Biloxi EMT CH 24 Gynecological Emergencies

Question 1

Possible causes of vaginal bleeding include all of the following EXCEPT:

a. ectopic pregnancy
b. cervical polyps
c. vaginal trauma
d. peptic ulcer

Answer 1

d. peptic ulcer

Question 2

Painful urination associated with burning and a yellowish discharge is associated with:

a. chlamydia
b. gonorrhea
c. endometriosis
d. syphilis

Answer 2

b. gonorrhea

Question 3

Which of the following statements is FALSE regarding the assessment and treatment of a woman who was the victim of sexual assault?

a. You may be called to testify in court regarding the incident.
b. You should question the victim thoroughly about the assaulter in case the police missed any details.
c. The patient should be given the option of being treated by a female responder.
d. The patient should be discouraged from urinating or changing her clothes prior to examination at the hospital.

Answer 3

b. You should question the victim thoroughly about the assaulter in case the police missed any details.

Question 4

The onset of menstruation usually occurs between the ages of:

a. 8 and 10 years
b. 11 and 16 years
c. 16 and 18 years
d. 17 and 20 years

Answer 4

b. 11 and 16 years

Question 5

What is the most common presenting sign or symptom of PID?

a. Vaginal discharge
b. Fever
c. Nausea and vomiting
d. Lower abdominal pain

Answer 5

d. Lower abdominal pain

Question 6

In rare cases, ___________ causes arthritis that may be accompanied by skin lesions and inflammation of the eyes and urethra.

a. chlamydia
b. gonorrhea
c. bacterial vaginosis
d. vaginal bleeding

Answer 6

a. chlamydia

Question 7

Left untreated, _________ can lead to premature birth or low birth weight in pregnant women.

a. chlamydia
b. gonorrhea
c. bacterial vaginosis
d. vaginal bleeding

Answer 7

c. bacterial vaginosis

Question 8

If a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin, you should:

a. attempt to locate the source of bleeding and correct it
b. place the patient in a supine position
c. consider this to be a normal sign in a menstruating woman
d. inquire about recent problems with urination

Answer 8

b. place the patient in a supine position

Question 9

When taking a history on a patient experiencing a gynecologic emergency, you should consider asking all of the following EXCEPT:

a. Are you taking birth control?
b. When was your last menstrual period?
c. How many sexual partners have you had in the past?
d. Do you have any history of sexually transmitted diseases?

Answer 9

c. How many sexual partners have you had in the past?

Question 10

A shuffling gait with diffuse lower abdominal pain may indicate which of the following conditions?

a. Pelvic inflammatory disease
b. Bacterial vaginosis
c. Chlamydia
d. Gonorrhea

Answer 10

a. Pelvic inflammatory disease

Question 11

EMTs treating a victim of a sexual assault may not only be dealing with medical issues but with ________ issues as well.

a. psychological
b. physiological
c. educational
d. sociological

Answer 11

a. psychological

Question 12

When performing a physical exam on a victim of sexual assault, you should:

a. always expose and evaluate the patient’s vaginal area into
b. allow multiple people to observe the examination in case you have to testify
c. limit your examination to a brief survey for life-threatening injuries
d. place the patient’s clothes into a plastic evidence bag

Answer 12

c. limit your examination to a brief survey for life-threatening injuries

Question 13

Rape is considered to be a _________ diagnoses, not a medical diagnosis.

a. psychological
b. surgical
c. sociological
d. legal

Answer 13

d. legal

Question 14

Often the most important intervention for a sexual assault patient is ________ and transport to a facility with a staff specially trained to deal with this scenario.

a. comforting reassurance
b. excellent assessment skills
c. bandaging skills
d. promising legal practice

Answer 14

a. comforting reassurance

Question 15

Your __________ is the best tool to gain the patient’s confidence to seek medical help.

a. confidence
b. content knowledge
c. compassion
d. empathy

Answer 15

c. compassion

Question 16

You are called to the scene of a possible assault. On arrival, you are directed by police to a dark room, where you find a 22-year-old woman who says she was sexually assaulted by a coworker this afternoon.
Your first course of action should be to:

a. determine whether the patient is physically injured
b. establish the exact events of what took place
c. allow the patient to use the restroom
d. let the police question the patient before conducting a primary assessment

Answer 16

a. determine whether the patient is physically injured

Question 17

You are called to the scene of a possible assault. On arrival, you are directed by police to a dark room, where you find a 22-year-old woman who says she was sexually assaulted by a coworker this afternoon.

