Chapter 23 Quiz Flashcards
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
A. becomes engorged with blood.
B. diverts blood flow to the vagina.
C. sheds and is expelled externally.
D. thins and begins to separate.
A. becomes engorged with blood.
Chapter 23, page 830, Anatomy and Physiology
While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age.
A. 10; 70
B. 20; 60
C. 11; 50
D. 10; 40
C. 11; 50
Chapter 23, pages 829–830, Anatomy and Physiology
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:
A. perform a limited hands-on assessment to detect life-threatening injuries.
B. provide emotional support and visually assess her for obvious trauma.
C. advise her that she cannot clean herself up because this will destroy evidence.
D. ask her if there is anyone you can contact, such as a friend or relative.
B. provide emotional support and visually assess her for obvious trauma.
Chapter 23, page 838, Assessment and Management of Specific Conditions
Some women experience ___________ during ovulation.
A. severe bleeding
B. slight cramping
C. hypotension
D. severe abdominal pain
B. slight cramping
Chapter 23, page 830, Anatomy and Physiology
In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:
A. is typically not as severe.
B. often presents with acute pain.
C. may be relatively painless.
D. can be controlled in the field.
C. may be relatively painless.
Chapter 23, page 832, Pathophysiology
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:
A. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport.
B. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, 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, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly.
C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
Chapter 23, page 836, Emergency Medical Care
During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following?
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.
D. All of these answers are correct.
Chapter 23, pages 833–834, Patient Assessment
Which of the following drugs is commonly referred to as “roofies”?
A. GHB
B. Ketamine
C. Rohypnol
D. MDMA
C. Rohypnol
Chapter 23, page 837, Assessment and Management of Specific Conditions
The physical examination of a sexual assault victim should be:
A. limited to a brief survey for life-threatening injuries.
B. deferred until the patient can be evaluated by a physician.
C. performed in the presence of at least two police officers.
D. as detailed as possible so all injuries can be documented.
A. limited to a brief survey for life-threatening injuries.
Chapter 23, page 838, Assessment and Management of Specific Conditions
The EMT should ensure that vaginal bleeding is _________.
A. not caused by traumatic injury
B. taken seriously and the patient is transported for gynecologic evaluation
C. controlled directly by the patient
D. severe enough to warrant transport
B. taken seriously and the patient is transported for gynecologic evaluation
Chapter 23, page 832, Pathophysiology
