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Paramedic Care: Principles & Practice, 6th edition Volume 5:
Special Considerations and Operations

(Bledsoe)Chapter 1 to 16

,Volume 5: Special Considerations and Operations
Table of contents

Chapter 1. Gynecology
Chapter 2. Obstetrics
Chapter 3. Neonatology
Chapter 4. Pediatrics
Chapter 5. Geriatrics
Chapter 6. Abuse, Neglect, and Assault

Chapter 7. The Challenged Patient
Chapter 8. Acute Interventions for the Chronic Care Patient
Chapter 9. Ground Ambulance Operations
Chapter 10. Air Medical Operations
Chapter 11. Multiple-Casualty Incidents and Incident Management

Chapter 12. Rescue Awareness and Operations
Chapter 13. Hazardous Materials
Chapter14. Crime Scene Awareness
Chapter 15. Rural EMS
Chapter 16. Responding to Terrorist Acts

,Volume 5: Special Considerations and Operations
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Chapter 1: Gynecology
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1) The paramedic accurately describes the difference between endometritis and
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endometriosis
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A) "Endometriosis is an infection of the uterine lining, while endometritis occurs
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when endometrial tissue is found outside the uterus."
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B) "Endometriosis occurs in women under age 40, while endometriosis is more
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common in women who are older."
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C) "Endometritis is an infection of the uterine lining, while endometriosis occurs
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when endometrial tissue is found outside the uterus."
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D) "Endometritis patients can be transported code 2, while those with endometriosis
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should always go code 3."
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Answer: C YT


Diff: 2 Page Ref: 12
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Standard: Medicine (Gynecology)
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Objective: 1
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2) Your patient tells you that she is being treated for cystitis. You recognize that she is
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being
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A) ovarian cysts. YT


B) pelvic inflammatory disease.
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C) a urinary tract infection.
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D) an ectopic pregnancy.
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Answer: C YT


Diff: 1 Page Ref: 12
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Standard: Medicine (Gynecology)
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Objective: 1
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3) Which of the following is TRUE of mittelschmerz?
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A) It is typically located unilaterally in one of the upper abdominal quadrants.
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B) It is usually accompanied by heavy vaginal bleeding.
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C) It is associated with ovulation.
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D) It is a sign of ectopic pregnancy.
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Answer: C Y T


Diff: 1 Page Ref: 12
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Standard: Medicine (Gynecology)
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Objective: 1
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, 4) Menorrhagia is: YT


A) irregular cycles of menstruation. YT YT YT


B) painful menstruation.
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C) absence of menstruation. YT YT


D) excessive menstrual flow. YT YT


Answer: D Y T


Diff: 1 Page Ref: 13
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Standard: Medicine (Gynecology)
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Objective: 1
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5) Mittelschmerz refers to which of the following? YT YT YT YT YT YT


A) Purulent vaginal discharge YT YT


B) False labor pains
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C) Midcycle abdominal pain YT YT


D) Painful urination YT


Answer: C Y T


Diff: 1 Page Ref: 12
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Standard: Medicine (Gynecology)
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Objective: 1
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6) Which of the following occurs during the proliferative phase of the menstrual cycle?
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A) Ovulation
B) An increase in uterine vascularity
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C) Endometrial thickening YT


D) A drop in estrogen levels
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Answer: C Y T


Diff: 1 Page Ref: 6
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Standard: Medicine (Gynecology)
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Objective: 2
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7) The innermost lining of the uterus is called the:
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A) myometrium.
B) perimetrium.
C) endometrium
D) vasometrium.
Answer: C Y T


Diff: 1 Page Ref: 5
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Standard: Medicine (Gynecology)
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Objective: 2
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