EMS Chapter 23 Gynecologic Emergencies

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

A. chlamydia

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.

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 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.

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

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.

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.

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT: A. supplemental oxygen and lower extremity elevation. B. refraining from placing any dressings into the vagina. C. carefully removing any foreign bodies from the vagina. D. treating external lacerations with moist, sterile compresses.

C. carefully removing any foreign bodies from the vagina.

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

C. genital herpes

Which of the following clinical presentations is MOST consistent with PID? 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

D. lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

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?

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:

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

The physical examination of a sexual assault victim should be:

limited to a brief survey for life-threatening injuries.

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.

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

becomes engorged with blood.

The onset of menstruation is called menarche and usually occurs in women who are:

between 11 and 16 years of age

It is not uncommon for young females who experience their first menstrual period to:

experience abdominal cramping, which may be misinterpreted.

Whenever possible, a female sexual assault victim should be:

given the option of being treated by a female EMT.

s a woman approaches menopause:

her menstrual periods may become irregular and vary in severity.

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

is in shock.

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

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

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.

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

may be relatively painless.

Potentially life-threatening consequences of PID include:

ovarian abscess and ectopic pregnancy

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

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:

provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche:

she is capable of becoming pregnant.