EMT Chapter 23: Gynecologic Emergencies

What is the most common presenting sign or symptom of PID?

Lower abdominal pain (and PID Shuffle)

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

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

urinary bladder

The onset of menstruation usually occurs between the ages of:

11 and 16 years

What does the "PID Shuffle" refer to?

A distinctive gait when the patient walks

________ pregnancy and spontaneous abortion are two conditions that can cause vaginal bleeding in women who do not appear to be pregnant and who may not realize they are pregnant.

Ectopic

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

Gonorrhea

When taking a history on a patient experiencing a gynecologic emergency, you should consider asking all the following EXCEPT:

How many sexual partners have you had in the past?

Which of the following statements regarding gonorrhea is correct?

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

_________can cause significant blood loss and lead to hypovolemia.

Vaginal bleeding

Which of the following statements is FALSE regarding assessment and treatment of a woman who was the victim of sexual assault

You should question the victim thoroughly about the assaulter in case the police missed any details

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

bacterial vaginosis

In rare cases, ____ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra

chlamydia

Often the most important intervention for a sexual assault patient is to _______ and transport to a facility with a staff specially trained to deal with this scenario.

comforting reassurance

Your _____ is the best tool to gain the patient's confidence to seek medical help.

compassion

Make sure to use ___________ when attempting to control vaginal bleeding

external pads

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

fallopian tubes

The patient tells you she would really like to be transported to the hospital but refuses a physical examination. You should:

follow your system's refusal of treatment policy and respect the patient's wishes without judgment

You are called to the scene of a possible assault. Upon arrival, you are directed by police to a dark room where you find a 22-year-old woman who says she was sexually assaulted by a coworker this afternoon. The patient tells you that she would really like to be transported to the hospital but refuses a physical examination. You should:

follow your system's refusal of treatment policy and respect the patient's wishes without judgment.

Whenever possible, a female sexual assault victim should be:

given the option of being treated by a female EMT.

Symptoms of ______ appear approximately 2 to 10 days after exposure.

gonorrhea

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

Rape is considered a _____ diagnosis, not a medical diagnosis

legal

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.

Possible causes of vaginal bleeding include all the following EXCEPT

peptic ulcer

If a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin, you should:

place the patient in a supine position with her legs elevated.

When performing a physical exam on a victim of sexual assault, you should:

place the patient's clothing into a paper bag.

EMTS treating a patient of a sexual assault may not only be dealing with medical issues but with _______ as well

psychological