EMTB CH 21 HW and Quiz Questions

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

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

Which of the following statements regarding gonorrhea is correct? a) Mild infections with gonorrhea cause abdominal pain, vomiting, and fever. b) Symptoms of gonorrhea usually appear within 3 months after being infected. c) Painful urination is a common symptom of gonorrhea in men and women. d) Most men who are infected with gonorrhea do not experience symptoms.

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

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

Rape is a legal diagnosis, not a medical diagnosis.

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 PID? a) a history of ectopic pregnancy b) a shuffling gait when walking c) bright red blood in the urine d) vaginal passage of blood clots

a shuffling gait when walking

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: a) administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. b) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. c) administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. d) assist her ventilations with a bag-mask device, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport.

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

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: a) perform a rapid secondary assessment. b) perform a visual assessment of her vaginal area. c) assess her blood pressure and elevate her legs. d) assist her ventilations with a bag-mask device.

assist her ventilations with a bag-mask device.

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

becomes engorged with blood.

The onset of menstruation is called menarche and usually occurs in women who are: a) between 25 and 35 years of age. b) between 12 and 14 years of age. c) between 45 and 50 years of age. d) between 11 and 16 years of age.

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: a) refraining from placing any dressings into the vagina. b) treating external lacerations with moist, sterile compresses. c) carefully removing any foreign bodies from the vagina. d) supplemental oxygen and lower extremity elevation.

carefully removing any foreign bodies from the vagina.

Which of the following conditions would MOST likely lead to PID if left untreated? a) genital herpes b) ovarian cysts c) ectopic pregnancy d) chlamydia

chlamydia

It is not uncommon for young females who experience their first menstrual period to: a) experience abdominal cramping, which may be misinterpreted. b) become so emotionally distraught that they contemplate suicide. c) have a falsely positive home pregnancy test result. d) lose up to 500 mL of blood within the first 24 hours.

experience abdominal cramping, which may be misinterpreted.

Each ovary produces an ovum in alternating months and releases it into the: a) fallopian tube. b) vagina. c) cervix. d) uterus.

fallopian tube.

Which of the following conditions does NOT typically present with vaginal discharge? a) PID b) genital herpes c) chlamydia d) gonorrhea

genital herpes

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

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: a) has obtained a complete set of vital signs. b) has gathered patient history information. c) ascertains if the patient was ever pregnant. d) has formed a general impression of the patient.

has gathered patient history information.

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

her menstrual periods may become irregular and vary in severity.

If a woman with vaginal bleeding reports syncope, the EMT must assume that she: a) is pregnant. b) has an infection. c) is in shock. d) has an ectopic pregnancy.

is in shock.

When documenting a call in which a female was sexually assaulted, you should: a) 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. c) only use quotation marks when recording any statements made by witnesses. d) translate the patient's words or statements using proper medical terminology.

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: a) deferred until the patient can be evaluated by a physician. b) as detailed as possible so all injuries can be documented. c) performed in the presence of at least two police officers. d) limited to a brief survey for life-threatening injuries.

limited to a brief survey for life-threatening injuries.

Which of the following clinical presentations is MOST consistent with PID? a) left lower quadrant pain, referred pain to the left shoulder, and fever b) upper abdominal cramping, severe headache, and heavy vaginal bleeding c) lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge d) pain around the umbilicus, low-grade fever, and generalized weakness

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

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

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: a) may be relatively painless. b) is typically not as severe. c) can be controlled in the field. d) often presents with acute pain.

may be relatively painless.

Bacterial vaginosis is a condition that occurs when: a) normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms. b) numerous bacteria enter the uterus through the cervix and cause severe tissue damage. c) abnormal bacteria enter the vagina and cause damage without causing any symptoms. d) harmful bacteria infect and cause damage to the uterus, cervix, and fallopian tubes.

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

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

ovarian abscess and ectopic pregnancy.

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: a) advise her that she cannot clean herself up because this will destroy evidence. b) perform a limited hands-on assessment to detect life-threatening injuries. c) provide emotional support and visually assess her for obvious trauma. d) ask her if there is anyone you can contact, such as a friend or relative.

provide emotional support and visually assess her for obvious trauma.

PID typically does NOT affect the: a) ovaries. b) uterus. c) fallopian tubes. d) urinary bladder.

urinary bladder.