1. When palpating the anterior portion of a patients abdomen, you note tenderness in the left upper quadrant.

As a knowledgeable OEC e!hni!ian, you would re!ogni"e that whi!h of the following organs may be in#ol#ed$ a. b. !. d. he kidney he gallbladder he spleen he li#er

Answer% ! Ob&e!ti#e% '()1 *eferen!e% +,( '. A patient !omplains of se#ere and sharp pain in the right lower abdominal quadrant. -ased on this lo!ation, what organ or stru!ture is most likely in#ol#ed$ a. b. !. d. li#er. kidney. spleen. appendi..

Answer% d Ob&e!ti#e% '()1 *eferen!e% +,/ 0. 1ou ha#e been !alled to aid a patient with abdominal pain. he patient states that he re!ently had his gall bladder remo#ed. As an OEC e!hni!ian, you reali"e that the gallbladder is lo!ated in the% a. b. !. d. left upper abdominal quadrant. right upper abdominal quadrant. lower left abdominal quadrant. lower right abdominal quadrant.

Answer% b Ob&e!ti#e% '()1 *eferen!e% +,/ (. he spleen of a patient has ruptured. -e!ause it is a solid organ, an OEC e!hni!ian re!ogni"es that the primary threat to life is% a. b. !. d. blood loss. pain. infe!tion. inflammation.

Answer% a Ob&e!ti#e% '()' *eferen!e% +,2

/. An OEC e!hni!ian would re!ogni"e whi!h of the following situations as a!ute abdominal emergen!y$ a. b. !. d. A patient who !omplains of stoma!h pain and has bad)smelling gas A woman who says she drank tequila last night and now has stoma!h pain A !hild whose sister has hepatitis and who has &ust #omited for the first time A ski ra!er who hit a tree and has signifi!ant left flank pain.

Answer% d Ob&e!ti#e% '()0 *eferen!e% 23' 4. An OEC e!hni!ian knows that the abdomen is lo!ated between the% a. b. !. d. diaphragm and the top of the pel#is. mid)!hest and the umbili!us. nipple line and the !o!!y. of the spine. bottom of the rib !age and the pel#is.

Answer% a Ob&e!ti#e% '()1 *eferen!e% +,/ +. he pan!reas is best des!ribed as a5n6% a. b. !. d. absorption organ. hollow organ. solid organ. fluid)filled organ.

Answer% ! Ob&e!ti#e% '()1 *eferen!e% +,2 2. An OEC e!hni!ian understands the ma&or fun!tion of most organs in the abdomen when she makes whi!h of the following statements$ a. 7 he ma&or fun!tion of the organs in the abdominal !a#ity is digestion.8 b. 7 he basi! fun!tion of the abdominal organs is the storage of fat.8 !. 7 he primary role of the organs in the abdominal !a#ity is the absorption of o.ygen.8 d. 7 he fundamental role of the organs in the abdomen is the !leansing and filtering of blood.8 Answer% d Ob&e!ti#e% '()' *eferen!e% +,/ ,. 9pon entering the room of a 4')year)old woman who has an unknown medi!al

!omplaint, whi!h of the following !lues obser#ed during the s!ene si"e)up would in!rease an OEC e!hni!ians suspi!ion that the patient is suffering from an a!ute abdominal !ondition$ a. b. !. d. :he is sweating e#en though the air !onditioning is on 7high.8 A portable !ommode is ne.t to the bed. :he is lying on her side with her knees drawn up to her !hest. :he is wearing a nasal !annula atta!hed to o.ygen at ' ;<=.

Answer% ! Ob&e!ti#e% '()( *eferen!e% +,0 13. Whi!h of the following statements indi!ates that an OEC e!hni!ian !orre!tly understands the goal of assessing a patient who has abdominal pain$ a. 7>t is important to determine if the li#er is the !ause of pain, be!ause that is the most life)threatening !ondition.8 b. 7>f the patient has tenderness upon palpation of the abdomen, OEC e!hni!ians should assume that bleeding is the !ause.8 !. 7>t is more important to re!ogni"e a possible abdominal emergen!y than it is to identify the e.a!t !ause.8 d. 7 o best treat the patient, OEC e!hni!ians must identify the e.a!t !ause of the patients pain.8 Answer% ! Ob&e!ti#e% '()( *eferen!e% +,0 11. A !rying (')year)old woman states that she has sharp abdominal pain that she lo!ali"es to her right lower quadrant. When assessing this patients abdomen, an OEC e!hni!ian would% a. start the e.am by palpating the abdomen in the quadrant farthest away from the one that is painful. b. a#oid palpating the entire abdomen. !. start the abdominal e.am by palpating the right lower quadrant. d. a#oid palpating the right lower quadrant. Answer% a Ob&e!ti#e% '()( *eferen!e% 23' 1'. With whi!h of the following assessment findings for a patient !omplaining of abdominal and ba!k pain would an OEC e!hni!ian be most !on!erned$ a. b. !. d. A surgi!al s!ar in the right upper abdominal quadrant A pulsating mass abo#e the umbili!us A history of gallbladder disease <atient has re!ently had diarrhea.

