Gynecologic Emergencies Ch.24 Hw

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? Question 9 Select one: A. Vaginal passage of blood clots B. A history of ectopic pregnancy C. Bright red blood in the urine D. A shuffling gait when walking

A shuffling gait when walking

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? Question 4 Select one: A. Chlamydia B. Ovarian cysts C. Ectopic pregnancy D. Genital herpes

Chlamydia

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? Question 3 Select one: A. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge B. Left lower quadrant pain, referred pain to the left shoulder, and fever C. Pain around the umbilicus, low-grade fever, and generalized weakness D. Upper abdominal cramping, severe headache, and heavy vaginal bleeding

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

Which of the following statements regarding pelvic inflammatory disease (PID) is correct? Question 7 Select one: A. PID most commonly affects women who have had an ectopic pregnancy in the past. B. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy. C. The most severe cases of PID occur in women who are not sexually active. D. The most common presenting symptom of PID is generalized upper abdominal pain.

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

Which of the following statements regarding gonorrhea is correct? Question 6 Select one: A. Symptoms of gonorrhea usually appear within 3 months after being infected. B. Mild infections with gonorrhea cause abdominal pain, vomiting, and fever. 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? Question 8 Select one: A. Only a licensed physician can make a diagnosis of rape. B. Rape is a legal term, not a medical diagnosis. C. The EMT should try to determine if rape occurred. D. Rape causes more physical than emotional harm.

Rape is a legal term, not a medical diagnosis.

Which of the following drugs is commonly referred to as "roofies"? Question 5 Select one: A. Ketamine B. MDMA C. Rohypnol D. GHB

Rohypnol

The onset of menstruation usually occurs in females who are: Question 14 Select one: A. between 25 and 28 years of age. B. between 8 and 10 years of age. C. between 18 and 23 years of age. D. between 11 and 16 years of age.

between 11 and 16 years of age.

It is common for young females who experience their first menstrual period to: Question 10 Select one: A. experience abdominal cramping, which may be misinterpreted. B. lose up to 500 mL of blood within the first 24 hours. C. have a false positive home pregnancy test result. D. become so emotionally distraught that they contemplate suicide.

experience abdominal cramping, which may be misinterpreted.

Whenever possible, a female sexual assault victim should be: Question 2 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.

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: Question 17 Select one: A. has obtained a complete set of vital signs. B. ascertains if the patient was ever pregnant. C. has gathered patient history information. D. has formed a general impression of the patient.

has gathered patient history information.

As a woman approaches menopause: Question 20 Select one: A. she cannot become pregnant because of fluctuating hormone levels. B. her menstrual periods may become irregular and vary in severity. C. she usually experiences abdominal cramping without vaginal bleeding. D. her risk of developing pelvic inflammatory disease lowers significantly.

her menstrual periods may become irregular and vary in severity.

When documenting a call in which a female was sexually assaulted, you should: Question 1 Select one: A. translate the patient's words or statements 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.

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: Question 15 Select one: A. deferred until the patient can be evaluated by a physician. B. performed in the presence of at least two police officers. C. as detailed as possible so all injuries can be documented. D. limited to a brief survey for life-threatening injuries.

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: Question 19 Select one: 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.

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: Question 13 Select one: A. bacterial vaginosis and chlamydia. B. ovarian cysts and gonorrhea. C. ovarian abscess and ectopic pregnancy. D. uterine rupture with severe bleeding.

ovarian abscess and ectopic pregnancy.

When caring for a female patient who has been sexually assaulted, you should: Question 18 Select one: A. advise her that she will not be allowed to shower or change her clothes. B. place any bloodstained clothing or other articles in separate paper bags. C. allow law enforcement to take her statement before you begin treatment. D. ask the patient for a concise, detailed report of what happened to her.

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: Question 11 Select one: A. defer any physical assessment so that you do not destroy potential evidence. B. ask her if there is anyone you can contact, such as a friend or relative. C. advise her that she cannot clean herself up because this will destroy evidence. D. provide emotional support and visually assess her for obvious trauma.

provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche: Question 16 Select one: A. menstrual periods become less frequent. B. she can no longer produce an ovum. C. she usually requires hormone therapy. D. she is capable of becoming pregnant.

she is capable of becoming pregnant.

Pelvic inflammatory disease (PID) typically does NOT affect the: Question 12 Select one: A. urinary bladder. B. fallopian tubes. C. ovaries. D. uterus.

urinary bladder.