ch.23 Gynecologic Emergencies

The "PID shuffle" refers to:

A distinctive gait when the patient walks

Which of the following statements regarding pelvic inflammatory disease (PID) is correct? A. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy B. the most severe cases of PID occur in women who are not sexually active C. the most common presenting symptom of PID is generalized upper abdominal pain D. PID is most commonly affects women who have had a ectopic pregnancy in the past

A. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy

The "PID Shuffle" refers to: A. a distinctive gait when the patient walks B. rotation of the microorganisms that cause PID C. symtoms that come and go D. a structural that come and go

A. a distinctive gait when the patient walks

In rare cases, ____________ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra. A. chlamydia B. gonorrhea C. PID D. vaginal bleeding

A. chlamydia

Often the most important intervention for sexual assault patient is __________ and transport to a facility with staff specially trained to deal with this scenario. A. comforting reassurance B. excellent assessment skills C. bandaging skills D. emotional sympathy

A. comforting reassurance

Each ovary produces an ovum in alternating months and releases it into the: A. fallopian tube B. cervix C. uterus D. vagina

A. fallopian tube

As a women approaches menopause: A. her menstrual periods may become irregular and vary in severity B. she usually experiences abdominal cramping without vaginal bleeding C. she cannot become pregnant because of fluctuating levels D. her risk of developing PID lowers significantly

A. her menstrual periods may become irregular and vary in severity

The physical examination of a sexual assault victim should be: A. limited to a brief survey for life-threatening injuries B. performed in the presence of at least 2 police officers C. as detailed as possible so all injuries can be documented D. deferred until to patient can be evaluated by a physician

A. limited to a brief survey for life-threatening injuries

EMTs treating a patient of a sexual assault may not only be dealing with medical issues, but with ___________ issues as well. A. psychological B. physiological C. educational D. sociological

A. psychological

The onset of menstruation usually occurs between the ages of: A. 8 and 10 years B. 11 and 16 years C. 16 and 18 years D. 17 and 20 years

B. 11 and 16 years

Which of the following statements is FALSE regarding assessment and treatment of a woman who was the victim of sexual assault? A. You may be called to testify in court regarding the incident B. You should question the victim thoroughly about the assaulter in case the police missed any details C. The patient should be given the option of being treated by a female responder D. The patient should be discouraged from urinating or changing her clothes prior to examination at the hospital

B. You should question the victim thoroughly about the assaulter in case the police missed any details

Painful urination associated with burning and a yellowish discharge is assocated with: A. chlamydia B. gonorrhea C. endometriosis D. syphilis

B. gonorrhea

When documenting a call in which a famale was sexually assaulted, you should: A. translate the patient's words or statement using proper medical terminology B. keep the report concise and record only what the patient stated in her own words C. only use quotation marks when recording any statements made by witnesses D. record your opinion only if you have reasonable proof to justify the statement

B. keep the report concise and record only what the patient stated in her own words

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A. ask questions related to her gynecologic history B. maintain her ABCs and transport without delay C. keep assessment and treatment to a minimum D. determine the underlying cause of her problem

B. maintain her ABCs and transport without delay

if a patient with vaginal bleeding present with a rapid pulse and pale or cool skin, you should: A. attempt to locate the source of bleeding and correct it B. place the patient in a supine position with her legs elevated C. consider this to be a normal sign in a menstruating woman D. inquire about recent problems with urination

B. place the patient in a supine position with her legs elevated

When taking a history on a patient experiencing a gynecologic emergency, you should consider asking all of the following EXCEPT A. Are you taking birth control? B. When was your last menstrual period? C. How many sexual partners have you has in the past? D. Do you have any history of sexually transmitted diseases?

C. How many sexual partners have you has in the past?

Left untreated, ________ can lead to premature birth or low birth weight in pregnant women A. chlamydia B. gonorrhea C. bacterial vaginosis D. vaginal bleeding

C. bacterial vaginosis

Your _________ is the best tool to gain the patient's confidence to seek medical help. A. professionalism B. content knowledge C. compassion D. empathy

C. compassion

In rare cases, _____ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra.