The second course of action involves the psychological care of the patient. You should avoid:

a. making attempts to get a female EMT to examine the patient
b. examination of the vaginal canal, even if active bleeding is taking place
c. attempting to gather information to assist the police
d. granting the patient’s wishes

Answer 17

c. attempting to gather information to assist the police

Question 18

You are called to the scene of a possible assault. On arrival, you are directed by police to a dark room, where you find a 22-year-old woman who says she was sexually assaulted by a coworker this afternoon.

The patient tells you that she would really like to be transported to the hospital but refuses a physical exam. You should:

a. explain to her that she cannot be transported without a physical exam
b. have to police take the patient into custody in order to legally force
c. explain to her that this is a criminal case and that she must be examined
d. follow your system’s policy and respect the patients wishes without judgement

Answer 18

d. follow your system’s policy and respect the patients wishes without judgement

Question 19

Chlamydial infection of the cervix can spread to the rectum, leading to rectal pain, discharge, or bleeding.

Answer 19

True

Question 20

If gonorrhea is not treated, the bacteria may enter the bloodstream and spread to other parts of the body, including the brain.

Answer 20

True

Question 21

Because menstrual bleeding is a monthly occurrence, it is not necessary to assess for other causes of vaginal bleeding

Answer 21

False

Question 22

Obtaining an accurate and detailed patient assessment is critical when dealing with gynecologic issues.

Answer 22

True

Question 23

Most cases of gynecologic emergencies are not life threatening.

Answer 23

True

Question 24

Gynecologic emergencies are typically not embarrassing for women.

Answer 24

False

Question 25

When taking a history of a woman with a gynecologic complaint, you should inquire about the possibility of pregnancy and exposure to sexually transmitted diseases.

Answer 25

True

Question 26

Most presentations of tachycardia and hypotension are related to anxiety.

Answer 26

False

Question 27

Any report of syncope in a woman complaining of vaginal bleeding is considered significant.

Answer 27

True

Question 28

It is acceptable to place dressings into the vaginal canal to stop significant bleeding.

Answer 28

False

Question 29

When examining a female, you should limit the number of people involved.

Answer 29

True

Question 30

Gynecologic emergencies can occur at any age during a woman’s lifetime.

Answer 30

True

Question 31

Injuries to the external genitals are typically not painful due to the very sparse nerve supply.

Answer 31

False

Question 32

When completing documentation of a sexual assault incident, adding your personal thoughts can help with the investigation.

Answer 32

False

Question 33

Determining the cause of vaginal bleeding should be of less importance than treating for shock and transporting the patient to an appropriate facility.

Answer 33

True

Question 34

Fill in the blank

The _______ are located on each side of the lower abdomen and produce the ovum, or egg.

Answer 34

ovaries

Question 35

Fill in the blank

When a female reaches __________, she begins to ovulate and experiencing menstruation.

Answer 35

puberty

Question 36

Fill in the blank

________ ________ ________ is an infection of the upper female reproductive organs.

Answer 36

Pelvic inflammatory disease

Question 37

Fill in the blank

_________ _________ can be very messy, sometimes involving large amounts of blood and bodily fluids.

Answer 37

Gynecologic emergencies

Question 38

Fill in the blank

_______ _________ and __________ __________ are two conditions that can cause vaginal bleeding in women who do not appear to be pregnant and who may not realize they are pregnant.

Answer 38

Ectopic pregnancy, spontaneous abortion

Question 39

Fill in the blank

Make sure to use ___________ __________ when attempting to control vaginal bleeding.

Answer 39

External pads

Question 40

Fill in the blank

__________ ___________ can cause significant blood loss and lead to hypovolemia.

Answer 40

Vaginal bleeding

Question 41

Fill in the blank

You will need to work together with ________ ________ when dealing with a victim of sexual assault.

Answer 41

Law enforcement

Question 42

Fill in the blank

Symptoms of ____________ appear approximately 2 to 10 days after exposure.

Answer 42

gonorrhea

Question 43

Fill in the blank

Women will continue to experience menstruation until they reach ___________.

Answer 43

menopause