Medical Emergencies- Cardio And Abdominal

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Cardio Quizzes & Trivia

Emt 106 palomar ortiz


Questions and Answers
  • 1. 

    A patient complaining of chest pain that goes away after rest is experiencing what

    • A.

      Angina

    • B.

      Coronary artery disease

    • C.

      MI

    • D.

      CHF

    Correct Answer
    A. Angina
    Explanation
    A patient complaining of chest pain that goes away after rest is experiencing angina. Angina is a symptom of coronary artery disease, which occurs when there is a reduced blood flow to the heart muscle due to narrowed or blocked arteries. The chest pain in angina is typically triggered by physical exertion or emotional stress and is relieved by rest or medication. MI (myocardial infarction) refers to a heart attack, which is a more severe condition than angina. CHF (congestive heart failure) is a condition characterized by the heart's inability to pump enough blood to meet the body's needs.

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  • 2. 

    A tear in the lining of the aorta is most likely due to

    • A.

      Aortic aneurysm

    • B.

      CHF

    • C.

      Angina

    • D.

      AMI

    Correct Answer
    A. Aortic aneurysm
    Explanation
    A tear in the lining of the aorta, known as an aortic dissection, is most commonly caused by an aortic aneurysm. An aortic aneurysm occurs when there is a weak spot in the aortic wall, causing it to bulge and potentially rupture. This can lead to a tear in the lining of the aorta, resulting in a life-threatening condition. CHF (congestive heart failure), angina (chest pain), and AMI (acute myocardial infarction or heart attack) are not directly associated with aortic tears.

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  • 3. 

    What does edema mean

    • A.

      Watery fluid build up in cavities or tissue

    • B.

      Swollen

    • C.

      Dizziness due to lack of o2

    • D.

      Strong heart beat

    Correct Answer
    A. Watery fluid build up in cavities or tissue
    Explanation
    Edema refers to the accumulation of excessive watery fluid in body cavities or tissues. This can occur due to various reasons such as inflammation, injury, or underlying medical conditions like heart failure or kidney disease. Swelling is a common symptom of edema, as the fluid buildup causes the affected area to become enlarged and puffy. Dizziness due to lack of oxygen and a strong heartbeat are unrelated to the definition of edema.

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  • 4. 

    Inflammation of the gallbladder is also called

    • A.

      Choleystitis

    • B.

      GI bleeding

    • C.

      Esophageal verices

    • D.

      Abdominal aortic aneurysm

    Correct Answer
    A. Choleystitis
    Explanation
    Choleystitis is the correct answer because it refers to the inflammation of the gallbladder. The other options, GI bleeding, esophageal verices, and abdominal aortic aneurysm, are unrelated conditions and do not involve inflammation of the gallbladder.

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  • 5. 

    What is the primary pacemaker cell of the heart

    • A.

      SA Node

    • B.

      AV Node

    • C.

      Purkinje fibers

    • D.

      Bundle of HIS

    Correct Answer
    A. SA Node
    Explanation
    The SA Node, or sinoatrial node, is known as the primary pacemaker cell of the heart. It is responsible for initiating the electrical impulses that regulate the heart's rhythm. Located in the right atrium, the SA Node generates an electrical signal that spreads through the atria, causing them to contract and pump blood into the ventricles. This signal then travels to the AV Node, bundle of HIS, and purkinje fibers, which further coordinate the contraction of the ventricles. However, the SA Node is considered the primary pacemaker as it sets the pace for the entire heart.

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  • 6. 

    What is atherosclerosis

    • A.

      Hardening of the arteries

    • B.

      Delivery of o2 and nutrients to cells

    • C.

      Part of the heart muscle dies

    • D.

      Aorta ruptures

    Correct Answer
    A. Hardening of the arteries
    Explanation
    Atherosclerosis refers to the hardening of the arteries. It is a condition in which fatty deposits, known as plaques, build up on the inner walls of the arteries, leading to their narrowing and hardening. This can restrict blood flow and oxygen delivery to various organs and tissues, increasing the risk of cardiovascular diseases such as heart attacks and strokes. Atherosclerosis is a chronic and progressive condition that can have serious implications for overall health and wellbeing.

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  • 7. 

    What does the QRS complex represent

    • A.

      Ventricular contraction

    • B.

      Auricular contraction

    • C.

      Preparation for next series of contraction

    • D.

