EMT Ch. 23 Quiz *

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, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. B. 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, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. D. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport.

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

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. ascertains if the patient was ever pregnant. C. has obtained a complete set of vital signs. D. has formed a general impression of the patient.

A. has gathered patient history information.

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. deferred until the patient can be evaluated by a physician. D. as detailed as possible so all injuries can be documented.

A. limited to a brief survey for life-threatening injuries.

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A. maintain her ABCs and transport without delay. B. determine the underlying cause of her problem. C. ask questions related to her gynecologic history. D. keep assessment and treatment to a minimum.

A. maintain her ABCs and transport without delay.

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: A. the patient was given a drug prior to the incident. B. the traumatic experience has created a mental block. C. an underlying head injury is causing her amnesia. D. the patient knew her attacker, but is afraid to say.

A. the patient was given a drug prior to the incident.

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

A. urinary bladder.

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? A. Vaginal passage of blood clots B. A shuffling gait when walking C. Bright red blood in the urine D. A history of ectopic pregnancy

B. A shuffling gait when walking

When documenting a call in which a female was sexually assaulted, you should: A. record your opinion only if you have reasonable proof to justify the statement. B. keep the report concise and record only what the patient stated in her own words. C. only use quotation marks when recording any statements made by witnesses. D. translate the patient's words or statements using proper medical terminology.

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

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

B. provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche: A. menstrual periods become less frequent. B. she is capable of becoming pregnant. C. she can no longer produce an ovum. D. she usually requires hormone therapy.

B. she is capable of becoming pregnant.

Which of the following drugs is commonly referred to as "roofies"? A. GHB B. Ketamine C. Rohypnol D. MDMA

C. Rohypnol

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A. thins and begins to separate. B. sheds and is expelled externally. C. becomes engorged with blood. D. diverts blood flow to the vagina.

C. becomes engorged with blood.

Whenever possible, a female sexual assault victim should be: A. encouraged to take a shower and change her clothes. B. asked to provide a brief description of the perpetrator. C. given the option of being treated by a female EMT. D. thoroughly assessed, even if no signs of injury exist.

C. given the option of being treated by a female EMT.

As a woman approaches menopause: A. she usually experiences abdominal cramping without vaginal bleeding. B. her risk of developing pelvic inflammatory disease lowers significantly. C. her menstrual periods may become irregular and vary in severity. D. she cannot become pregnant because of fluctuating hormone levels.

C. her menstrual periods may become irregular and vary in severity.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: A. can be controlled in the field. B. is typically not as severe. C. may be relatively painless. D. often presents with acute pain.

C. may be relatively painless.

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: A. bacterial vaginosis and chlamydia. B. uterine rupture with severe bleeding. C. ovarian abscess and ectopic pregnancy. D. ovarian cysts and gonorrhea.

C. ovarian abscess and ectopic pregnancy.

When caring for a female patient who has been sexually assaulted, you should: A. allow law enforcement to take her statement before you begin treatment. B. ask the patient for a concise, detailed report of what happened to her. C. place any bloodstained clothing or other articles in separate paper bags. D. advise her that she will not be allowed to shower or change her clothes.

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

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

D. Chlamydia

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? A. Upper abdominal cramping, severe headache, and heavy vaginal bleeding B. Left lower quadrant pain, referred pain to the left shoulder, and fever C. Pain around the umbilicus, low-grade fever, and generalized weakness D. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

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

It is common for young females who experience their first menstrual period to: A. lose up to 500 mL of blood within the first 24 hours. B. become so emotionally distraught that they contemplate suicide. C. have a false positive home pregnancy test result. D. experience abdominal cramping, which may be misinterpreted.

D. experience abdominal cramping, which may be misinterpreted.