Chapter 23

Question 1

external female genitalia:
…
… and ..
..

Answer 1

vaginal opening
labia majora; labia minora
clitoris

Question 2

ovaries lie on each side of … and produce … (egg)

… connect each ovary with the uterus, a muscular organ where … grows

Answer 2

lower abdomen; ovum; fallopian tubes; fetus

Question 3

each month one ovum is relaased into the fallopian tube–> process is called …
narrowest part of uterus is the .., which opens into the vagina, which is the outermost cavity of a woman’s repro system

Answer 3

ovulation; cervix

Question 4

ovulation and menstruation begin in puberty
onset of menstruation is … and occurs between 11-16
ovulation and menstruation continue until … which occurs around age 50

Answer 4

menarche; menopause

Question 5

sperm are deposited form penis, pass through .. to … and end up in the … where the ovum is fertilized
the embryo travels into the uterus, attaches to the … and continues to grow

Answer 5

cervix; uterus; fallopian tubes; uterine wall

Question 6

if fertilization doesn’t occur within about 14 days of ovulation the lining of the uterus begins to … and … occurs for about a week

Answer 6

separate; menstruation

Question 7

pelvic inflammatory disease: 
infection of upper organs of repro: 
…, …, …
occurs almost exclusively in … women
can result in increased risk of .. pregnancy or … 
most common sign is generalized …

Answer 7

uterus; ovaries; fallopian tubes; sexually active; ectopic; sterility; lower abdominal pain

Question 8

other signs of PID: abnormal/foul-smelling .., increased … with intercourse, …, general … and … and …

Answer 8

vaginal discharge; pain; fever; malaise; nausea; vomiting

Question 9

STDs can lead to more serious conditions, such as PID

…: most common STD, usually mild/absent symtpoms, can spread to rectum and progress to PID

Answer 9

chlamydia

Question 10

…: most common vaginal infection to afflict women

untreated it can progress to premature birth or low birth weight in pregnancy and PID

Answer 10

bacterial vaginosis

Question 11

…: grows and multiplies rapidly in warm, moist areas of reproductive tract; urethra in men and women
severe infections present with cramping and abdominal pain, nausea, vomiting, and bleeding between periods

Answer 11

gonorrhea

Question 12

vaginal bleeding--possible causes: 
abnormal … 
vaginal … 
… pregnancy 
… 
… 
..

Answer 12

menstruation
trauma
ectopic
spontaneous abortion
cervical polyps
cancer

Question 13

scene safety: gynecologic emergencies can involve large amounts of … and body fluids potentially contaminated
note .. patient is found and … of residence

Answer 13

blood; position; condition

Question 14

for abdominal pain ask about:
…, .., .., and …
… or … factors
and associated symptoms like syncope, light-headedness, nausea, vomiting, fever

Answer 14

onset; duration; quality; radiation

provoking; relieving

Question 15

for vaginal bleeding, ask about: 
.. 
..
… (number of sanitary pads soaked)
associated symptoms such as syncope and light-headedness

Answer 15

onset;
duration
quantity

Question 16

SAMPLE: ask about … or …

ask about last … and …

Answer 16

birth control pills; devices

menstrual period; STDs

Question 17

secondary assess findings should include
vitals
abdomen: … and …
genitourinary: visible .. 
neurologic: mental status

Answer 17

distension; tenderness; bleeding

Question 18

vaginal bleeding: visualize the bleeding and ask about … and …–> use .. to control bleeding

Answer 18

quality; quantity; external pads

Question 19

secondary assess:
observe for vaginal …
.., .., …, and … are significant in gynecologic emergencies

Answer 19

discharge

syncope; fever; nausea; vomiting

Question 20

there are very few … with a gynecologic emergency
have a .. emt participate in patient’s care if possible
excessive internal vaginal bleeding–> use … on external genitalia to absorb blood and document .. of them that were saturated

Answer 20

interventions; female; sanitary pads; number

Question 21

external genitals have a rich .. supply which makes injuries very painful
treat external lacerations with .., … compresses–> do not pack/place dressings in vagina

Answer 21

rich nerve; moist; sterile

Question 22

a patient with PID will complain of .. which usually starts during/after normal menstruation
pain may be made worse by walking. patients often present with a distinctive gait that appears as a ..
prehospital treatment is limited
.. transport usually recommended

Answer 22

abdominal pain; shuffle; nonemergency

Question 23

for sexual assault patients, your focus should be: 
.. of patient
… care of patient
… 
…

Answer 23

medical treatment
psychological
preserve evidence
take history

Question 24

for sex assault patients, may be necessary to persuade patient not to … herself, as doing so can destroy evidence; patient should also be discouraged from …, …, moving her … or … her mouth
offer to call local rape crisis center
take patient’s history and limit physical exam to brief survey for life threatening injuries

Answer 24

clean; urinating; changing clothes; bowels; rinsing