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Question 1

What is the female reproductive system composed of

Answer 1

Ovaries fallopian tubes uterus cervix and vagina

Question 2

What is pelvic inflammatory disease (PID)

Answer 2

Infection of the upper female reproductive organs including uterus ovaries and fallopian tubes

Question 3

What are common symptoms of PID

Answer 3

Lower abdominal pain abnormal vaginal discharge fever pain during intercourse

Question 4

What is the most common cause of PID

Answer 4

Sexually transmitted infections like gonorrhea or chlamydia

Question 5

What is an ectopic pregnancy

Answer 5

A pregnancy that develops outside the uterus usually in the fallopian tube

Question 6

What are signs of an ectopic pregnancy

Answer 6

Severe lower abdominal pain vaginal bleeding missed period signs of shock

Question 7

Why is ectopic pregnancy a life-threatening emergency

Answer 7

The fallopian tube can rupture causing internal bleeding and shock

Question 8

What is bacterial vaginosis

Answer 8

Overgrowth of normal vaginal bacteria causing discharge itching and odor

Question 9

What is a common symptom of bacterial vaginosis

Answer 9

Fishy-smelling discharge and vaginal irritation

Question 10

What is a common symptom of gonorrhea in women

Answer 10

Painful urination vaginal discharge abdominal pain

Question 11

What is the EMT’s main role in gynecologic emergencies

Answer 11

Provide privacy comfort and rapid transport while managing bleeding or shock

Question 12

What should you always consider with lower abdominal pain in females of childbearing age

Answer 12

Ectopic pregnancy until ruled out

Question 13

What is important when assessing vaginal bleeding

Answer 13

Amount duration associated pain pregnancy status and trauma

Question 14

Should an EMT ever place anything into a patient’s vagina to control bleeding

Answer 14

No never

Question 15

What are signs of possible sexual assault or abuse

Answer 15

Injuries to genitals torn clothing anxiety bruises or withdrawn behavior

Question 16

What should you do if you suspect sexual assault

Answer 16

Maintain scene safety limit examination preserve evidence provide emotional support

Question 17

What is your first priority when responding to a sexual assault call

Answer 17

Treat life-threatening injuries and ensure patient consent and safety

Question 18

What should you do when transporting a sexual assault victim

Answer 18

Discourage bathing changing or using the bathroom if possible to preserve evidence

Question 19

What is the primary cause of pelvic inflammatory disease (PID)

Answer 19

Bacterial infection often from STIs like gonorrhea or chlamydia

Question 20

What are serious complications of PID

Answer 20

Infertility ectopic pregnancy abscess and chronic pelvic pain

Question 21

What symptom is a red flag for PID during assessment

Answer 21

Lower abdominal pain that worsens with walking or intercourse

Question 22

What is the classic presentation of ectopic pregnancy

Answer 22

Sudden severe lower abdominal pain missed period vaginal bleeding possible shoulder pain

Question 23

At what point can an ectopic pregnancy become life-threatening

Answer 23

When the fallopian tube ruptures leading to internal hemorrhage and shock

Question 24

What are signs that ectopic pregnancy has progressed to shock

Answer 24

Pale cool skin weak pulse hypotension rapid breathing

Question 25

What is bacterial vaginosis caused by

Answer 25

Imbalance of normal vaginal bacteria

Question 26

What are symptoms of bacterial vaginosis

Answer 26

Thin gray or white discharge with a fishy odor mild itching or burning

Question 27

Can bacterial vaginosis lead to more serious infections

Answer 27

Yes it can lead to PID or preterm labor if pregnant

Question 28

What STD causes painful urination and vaginal discharge in females

Answer 28

Gonorrhea

Question 29

What complications can gonorrhea cause in untreated cases

Answer 29

PID infertility systemic infection

Question 30

What is a major risk factor for gynecologic infections

Answer 30

Unprotected sex or multiple sexual partners

Question 31

Why is PID sometimes difficult to diagnose

Answer 31

Symptoms may be mild or vague and mimic other conditions like appendicitis

Question 32

What should you always consider in reproductive-age women with abdominal pain

Answer 32

Ectopic pregnancy or PID

Question 33

What lab finding confirms pregnancy but not location

Answer 33

Positive urine or blood hCG test

Question 34

What condition may cause generalized lower abdominal pain fever and foul-smelling discharge

Answer 34

Advanced PID

Question 35

What condition presents with vaginal bleeding and hypotension in a pregnant patient

Answer 35

Suspected ectopic pregnancy or miscarriage

Question 36

A 23-year-old woman complains of diffuse lower abdominal pain that worsens with walking and has a fever and abnormal discharge What condition is most likely

