Emergency Care and Transportation of the Sick and Injured 12th Edition - Chapter 24: Gynecologic Emergencies
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. What would increase your index of suspicion for pelvic inflammatory disease?
A shuffling gait when walking.
What is the narrowest portion of the uterus?
Cervix
A 24-year-old woman complains of an ache in her abdomen that gets worse when she walks. She has a fever and chills and tells you that it burns when she urinates. What should you suspect?
Pelvic inflammatory disease.
____________ is a legal term, not a medical diagnosis.
Rape
What is the outermost cavity of a woman's reproductive system?
Vagina
A 26-year-old female presents with heavy vaginal bleeding. Shi 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.
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 usually occurs in females who are:
between 11 and 16 years of age.
The lower third, or neck, of the uterus.
cervix
A sexually transmitted disease caused by the bacterium Chlamydia trachomatis.
chlamydia
It is common for young females who experience their first menstrual period to:
experience abdominal cramping, which may be misinterpreted.
Each ovary produces an ovum in alternating months and releases it into the:
fallopian tube.
The tubes that connect each ovary with the uterus and are the primary location for fertilization of the ovum.
fallopian tubes
Whenever possible, a female sexual assault victim should be:
given the option of being treated by a female EMT.
A sexually transmitted disease caused by Neisseria gonorrhoeae.
gonorrhea
Painful urination is a common symptom of ____________ in men and women.
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.
As a woman approaches menopause:
her menstrual periods may become irregular and vary in severity.
If a woman with vaginal bleeding reports syncope, the EMT should 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.
Outer fleshy "lips" covered with pubic hair that protect the vagina.
labia majora
Inner fleshy "lips" devoid of pubic hair that protect the vagina.
labia minora
`The physical examination of a sexual assault victim should be:
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:
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.
Bacterial vaginosis is a condition that occurs when:
normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.
Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:
ovarian abscess and ectopic pregnancy.
The primary female reproductive organs that produce an ovum, or egg, that, if fertilized, will develop into a fetus.
ovaries
The process in which an ovum is released from a follicle.
ovulation
An infection of the fallopian tubes and the surrounding tissues of the pelvis.
pelvic inflammatory disease
Chlamydia, if left untreated, would likely lead to:
pelvic inflammatory disease (PID).
Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge are signs of:
pelvic inflammatory disease (PID).
The area of the skin between the vagina and the anus.
perineum
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.
Rohypnol is commonly referred to as a:
roofie.
PID can ____________ the fallopian tubes, which increases the risk of a(n) ____________ pregnancy.
scar ectopic
When a female has reached menarche:
she is capable of becoming pregnant.
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 can't remember anything, but I know I was raped." The EMTs should suspect that:
the patient was given a drug prior to the incident.
General treatment for a woman with vaginal bleeding and shock following sexual assault includes:
treating external lacerations with sterile compresses, refraining from placing any dressings into the vagina, and supplemental oxygen and keeping the patient supine.
Pelvic inflammatory disease (PID) typically does NOT affect the:
urinary bladder.
The muscular organ where the fetus grows; also called the womb; responsible for contractions during labor.
uterus
The outermost cavity of a woman's reproductive tract; the lower part of the birth canal.
vagina
