CH 24 Gynecologic emergencies

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

A) Chlamydia

3. 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 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.

12. The physical examination of a sexual assault victim should be: 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.

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

B) is in shock.

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

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

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

5. Which of the following statements regarding rape is correct? 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.

B) Rape is a legal diagnosis, not a medical diagnosis.

15. 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) assist her ventilations with a bag-mask device. C) assess her blood pressure and elevate her legs. D) perform a visual assessment of her vaginal area.

B) assist her ventilations with a bag-mask device.

7. The _____________ connect(s) each ovary with the uterus. A) egg B) fallopian tubes C) abdomen D) cervix

B) fallopian tubes

9. 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, 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-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, 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.

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

C) genital herpes

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

C) urinary bladder.

8. Causes of vaginal bleeding include which of the following? A) Ectopic pregnancy B) Vaginal trauma C) Spontaneous abortion D) All of these answers are correct.

D) All of these answers are correct.

6. The most common presenting sign of pelvic inflammatory disease is: A) vaginal discharge. B) fever. C) nausea and vomiting. D) lower abdominal pain.

D) lower abdominal pain.

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