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Chapter 21: Abdominal and Gastrointestinal Emergencies Practice Questions

About this Chapter 21 practice test

Part of the Medical Emergencies practice questions exam area.

This page holds 250 free practice questions for Chapter 21, Abdominal and Gastrointestinal Emergencies, covering acute abdominal pain, GI bleeding, peptic ulcer disease, esophageal and gastric disorders, liver, gallbladder, and pancreas emergencies, appendicitis, bowel obstruction, AAA, and ostomies and feeding tubes. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.

Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.

Topics covered in Chapter 21

Sample questions from this chapter

Which organs are accessory organs of digestion rather than part of the alimentary canal?

  1. A. Liver, gallbladder, pancreas
  2. B. Stomach, duodenum, and jejunum
  3. C. Esophagus, stomach, and colon
  4. D. Spleen, liver, and kidneys

Answer: A. Liver, gallbladder, pancreas
Accessory organs make or store secretions (bile, enzymes) that drain into the alimentary canal, but food never passes through them. The spleen and kidneys are not digestive organs.

A man has sharp left lower abdominal pain and, on the same side, pain in his testicle. Besides torsion, you should consider:

  1. A. A ureteral stone referring pain
  2. B. Diverticulitis spreading to the leg
  3. C. A muscle strain of the groin
  4. D. An inguinal hernia that has reduced

Answer: A. A ureteral stone referring pain
The ureter and testis share T10 to L1 nerve supply, so a stone in the lower ureter often refers pain to the testicle or labia. A reduced hernia is no longer painful, and diverticulitis does not typically cause testicular pain. Torsion must still be considered because it is time-critical.

You arrive to find a 58-year-old man with abdominal pain, pale and diaphoretic, with a pulse of 124 and BP of 86/52. What is your priority?

  1. A. Treat for shock and transport
  2. B. Palpate all four quadrants
  3. C. Obtain a full SAMPLE history
  4. D. Auscultate bowel sounds first

Answer: A. Treat for shock and transport
Signs of shock outrank a detailed abdominal exam. Manage airway, give oxygen as needed, start IV access en route, and move quickly to a surgical facility.

How students use this page

Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.

Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.

Other chapters

Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53

These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.