ems chapter 23

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

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:

assist her ventilations with a BVM

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:

the patient was given a drug prior to the incident.

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I cannot remember anything, but I know I was raped." The EMTs should suspect that:

fallopian tube

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

carefully removing any foreign bodies from the vagina

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:

is in shock

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

becomes engorged with blood

In anticipation of receiving a fertilized ovum, the lining of the uterine wall:

may be relatively painless

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:

experience abdominal cramping, which may be misinterpreted.

It is common for young females who experience their first menstrual period to:

provide emotional support and visually assess her for obvious trauma.

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:

urinary bladder

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

between 11 and 16 years of age

The onset of menstruation usually occurs in women who are:

she is capable of becoming pregnant.

When a female has reached menarche:

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:

place any bloodstained clothing or other articles in separate paper bags

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

maintain her ABCs and transport without delay

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:

keep the report concise and record only what the patient stated in her own words.

When documenting a call in which a female was sexually assaulted, you should:

given the option of being treated by a female EMT.

Whenever possible, a female sexual assault victim should be:

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

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)?

chlamydia

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

rohypnol

Which of the following drugs is commonly referred to as "roofies"?

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

Which of the following statements regarding gonorrhea is correct?

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

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

a shuffling gait when walking

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?