SUCCESSHANDS ✅👌😒💯😘😊 Page 1 of 129
Test Bank Paramedic Care: Principles & Practice V.5, 5e (Bledsoe)
Volume 5: Special Considerations and Operations ALL CHAPTERS
Table of contents ANSWERS INCLUDED
Chapter 1. Gynecology
Chapter 2. Obstetrics
Chapter 3. Neonatology
Chapter 4. Pediatrics
Chapter 5. Geriatrics
S
Chapter 6. Abuse, Neglect, and Assault
D
Chapter 7. The Challenged Patient
AN
Chapter 8. Acute Interventions for the Chronic Care Patient
Chapter 9. Ground Ambulance Operations
SH
Chapter 10. Air Medical Operations
Chapter 11. Multiple-Casualty Incidents and Incident Management
ES
Chapter 12. Rescue Awareness and Operations
Chapter 13. Hazardous Materials
C
Chapter 14. Crime Scene Awareness
Chapter 15. Rural EMS
C
Chapter 16. Responding to Terrorist Acts
SU
1
,SUCCESSHANDS ✅👌😒💯😘😊 Page 2 of 129
Paramedic Care: Principles & Practice V.5, 5e (Bledsoe)
Volume 5: Special Considerations and Operations
Chapter 1: Gynecology
1) The paramedic accurately describes the difference between endometritis and endometriosis
when she states:
A) "Endometriosis is an infection of the uterine lining, while endometritis occurs when
endometrial tissue is found outside the uterus."
B) "Endometriosis occurs in women under age 40, while endometriosis is more common in
women who are older."
C) "Endometritis is an infection of the uterine lining, while endometriosis occurs when
endometrial tissue is found outside the uterus."
S
D) "Endometritis patients can be transported code 2, while those with endometriosis should
always go code 3."
D
Answer: C
Diff: 2 Page Ref: 12
AN
Standard: Medicine (Gynecology)
Objective: 1
2) Your patient tells you that she is being treated for cystitis. You recognize that she is being
SH
treated for:
A) ovarian cysts.
B) pelvic inflammatory disease.
C) a urinary tract infection.
ES
D) an ectopic pregnancy.
Answer: C
Diff: 1 Page Ref: 12
Standard: Medicine (Gynecology)
C
Objective: 1
C
3) Which of the following is TRUE of mittelschmerz?
A) It is typically located unilaterally in one of the upper abdominal quadrants.
SU
B) It is usually accompanied by heavy vaginal bleeding.
C) It is associated with ovulation.
D) It is a sign of ectopic pregnancy.
Answer: C
Diff: 1 Page Ref: 12
Standard: Medicine (Gynecology)
Objective: 1
2
,SUCCESSHANDS ✅👌😒💯😘😊 Page 3 of 129
4) Menorrhagia is:
A) irregular cycles of menstruation.
B) painful menstruation.
C) absence of menstruation.
D) excessive menstrual flow.
Answer: D
Diff: 1 Page Ref: 13
Standard: Medicine (Gynecology)
Objective: 1
5) Mittelschmerz refers to which of the following?
A) Purulent vaginal discharge
B) False labor pains
S
C) Midcycle abdominal pain
D) Painful urination
D
Answer: C
Diff: 1 Page Ref: 12
AN
Standard: Medicine (Gynecology)
Objective: 1
6) Which of the following occurs during the proliferative phase of the menstrual cycle?
SH
A) Ovulation
B) An increase in uterine vascularity
C) Endometrial thickening
D) A drop in estrogen levels
ES
Answer: C
Diff: 1 Page Ref: 6
Standard: Medicine (Gynecology)
Objective: 2
C
7) The innermost lining of the uterus is called the:
C
A) myometrium.
B) perimetrium.
SU
C) endometrium
D) vasometrium.
