EMT chapter 23

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease?

A shuffling gait when walking

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated?

Chlamydia

During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should:

assist her ventilations with a BVM.

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)?

Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

Which of the following statements regarding pelvic inflammatory disease (PID) is correct?

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

Which of the following statements regarding gonorrhea is correct?

Painful urination is a common symptom of gonorrhea in men and women.

Which of the following statements regarding rape is correct?

Rape is a legal diagnosis, not a medical diagnosis.

Which of the following drugs is commonly referred to as "roofies"?

Rohypnol

It is common for young females who experience their first menstrual period to:

experience abdominal cramping, which may be misinterpreted

A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:

administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall:

becomes engorged with blood.

The onset of menstruation usually occurs in women who are:

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:

carefully removing any foreign bodies from the vagina.

Each ovary produces an ovum in alternating months and releases it into the:

fallopian tube.

Whenever possible, a female sexual assault victim should be:

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:

has gathered patient history information.

As a woman approaches menopause:

her menstrual periods may become irregular and vary in severity.

If a woman with vaginal bleeding reports syncope, the EMT should assume that she:

is in shock.

When documenting a call in which a female was sexually assaulted, you should:

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

The physical examination of a sexual assault victim should be:

limited to a brief survey for life-threatening injuries

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:

maintain her ABCs and transport without delay

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:

maintain her ABCs and transport without delay.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:

may be relatively painless.

Bacterial vaginosis is a condition that occurs when:

normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:

ovarian abscess and ectopic pregnancy.

When caring for a female patient who has been sexually assaulted, you should:

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

Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should:

provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche:

she is capable of becoming pregnant.

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 cannot remember anything, but I know I was raped." The EMTs should suspect that:

the patient was given a drug prior to the incident.

Pelvic inflammatory disease (PID) typically does NOT affect the:

urinary bladder