      Resting state of heart

    Correct Answer
    A. Ventricular contraction
    Explanation
    The QRS complex on an electrocardiogram (ECG) represents ventricular contraction. It is a series of waves that indicate the depolarization of the ventricles, which leads to their contraction and subsequent pumping of blood out of the heart. The QRS complex is important in assessing the electrical activity and function of the heart.

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  • 8. 

    T wave represents

    • A.

      Repolarization of ventricles

    • B.

      Depolarization of ventricles

    • C.

      Depolarization of atria

    • D.

      Heart ejecting blood to body

    Correct Answer
    A. Repolarization of ventricles
    Explanation
    The T wave on an electrocardiogram (ECG) represents the repolarization of the ventricles. Repolarization is the process in which the electrical charges in the heart muscle cells return to their resting state after depolarization. During depolarization, the ventricles contract and pump blood out of the heart, while repolarization allows the ventricles to relax and prepare for the next heartbeat. Therefore, the T wave indicates the completion of ventricular repolarization, which is an important phase in the cardiac cycle.

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  • 9. 

    P wave is

    • A.

      Depolarization of atria

    • B.

      Depolarization of ventricles

    • C.

      Depolarization of ventricles

    • D.

      Heart ejecting blood to body

    Correct Answer
    A. Depolarization of atria
    Explanation
    The correct answer is depolarization of atria. The P wave on an electrocardiogram (ECG) represents the depolarization of the atria, which is the electrical signal that causes the atria to contract and pump blood into the ventricles. This is the first wave in the cardiac cycle and is followed by the QRS complex, which represents the depolarization of the ventricles. Therefore, the P wave specifically represents the depolarization of the atria, not the ventricles or the heart ejecting blood to the body.

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  • 10. 

    What is the most common type of heart disease

    • A.

      Coronary Artery Disease (CAD)

    • B.

      Acute Coronary Syndrome (ACS)

    • C.

      Angina Pectoris

    • D.

      Acute Myocardial Infarction (AMI)

    Correct Answer
    A. Coronary Artery Disease (CAD)
    Explanation
    Coronary Artery Disease (CAD) is the most common type of heart disease. CAD occurs when the blood vessels that supply oxygen and nutrients to the heart become narrow or blocked due to the buildup of plaque. This restricts blood flow to the heart and can lead to chest pain, heart attacks, and other complications. CAD is a chronic condition that develops over time and is often caused by risk factors such as high blood pressure, high cholesterol levels, smoking, obesity, and diabetes. Regular exercise, a healthy diet, and medication can help manage CAD and reduce the risk of complications.

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  • 11. 

    Coronary artery disease lead to myocardial infarctions or stroke because the same pathogenic process of

    • A.

      Atherosclerosis

    • B.

      Unstable Angina

    • C.

      Myocardial Infarction

    • D.

      A build up of fluid in the body

    Correct Answer
    A. Atherosclerosis
    Explanation
    Atherosclerosis is a pathogenic process in which the arteries become narrowed and hardened due to the buildup of plaque. This plaque is made up of cholesterol, fatty substances, calcium, and other materials. In the case of coronary artery disease, the plaque buildup occurs in the arteries that supply blood to the heart. If the plaque ruptures or becomes unstable, it can cause a blood clot to form, completely blocking the artery and leading to a myocardial infarction (heart attack) or stroke. These conditions occur because the blood flow to the heart or brain is severely restricted or cut off, causing damage to the affected organ.

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  • 12. 

    A patient with a buildup of fatty deposits on the inside of the coronary arteries condition is called

    • A.

      Coronary artery disease (CAD)

    • B.

      Angina pectoris

    • C.

      Acute Myocardial Infarction (AMI)

    • D.

      Stroke

    Correct Answer
    A. Coronary artery disease (CAD)
    Explanation
    499

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  • 13. 

    In acute coronary syndrome patents are experiencing 

    • A.

      Myocardial ischemia

    • B.

      Cardio ischemia

    • C.

      Aneurysm

    • D.

      Tachycardia

    Correct Answer
    A. Myocardial ischemia
    Explanation
    also known as cardiac cell hypoxia pg 499

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  • 14. 

    Angina pectoris is a symptom associated with

    • A.

      Coronary artery disease

    • B.

      Acute MI

    • C.

      Acute CS

    • D.

