Chapter 21 - Gynecologic Emergencies

While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age. Select one: A. 11; 50 B. 10; 40 C. 20; 60 D. 10; 70

A. 11; 50

Which of the following statements regarding pelvic inflammatory disease (PID) is correct? Select one: A. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy. B. The most severe cases of PID occur in women who are not sexually active. C. The most common presenting symptom of PID is generalized upper abdominal pain. D. PID most commonly affects women who have had an ectopic pregnancy in the past.

A. 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: Select one: A. carefully removing any foreign bodies from the vagina. B. refraining from placing any dressings into the vagina. C. supplemental oxygen and lower extremity elevation. D. treating external lacerations with moist, sterile compresses.

A. carefully removing any foreign bodies from the vagina.

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

A. chlamydia

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

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

The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. Select one: A. labia majora; labia minora B. perineum; anus C. vagina; cervix D. fallopian tubes; uterus

A. labia majora; labia minora

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

A. ovarian abscess and ectopic pregnancy.

Some women experience ___________ during ovulation. Select one: A. slight cramping B. severe bleeding C. hypotension D. severe abdominal pain

A. slight cramping

The EMT should ensure that vaginal bleeding is _________. Select one: A. taken seriously and the patient is transported for gynecologic evaluation B. controlled directly by the patient C. severe enough to warrant transport D. not caused by traumatic injury

A. taken seriously and the patient is transported for gynecologic evaluation

The _____________ connect(s) each ovary with the uterus. Select one: A. cervix B. fallopian tubes C. abdomen D. egg

B. fallopian tubes

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

B. genital herpes

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

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

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: Select one: A. perform a limited hands-on assessment to detect life-threatening injuries. B. provide emotional support and visually assess her for obvious trauma. C. advise her that she cannot clean herself up because this will destroy evidence. 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: Select one: A. menstrual periods become less frequent. B. she is capable of becoming pregnant. C. she usually requires hormone therapy. D. she can no longer produce an ovum.

B. she is capable of becoming pregnant.

Some women experience ___________ during ovulation. Select one: A. severe bleeding B. slight cramping C. hypotension D. severe abdominal pain

B. slight cramping

Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Chlamydia B. Bacterial vaginosis C. Pelvic inflammatory disease D. Gonorrhea

C. Pelvic inflammatory disease

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: Select one: A. perform a visual assessment of her vaginal area. B. assess her blood pressure and elevate her legs. C. assist her ventilations with a bag-mask device. D. perform a rapid secondary assessment.

C. assist her ventilations with a bag-mask device.

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

C. becomes engorged with blood.

Causes of vaginal bleeding include which of the following? Select one: A. Ectopic pregnancy B. Vaginal trauma C. Spontaneous abortion D. All of the above

D. All of the above

During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? Select one: A. The amount of time since of the patent's last menstrual cycle B. The possibility that the patient may be pregnant C. If the patient is sexually active D. All of the above

D. All of the above

In cases of sexual assault, it is important to ensure that you do which of the following? Select one: A. Immediately write down your observations of the scene before assessing the patient. B. Call for a female EMT or ALS care provider. C. Discuss with law enforcement any suspicions that you may have about the perpetrator. D. All of the above

D. All of the above

Which of the following infections, when left untreated, may lead to infection of the blood and brain? Select one: A. Chlamydia B. Pelvic inflammatory disease C. Bacterial vaginosis D. Gonorrhea

D. Gonorrhea

Which of the following statements regarding gonorrhea is correct? Select one: A. Mild infections with gonorrhea cause abdominal pain, vomiting, and fever. B. Symptoms of gonorrhea usually appear within 3 months after being infected. C. Most men who are infected with gonorrhea do not experience symptoms. D. Painful urination is a common symptom of gonorrhea in men and women.

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

Which of the following statements regarding rape is correct? Select one: A. Only a licensed physician can make a diagnosis of rape. B. The EMT should try to determine if rape occurred. C. Rape causes more physical harm than emotional harm. D. Rape is a legal diagnosis, not a medical diagnosis.

D. Rape is a legal diagnosis, not a medical diagnosis.

A patient with pelvic inflammatory disease will typically complain of _________. Select one: A. bleeding associated with stress B. nausea and vomiting associated with intercourse C. aches and fever associated with urination D. abdominal pain associated with menstruation

D. abdominal pain associated with menstruation