EMS Chapter 24 - Gynecologic Emergencies

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: Select one: a.may be relatively painless. b.is typically not as severe. c.can be controlled in the field. d.often presents with acute pain.

a. may be relatively painless.

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? Select one: a.Chlamydia b.Ovarian cysts c.Genital herpes d.Ectopic pregnancy

a.Chlamydia

Each ovary produces an ovum in alternating months and releases it into the: Select one: a.vagina. b.uterus. c.cervical os. d.fallopian tube.

d.fallopian tube.

Whenever possible, a female sexual assault victim should be: Select one: a.given the option of being treated by a female EMT. b.encouraged to take a shower and change her clothes. c.thoroughly assessed, even if no signs of injury exist. d.asked to provide a brief description of the perpetrator.

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

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she: Select one: a.has gathered patient history information. b.has obtained a complete set of vital signs. c.ascertains if the patient was ever pregnant. d.has formed a general impression of the patient.

a.has gathered patient history information.

As a woman approaches menopause: Select one: a.her menstrual periods may become irregular and vary in severity. b.she cannot become pregnant because of fluctuating hormone levels. c.she usually experiences abdominal cramping without vaginal bleeding. d.her risk of developing pelvic inflammatory disease lowers significantly.

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

The physical examination of a sexual assault victim should be: Select one: a.limited to a brief survey for life-threatening injuries. b.performed in the presence of at least two police officers. c.as detailed as possible so all injuries can be documented. d.deferred until the patient can be evaluated by a physician.

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

When a female has reached menarche: Select one: a.she is capable of becoming pregnant. b.she can no longer produce an ovum. c.she usually requires hormone therapy. d.menstrual periods become less frequent.

a.she is capable of becoming pregnant.

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

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

Which of the following statements regarding rape is correct? Select one: a.The EMT should try to determine if rape occurred. b.Rape is a legal term, not a medical diagnosis. c.Rape causes more physical than emotional harm. d.Only a licensed physician can make a diagnosis of rape.

b.Rape is a legal term, not a medical diagnosis.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: a.thins and begins to separate. b.becomes engorged with blood. c.diverts blood flow to the vagina. d.sheds and is expelled externally.

b.becomes engorged with blood.

The onset of menstruation usually occurs in females who are: Select one: a.between 8 and 10 years of age. b.between 11 and 16 years of age. c.between 18 and 23 years of age. d.between 25 and 28 years of age.

b.between 11 and 16 years of age.

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT: Select one: a.supplemental oxygen and keeping the patient supine. b.refraining from placing any dressings into the vagina. c.carefully removing any foreign bodies from the vagina. d.treating external lacerations with sterile compresses.

c.carefully removing any foreign bodies from the vagina.

It is common for young females who experience their first menstrual period to: Select one: a.have a false positive home pregnancy test result. b.lose up to 500 mL of blood within the first 24 hours. c.experience abdominal cramping, which may be misinterpreted. d.become so emotionally distraught that they contemplate suicide.

c.experience abdominal cramping, which may be misinterpreted.

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

c.maintain her ABCs and transport without delay.

Pelvic inflammatory disease (PID) typically does NOT affect the: Select one: a.uterus. b.ovaries. c.urinary bladder. d.fallopian tubes.

c.urinary bladder.

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

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

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: Select one: a.ovarian cysts and gonorrhea. b.bacterial vaginosis and chlamydia. c.uterine rupture with severe bleeding. d.ovarian abscess and ectopic pregnancy.

d. ovarian abscess and ectopic pregnancy.

When caring for a female patient who has been sexually assaulted, you should: Select one: a.ask the patient for a concise, detailed report of what happened to her. b.allow law enforcement to take her statement before you begin treatment. c.advise her that she will not be allowed to shower or change her clothes. d.place any bloodstained clothing or other articles in separate paper bags.

d.place any bloodstained clothing or other articles in separate paper bags.

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I can't remember anything, but I know I was raped." The EMTs should suspect that: Select one: a.the patient was given a drug prior to the incident. b.the patient knew her attacker, but is afraid to say. c.an underlying head injury is causing her amnesia. d.the traumatic experience has created a mental block.

d.the traumatic experience has created a mental block.