      Asthma

    Correct Answer
    A. Coronary artery disease
    Explanation
    Angina pectoris is a symptom characterized by chest pain or discomfort, typically caused by reduced blood flow to the heart muscle. Coronary artery disease is a condition that occurs when the blood vessels supplying the heart become narrowed or blocked, leading to reduced blood flow. This reduced blood flow can cause episodes of angina. Acute MI (Myocardial Infarction) refers to a heart attack, which can be a result of a complete blockage of a coronary artery. Acute CS (Cardiogenic Shock) is a life-threatening condition that occurs when the heart cannot pump enough blood to meet the body's needs. Asthma, on the other hand, is a chronic respiratory condition that causes breathing difficulties but is not directly associated with angina pectoris.

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  • 15. 

    What is a symptom of inadequate oxygen supply to the myocardium

    • A.

      Angina pectoris

    • B.

      ACS

    • C.

      AMI

    • D.

      Thrombus

    Correct Answer
    A. Angina pectoris
    Explanation
    Angina pectoris is a symptom of inadequate oxygen supply to the myocardium. It is characterized by chest pain or discomfort that occurs when the heart muscle doesn't receive enough oxygen-rich blood. This can happen due to narrowed or blocked coronary arteries, which reduce blood flow to the heart. Angina pectoris is often triggered by physical exertion or emotional stress and typically subsides with rest or medication. It is an important warning sign of underlying heart disease and should not be ignored.

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  • 16. 

    Ischemia means

    • A.

      Reduced delivery of oxygenated blood

    • B.

      Oxygen deficiency in the tissue

    • C.

      Clot

    • D.

      Sudden onset

    Correct Answer
    A. Reduced delivery of oxygenated blood
    Explanation
    Ischemia refers to a condition where there is a reduced delivery of oxygenated blood to a specific tissue or organ. This can occur due to various reasons such as a clot or sudden blockage in the blood vessels supplying the tissue. As a result of reduced blood flow, there is an oxygen deficiency in the affected tissue, which can lead to tissue damage or cell death if not promptly treated.

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  • 17. 

    A patient complains of chest pain that is not relieved with rest, three nitro tabs, this would mean

    • A.

      Acute coronary syndrome

    • B.

      Acute myocardial infarction

    • C.

      Stroke

    • D.

      Dyspnea

    Correct Answer
    A. Acute coronary syndrome
    Explanation
    The patient's complaint of chest pain that is not relieved with rest and three nitro tabs suggests acute coronary syndrome. Acute coronary syndrome refers to a range of conditions caused by a sudden reduction or blockage of blood flow to the heart. It includes unstable angina and myocardial infarction (heart attack). The persistence of chest pain despite rest and nitro tabs indicates a more serious condition than just angina, pointing towards acute coronary syndrome. Stroke and dyspnea are not directly related to the given symptoms.

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  • 18. 

    A patient with nitro tablets having acute coronary syndrome has a systolic BP of >90 mmHg

    • A.

      Place him sitting or laying and administer nitroglycerin tablets

    • B.

      Do nothing besides call ALS

    • C.

      Give 160-325 mg of asprin

    • D.

      Administer nitroglycerin tablets

    Correct Answer
    A. Place him sitting or laying and administer nitroglycerin tablets
    Explanation
    The correct answer is to place the patient sitting or laying and administer nitroglycerin tablets. This is because nitroglycerin is a medication commonly used to treat acute coronary syndrome, which is a condition characterized by decreased blood flow to the heart. By placing the patient in a sitting or laying position, it helps reduce the workload on the heart and improve blood flow. Administering nitroglycerin tablets helps to dilate the blood vessels, further improving blood flow to the heart and relieving symptoms such as chest pain.

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  • 19. 

    Myocardial means

    • A.

      Heart muscle

    • B.

      Coronary arteries

    • C.

      Death of tissue

    • D.

      Slow heart

    Correct Answer
    A. Heart muscle
    Explanation
    The term "myocardial" refers to the heart muscle. It is derived from two words: "myo" meaning muscle and "cardial" referring to the heart. Therefore, the correct answer is "heart muscle".

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  • 20. 

    A lack of blood flow to heart muscle causing death of tissue is 

    • A.

      Acute myocardial infarction

    • B.

      Acute coronary syndrome

    • C.

      Stroke

    • D.

