WEST COAST EMT CHAPTER 18-
GASTROINTESTINAL AND UROLOGIC
EMERGENCIES EXAM GUIDE
QUESTIONS AND ANSWERS
A 29-year-old pregnant woman has had severe vomiting for the last 2 days. Today, she
is vomiting large amounts of blood. Her skin is cool and pale and she is tachycardic.
The EMT should suspect:
Select one:
A. Mallory-Weiss tear.
B. esophagitis.
C. esophageal varices.
D. acute pancreatitis. - Answer-a
A 30-year-old woman with a history of alcoholism presents with severe upper abdominal
pain and is vomiting large amounts of bright red blood. Her skin is cool, pale, and
clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50 mm
Hg. Your MOST immediate action should be to:
Select one:
A. rapidly transport her to the hospital.
B. give her high-flow supplemental oxygen.
C. protect her airway from aspiration.
D. keep her supine and keep her warm. - Answer-c
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His
abdomen is distended and guarded. Your MOST important consideration for this patient
should be to:
Select one:
A. be alert for signs and symptoms of shock.
B. assess his blood pressure to determine perfusion adequacy.
C. transport him in a supine position.
D. determine the exact location and cause of his pain. - Answer-a
A 59-year-old male presents with sudden-onset severe lower back pain. He is
conscious and alert, but very restless and diaphoretic. Your assessment reveals a
pulsating mass to the left of his umbilicus. You should:
Select one:
A. request a paramedic unit to give the patient pain medication.
B. vigorously palpate the abdomen to establish pain severity.
C. administer oxygen and prepare for immediate transport.
D. place the patient in a sitting position and transport at once. - Answer-c
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