Answer 36

pelvic inflammatory disease

Question 37

A 30-year-old woman presents with sudden sharp lower abdominal pain and vaginal bleeding and is pale and diaphoretic What condition should you suspect

Answer 37

ruptured ectopic pregnancy

Question 38

A 25-year-old woman says she missed her period has abdominal pain and now has light spotting What condition must be ruled out

Answer 38

ectopic pregnancy

Question 39

A patient complains of vaginal irritation and foul-smelling gray discharge but denies pain or fever What condition is likely

Answer 39

bacterial vaginosis

Question 40

A 19-year-old with multiple partners has painful urination and yellow vaginal discharge What STI is most likely

Answer 40

gonorrhea

Question 41

A woman in her first trimester presents with hypotension shoulder pain and abdominal tenderness What condition should you suspect

Answer 41

ectopic pregnancy with internal bleeding

Question 42

A 28-year-old complains of abdominal pain that worsens during intercourse with low-grade fever and discharge What condition is likely

Answer 42

pelvic inflammatory disease

Question 43

You are called for a woman with heavy vaginal bleeding and signs of hypoperfusion What is your first priority

Answer 43

manage shock and transport rapidly

Question 44

A young woman found unresponsive has signs of trauma to her genitals and torn clothing What condition should be considered

Answer 44

sexual assault

Question 45

A patient with abdominal pain tells you she has a history of PID and is sexually active without protection What could be a potential complication

Answer 45

ectopic pregnancy

Question 46

A patient presents with vaginal bleeding and hypotension what is your immediate intervention

Answer 46

Manage airway support breathing control bleeding treat for shock

Question 47

A woman with signs of ectopic pregnancy and abdominal distention is in severe pain what is the priority

Answer 47

Rapid transport to a facility capable of surgery

Question 48

You suspect PID in a stable patient what is your transport decision

Answer 48

Non-emergent transport with position of comfort and emotional support

Question 49

A patient with vaginal bleeding becomes unresponsive during assessment what should you do

Answer 49

Begin BLS manage airway and consider rapid transport

Question 50

What is an appropriate position for a stable gynecologic patient with abdominal pain

Answer 50

Supine with knees bent if tolerated or position of comfort

Question 51

What should you do to preserve evidence in a possible sexual assault case

Answer 51

Do not allow patient to change clothing or shower and discourage urination if possible

Question 52

What should you avoid doing in a sexual assault situation

Answer 52

Do not perform unnecessary physical exams or question the patient in detail

Question 53

What documentation is important in suspected sexual assault cases

Answer 53

Objective findings patient statements emotional state and any physical evidence noted

Question 54

What is your approach if a patient is emotionally distressed or hesitant to speak

Answer 54

Provide privacy use calm reassurance and involve female providers if possible

Question 55

A patient with abdominal pain refuses transport but you suspect ectopic pregnancy what should you do

Answer 55

Clearly explain the risks encourage transport and document thoroughly

Question 56

Any reproductive-age woman with abdominal pain and vaginal bleeding could have what

Answer 56

An ectopic pregnancy

Question 57

Why is ectopic pregnancy considered a medical emergency

Answer 57

It can rupture and cause life-threatening internal bleeding

Question 58

What symptoms can PID present with

Answer 58

Lower abdominal pain painful intercourse fever or abnormal discharge

Question 59

What are some non-pregnancy-related causes of vaginal bleeding

Answer 59

Trauma hormonal imbalance tumors or infection

Question 60

What should you assess for in a patient with vaginal bleeding

Answer 60

Amount duration and signs of shock

Question 61

How should you approach patients with gynecologic complaints

Answer 61

Calm respectful and nonjudgmental

Question 62

Why is it important to offer a same-sex provider

Answer 62

To ensure comfort and reduce emotional stress

Question 63

What should you avoid in suspected sexual assault cases

Answer 63

Unnecessary exams and disrupting potential evidence

Question 64

What should you do to preserve forensic evidence

Answer 64

Avoid letting the patient change clothes or use the restroom

Question 65

Can a positive pregnancy test rule out ectopic pregnancy

Answer 65

No only imaging can confirm the location of the pregnancy

Question 66

What emotional response is common in gynecologic emergencies

Answer 66

Anxiety fear or embarrassment

Question 67

What should you consider about the scene in potential assault calls

Answer 67

Scene safety and potential ongoing threats

Question 68

How can you encourage patients to share important history

Answer 68

Create a safe private and respectful environment