      Epilepsy

    Correct Answer
    A. Acute myocardial infarction
    Explanation
    Acute myocardial infarction refers to a condition where there is a lack of blood flow to the heart muscle, leading to the death of tissue. This occurs when the coronary arteries that supply blood to the heart become blocked, usually due to a blood clot. As a result, the affected area of the heart does not receive enough oxygen and nutrients, causing tissue damage or death. Acute myocardial infarction is commonly known as a heart attack and is a serious medical emergency.

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  • 21. 

    A patient who is complaining of SOB, nausea, weakness and nitroglycerin intake not helping is having

    • A.

      Acute myocardial infarction

    • B.

      Acute coronary syndrome

    • C.

      Angina pectoris

    • D.

      Stoke

    Correct Answer
    A. Acute myocardial infarction
    Explanation
    The patient's symptoms of shortness of breath, nausea, weakness, and lack of relief from nitroglycerin suggest a more severe condition than angina pectoris. Acute myocardial infarction, also known as a heart attack, is characterized by a blockage in the coronary arteries, leading to a lack of blood flow and oxygen to the heart muscle. This can cause symptoms such as chest pain, shortness of breath, weakness, and nausea. Therefore, the correct answer is acute myocardial infarction.

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  • 22. 

    Patient has a pulsating mass in the abdominal region complaining of pain in their back it is late stage 

    • A.

      Aortic dissection

    • B.

      Aortic aneurysm

    • C.

      Acute coronary syndrome

    • D.

      Acute coronary syndrome

    Correct Answer
    B. Aortic aneurysm
    Explanation
    The patient's symptoms of a pulsating mass in the abdominal region and pain in their back are consistent with an aortic aneurysm. Aortic aneurysm occurs when there is a weakening and bulging of the aortic wall, leading to the formation of a pulsating mass. The pain in the back is a common symptom of an aortic aneurysm, as the enlarged aorta can press against the surrounding structures and cause discomfort. Late-stage aortic aneurysm requires immediate medical attention as it can lead to a life-threatening rupture.

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  • 23. 

    A patient with symptoms of tachypnea, JVD, rales, taking a "water pill" and edema in the feet is

    • A.

      Congestive Heart Failure (CHF)

    • B.

      Acute Myocardial Infarction (AMI)

    • C.

      Acute Coronary Syndrome (ACS)

    • D.

      None of the above

    Correct Answer
    A. Congestive Heart Failure (CHF)
    Explanation
    The given symptoms of tachypnea (rapid breathing), JVD (jugular venous distention), rales (abnormal lung sounds), edema in the feet, and the patient taking a "water pill" are indicative of congestive heart failure (CHF). CHF occurs when the heart is unable to pump blood efficiently, leading to fluid buildup in the lungs and extremities. The symptoms mentioned align with the characteristic signs of CHF, making it the correct answer.

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  • 24. 

    Right sided CHF

    • A.

      Late sign

    • B.

      Early sign

    • C.

      No pink sputum will be present yet

    • D.

      No idea

    Correct Answer
    A. Late sign
    Explanation
    The given correct answer is "late sign". This suggests that the absence of pink sputum indicates a late sign of right-sided congestive heart failure (CHF). Pink sputum, also known as hemoptysis, is a symptom commonly associated with pulmonary edema, which is a characteristic of CHF. In the early stages of right-sided CHF, pink sputum may not be present yet. However, as the condition progresses, fluid accumulation in the lungs increases, leading to the appearance of pink sputum. Therefore, the absence of pink sputum can be considered a late sign of right-sided CHF.

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  • 25. 

    Nitroglycerin does what

    • A.

      Dilates arteries thus decreases hearts workflow

    • B.

      Thins blood allowing for it to pass freely

    • C.

      Destroys clots in the arteries

    • D.

      All of the above

    Correct Answer
    A. Dilates arteries thus decreases hearts workflow
    Explanation
    Nitroglycerin is a medication that dilates arteries, which means it widens the blood vessels. By doing so, it reduces the resistance to blood flow and decreases the workload on the heart. This can help relieve symptoms of angina, a condition characterized by chest pain or discomfort due to reduced blood flow to the heart. Thinning blood or destroying clots in the arteries are not the primary actions of nitroglycerin. Therefore, the correct answer is "dilates arteries thus decreases hearts workflow."

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  • 26. 

    Do not give a patient nitro if systolic bp is

    • A.

      30mmhg

    • B.

      90mmhg

    • C.

      >25mmhg and

    • D.

      What?

