EMT Chapter 21 Quiz

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

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

Which of the following statements regarding rape is correct? Choose one answer. A. The EMT should try to determine if rape occurred. B. Rape is a legal diagnosis, not a medical diagnosis. C. Rape causes more physical harm than emotional harm. D. Only a licensed physician can make a diagnosis of rape.

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? Choose one answer. A. a shuffling gait when walking B. bright red blood in the urine C. a history of ectopic pregnancy 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: Choose one answer. A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. 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.

The onset of menstruation is called menarche and usually occurs in women who are: Choose one answer. A. between 12 and 14 years of age. B. between 11 and 16 years of age. C. between 25 and 35 years of age. D. between 45 and 50 years of age.

between 11 and 16 years of age.

Which of the following conditions would MOST likely lead to PID if left untreated? Choose one answer. A. chlamydia B. ovarian cysts C. genital herpes D. ectopic pregnancy

chlamydia

It is not uncommon for young females who experience their first menstrual period to: Choose one answer. A. have a falsely 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.

experience abdominal cramping, which may be misinterpreted.

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

fallopian tube.

Which of the following conditions does NOT typically present with vaginal discharge? Choose one answer. A. chlamydia B. gonorrhea C. genital herpes D. PID

genital herpes

Whenever possible, a female sexual assault victim should be: Choose one answer. 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: Choose one answer. 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.

has gathered patient history information.

If a woman with vaginal bleeding reports syncope, the EMT must assume that she: Choose one answer. A. is pregnant. B. is in shock. C. has an infection. D. has an ectopic pregnancy.

is in shock.

When documenting a call in which a female was sexually assaulted, you should: Choose one answer. 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.

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: Choose one answer. 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.

limited to a brief survey for life-threatening injuries.

Which of the following clinical presentations is MOST consistent with PID? Choose one answer. A. left lower quadrant pain, referred pain to the left shoulder, and fever B. pain around the umbilicus, low-grade fever, and generalized weakness C. upper abdominal cramping, severe headache, and heavy vaginal bleeding D. lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

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: Choose one answer. 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.

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: Choose one answer. 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.

Potentially life-threatening consequences of PID include: Choose one answer. A. ovarian cysts and gonorrhea. B. bacterial vaginosis and chlamydia. C. uterine rupture with severe bleeding. D. ovarian abscess and ectopic pregnancy.

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

provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche: Choose one answer. 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.

she is capable of becoming pregnant.