Chapter 24 - Gynecologic Emergencies Flashcards
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:
Select one:
A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly.
B. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport.
C. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport.
D. 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, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
A patient with pelvic inflammatory disease will typically complain of _________.
Select one:
A. bleeding associated with stress
B. nausea and vomiting associated with intercourse
C. aches and fever associated with urination
D. abdominal pain associated with menstruation
D. abdominal pain associated with menstruation
Causes of vaginal bleeding include which of the following? Select one: A. Ectopic pregnancy B. Vaginal trauma C. Spontaneous abortion D. All of these answers are correct.
D. All of these answers are correct.
During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following?
Select one:
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.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: A. thins and begins to separate. B. becomes engorged with blood. C. diverts blood flow to the vagina. D. sheds and is expelled externally.
B. becomes engorged with blood.
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 these answers are correct.
D. All of these answers are correct.
In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: Select one: A. may be relatively painless. B. is typically not as severe. C. often presents with acute pain. D. can be controlled in the field.
A. may be relatively painless.
It is common for young females who experience their first menstrual period to:
Select one:
A. become so emotionally distraught that they contemplate suicide.
B. lose up to 500 mL of blood within the first 24 hours.
C. have a false positive home pregnancy test result.
D. experience abdominal cramping, which may be misinterpreted.
D. experience abdominal cramping, which may be misinterpreted.
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. 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.
C. perform a limited hands-on assessment to detect life-threatening injuries.
D. advise her that she cannot clean herself up because this will destroy evidence.
B. provide emotional support and visually assess her for obvious trauma.
Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Gonorrhea B. Bacterial vaginosis C. Pelvic inflammatory disease D. Chlamydia
C. Pelvic inflammatory disease
Some women experience \_\_\_\_\_\_\_\_\_\_\_ during ovulation. Select one: A. hypotension B. slight cramping C. severe abdominal pain D. severe bleeding
B. slight cramping
The \_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_ are folds of tissue that surround the urethral and vaginal openings. Select one: A. vagina; cervix B. fallopian tubes; uterus C. labia majora; labia minora D. perineum; anus
C. labia majora; labia minora
The \_\_\_\_\_\_\_\_\_\_\_\_\_ connect(s) each ovary with the uterus. Select one: A. fallopian tubes B. abdomen C. egg D. cervix
A. fallopian tubes
The EMT should ensure that vaginal bleeding is _________.
Select one:
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
The physical examination of a sexual assault victim should be:
Select one:
A. as detailed as possible so all injuries can be documented.
B. limited to a brief survey for life-threatening injuries.
C. performed in the presence of at least two police officers.
D. deferred until the patient can be evaluated by a physician.
B. limited to a brief survey for life-threatening injuries.