Chlamydia

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A. thins and begins to seperate B. diverts blood flow to the vagina C. sheds and is expelled externally D. becomes engorged with blood

D. becomes engorged with blood

Whenever possible, a female sexual assault victim should be: A. asked to provide a bried description of the perpetrator B. encouraged to take a shower and change her clothes C. thoroughly assessed, even if no signs of injury exist D. given the option of being treated by a female EMT

D. given the option of being treated by a female EMT

When a women presents with abdominal pain or other vague symtoms, the EMT is often unable to determine the nature of the problem until he or she: A. ascertains if the patient was ever pregnant B. has formed a genreal impression of the patient C. has obtained a complete set of vital signs D. has gathered patient history information

D. has gathered patient history information

Rape is considered to be a ________________ diagnosis, not a medical diagnosis. A. psychological B surgical C. sociological D. lega

D. lega

The most common presenting sign of PID is: A. vaginal discharge B. fever C. nausea and vomiting D. lower abdominal pain

D. lower abdominal pain

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: A. can be controlled in the field B. is typically not as severe C. often presents with acute pain D. may be relatively painless

D. may be relatively painless

Possible causes of vaginal bleeding include all of the following EXCEPT: A. ectopic pregnancy B. cervical polyps C. vaginal trauma D. peptic ulcer

D. peptic ulcer

When performing a physical exam on a victim of sexual assault, you should: A. expose and evaluate the patient's vaginal area regardless of whether there is bleeding B. allow multiple people to observe the examination in case you have to testify C. limit your examination to a brief survey for life-threatening injuries D. place the patient's clothes into a paper bag

D. place the patient's clothes into a paper bag

____________ are two conditions that can cause a vaginal bleeding in women who do not appear to be pregnant and who may not realize they are pregnant.

Ectopic pregnancy; spontaneous abortion

___________ _________ can be very messy, sometimes involving large amounts of blood and bodily fluids.

Gynecological emergencies

Folds of tissue that surround the urethral and vaginal openings

Labia

The most common presenting sign of PID is:

Lower abdominal pain

__________ ___________ __________ is the most common gynecologic rason why women call for EMS.

Pelvic Inflammatory Disease (PID)

infection of the uterus, ovaries, and fallopian tubes

Pelvic inflammatory disease

If a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin color, you should>

Place the patient in a supine position with her legs elevated

When performing a physical exam on a victim of sexual assault, yo should:

Place the patient's clothes into a paper bag

EMTs treating a patient of sexual assault may not only be dealing with medical issues, but with _____ issues as well.

Psychological

__________ _____________ can cause significant blood loss and lead to hypovolemia.

Vaginal bleeding

Which of the following statements is FALSE regarding assessment and treatment of a woman who was the victim of sexual assault?

You should question the victim thoroughly about the assaulter in case the police missed any details

perineum

area of the skin between the vagina and the anus

Narrowest portion of the uterus; opens to the vagina

cervix

Gonorrhea

condition in which bacteria can grow and multiply rapidly in the reproductive tract, mouth, throat, eyes, and anus

gonorrhea

condition in which bacteria can grow and multiply rapidly in the reproductive tract, mouth, throat, eyes, and anus.

bacterial vaginosis

condition in which normal bacteria is replaced by an overgrowth of other bacterial forms

fallopen tubes

connects each ovary with the uterus

chlamydia

disease causing lower abdominal and back pain, nausea, fever, pain, during intercourse, and/or bleeding between menstrual cycles.

Make sure to use ____________ ____________ when attempting to control vaginal bleeding.

external pads

labia

folds of tissue that surrounds the urethral and vaginal openings

Symptoms of ____________ appear approximately 2 to 10 days after exposure.

gonorrhea

pelvic inflammatory disease (PID)

infection of the uterus, ovaries, and fallopian tubes

Women will continue to experience menstruation until they reach __________.

menopause

uterus

muscular organ where the fetus goes

cervix

narrowest portion of the uterus; opens to the vagina

Vagina

outermost cavity of a woman's reproductive system; forms the lower part of the birth canal

vagina

outermost cavity of the women reproductive system; forms the lower part of the birth canal

The _________ are located on each side of the lower abdomen and produce the ovum, or egg.

ovaries

Area of skin between the vagina and the anus

perineum

ovaries

produces an ovum, or a egg

When a female reaches ____________, she begins to ovulate and experience menstruation.

puberty