    Correct Answer
    A. 30mmhg
    Explanation
    The correct answer is 30mmHg because a systolic blood pressure of 30mmHg is extremely low, indicating severe hypotension. Nitroglycerin is a medication that causes vasodilation and can further lower blood pressure. Therefore, administering nitroglycerin to a patient with a systolic blood pressure of 30mmHg can potentially cause a dangerous drop in blood pressure, leading to further complications.

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  • 27. 

    You can give nitro to a patient who has taken

    • A.

      Aspirin

    • B.

      Viagra

    • C.

      Cialis

    • D.

      Levity

    Correct Answer
    A. Aspirin
    Explanation
    Nitro is commonly used to treat angina, a condition characterized by chest pain caused by reduced blood flow to the heart. Aspirin is a blood thinner that helps prevent blood clots, which can be beneficial for patients with heart conditions. However, it is important to note that nitro should not be given to patients who have taken Viagra, Cialis, or Levitra, as these medications are used to treat erectile dysfunction and can cause a dangerous drop in blood pressure when combined with nitro. Therefore, the correct answer is aspirin, as it is safe to give nitro to a patient who has taken aspirin.

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  • 28. 

    Dosage for nitroglycerin is

    • A.

      .3 or .4 mg

    • B.

      .2 or .5 mg

    • C.

      .1 or .2 mg

    • D.

      .8 or .9 mg

    Correct Answer
    A. .3 or .4 mg
    Explanation
    The correct dosage for nitroglycerin is .3 or .4 mg. This is the recommended dosage range for nitroglycerin, which is commonly used to treat angina (chest pain) and heart conditions. The dosage may vary depending on the individual's condition and response to the medication. It is important to follow the instructions given by a healthcare professional and not exceed the prescribed dosage.

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  • 29. 

    The intraperitoneal includes all except

    • A.

      Abdominal aorta

    • B.

      SI

    • C.

      Pancreas

    • D.

      Gallbladder

    Correct Answer
    A. Abdominal aorta
    Explanation
    The intraperitoneal cavity is a space within the abdominal cavity. It contains various organs, including the SI (small intestine), pancreas, and gallbladder. However, the abdominal aorta is not located within the intraperitoneal cavity. It is a major blood vessel that runs behind the peritoneum, which is the membrane that lines the abdominal cavity. Therefore, the abdominal aorta is not included in the intraperitoneal cavity.

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  • 30. 

    The retroperitoneal space includes all except

    • A.

      Stomach

    • B.

      Abdominal aorta

    • C.

      Kidneys

    • D.

      Ureters

    Correct Answer
    A. Stomach
    Explanation
    The retroperitoneal space is a specific anatomical region located behind the peritoneum, which is the membrane that lines the abdominal cavity. It contains various organs, such as the abdominal aorta, kidneys, and ureters. However, the stomach is not considered part of the retroperitoneal space as it is located within the peritoneal cavity.

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  • 31. 

    When blood, pus, or chemical substances leak into the peritoneal cavity its called

    • A.

      Peritonitis

    • B.

      Food poisoning

    • C.

      Poor digestion

    • D.

      Acidosis

    Correct Answer
    A. Peritonitis
    Explanation
    Peritonitis refers to the condition when blood, pus, or chemical substances leak into the peritoneal cavity. It is a serious and potentially life-threatening condition that causes inflammation of the peritoneum, the lining of the abdominal cavity. Symptoms of peritonitis include severe abdominal pain, fever, nausea, and vomiting. Prompt medical attention is necessary to diagnose and treat peritonitis, usually with antibiotics and sometimes surgery to remove the source of infection or repair any perforations in the abdominal organs.

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  • 32. 

    A test that involves lifting each ankle of the patient and making a fist and striking the bottom of the heel is called

    • A.

      Heel jar test

    • B.

      Heel drop test

    • C.

      Markle test

    • D.

      None of these make sense

    Correct Answer
    A. Heel jar test
    Explanation
    pg 653

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  • 33. 

    Visceral pain is

    • A.

      When the organ itself is involved

    • B.

      Is associated with irritation of the peritoneal lining

    • C.

      Visceral pain felt elsewhere

    • D.

      None of these

    Correct Answer
    A. When the organ itself is involved
    Explanation
    Visceral pain refers to pain that originates from the internal organs. It occurs when the organ itself is involved in the pain sensation. This type of pain is different from somatic pain, which originates from the skin, muscles, or joints. Visceral pain can be caused by various factors, such as inflammation, stretching, or ischemia of the organs. It is often described as a dull, aching, or cramping sensation and can be difficult to localize. Unlike referred pain, which is felt in a different area from the source, visceral pain is directly associated with the affected organ.

