Ch. 24 Flashcards
Each ovary produces an ovum in alternating months and releases it into the:
-Vagina
-Fallopian tube
-Uterus
-Cervical os
Fallopian tube
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 know her attacker, but is afraid to say
-The traumatic experience has created a mental block
-An underlying head injury is causing her amnesia
-The patient was given a drug prior to the incident
The patient was given a drug prior to the incident
General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following except:
-Refraining from placing any dressings into the vagina
-Treating external laceration with sterile compresses
-Supplemental oxygen and keeping the patient supine
-Carefully removing any foreign bodies from the vagina
Carefully removing any foreign bodies from the vagina
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
-Becomes engorged with blood
-Sheds and is expelled externally
-Thins and begins to separate
-Diverts blood flow to the vagina
Becomes engorged with blood
The physical examination of a sexual assault victim should be:
-Deferred until the patient can be evaluated by a physician
-Limited to a brief survey for life-threatening injuries
-As detailed as possible so all injuries can be documented
-Performed in the presence of at least two police officers
Limited to a brief survey for life-threatening injuries
When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the natures of the problem until he or she:
-Has formed a general impression of the patient
-Has gathered patient history information
-Ascertains if the patient as ever pregnant
-Has obtained a complete set of vital signs
Has gathered patient history information
When caring for a female patient who has been sexually assaulted, you should:
-Ask the patient for a concise, detailed report of what happened to her
-Advise her that she will not be allowed to shower or change her clothes
-Place any bloodstained clothings or other articles in separate paper bags
-Allow law enforcement to take her statement before you begin treatment
Place any bloodstained clothings or other articles in separate paper bags
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
-Keep assessment and treatment to a minimum
-Determine the underlaying cause of her problem
-Ask questions related to her gynecologic history
Maintain her ABCs and transport without delay
When documenting a call in which a female was sexually assaulted, you should:
-Translate the patient’s words or statements using proper medical terminology
-Keep the report concise and record only what the patient stated in her own words
-Record you opinion only if you have reasonable proof to justify the statement
-Only use quotation marks when recording any statements made by witnesses
Keep the report concise and record only what the patient stated in her own words
Whenever possible, a female sexual assault victim should be:
-Asked to provide a brief description of the perpetrator
-Encouraged to take a shower and change their clothes
-Thoroughly assessed, even if no signs of injury exist
-Given the option of being treated by a female EMT
Given the option of being treated by a female EMT
What is the narrowest portion of the uterus?
-Vagina
-Cervix
-Fallopian tubes
-Ovaries
Cervix
What is the outermost cavity of a woman’s reproductive system?
-Cervix
-Ovaries
-Vagina
-Uterus
Vagina
If fertilization has not occurred within about ____ days following ovulation, the lining of the uterus begins to separate and menstruation occurs.
-8
-10
-12
-14
14
The onset of menstruation is called:
-Menopause
-Menarche
-Ovulation
-Bleeding
Menarche
Which of the following can cause vaginal bleeding?
-Ectopic pregnancy
-Spontaneous abortion
-Trauma
-All the above
Ectopic pregnancy, spontaneous abortion, trauma
What is the most common presenting sign of PID?
-Vomiting
-Vaginal discharge
-Lower abdominal pain
-Fever
Lower abdominal pain
When obtaining a SAMPLE history, which of the following pieces of information is important to obtain?
-Use of birth control device or birth control pills
-The date of the patient’s last menstrual period
-The possibility of pregnancy
-All of the above
Use of birth control device or birth control pills, the date of the patient’s last menstrual period, and the possibility of pregnancy
What is the EMT’s first priority when dealing with a patient experiencing excessive vaginal bleeding?
-Determine the cause of the bleeding
-Treat the patient for shock and transport
-Determine if the bleeding is a result of sexual assault
-Keep the patient warm and apply oxygen
Treat the patient for shock and transport
Which of the following drugs is commonly used to facilitate sexual assault?
-Rohypnol
-Heroin
-Cocaine
-Marijuana
Rohypnol
You should discourage a rape or sexual assault victim from doing which of the following?
-Urinating
-Cleaning herself
-Changing clothes
-All of the above
Urinating, cleaning herself, and changing clothes