Answer% b Ob&e!ti#e% '()( *eferen!e% 231

10. he stru!tures within the abdomen are% a. b. !. d. prote!ted by ribs. prote!ted by the pel#is. prote!ted by strong abdominal mus!les. poorly prote!ted.

Answer% d Ob&e!ti#e% '()' *eferen!e% +,( 1(. -lunt trauma to the upper right abdominal quadrant !an in&ure the% a. b. !. d. pan!reas. spleen. li#er. small intestines.

Answer% ! Ob&e!ti#e% '()0 *eferen!e% +,/ 1/. -lunt trauma to the upper left abdominal quadrant !an in&ure the% a. b. !. d. spleen. li#er. pan!reas. appendi..

Answer% a Ob&e!ti#e% '()0 *eferen!e% +,4 14. he most !ommon in&ury to the pan!reas results from% a. b. !. d. impa!t trauma to the right side of the body. rotation trauma to the upper !hest. bi!y!le a!!idents in whi!h the abdomen strikes the handlebar. impa!t trauma to the left side of the body.

Answer% ! Ob&e!ti#e% '()0 *eferen!e% +,2

1+. >n whi!h of the following in&uries !an the abdominal !a#ity migrate into the thora!i! !a#ity$ a. b. !. d. A rib fra!ture An abdominal strain An intestinal tear A tear in the diaphragm

Answer% d Ob&e!ti#e% '()0 *eferen!e% +,, 12. A tear in the abdominal wall that results in protruding organs is !alled a5n6% a. b. !. d. la!eration. e#is!eration. !ontusion. abrasion.

Answer% b Ob&e!ti#e% '()0 *eferen!e% +,, 1,. As is the !ase for any res!ue situation, management of abdominopel#i! trauma must first !enter on% a. b. !. d. !ontrolling massi#e bleeding. keeping the patient and all res!uers safe. a!hie#ing proper airway management. stabili"ing the patient.

Answer% b Ob&e!ti#e% '()/ *eferen!e% 23/ '3. >f a s!ene be!omes unsafe for a patient with abdominopel#i! trauma, OEC e!hni!ians should% a. lea#e the s!ene. b. !ontinue to !are for the patient and then 7load and go.8 !. mo#e the patient to a safer pla!e, so long as doing so does not pla!e res!uers at risk. d. !all for more help. Answer% ! Ob&e!ti#e% '()/ *eferen!e% 23/ '1. -e!ause abdominopel#i! trauma !an result in serious internal in&ury, OEC

e!hni!ians should !all for% a. b. !. d. e.tra help. a snowmobile for faster transport. a trauma toboggan. E=: as soon as possible.

Answer% d Ob&e!ti#e% '()/ *eferen!e% 23/ ''. >n most !ases, the position of !omfort in abdominopel#i! trauma is% a. b. !. d. supine, with the knees bent. in a right re!umbent position with the knees bent. in a left re!umbent position with the knees bent. in the rendelenburg position.

Answer% a Ob&e!ti#e% '()4 *eferen!e% 23/ '0. >n treating an e#is!eration, OEC e!hni!ians should% a. b. !. d. apply a sterile dressing and an i!e pa!k. apply a sterile dressing and dire!t pressure. not put the protruding organs ba!k inside the abdominopel#i! !a#ity. !o#er the wound with an o!!lusi#e flutter)#al#e dressing.

Answer% ! Ob&e!ti#e% '()4 *eferen!e% 23/ '(. o prepare a patient with a pel#i! fra!ture for transportation, OEC e!hni!ians should% a. b. !. d. apply a pel#i! binder. pla!e the patient on a s!oop stret!her in the right re!umbent position. pla!e the patient in a supine position on a ba!kboard. pla!e the patient in a seated position in a toboggan.

Answer% a Ob&e!ti#e% '()+ *eferen!e% 234 '/. -e!ause pel#i! fra!tures !an result in large blood losses, OEC e!hni!ians should% a. gi#e the patient liquids to repla!e lost body fluids. b. apply O' at 4 ;<= #ia a nonrebreather. !. gi#e the patient glu!ose.

d. !all for A;: to begin treatment to repla!e lost body fluids. Answer% d Ob&e!ti#e% '()2 *eferen!e% 234