Answer: C
Diff: 1 Page Ref: 5
Standard: Medicine (Gynecology)
Objective: 2
3
, SUCCESSHANDS ✅👌😒💯😘😊 Page 4 of 129
8) A 22-year-old woman presents in moderate distress, complaining of diffuse lower abdominal
pain. She states that the pain has become progressively worse for the past two weeks and she is
now unable to walk without an increase in pain. Your physical exam reveals severe pain with
palpation of the lower abdomen and the following vital signs: heart rate 102, blood pressure
118/74 mmHg, and respirations 20. Which of the following statements made by the patient
would most indicate the presence of pelvic inflammatory disease?
A) "My boyfriend was just diagnosed with chlamydia."
B) "I just had an IUD inserted."
C) "My last menstrual cycle was normal."
D) "I have chronic urinary tract infections."
Answer: A
Diff: 2 Page Ref: 11
Standard: Medicine (Gynecology)
S
Objective: 3
D
9) A 20-year-old sexually active woman presents with severe right-side abdominal pain that
radiates to her back. She states that the pain came on sharply during intercourse about 15 minutes
AN
earlier, and she reports a small amount of vaginal bleeding. She states that her menstrual cycles
have been irregular for the past 3 months. The most likely clinical diagnosis would be:
A) ruptured ectopic pregnancy.
B) ruptured ovarian cyst.
SH
C) spontaneous abortion.
D) pelvic inflammatory disease.
Answer: B
Diff: 2 Page Ref: 11-12
ES
Standard: Medicine (Gynecology)
Objective: 3
10) A 33-year-old woman presents with a low-grade fever and abdominal pain. She reports that
C
she noticed blood in her urine this morning. Which of the following questions would be most
helpful when trying to identify the underlying cause of this patient's symptoms?
C
A) "Have you noticed any foul-smelling discharge?"
B) "Do you have any pain or burning with urination?"
SU
C) "Do you take birth control?"
D) "Have you vomited today?"
Answer: B
Diff: 3 Page Ref: 12
Standard: Medicine (Gynecology)
Objective: 3
4
Test Bank Paramedic Care: Principles & Practice V.5, 5e (Bledsoe)
Volume 5: Special Considerations and Operations ALL CHAPTERS
Table of contents ANSWERS INCLUDED
Chapter 1. Gynecology
Chapter 2. Obstetrics
Chapter 3. Neonatology
Chapter 4. Pediatrics
Chapter 5. Geriatrics
S
Chapter 6. Abuse, Neglect, and Assault
D
Chapter 7. The Challenged Patient
AN
Chapter 8. Acute Interventions for the Chronic Care Patient
Chapter 9. Ground Ambulance Operations
SH
Chapter 10. Air Medical Operations
Chapter 11. Multiple-Casualty Incidents and Incident Management
ES
Chapter 12. Rescue Awareness and Operations
Chapter 13. Hazardous Materials
C
Chapter 14. Crime Scene Awareness
Chapter 15. Rural EMS
C
Chapter 16. Responding to Terrorist Acts
SU
1
,SUCCESSHANDS ✅👌😒💯😘😊 Page 2 of 129
Paramedic Care: Principles & Practice V.5, 5e (Bledsoe)
Volume 5: Special Considerations and Operations
Chapter 1: Gynecology
1) The paramedic accurately describes the difference between endometritis and endometriosis
when she states:
A) "Endometriosis is an infection of the uterine lining, while endometritis occurs when
endometrial tissue is found outside the uterus."
B) "Endometriosis occurs in women under age 40, while endometriosis is more common in
women who are older."
C) "Endometritis is an infection of the uterine lining, while endometriosis occurs when
endometrial tissue is found outside the uterus."
S
D) "Endometritis patients can be transported code 2, while those with endometriosis should
always go code 3."
D
Answer: C
Diff: 2 Page Ref: 12
AN
Standard: Medicine (Gynecology)
Objective: 1
2) Your patient tells you that she is being treated for cystitis. You recognize that she is being
SH
treated for:
A) ovarian cysts.
