Gynecologic Emergencies

Question 1

Folds of tissue that surround the urethral and vaginal openings

Answer 1

Labia majora and labia minora

Question 2

At the anterior end of the labia is the ___

Answer 2

Clitoris

Question 3

At the posterior end of the labia is the ___

Answer 3

Anus

Question 4

The area of tissue between the vagina and the anus

Answer 4

Perineum

Question 5

The primary female reproductive organ

Answer 5

Ovaries

Question 6

The ovaries are located ___

Answer 6

On each side of the lower abdomen

Question 7

The ovaries produce ___

Answer 7

An ovum, or egg

Question 8

Connect each ovary to the uterus

Answer 8

Fallopian tubes

Question 9

The muscular organ where the fetus grows during pregnancy

Answer 9

Uterus

Question 10

The narrowest portion of the uterus

Answer 10

Cervix

Question 11

The cervix opens into the ___

Answer 11

Vagina

Question 12

Outermost cavity of a woman’s reproductive system

Answer 12

Vagina

Question 13

Forms the lower part of the birth canal

Answer 13

Vagina

Question 14

The cycle in which the ovum is released

Answer 14

Ovulation

Question 15

The onset of menstruation is called ___

Answer 15

Menarche

Question 16

Onset of menstruation usually occurs ___

Answer 16

Between the ages of 11 and 16

Question 17

Marks the end of menstrual activity

Answer 17

Menopause

Question 18

Infection of the upper female reproductive organs, specifically the Uterus, ovaries, and fallopian tubes

Answer 18

Pelvic inflammatory disease (PID)

Question 19

PID in the fallopian tubes can cause ___

Answer 19

Scarring that increases the risk of ectopic pregnancy or sterility

Question 20

PID in the ovaries can cause ___

Answer 20

The development of a life-threatening abscess

Question 21

Pregnancy that develops outside the uterus, most often in the fallopian tube

Answer 21

Ectopic pregnancy

Question 22

Most common presenting sign of PID

Answer 22

Generalized lower abdominal pain

Question 23

Other signs and symptoms of PID

Answer 23

1. Abnormal and often foul-smelling vaginal discharge
2. Increased pain during sex
3. Fever
4. General malaise
5. Nausea and vomiting

Question 24

Risk factors of PID

Answer 24

1. Having multiple sexual partners
2. Partner who has had sex with multiple people
3. Untreated STD
4. Past history of PID
5. Being sexually active
6. Younger than 26
7. Douching
8. Using an intrauterine device for birth control

Question 25

Untreated gonorrhea and chlamydia often progress to ___

Answer 25

PID

Question 26

Chlamydia is caused by the bacterium ___

Answer 26

Chlamydia trachomatis

Question 27

Most commonly reported STD in the US

Answer 27

Chlamydia

Question 28

Symptoms of chlamydia

Answer 28

Lower abdominal pain, low back pain, nausea, fever, pain during sex, bleeding between menstrual periods

Question 29

Chlamydial infection of the cervix can spread to the ___

Answer 29

Rectum

Question 30

Chlamydia that has spread to the rectum can cause ___

Answer 30

Rectal pain, discharge, or bleeding

Question 31

In rare cases, chlamydia causes ___ that may be accompanied by ___

Answer 31

1. Arthritis 2. Skin lesions and inflammation of the eye and urethra

Question 32

Most common vaginal infection in women age 15 to 44

Answer 32

Bacterial vaginosis

Question 33

Normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms

Answer 33

Bacterial vaginosis

Question 34

Symptoms of bacterial vaginosis

Answer 34

1. Itching 2. burning 3. Pain 4. Fishy, foul-smelling discharge

Question 35

Pregnant women with bacterial vaginosis may have ___

Answer 35

Premature babies or babies born with a low birth weight

Question 36

Gonorrhea is caused by ___

Answer 36

Neisseria gonorrhoeae

Question 37

Caused by a bacterium that can grow and multiply rapidly in the warm, moist areas of the reproductive tract, including the cervix, uterus, and fallopian tubes in women, and the urethra in women and men

Answer 37

Gonorrhea

Question 38

Symptoms of gonorrhea are usually more severe in ___

Answer 38

Men

Question 39

Symptoms of gonorrhea appear ___

Answer 39

About 2 to 10 days after exposure

Question 40

When symptoms of gonorrhea appear in women, they generally present as ___

Answer 40

1. Painful urination, with associated burning or itching 2. Yellowish or bloody vaginal discharge, usually with a foul odor 3. Blood associated with vaginal sex

Question 41

More severe infections of gonorrhea in women may present with ___

Answer 41

1. Cramping and abdominal pain 2. Nausea and vomiting 3. Bleeding between menstrual periods

Question 42

Rectal infections of gonorrhea generally present with ___

Answer 42

1. Anal discharge and itching 2. Occasional painful bowel movements with fecal blood spitting

Question 43

Throat infections of gonorrhea generally present with ___

Answer 43

1. Painful or difficult swallowing 2. Sore throat 3. Swollen lymph glands 4. Fever 5. May also have headache and nasal congestion

Question 44

In cases of sexual assault, it is important to have a ___ EMT provide patient care

Answer 44

Female

Question 45

For a report of abdominal pain, ask specific questions about ___

Answer 45

1. Onset, duration, quality, and radiation 2. Provoking or relieving factors 3. Associated symptoms such as syncope, lightheadedness, nausea, vomiting, and fever

Question 46

For a report of vaginal bleeding, ask about ___

Answer 46

1. Onset, duration, quantity (number of sanitary pads or tampons soaked) 2. Associated symptoms such as syncope and lightheadedness

Question 47

Pertinent secondary assessment findings

Answer 47

1. Vital signs (BP, pulse, skin color, orthostatic vital signs) 2. Abdomen (Distention and tenderness) 3. Genitourinary (Visible bleeding) 4. Neurologic (Mental status)

Question 48

Your physical examination of a gynecologic patient should be ___

Answer 48

Limited and professional

Question 49

Fever should always be considered a sign of ___

Answer 49

An infectious process

Question 50

PID associated abdominal pain generally starts ___

Answer 50

During or after normal menstruation

Question 51

With PID, inquiring about the date of the patient's last ___ is important

Answer 51

Menstrual cycle

Question 52

Abdominal pain with PID characteristics

Answer 52

Achey and may be made worse with walking

Question 53

Patients with PID often present with a distinctive gait that appears as ___

Answer 53

A shuffle when they walk