Chapter 24 - [additional] Gynecologic Emergencies

Question 1

What is the narrowest portion of the uterus?
A. Vagina
B. Cervix
C. Fallopian tubes
D. Ovaries

Answer 1

B. Cervix

Question 2

What is the outermost cavity of a woman’s reproductive system?
A. Cervix
B. Ovaries
C. Vagina
D. Uterus

Answer 2

C. Vagina

Question 3

If fertilization has not occurred within about ___ days following ovulation, the lining of the uterus begins to separate, and menstruation occurs.
A. 8
B. 10
C. 12
D. 14

Answer 3

D. 14

Women menstruate about 14 days following ovulation.

Question 4

The onset of menstruation is called:
A. menopause.
B. menarche.
C. ovulation.
D. bleeding.

Answer 4

B. menarche.

Question 5

Which of the following can cause vaginal bleeding?
A. Ectopic pregnancy
B. Spontaneous abortion
C. Trauma
D. All of the above.

Answer 5

D. All of the above.

Question 6

What is the most common presenting sign of PID?
A. Vomiting
B. Vaginal discharge
C. Lower abdominal pain
D. Fever

Answer 6

C. Lower abdominal pain

Question 7

When obtaining a SAMPLE history, which of the following pieces of information is important to obtain?
A. Use of a birth control device or birth control pills
B. The date of the patient’s last menstrual period
C. The possibility of pregnancy
D. All of the above

Answer 7

D. All of the above

Question 8

What is the EMT’s FIRST priority when dealing with a patient experiencing excessive vaginal bleeding?
A. Determine the cause of the bleeding.
B. Treat the patient for shock and transport.
C. Determine if the bleeding is a result of sexual assault.
D. Keep the patient warm and apply oxygen.

Answer 8

B. Treat the patient for shock and transport.

Question 9

Which of the following drugs is commonly used to facilitate sexual assault?
A. Rohypnol
B. Heroin
C. Cocaine
D. Marijuana

Answer 9

A. Rohypnol

Question 10

You should discourage a rape or sexual assault victim from doing which of the following?
A. Urinating
B. Cleaning herself
C. Changing clothes
D. All of the above

Answer 10

D. All of the above

Question 11

If a woman with vaginal bleeding reports syncope, the EMT should assume that she:
Select one:
A.
has an ectopic pregnancy.
B.
is pregnant.
C.
has an infection.
D.
is in shock.

Answer 11

D.
is in shock.

Question 12

Which of the following findings should make the EMT especially suspicious that a woman was sexually assaulted?
Select one:
A.
Signs of shock on assessment
B.
Inability to remember the event
C.
A prescription for alprazolam (Xanax)
D.
The odor of alcohol on her breath

Answer 12

B.
Inability to remember the event

Question 13

Bacterial vaginosis is a condition that occurs when:
Select one:
A.
numerous bacteria enter the uterus through the cervix and cause severe tissue damage.
B.
abnormal bacteria enter the vagina and cause damage without causing any symptoms.
C.
harmful bacteria infect and cause damage to the uterus, cervix, and fallopian tubes.
D.
normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

Answer 13

D.
normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

Question 14

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

Answer 14

C.
carefully removing any foreign bodies from the vagina.

Question 15

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease?
Select one:
A.
Bright red blood in the urine
B.
A history of ectopic pregnancy
C.
Vaginal passage of blood clots
D.
A shuffling gait when walking

Answer 15

D.
A shuffling gait when walking

Question 16

As a woman approaches menopause:
Select one:
A.
she cannot become pregnant because of fluctuating hormone levels.
B.
her menstrual periods may become irregular and vary in severity.
C.
she usually experiences abdominal cramping without vaginal bleeding.
D.
her risk of developing pelvic inflammatory disease lowers significantly.

Answer 16

B.
her menstrual periods may become irregular and vary in severity.

Question 17

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

Answer 17

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

Question 18

When documenting a call in which a female was sexually assaulted, you should:
Select one:
A.
translate the patient’s words or statements using proper medical terminology.
B.
only use quotation marks when recording any statements made by witnesses.
C.
record your opinion only if you have reasonable proof to justify the statement.
D.
keep the report concise and record only what the patient stated in her own words.

Answer 18

D.
keep the report concise and record only what the patient stated in her own words.

Question 19

The most frequently used date rape drug is:
Select one:
A.
Ecstasy.
B.
ketamine.
C.
alcohol.
D.
Xanax

Answer 19

C.
alcohol.