1. Which of these assessment findings is of most concern with a 46-year-old male patient who complains of severe abdominal pain?

2. A patient with abdominal pain shows you black and loosely formed stool in the toilet. You would advise the hospital that the patient has:

3. Which of these descriptions best fits a female patient with a problem related to her urinary system?

4. When you are obtaining a medical history from a female patient with abdominal pain, she tells you that she has endometriosis. As an EMT, you know that this condition describes:

5. While you are transporting a 44-year-old female patient with abdominal pain in low Fowler's position, she starts to vomit. Your immediate action would be to:

6. A 23-year-old male patient has extreme pain in his lower right groin with a protruding mass noted in the same area. In discussing this patient with your partner, which statement would be most accurate?

7. A patient with lower abdominal pelvic pain, vaginal discharge, and elevated temperature has summoned EMS. In getting a medical history from this patient, which of these findings is the most important piece of information to relay to the receiving emergency department?

8. A female patient has developed bacterial peritonitis after sustaining blunt trauma to the abdomen. Damage to which organ was most likely responsible for this condition?

9. Assessment of a confused and lethargic patient with diabetes and renal failure reveals her to be lying in bed with notable significant edema to the face, torso, and extremities. Her respirations are extremely labored and associated with a 'grunting' sound. Her airway is patent, radial pulse weak, and skin cool and diaphoretic with cyanosis noted to the fingers. Oxygen has been applied by Emergency Medical Responders (EMRs). Your next action would be to:

10. When differentiating chronic renal failure from acute renal failure, the EMT realizes:

11. A patient informs you that she has a dialysis fistula on her left arm. You would:

12. A patient informs you that he was recently diagnosed with an abdominal aortic aneurysm (AAA). The surgeon did not want to operate on the aneurysm immediately because he felt it was stable and not worth the risks that surgery posed. Tonight, the patient states that he suddenly developed abdominal pain and wants to be evaluated in the hospital to see if the AAA has increased in size. Given this history, which of these assessment findings would cause the EMT to suspect that the AAA is the cause of the abdominal pain?

13. The EMT would recognize the profession of urology as applying to:

14. Which of these statements indicates that the EMT correctly understands the goal of assessing a geriatric patient with abdominal pain?

15. You have been dispatched for a patient with severe abdominal pain. On scene, the 57-year- old male patient informs you that he has a past medical history of chronic pancreatitis, which has 'flared up again.' Which precipitating factor would you identify as the most likely cause of the exacerbation?

16. A 56-year-old male patient informs you that he has gastric ulcers. He has had them for several months, but recently the pain has been steadily increasing. If the cause of the abdominal pain is the gastric ulcers, how would you expect the patient to describe the pain?

17. After performing a Markle test on a 31-year-old female patient with abdominal pain, she locates pain to her left lower quadrant. How would the EMT interpret this result?

18. Which of these statements is true concerning the functions of the vagina?

19. A 44-year-old female patient states that she has a history of endometritis. The EMT would recognize that this patient has:

20. On scene, a 57-year-old female patient has profuse hemorrhage coming from the dialysis graft located on her left arm. To control the bleeding, you would immediately:

21. If a patient missed his last dialysis appointment, which complaint would you anticipate?

22. At the side of a distressed patient with active and severe esophageal varices, you realize that the priority of care will be:

23. During a normal pregnancy process, within which structure does the sperm and egg typically meet during fertilization?

24. You suspect a patient with right lower quadrant pain may have appendicitis. The patient states that he has no health insurance and wants to refuse care and transport. He asks you what can happen if his condition is appendicitis and he does not go to the hospital. What is your best response?

25. Which of these definitions best describes the structure and function of the stomach?