Chapter 23 (Gynecologic Emergencies)

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

Is in shock

The most common presenting sign of pelvic inflammatory disease is:

Lower abdominal pain

What is the most common presenting sign of PID

Lower abdominal pain

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

what is the narrowest portion of the uterus?

Cervix

The onset of menstruation is called:

Menarche

Produces an ovum, or an egg

Ovaries

statement regarding gonorrhea

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

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 bag-mask device

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

urinary bladder

If fertilization has not occurred within about ________ days following ovulation, the lining of the uterus begins to seperate and menstruation occurs

14

Left untreated, _____ can lead to premature birth or low birth weight in pregnant women.

Bacterial vaginosis

Narrowest portions of the uterus; opens to the vagina

Cervix

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

Chlamydia

Causes of vaginal bleeding include which of the following?

Ectopic pregnancy, Vaginal trauma, and Spontaneous abortion

Which of the following can cause vaginal bleeding?

Ectopic pregnancy, spontaneous abortion, and trauma

Connects each ovary with the uterus

Fallopian tubes

Painful urination associated with burning and a yellowish discharge is associated with:

Gonorrhea

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 both men and women.

statement regarding rape

Rape is a legal diagnosis, not a medical diagnosis

Which of the following statements regarding rape is correct?

Rape is a legal diagnosis, not a medical diagnosis.

What drug commonly used to facilitate sexual assault?

Rohypnol

What is the EMTs first priority when dealing with a patient experiencing excessive vaginal bleeding?

Treat the patient for shock and transport

You should discourage a rape or sexual assault victim from:

Urinating, cleaning herself, and changing clothes

When obtaining a SAMPLE history the following pieces of information is important to obtain?

Use of birth control device, birth control pills, date of the patients last menstrual period, and the possibility of pregnancy

Muscular organs where the fetus grows

Uterus

Outer most cavity of a woman's reproductive system; forms the lower part of the birth canal

Vagina

What is the outermost cavity of a womans reproductive system?

Vagina

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.

The onset of menstruation usually occurs in women who are:

between 11 and 16 years of age.

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

fallopian tube

The _____________ connect(s) each ovary with the uterus.

fallopian tubes

Which of the following conditions does NOT typically present with vaginal discharge?

genital herpes

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

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

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

is in shock

The physical examination of a sexual assault victim should be:

limited to a brief survey for life-threatening injuries.

The most common presenting sign of pelvic inflammatory disease is:

lower abdominal pain.

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.

Bacterial vaginosis is a condition that occurs when:

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

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

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