Emt Ch 23 Gynecologic Emergencies
The correct answer is: administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
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: Select one: A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. 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, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. D. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport.
The correct answer is: abdominal pain associated with menstruation
A patient with pelvic inflammatory disease will typically complain of _________. Select one: A. abdominal pain associated with menstruation B. aches and fever associated with urination C. nausea and vomiting associated with intercourse D. bleeding associated with stress
The correct answer is: normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.
Bacterial vaginosis is a condition that occurs when: Select one: A. numerous bacteria enter the uterus through the cervix and cause severe tissue damage. B. normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms. C. harmful bacteria infect and cause damage to the uterus, cervix, and fallopian tubes. D. abnormal bacteria enter the vagina and cause damage without causing any symptoms.
The correct answer is: All of these answers are correct.
Causes of vaginal bleeding include which of the following? Select one: A. Ectopic pregnancy B. Vaginal trauma C. Spontaneous abortion D. All of these answers are correct.
The correct answer is: All of these answers are correct.
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 these answers are correct.
The correct answer is: fallopian tube.
Each ovary produces an ovum in alternating months and releases it into the: Select one: A. vagina. B. uterus. C. fallopian tube. D. cervix.
The correct answer is: is in shock.
If a woman with vaginal bleeding reports syncope, the EMT should assume that she: Select one: A. has an ectopic pregnancy. B. is in shock. C. is pregnant. D. has an infection.
The correct answer is: becomes engorged with blood.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: A. diverts blood flow to the vagina. B. becomes engorged with blood. C. sheds and is expelled externally. D. thins and begins to separate.
The correct answer is: All of these answers are correct.
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 these answers are correct.
The correct answer is: may be relatively painless.
In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: Select one: A. often presents with acute pain. B. may be relatively painless. C. can be controlled in the field. D. is typically not as severe.
The correct answer is: experience abdominal cramping, which may be misinterpreted.
It is common for young females who experience their first menstrual period to: Select one: A. lose up to 500 mL of blood within the first 24 hours. B. have a false positive home pregnancy test result. C. become so emotionally distraught that they contemplate suicide. D. experience abdominal cramping, which may be misinterpreted.
The correct answer is: provide emotional support and visually assess her for obvious trauma.
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. ask her if there is anyone you can contact, such as a friend or relative. B. advise her that she cannot clean herself up because this will destroy evidence. C. provide emotional support and visually assess her for obvious trauma. D. perform a limited hands-on assessment to detect life-threatening injuries.
The correct answer is: Pelvic inflammatory disease
Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Gonorrhea B. Chlamydia C. Pelvic inflammatory disease D. Bacterial vaginosis
The correct answer is: urinary bladder.
Pelvic inflammatory disease (PID) typically does NOT affect the: Select one: A. uterus. B. ovaries. C. urinary bladder. D. fallopian tubes.
The correct answer is: slight cramping
Some women experience ___________ during ovulation. Select one: A. hypotension B. severe abdominal pain C. severe bleeding D. slight cramping
The correct answer is: taken seriously and the patient is transported for gynecologic evaluation
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. not caused by traumatic injury D. severe enough to warrant transport
The correct answer is: labia majora; labia minora
The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. Select one: A. fallopian tubes; uterus B. perineum; anus C. labia majora; labia minora D. vagina; cervix
The correct answer is: fallopian tubes
The _____________ connect(s) each ovary with the uterus. Select one: A. cervix B. abdomen C. fallopian tubes D. egg
The correct answer is: between 11 and 16 years of age.
The onset of menstruation usually occurs in women who are: Select one: A. between 25 and 28 years of age. B. between 18 and 23 years of age. C. between 8 and 10 years of age. D. between 11 and 16 years of age.
The correct answer is: limited to a brief survey for life-threatening injuries.
The physical examination of a sexual assault victim should be: Select one: A. performed in the presence of at least two police officers. B. deferred until the patient can be evaluated by a physician. C. as detailed as possible so all injuries can be documented. D. limited to a brief survey for life-threatening injuries.
The correct answer is: has gathered patient history information.
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: Select one: A. has formed a general impression of the patient. B. ascertains if the patient was ever pregnant. C. has gathered patient history information. D. has obtained a complete set of vital signs.
The correct answer is: place any bloodstained clothing or other articles in separate paper bags.
When caring for a female patient who has been sexually assaulted, you should: Select one: 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. advise her that she will not be allowed to shower or change her clothes. D. place any bloodstained clothing or other articles in separate paper bags.
The correct answer is: maintain her ABCs and transport without delay.
When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: Select one: A. keep assessment and treatment to a minimum. B. determine the underlying cause of her problem. C. maintain her ABCs and transport without delay. D. ask questions related to her gynecologic history.
The correct answer is: given the option of being treated by a female EMT.
Whenever possible, a female sexual assault victim should be: Select one: A. encouraged to take a shower and change her clothes. B. given the option of being treated by a female EMT. C. thoroughly assessed, even if no signs of injury exist. D. asked to provide a brief description of the perpetrator.
The correct answer is: Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge
Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? Select one: A. Upper abdominal cramping, severe headache, and heavy vaginal bleeding B. Left lower quadrant pain, referred pain to the left shoulder, and fever C. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge D. Pain around the umbilicus, low-grade fever, and generalized weakness
The correct answer is: Chlamydia
Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? Select one: A. Ovarian cysts B. Genital herpes C. Chlamydia D. Ectopic pregnancy
The correct answer is: Rohypnol
Which of the following drugs is commonly referred to as "roofies"? Select one: A. MDMA B. GHB C. Ketamine D. Rohypnol
The correct answer is: Gonorrhea
Which of the following infections, when left untreated, may lead to infection of the blood and brain? Select one: A. Bacterial vaginosis B. Pelvic inflammatory disease C. Chlamydia D. Gonorrhea
The correct answer is: Painful urination is a common symptom of gonorrhea in both men and women.
Which of the following statements regarding gonorrhea is correct? Select one: A. Symptoms of gonorrhea usually appear within 3 months of being infected. B. Painful urination is a common symptom of gonorrhea in both men and women. C. Mild infections with gonorrhea cause abdominal pain, vomiting, and fever. D. Most men who are infected with gonorrhea do not experience symptoms.
The correct answer is: Rape is a legal diagnosis, not a medical diagnosis.
Which of the following statements regarding rape is correct? Select one: A. Rape causes more physical harm than emotional harm. B. Only a licensed physician can make a diagnosis of rape. C. The EMT should try to determine if rape occurred. D. Rape is a legal diagnosis, not a medical diagnosis.
The correct answer is: 11; 50
While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age. Select one: A. 11; 50 B. 20; 60 C. 10; 40 D. 10; 70
