WEST COAST EMT - BLOCK 5 EXAM
Questions and Answers
1. 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:
Select one:
A. assist her ventilations with a bag-valve mask, place one sterile
dressing into her vagina, perform a rapid secondary assessment,
and transport.
B. administer high-flow oxygen, place a sterile pad over her vagina,
keep her warm, elevate her lower extremities, and transport
without delay.
C.administer high-flow oxygen, perform a detailed assessment of her
vaginal area for signs of trauma, place her on her side, and
transport.
D. administer high-flow oxygen, ask her to remove the tampon,
perform
a detailed secondary assessment, and transport promptly.
Answer: B. administer high-flow oxygen, place a sterile pad over her vagina, keep her
warm, elevate her lower extremities, and transport without delay.
,2. A patient with pelvic inflammatory disease will typically complain
of
.
Select
one:
A. abdominal pain associated with menstruation
B. nausea and vomiting associated with intercourse
C. bleeding associated with stress
D. aches and fever associated with urination
Answer: A. abdominal pain associated with menstruation
3. 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.
4. During gynecologic emergencies, in addition to the standard
SAMPLE questions, the EMT should attempt to determine which
of the following?
Select one:
, 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. All of these answers are correct.
5. In anticipation of receiving a fertilized ovum, the lining of the
uterine wall: Select one:
A. sheds and is expelled externally.
B. becomes engorged with blood.
C. diverts blood flow to the vagina.
D. thins and begins to separate.
Answer: B. becomes engorged with blood.
6. 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.
Questions and Answers
1. 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:
Select one:
A. assist her ventilations with a bag-valve mask, place one sterile
dressing into her vagina, perform a rapid secondary assessment,
and transport.
B. administer high-flow oxygen, place a sterile pad over her vagina,
keep her warm, elevate her lower extremities, and transport
without delay.
C.administer high-flow oxygen, perform a detailed assessment of her
vaginal area for signs of trauma, place her on her side, and
transport.
D. administer high-flow oxygen, ask her to remove the tampon,
perform
a detailed secondary assessment, and transport promptly.
Answer: B. administer high-flow oxygen, place a sterile pad over her vagina, keep her
warm, elevate her lower extremities, and transport without delay.
,2. A patient with pelvic inflammatory disease will typically complain
of
.
Select
one:
A. abdominal pain associated with menstruation
B. nausea and vomiting associated with intercourse
C. bleeding associated with stress
D. aches and fever associated with urination
Answer: A. abdominal pain associated with menstruation
3. 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.
4. During gynecologic emergencies, in addition to the standard
SAMPLE questions, the EMT should attempt to determine which
of the following?
Select one:
, 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. All of these answers are correct.
5. In anticipation of receiving a fertilized ovum, the lining of the
uterine wall: Select one:
A. sheds and is expelled externally.
B. becomes engorged with blood.
C. diverts blood flow to the vagina.
D. thins and begins to separate.
Answer: B. becomes engorged with blood.
6. 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.
