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Ch21 - EMT Gynecologic Emergencies

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jaywoody's version from 2017-08-02 18:38

Section

Quiz Questions
Question Answer
1. It is not uncommon for young females who experience their first menstrual period to
A. have a falsely positive home pregnancy result
B. Lose up to 500 ML of blood within the first 24 hours
C. Experience abdominal cramping, which may be misinterpreted
D. Become so emotionally distraught that they contemplate suicide.
C. Experience abdominal cramping, which may be misinterpreted.
2. Which of the following statements regarding PID is correct?
A. The most severe cases of PID occur in women who are not sexually active.
B. PID can scar the fallopian tubes, which increases teh risk of an ectopic pregnancy.
C. PID most commonly affects women who have had an ectopic pregnancy in the past.
D. The most common presentign Symptom of PID is generalized upper abdominal pain.
B. PID can scar the fallopian tubes, which increases the risk of an extopic pregnancy.
3. Which of the following conditions does NOT typically present with Vaginal discharge?
A. Chlamydia
B. Gonorrhea
C. Genital Herpes
D. PID
C. Genital Herpes
4. As a woman approaches menopause...
A. her menstrual periods may become irregular and vary in severity
B. She cannot become pregnant because of fluctuating hormone levels.
C. She usually experiences abdominal cramping without vaginal bleeding.
D. Her risk of developing PID lowers significantly
A. Her menstrual periods my become irregular and vary in severity.
5. Whenever possible, a female sexual assault victim should be...
A. Given the option of being treated by a female EMT.
B. Encouraged to take a shower and change her clothes.
C. Thoroughly assessed, even if no signs of injury exist.
D. Asked to provide a brief description of the perpetrator.
A. Given the option of being treated by a female EMT.
6. During your assessment of a young female wiht nontraumatic vaginal bleeding, you note that her LOC is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should....
A. Perform a rapid secondary assessment.
B. Assist her ventilations with a bag-mask device.
C. Asses her blood pressure and elevate her legs.
D. Perform a visual assessment of her vaginal area.
B. Assist her ventilations with a bag-mask device.
7. When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to...
A. Determine the underlying cause of her problem.
B. Ask questions related to her gynecologic history.
C. Maintain her ABCs and transport without delay.
D. Keep assessment and treatment to a minimum.
C. Maintain her ABC's and transport without delay.
8. When caring for a female patient who has been sexually assaulted, you should...
A. Ask the patient for a concise, detailed report of what happened to her.
B. Allow law enforcement to take her statement before you begin treatment.
C. Advise her that she will not be allowed to shower or change her clothes.
D. Place any bloodstained clothing or other articles in separate paper bags.
D. Place any bloodstained clothing or other articles in separate paper bags.
9. 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....
A. Provide emotional support and visually assess her for obvious trauma.
B. Advise her that she cannot clean herself up because this will destroy evidence.
C. Ask her if there is anyone you can contact, such as a friend or relative.
D. Perform a limited hands on assessment to detect life threatening injuries.
A. Provide emotional support and visually assess her for obvious trauma.
10. The physical examination of a sexual assault victim should be...
A. Limited to a brief survey for life threatening injuries.
B. Performed in the presence of at least two police officers.
C. As detailed as possible so all injuries can be documented.
D. Deferred until the patient can be evaluated by a physician.
A. Limited to a brief survey for life threatening injuries.
memorize

Section

Vocabulary
Question Answer
An overgrowth of bacteria in the vagina; characterized by itching, burning, or pain, and possibly a "fishy" smelling discharge.bacterial vaginosis
Narrowest portion of the uterus that opens into the vagina.cervix
A sexually transmitted disease caused by the bacterium Chlamydia trachomatis.chlamydia
The tubes that connect each ovary with the uterus and are the primary location for fertilization of the ovum.fallopian tubes
A sexually transmitted disease caused by Neisseria gonorrhoeae.gonorrhea
Outer fleshy "lips" covered with pubic hair that protect the vagina.labia majora
Inner fleshy "lips" devoid of pubic hair that protect the vagina.labia minora
The primary female reproductive organs that produce an ovum, or egg, that, if fertilized, will develop into a fetus.ovaries
An infection of the fallopian tubes and the surrounding tissues of the pelvis.pelvic inflammatory disease (PID)
The area of skin between the vagina and the anus.perineum
Sexual intercourse inflicted forcibly on another person, against that person's will.rape
An attack against a person that is sexual in nature, the most common of which is rape.sexual assault
The muscular organ where the fetus grows, also called the womb; responsible for contractions during labor.uterus
The outermost cavity of a woman's reproductive system; the lower part of the birth canal. vagina
memorize