1. Of the following organs, which one would be MOST likely to bleed profusely if lacerated?
A.Spleen
B.Kidney
C.Stomach
D.Liver


2. When caring for bleeding to the external female genitalia, the EMT-B should:
A.pack the vagina to reduce bleeding.
B.remove any impaled objects from the vagina.
C.use local pressure to control bleeding.
D.not attempt to control any bleeding from the vagina.


3. Which of the following organs, when injured, would spill its contents into the peritoneum?
A.Liver
B.Stomach
C.Spleen
D.Kidney


4. Which of the following statements regarding bleeding into the abdomen is FALSE?
A.It is a common injury following blunt abdominal trauma.
B.The absence of pain and tenderness rules out internal bleeding.
C.Intra-abdominal bleeding should be suspected with abdominal bruising.
D.The abdomen may become distended and tender to the touch.


5. A 20-year-old male was involved in a motor vehicle crash in which he struck a tree at approximately 45 mph. When evaluating the inside of the car, the EMT-B should:
A.look for empty alcohol containers.
B.not expect the airbag to be deployed.
C.lift up the airbag and look at the steering wheel.
D.look for evidence of damage to the seatbelt device.


6. A type of open wound in which the internal organs of the abdomen are coming out of a wound is called:
A.laceration.
B.sucking abdominal wound.
C.evisceration.
D.hermiation.


7. Other than applying a moist, sterile dressing covered with a dry dressing to treat an abdominal evisceration, an alternative form of management may include:
A.placing dry towels over the open wound.
B.cleaning the exposed bowel with sterile saline.
C.applying the PASG to stop the associated bleeding.
D.applying an occlusive dressing, secured by trauma dressings.


8. A 16-year-old boy was struck in the left flank during a tackle of a football game. The patient's vital signs are stable; however, he is in severe pain. What organ is MOST likely injured?
A.The liver
B.The kidney
C.The spleen
D.The bladder


9. The term "hematuria" refers to:
A.blood in the stool.
B.blood in vomit.
C.blood in saliva.
D.blood in urine.


10. Following a motorcycle accident in which a patient collided with a tree and sustained multiple injuries, you notice the presence of blood at the urethral opening. What does this suggest?
A.A ruptured bladder
B.Massive kidney injury
C.A fractured spleen
D.A ruptured gallbladder


11. You are transporting a patient who is in her third trimester of pregnancy. As you reassess her blood pressure, you note that is has decreased significantly from the baseline reading. What should you do FIRST?
A.Assess the vaginal area for bleeding.
B.Ensure that the patient is on her left side.
C.Administer oxygen via a nonrebreathing mask.
D.Palpate the abdomen for rigidity or tenderness.


12. The uterus, ovaries, and fallopian tubes are:
A.prone to injury, since they lie close to the surface.
B.rarely damaged.
C.part of the external female genitalia.
D.found in the retroperitoneal space.


13. When assessing a patient who sustained a gunshot wound to the abdomen, you should:
A.apply oxygen via a nasal cannula at 6 L/min.
B.give the patient fluids to drink if he or she is hypotensive.
C.thoroughly inspect the back and sides for exit wounds.
D.apply moist, sterile dressings to all open wounds.


14. Even when seatbelts are worn properly, injuries to which of the following structures may occur?
A.The great vessels in the abdomen
B.The iliac spines of the pelvis
C.The lower portion of the sternum
D.The anterolateral ribcage



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