Chapter 21 - Gynecologic Emergencies

Question 1

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

Answer 1

D. abdominal pain associated with menstruation

Question 2

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

Answer 2

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

Question 3

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:
Select one:
A. treating external lacerations with moist, sterile compresses.
B. carefully removing any foreign bodies from the vagina.
C. supplemental oxygen and lower extremity elevation.
D. refraining from placing any dressings into the vagina.

Answer 3

B. carefully removing any foreign bodies from the vagina.

Question 4

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

Answer 4

D. All of the above

Question 5

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. advise her that she cannot clean herself up because this will destroy evidence.
B. ask her if there is anyone you can contact, such as a friend or relative.
C. perform a limited hands-on assessment to detect life-threatening injuries.
D. provide emotional support and visually assess her for obvious trauma.

Answer 5

D. provide emotional support and visually assess her for obvious trauma.

Question 6

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

Answer 6

C. Pelvic inflammatory disease

Question 7

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

Answer 7

C. ovarian abscess and ectopic pregnancy.

Question 8

When a female has reached menarche:
Select one:
A. she is capable of becoming pregnant.
B. she usually requires hormone therapy.
C. menstrual periods become less frequent.
D. she can no longer produce an ovum.

Answer 8

A. she is capable of becoming pregnant.

Question 9

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

Answer 9

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

Question 10

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

Answer 10

C. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.