Deck 20: Disorders: Pain

Question 1

Occasionally, pain may be felt in one particular area by the patient even though the actual pathology is in another area, which is known as ____.

A) point tenderness
B) back pain
C) phantom pain
D) referred pain

Answer 1

referred pain

Question 2

Pain in the abdomen can be somewhat ubiquitous and can arise from many organs within the abdominal cavity.

Answer 2

True

Question 3

Data supports the belief that pain medication will mask the signs and symptoms of abdominal pain, delay the diagnosis, or even increase the morbidity and mortality.

Answer 3

False

Question 4

The area superior to the umbilical region is referred to as the ____ region.

A) hypogastric
B) upper gastric
C) epigastric
D) upper quadrant

Question 5

The area immediately around the umbilicus is called the epigastric region.

Question 6

Visceral pain usually occurs in response to a chemical irritation, such as an infection or inflammatory process.

Question 7

An acute abdomen is considered a surgical emergency and the patient should be transported immediately to a surgical center that is capable of caring for the patient.

Question 8

____ is an inflammation of the bile duct.

A) Cholecystitis
B) Cirrhosis
C) Cholangitis
D) Sclera

Question 9

The cholesterol gallstones, called choleliths, may be as small as a grain of sand or as large as a golf ball.

Question 10

It is often difficult for the patient to localize visceral pain because the visceral pain fibers are sparse and because visceral pain is often "referred" to other parts of the patient's body.

Question 11

____ is pain associated with a specific area of the abdomen.

A) Point tenderness
B) Back pain
C) Referred pain
D) Phantom pain

Question 12

____ may be due to hepatomegaly, cirrhosis, hepatic abscess, cholecystitis, pancreatitis, pancreatic cancer, gastritis, peptic ulcer disease, or gastroententis.

A) Ascites
B) Acute upper quadrants pain
C) Peritonitis
D) Hepatitis

Question 13

____ is caused by an erosion of tissue of the stomach or duodenum.

A) Peptic ulcer disease
B) Gastritis
C) Peritonitis
D) Acute upper quadrant pain

Question 14

____, an inflammation of the peritoneal cavity, is often the result of a rupture of a hollow abdominal organ.

A) Hepatomegaly
B) Cirrhosis
C) Enteritis
D) Peritonitis

Question 15

____ is an inflammation of the lining of the stomach that is caused by bacterial infections, NSAIDs, alcohol abuse, steroids, radiation, and a host of other causes.

A) Acute upper quadrant pain
B) Peritonitis
C) Entritis
D) Gastritis

Question 16

Immediately inferior to the umbilical region is the ____ region.

A) epigastric
B) hypogastric
C) lower quadrant
D) lower gastric

Question 17

The intensity of pain in the abdomen indicates the severity of the condition.

Question 18

____ is an acute inflammation of the entire gastrointestinal tract that is often due to a virus or possibly a bacterial infection.

A) Gastroenteritis
B) Gastritis
C) Enteritis
D) Cholangitis

Question 19

The first step in the physical exam of a patient complaining of abdominal pain is palpation.

Question 20

The term "hypochondriac" refers to the area "under the cartilage" or the floating ribs.

Question 21

A(n) ____ abscess occurs when an infection sets into anal glands that drain mucus into the anal crypts.

A) diverticular
B) perirectal
C) rectal
D) ulcerated

Question 22

The Paramedic's first treatment for abdominal pain is to keep the patient ____.

A) PRN
B) HS
C) PO
D) NPO

Question 23

A patient's sudden decompensation with abdominal pain may indicate a surgical emergency, referred to as a(n) ____.

A) ectopic pregnancy
B) cold belly
C) acute abdomen
D) abdominal prolapse

Question 24

____ pain, in the case of the abdomen, comes from the parietal peritoneum, which is innervated by somatic nerves.

A) Visceral
B) Somatic
C) Sympathetic
D) Subcutaneous

Question 25

Core organs (i.e., liver, spleen, and kidneys) lie under the floating or ____________________.

Question 26

To help understand the differential diagnosis, the abdomen is divided into four quadrants, with the ____________________ considered to be the midpoint.

Question 27

____ pain comes from the abdominal organs, which are innervated by the autonomic nerve fibers.

A) Somatic
B) Sympathetic
C) Visceral
D) Subcutaneous

Question 28

The ____ muscle is proximal to the appendix.

A) obturator internus
B) mesenteric internus
C) abdominal internus
D) appendix internus

Question 29

In preparation for the possibility of surgery, the Paramedic should consider establishing ____ venous access.

A) auxiliary
B) large bore
C) permanent
D) small bore

Question 30

____________________ pain occurs because the autonomic nerve fibers enter into, and share a common pathway into, the spinal cord with other nerve fibers and that cross-stimulation occurs.

Question 31

"Surface" or ____ nerves tend to produce a sharper pain that is more easily localized.

A) cutaneous
B) visceral
C) referred
D) sympathetic

Question 32

Any woman capable of childbearing who has lower abdominal pain is assumed to be pregnant and at risk for a(n) ____________________ pregnancy.

Question 33

If cholecystitis is suspected, the Paramedic may elect to test for ____.

A) Murphy's syndrome
B) Kilcullen's sign
C) Kilcullen's syndrome
D) Murphy's sign

Question 34

The bowel sounds of a patient with a small bowel obstruction are described as "____________________," like the sound of a toilet with a leak.

Question 35

A(n) ____ is a weakness (or an opening) in the muscular structure of the abdominal wall.

A) hernia
B) diverticulium
C) ulcer
D) appendix