B) pelvic inflammatory disease.
C) a urinary tract infection.
ES
D) an ectopic pregnancy.
Answer: C
Diff: 1 Page Ref: 12
Standard: Medicine (Gynecology)
C
Objective: 1
C
3) Which of the following is TRUE of mittelschmerz?
A) It is typically located unilaterally in one of the upper abdominal quadrants.
SU
B) It is usually accompanied by heavy vaginal bleeding.
C) It is associated with ovulation.
D) It is a sign of ectopic pregnancy.
Answer: C
Diff: 1 Page Ref: 12
Standard: Medicine (Gynecology)
Objective: 1
2
,SUCCESSHANDS ✅👌😒💯😘😊 Page 3 of 129
4) Menorrhagia is:
A) irregular cycles of menstruation.
B) painful menstruation.
C) absence of menstruation.
D) excessive menstrual flow.
Answer: D
Diff: 1 Page Ref: 13
Standard: Medicine (Gynecology)
Objective: 1
5) Mittelschmerz refers to which of the following?
A) Purulent vaginal discharge
B) False labor pains
S
C) Midcycle abdominal pain
D) Painful urination
D
Answer: C
Diff: 1 Page Ref: 12
AN
Standard: Medicine (Gynecology)
Objective: 1
6) Which of the following occurs during the proliferative phase of the menstrual cycle?
SH
A) Ovulation
B) An increase in uterine vascularity
C) Endometrial thickening
D) A drop in estrogen levels
ES
Answer: C
Diff: 1 Page Ref: 6
Standard: Medicine (Gynecology)
Objective: 2
C
7) The innermost lining of the uterus is called the:
C
A) myometrium.
B) perimetrium.
SU
C) endometrium
D) vasometrium.
Answer: C
Diff: 1 Page Ref: 5
Standard: Medicine (Gynecology)
Objective: 2
3
, SUCCESSHANDS ✅👌😒💯😘😊 Page 4 of 129
8) A 22-year-old woman presents in moderate distress, complaining of diffuse lower abdominal
pain. She states that the pain has become progressively worse for the past two weeks and she is
now unable to walk without an increase in pain. Your physical exam reveals severe pain with
palpation of the lower abdomen and the following vital signs: heart rate 102, blood pressure
118/74 mmHg, and respirations 20. Which of the following statements made by the patient
would most indicate the presence of pelvic inflammatory disease?
A) "My boyfriend was just diagnosed with chlamydia."
B) "I just had an IUD inserted."
C) "My last menstrual cycle was normal."
D) "I have chronic urinary tract infections."
Answer: A
Diff: 2 Page Ref: 11
Standard: Medicine (Gynecology)
S
Objective: 3
D
9) A 20-year-old sexually active woman presents with severe right-side abdominal pain that
radiates to her back. She states that the pain came on sharply during intercourse about 15 minutes
AN
earlier, and she reports a small amount of vaginal bleeding. She states that her menstrual cycles
have been irregular for the past 3 months. The most likely clinical diagnosis would be:
A) ruptured ectopic pregnancy.
B) ruptured ovarian cyst.
SH
C) spontaneous abortion.
D) pelvic inflammatory disease.
Answer: B
Diff: 2 Page Ref: 11-12
ES
Standard: Medicine (Gynecology)
Objective: 3
10) A 33-year-old woman presents with a low-grade fever and abdominal pain. She reports that
C
she noticed blood in her urine this morning. Which of the following questions would be most
helpful when trying to identify the underlying cause of this patient's symptoms?
C
A) "Have you noticed any foul-smelling discharge?"
B) "Do you have any pain or burning with urination?"
SU
C) "Do you take birth control?"
D) "Have you vomited today?"
Answer: B
Diff: 3 Page Ref: 12
Standard: Medicine (Gynecology)
Objective: 3
4
