Looking at the abdomen for abrasions, bruising, distention or other signs of injury describes:
A. Inspection
B. Auscultation
C. Palpation
D. Percussion
12) Pressing the hands against the abdomen in an organized fashion describes:
A. Inspection
B. Auscultation
C. Palpation
D. Percussion
13) What pattern of bruising occurs along the flanks that suggests pancreas or kidney bleeding?
A. Cullen's sign
B. Grey-Turner's sign
C. Cheyne-Stokes sign
D. Battles sign
14) What pattern of bruising occurs around the umbilicus that suggests internal hemorrhage?
A. Cullen's sign
B. Grey-Turner's sign
C. Cheyne-Stokes sign
D. battle's sign
15) Which of the following injuries has the greatest potential for severe internal hemorrhage?
A. Abdominal evisceration
B. Pelvis fracture
C. Stab wound along the lower right flank
D. Impaled knife in the upper left quadrant
16) When providing fluid resuscitation for suspected internal hemorrhage following trauma, most adult patient protocols recommend maintaining a systolic blood pressure of:
A. 70-80 mm Hg
B. 80-90 mm Hg
C. 90-100 mm Hg
D. Above 100 mm Hg
17) Which hollow organ is unlikely to leak digestive enzymes or acids following penetrating trauma?
A. Intestine
B. Bladder
C. Pancreas
D. Stomach