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  • 34. 

    Parietal pain is

    • A.

      Somatic pain associated with irritation of the peritoneal lining

    • B.

      Pain associated with the organ itself

    • C.

      Visceral pain felt elsewhere

    Correct Answer
    A. Somatic pain associated with irritation of the peritoneal lining
    Explanation
    The correct answer is somatic pain associated with irritation of the peritoneal lining. Parietal pain refers to pain that is felt in the wall of a body cavity, such as the abdomen, and is typically caused by inflammation or irritation of the peritoneal lining. This type of pain is localized and can be sharp or stabbing. It is different from visceral pain, which is pain that is felt within the organs themselves, and can be more diffuse and dull in nature.

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  • 35. 

    Engorgement,  weakening of blood vessels in lower esophagus and painless bleeding in the GI tract are symptoms of

    • A.

      Esophageal varices

    • B.

      Gastroenteritis

    • C.

      Intestinal obstruction

    • D.

      Ulcers

    Correct Answer
    A. Esophageal varices
    Explanation
    Engorgement, weakening of blood vessels in the lower esophagus, and painless bleeding in the GI tract are symptoms commonly associated with esophageal varices. Esophageal varices are enlarged and swollen veins in the lower part of the esophagus that occur due to increased pressure in the portal vein system, often caused by liver cirrhosis. When these blood vessels become weak and dilated, they can rupture and lead to bleeding in the gastrointestinal tract. Therefore, the correct answer is esophageal varices.

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  • 36. 

    Abdominal pain and tenderness, shock, fever and dehydration

    • A.

      Gastroenteritis

    • B.

      Esophageal varices

    • C.

      Ulcer

    • D.

      Intestinal obstruction

    Correct Answer
    A. Gastroenteritis
    Explanation
    Gastroenteritis is a condition characterized by inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. Symptoms include abdominal pain and tenderness, shock, fever, and dehydration. These symptoms align with the given description, indicating that the correct answer is gastroenteritis.

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  • 37. 

    Profusion or thrusting forward of a portion of the intestine through an opening or weakness in the abdominal wall

    • A.

      Hernia

    • B.

      Abdominal aortic aneurysm

    • C.

      Ulcer

    • D.

      Gastroenteritis

    Correct Answer
    A. Hernia
    Explanation
    A hernia refers to the protrusion or thrusting forward of a portion of the intestine through an opening or weakness in the abdominal wall. This condition occurs when the muscles and tissues that normally hold the intestines in place become weak or damaged. As a result, the intestine bulges outwards, causing pain and discomfort. Hernias can occur in various areas of the body, including the groin, abdomen, and diaphragm. Surgery is often required to repair a hernia and prevent further complications.

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  • 38. 

    Myocardial ischemia means

    • A.

      Heart muscle deficient supply of o2

    • B.

      Heart dies

    • C.

      Heart clogging

    • D.

      Insistent pumping of the heart for blood flow

    Correct Answer
    A. Heart muscle deficient supply of o2
    Explanation
    Myocardial ischemia refers to a condition where the heart muscle does not receive an adequate supply of oxygen. This can occur due to narrowed or blocked arteries that restrict blood flow to the heart. When the heart muscle does not receive enough oxygen, it can lead to chest pain or discomfort known as angina. If left untreated, it can result in a heart attack where a portion of the heart muscle dies due to prolonged lack of oxygen.

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  • 39. 

    A 56 year old male complains of abdominal pain. he was the restrained driver in a car crash at highway speeds. your assessment reveals no obvious injury. what should you do

    • A.

      Transport to a trauma center

    • B.

      Transport to the closest hospital

    • C.

      Call your supervisor for directions

    • D.

      Transport him to the hospital of his choice

    Correct Answer
    A. Transport to a trauma center
    Explanation
    Given the information provided, the correct answer is to transport the patient to a trauma center. This is because the patient was involved in a car crash at highway speeds and complains of abdominal pain. Even though there are no obvious injuries, the mechanism of injury and the presence of abdominal pain suggest the possibility of internal injuries or trauma that may require specialized care and resources available at a trauma center. Therefore, it is important to prioritize the patient's safety and transport them to a facility equipped to handle potential trauma cases.

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