Biloxi EMT CH 24 Gynecological Emergencies Flashcards

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1
Q

Possible causes of vaginal bleeding include all of the following EXCEPT:

a. ectopic pregnancy
b. cervical polyps
c. vaginal trauma
d. peptic ulcer

A

d. peptic ulcer

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2
Q

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

a. chlamydia
b. gonorrhea
c. endometriosis
d. syphilis

A

b. gonorrhea

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3
Q

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

a. You may be called to testify in court regarding the incident.
b. You should question the victim thoroughly about the assaulter in case the police missed any details.
c. The patient should be given the option of being treated by a female responder.
d. The patient should be discouraged from urinating or changing her clothes prior to examination at the hospital.

A

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

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4
Q

The onset of menstruation usually occurs between the ages of:

a. 8 and 10 years
b. 11 and 16 years
c. 16 and 18 years
d. 17 and 20 years

A

b. 11 and 16 years

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5
Q

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

a. Vaginal discharge
b. Fever
c. Nausea and vomiting
d. Lower abdominal pain

A

d. Lower abdominal pain

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6
Q

In rare cases, ___________ causes arthritis that may be accompanied by skin lesions and inflammation of the eyes and urethra.

a. chlamydia
b. gonorrhea
c. bacterial vaginosis
d. vaginal bleeding

A

a. chlamydia

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7
Q

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

a. chlamydia
b. gonorrhea
c. bacterial vaginosis
d. vaginal bleeding

A

c. bacterial vaginosis

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8
Q

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

a. attempt to locate the source of bleeding and correct it
b. place the patient in a supine position
c. consider this to be a normal sign in a menstruating woman
d. inquire about recent problems with urination

A

b. place the patient in a supine position

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9
Q

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

a. Are you taking birth control?
b. When was your last menstrual period?
c. How many sexual partners have you had in the past?
d. Do you have any history of sexually transmitted diseases?

A

c. How many sexual partners have you had in the past?

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10
Q

A shuffling gait with diffuse lower abdominal pain may indicate which of the following conditions?

a. Pelvic inflammatory disease
b. Bacterial vaginosis
c. Chlamydia
d. Gonorrhea

A

a. Pelvic inflammatory disease

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11
Q

EMTs treating a victim of a sexual assault may not only be dealing with medical issues but with ________ issues as well.

a. psychological
b. physiological
c. educational
d. sociological

A

a. psychological

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12
Q

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

a. always expose and evaluate the patient’s vaginal area into
b. allow multiple people to observe the examination in case you have to testify
c. limit your examination to a brief survey for life-threatening injuries
d. place the patient’s clothes into a plastic evidence bag

A

c. limit your examination to a brief survey for life-threatening injuries

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13
Q

Rape is considered to be a _________ diagnoses, not a medical diagnosis.

a. psychological
b. surgical
c. sociological
d. legal

A

d. legal

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14
Q

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

a. comforting reassurance
b. excellent assessment skills
c. bandaging skills
d. promising legal practice

A

a. comforting reassurance

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15
Q

Your __________ is the best tool to gain the patient’s confidence to seek medical help.

a. confidence
b. content knowledge
c. compassion
d. empathy

A

c. compassion

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16
Q

You are called to the scene of a possible assault. On 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.
Your first course of action should be to:

a. determine whether the patient is physically injured
b. establish the exact events of what took place
c. allow the patient to use the restroom
d. let the police question the patient before conducting a primary assessment

A

a. determine whether the patient is physically injured

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17
Q

You are called to the scene of a possible assault. On 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 second course of action involves the psychological care of the patient. You should avoid:

a. making attempts to get a female EMT to examine the patient
b. examination of the vaginal canal, even if active bleeding is taking place
c. attempting to gather information to assist the police
d. granting the patient’s wishes

A

c. attempting to gather information to assist the police

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18
Q

You are called to the scene of a possible assault. On 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 exam. You should:

a. explain to her that she cannot be transported without a physical exam
b. have to police take the patient into custody in order to legally force
c. explain to her that this is a criminal case and that she must be examined
d. follow your system’s policy and respect the patients wishes without judgement

A

d. follow your system’s policy and respect the patients wishes without judgement

19
Q

Chlamydial infection of the cervix can spread to the rectum, leading to rectal pain, discharge, or bleeding.

A

True

20
Q

If gonorrhea is not treated, the bacteria may enter the bloodstream and spread to other parts of the body, including the brain.

A

True

21
Q

Because menstrual bleeding is a monthly occurrence, it is not necessary to assess for other causes of vaginal bleeding

A

False

22
Q

Obtaining an accurate and detailed patient assessment is critical when dealing with gynecologic issues.

A

True

23
Q

Most cases of gynecologic emergencies are not life threatening.

A

True

24
Q

Gynecologic emergencies are typically not embarrassing for women.

A

False

25
Q

When taking a history of a woman with a gynecologic complaint, you should inquire about the possibility of pregnancy and exposure to sexually transmitted diseases.

A

True

26
Q

Most presentations of tachycardia and hypotension are related to anxiety.

A

False

27
Q

Any report of syncope in a woman complaining of vaginal bleeding is considered significant.

A

True

28
Q

It is acceptable to place dressings into the vaginal canal to stop significant bleeding.

A

False

29
Q

When examining a female, you should limit the number of people involved.

A

True

30
Q

Gynecologic emergencies can occur at any age during a woman’s lifetime.

A

True

31
Q

Injuries to the external genitals are typically not painful due to the very sparse nerve supply.

A

False

32
Q

When completing documentation of a sexual assault incident, adding your personal thoughts can help with the investigation.

A

False

33
Q

Determining the cause of vaginal bleeding should be of less importance than treating for shock and transporting the patient to an appropriate facility.

A

True

34
Q

Fill in the blank

The _______ are located on each side of the lower abdomen and produce the ovum, or egg.

A

ovaries

35
Q

Fill in the blank

When a female reaches __________, she begins to ovulate and experiencing menstruation.

A

puberty

36
Q

Fill in the blank

________ ________ ________ is an infection of the upper female reproductive organs.

A

Pelvic inflammatory disease

37
Q

Fill in the blank

_________ _________ can be very messy, sometimes involving large amounts of blood and bodily fluids.

A

Gynecologic emergencies

38
Q

Fill in the blank

_______ _________ and __________ __________ 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.

A

Ectopic pregnancy, spontaneous abortion

39
Q

Fill in the blank

Make sure to use ___________ __________ when attempting to control vaginal bleeding.

A

External pads

40
Q

Fill in the blank

__________ ___________ can cause significant blood loss and lead to hypovolemia.

A

Vaginal bleeding

41
Q

Fill in the blank

You will need to work together with ________ ________ when dealing with a victim of sexual assault.

A

Law enforcement

42
Q

Fill in the blank

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

A

gonorrhea

43
Q

Fill in the blank

Women will continue to experience menstruation until they reach ___________.

A

menopause