JBL Module 6 Practice Exam
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood
pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min
with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:
A. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma,
place her on her side, and transport.
B. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary
assessment, and transport promptly.
C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay.
D. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a
rapid secondary assessment, and transport. - Answer-C. administer high-flow oxygen, place a sterile pad
over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
A patient with pelvic inflammatory disease will typically complain of _________.
A. aches and fever associated with urination
B. bleeding associated with stress
C. nausea and vomiting associated with intercourse
D. abdominal pain associated with menstruation - Answer-D. abdominal pain associated with
menstruation
Causes of vaginal bleeding include which of the following?
Select one:
,A. Ectopic pregnancy
B. Vaginal trauma
C. Spontaneous abortion
D. All of these answers are correct. - Answer-D. All of these answers are correct.
During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt
to determine which of the following?
A. The amount of time since of the patent's last menstrual cycle
B. The possibility that the patient may be pregnant
C. If the patient is sexually active
D. All of these answers are correct. - Answer-D. All of these answers are correct.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
A. becomes engorged with blood.
B. thins and begins to separate.
C. diverts blood flow to the vagina.
D. sheds and is expelled externally. - Answer-A. becomes engorged with blood.
In cases of sexual assault, it is important to ensure that you do which of the following?
Select one:
A. Immediately write down your observations of the scene before assessing the patient.
B. Call for a female EMT or ALS care provider.
C. Discuss with law enforcement any suspicions that you may have about the perpetrator.
D. All of these answers are correct. - Answer-D. All of these answers are correct.
,In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as
polyps or cancer:
A. can be controlled in the field.
B. often presents with acute pain.
C. is typically not as severe.
D. may be relatively painless. - Answer-D. may be relatively painless.
It is common for young females who experience their first menstrual period to:
A. lose up to 500 mL of blood within the first 24 hours.
B. become so emotionally distraught that they contemplate suicide.
C. have a false positive home pregnancy test result.
D. experience abdominal cramping, which may be misinterpreted. - Answer-D. experience abdominal
cramping, which may be misinterpreted.
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. perform a limited hands-on assessment to detect life-threatening injuries.
C. advise her that she cannot clean herself up because this will destroy evidence.
D. ask her if there is anyone you can contact, such as a friend or relative. - Answer-A. provide emotional
support and visually assess her for obvious trauma.
, Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be
indicative of which of the following?
A. Chlamydia
B. Bacterial vaginosis
C. Gonorrhea
D. Pelvic inflammatory disease - Answer-D. Pelvic inflammatory disease
Some women experience ___________ during ovulation.
A. hypotension
B. severe bleeding
C. slight cramping
D. severe abdominal pain - Answer-C. slight cramping
The __________ and _________ are folds of tissue that surround the urethral and vaginal openings.
A. perineum; anus
B. fallopian tubes; uterus
C. vagina; cervix
D. labia majora; labia minora - Answer-D. labia majora; labia minora
The _____________ connect(s) each ovary with the uterus.
A. fallopian tubes
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood
pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min
with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should:
A. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma,
place her on her side, and transport.
B. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary
assessment, and transport promptly.
C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay.
D. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a
rapid secondary assessment, and transport. - Answer-C. administer high-flow oxygen, place a sterile pad
over her vagina, keep her warm, elevate her lower extremities, and transport without delay.
A patient with pelvic inflammatory disease will typically complain of _________.
A. aches and fever associated with urination
B. bleeding associated with stress
C. nausea and vomiting associated with intercourse
D. abdominal pain associated with menstruation - Answer-D. abdominal pain associated with
menstruation
Causes of vaginal bleeding include which of the following?
Select one:
,A. Ectopic pregnancy
B. Vaginal trauma
C. Spontaneous abortion
D. All of these answers are correct. - Answer-D. All of these answers are correct.
During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt
to determine which of the following?
A. The amount of time since of the patent's last menstrual cycle
B. The possibility that the patient may be pregnant
C. If the patient is sexually active
D. All of these answers are correct. - Answer-D. All of these answers are correct.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
A. becomes engorged with blood.
B. thins and begins to separate.
C. diverts blood flow to the vagina.
D. sheds and is expelled externally. - Answer-A. becomes engorged with blood.
In cases of sexual assault, it is important to ensure that you do which of the following?
Select one:
A. Immediately write down your observations of the scene before assessing the patient.
B. Call for a female EMT or ALS care provider.
C. Discuss with law enforcement any suspicions that you may have about the perpetrator.
D. All of these answers are correct. - Answer-D. All of these answers are correct.
,In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as
polyps or cancer:
A. can be controlled in the field.
B. often presents with acute pain.
C. is typically not as severe.
D. may be relatively painless. - Answer-D. may be relatively painless.
It is common for young females who experience their first menstrual period to:
A. lose up to 500 mL of blood within the first 24 hours.
B. become so emotionally distraught that they contemplate suicide.
C. have a false positive home pregnancy test result.
D. experience abdominal cramping, which may be misinterpreted. - Answer-D. experience abdominal
cramping, which may be misinterpreted.
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. perform a limited hands-on assessment to detect life-threatening injuries.
C. advise her that she cannot clean herself up because this will destroy evidence.
D. ask her if there is anyone you can contact, such as a friend or relative. - Answer-A. provide emotional
support and visually assess her for obvious trauma.
, Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be
indicative of which of the following?
A. Chlamydia
B. Bacterial vaginosis
C. Gonorrhea
D. Pelvic inflammatory disease - Answer-D. Pelvic inflammatory disease
Some women experience ___________ during ovulation.
A. hypotension
B. severe bleeding
C. slight cramping
D. severe abdominal pain - Answer-C. slight cramping
The __________ and _________ are folds of tissue that surround the urethral and vaginal openings.
A. perineum; anus
B. fallopian tubes; uterus
C. vagina; cervix
D. labia majora; labia minora - Answer-D. labia majora; labia minora
The _____________ connect(s) each ovary with the uterus.
A. fallopian tubes
