CHAPTER 21



CHAPTER 21

The Thorax and Abdomen

MULTIPLE CHOICE

1. Which of the following organs is at more of a risk of injury?

D, K A. Stomach C. Bladder

(486) B. Intestines D. Liver

2. When palpating the abdomen, how should the patient be positioned?

E, A A. Supine with the arms over the head

(489) B. Prone with the arms across the chest

C. Side lying with the arms by the side

D. Supine with the arms by the side

3. Getting the "wind knocked out" of you is characteristic of a:

M, A A. Heart contusion C. Stitch in the side

(496) B. Pneumothorax D. Blow to the solar plexus

4. Which of the following conditions predisposes an athlete to injuries of the

D, A spleen?

(497) A. Mononucleosis C. Cirrhosis

B. Hematuria D. Eating before competition

5. The danger associated with a ruptured spleen is its:

E, K A. ability to increase the incidence of constipation.

(497) B. ability to splint itself, then produce delayed hemorrhage.

C. high incidence of infection.

D. ineffectiveness to produce antibodies and red blood cells.

6. Any athlete who receives a severe blow to the abdomen or back region should

M, A be instructed to check for:

(497) A. elevated blood pressure for several days afterward.

B. signs of internal infection, mainly an elevated temperature.

C. blood in the urine.

D. visual acuity and headaches.

7. In managing a scrotal contusion, the first responsibility is to:

M, A A. apply ice to the area.

(499) B. position the athlete on his side.

C. apply pressure to the area.

D. refer the athlete to a physician

8. Inguinal hernias most often occur in:

E, K A. women. C. the femoral area.

(495) B. men. D. the thoracic cavity.

9. The treatment preferred by most physicians for an athlete with a hernia is:

M, K A. avoidance of activities.

(495) B. surgical repair.

C. the wearing of a hernia belt for all activities.

D. allowing the athlete to practice as is tolerable. .

10. A direct blow to the anterolateral aspect of the thorax, a sudden twist,

M, A or a fall on a ball can compress the rib cage and result most often

(491) in a:

A. costal cartilage injury. C. hemothorax.

B. solar plexus blow. D. rupture of the kidneys.

11. A condition in which the pleural cavity becomes filled with air that has entered

M, K through an opening in the chest is called:

(492) A. hemothorax. C. thoracodorsalitis.

B. pneumothorax. D. traumatic asphyxia.

12. The cephalic and caudal boundaries of the abdominal cavity are made up of the:

M, K A. diaphragm and pelvis.

(485) B. rib cage and McBurney's point.

C. sternum and umbilicus.

D. lower intestinal tract and the kidneys.

13. Hematuria in an athlete participating in contact or collision sports is a sign or

M, A symptom of a:

(497) A. ruptured spleen. C. kidney contusion.

B. contusion to the liver. D. bladder infection.

14. Pain which radiates to the left shoulder and 1/3 of the way down the left arm is

M, A displaying:

(497) A. Rovsig's sign for appendicitis.

B. Kehr's sign for a ruptured spleen.

C. McBurney's sign for kidney infection.

D. Leseague's sign for an irritated sciatic nerve.

15. The solid organs which are contained in the abdominal viscera consist of the:

M, K A. appendix, kidney, heart, and stomach.

(486) B. lungs, heart, and small intestines.

C. kidneys, spleen, liver, adrenals, and pancreas.

D. large intestines, small intestines, and appendix.

16. Which of the following is a prevalent cause of exercise induced death?

D, K A. Anomalous origin of the coronary artery

(493) B. Hypertrophic cardiomyopathy

C. Marfan’s syndrome

D. All of the above

17. The condition in which an athlete takes a violent blow or compression to

D, K the chest, without any accompanying rib fracture, and presents with severe

(493) pain during breathing, coughing up of blood, and signs of shock is known as (a):

A. rib contusion. C. stress fracture of the ribs.

B. hemothorax. D. sudden death syndrome.

18. Abdominal rigidity and pain at McBurney’s point may indicate:

M, A A. an inguinal hernia. C. appendicitis.

(498) B. an abdominal strain. D. an abdominal bruise.

19. Which of the following can be used as a treatment for a stitch in the side?

E, A A. Flexing the trunk C. Extending the trunk

(496) B. Trunk rotation D. Raising arms overhead

20. Which of the following is a complication of a ruptured appendix?

M, K A. Hematuria C. Inability to urinate

(498) B. Bacterial infection D. Pain

21. A blow to the rib cage can contuse the:

M, K A. intercostal muscles. C. bladder.

(490) B. acromioclavicular joint. D. appendix.

TRUE/FALSE

22. Injuries that occur to the abdomen most often affect the hollow organs.

E, K

(494)

23. Resting anterior to the right kidney are the stomach, spleen, and pancreas.

E, K

(487)

24. A "stitch in the side" is often caused by a blow to the sympathetic celiac plexus

M, K that produces a cramplike pain over the diaphragm.

(496)

25. A sign of possible injury to the bladder is the desire but inability to urinate.

M, A

(498)

26. Constant uncontrolled movement of the breast over a period of time can stretch

M, K Poupart's ligament, which supports the breast at the chest wall.

(494)

27. In a rib contusion, pain is felt only on inspiration.

E, A

(490)

28. One way to prevent injury to hollow organs is to empty them prior to

E, K competition.

(488)

29. The inguinal hernia results from enlargement of the opening through which

M, K vessels and nerves of the male reproductive system pass.

(495)

30. To palpate the chest first check for symmetry by having the athlete hold his/her

M, A breath as you place your hands on either side of the chest wall.

(489)

31. In the case of a contused abdominal wall, the treatment need be only a cold pack

M, A and compression with an elastic wrap.

(494)

32. Simple rib fractures will take 3-4 weeks to heal.

E, K

(491)

33. Traumatic asphyxia demands immediate rescue breathing.

M, A

(493)

34. An athlete who is diagnosed with mononucleosis may engage in guarded contact

M, A if properly protected.

(497)

35. The liver can be contused by a hard blow to the right side of the rib cage.

M, K

(498)

36.Treatment for a kidney contusion consists of a 24 hour hospitalization for

M, K observation.

(497)

37. If hyperventilation occurs, the athlete should breath into a paper bag as fast as

E, A they can.

(496)

38. One cause of sudden death syndrome in athletes may be an anomalous origin

M, K of the coronary artery.

(493)

39. To care for a stitch in the side, instruct the athlete to stretch the arm on the

M, A affected side as high as possible.

(496)

40. Men are more susceptible to injury of their reproductive organs than females

M, K because of the lack of protection.

(498)

41. A well-designed sports bra will allow little vertical or horizontal movement.

M, K

(494)

42. Appendicitis always calls for emergency removal of the appendix.

M, K

(498)

43. A blow to the solar plexus leads to anoxia which then causes short-term panic.

M, K

(496)

44.Bicyclist’s nipple can be prevented by placing an adhesive bandage over the

M, K nipple prior to competition.

(494)

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