EMT-Chapter 24 -Gynecologic Emergencies Questions and
Answers Rated A
As a woman approaches menopause: B. the patient knew her attacker, but is afraid to
a) she usually experiences abdominal cramping say.
without vaginal bleeding. C. the traumatic experience has created a mental
b) her menstrual periods may become irregular block.
and vary in severity. D. the patient was given a drug prior to the
c) her risk of developing PID lowers significantly. incident. - ANSWER -D. the patient was
d) she cannot become pregnant because of given a drug prior to the incident.
fluctuating hormone levels. - ANSWER -b) (See Assessment and Management of Specific
her menstrual periods may become irregular and Conditions)
vary in severity.
(See Anatomy and Physiology)
In anticipation of receiving a fertilized ovum, the
lining of the uterine wall:
Each ovary produces an ovum in alternating A. becomes engorged with blood.
months and releases it into the: B. diverts blood flow to the vagina.
A. vagina. C. sheds and is expelled externally.
B. cervical os. D. thins and begins to separate. -
C. fallopian tube. ANSWER -A. becomes engorged with
D. uterus. - ANSWER -C. fallopian tube. blood.
(See Assessment and Management of Specific (See Anatomy and Physiology)
Conditions)
In contrast to bleeding caused by external trauma
General treatment for a woman with vaginal to the vagina, bleeding caused by conditions
bleeding and shock following sexual assault such as polyps or cancer:
includes all of the following, EXCEPT: A. may be relatively painless.
A. refraining from placing any dressings into the B. is typically not as severe.
vagina. C. often presents with acute pain.
B. treating external lacerations with sterile D. can be controlled in the field. -
compresses. ANSWER -A. may be relatively painless.
C. supplemental oxygen and keeping the patient (See Pathophysiology)
supine.
D. carefully removing any foreign bodies from the
vagina. - ANSWER -D. carefully removing Which of the following clinical presentations is
any foreign bodies from the vagina. MOST consistent with pelvic inflammatory
(See Emergency Medical Care) disease (PID)?
A. Left lower quadrant pain, referred pain to the
left shoulder, and fever
EMTs receive a call for a possible sexual assault. B. Upper abdominal cramping, severe headache,
The patient is a young female who is conscious and heavy vaginal bleeding
and alert and has no apparent injuries. She C. Lower abdominal pain, fever, general malaise,
states, "I can't remember anything, but I know I and foul-smelling vaginal discharge
was raped." The EMTs should suspect that: D. Pain around the umbilicus, low-grade fever,
A. an underlying head injury is causing her and generalized weakness - ANSWER -C.
amnesia. Lower abdominal pain, fever, general malaise,
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Answers Rated A
As a woman approaches menopause: B. the patient knew her attacker, but is afraid to
a) she usually experiences abdominal cramping say.
without vaginal bleeding. C. the traumatic experience has created a mental
b) her menstrual periods may become irregular block.
and vary in severity. D. the patient was given a drug prior to the
c) her risk of developing PID lowers significantly. incident. - ANSWER -D. the patient was
d) she cannot become pregnant because of given a drug prior to the incident.
fluctuating hormone levels. - ANSWER -b) (See Assessment and Management of Specific
her menstrual periods may become irregular and Conditions)
vary in severity.
(See Anatomy and Physiology)
In anticipation of receiving a fertilized ovum, the
lining of the uterine wall:
Each ovary produces an ovum in alternating A. becomes engorged with blood.
months and releases it into the: B. diverts blood flow to the vagina.
A. vagina. C. sheds and is expelled externally.
B. cervical os. D. thins and begins to separate. -
C. fallopian tube. ANSWER -A. becomes engorged with
D. uterus. - ANSWER -C. fallopian tube. blood.
(See Assessment and Management of Specific (See Anatomy and Physiology)
Conditions)
In contrast to bleeding caused by external trauma
General treatment for a woman with vaginal to the vagina, bleeding caused by conditions
bleeding and shock following sexual assault such as polyps or cancer:
includes all of the following, EXCEPT: A. may be relatively painless.
A. refraining from placing any dressings into the B. is typically not as severe.
vagina. C. often presents with acute pain.
B. treating external lacerations with sterile D. can be controlled in the field. -
compresses. ANSWER -A. may be relatively painless.
C. supplemental oxygen and keeping the patient (See Pathophysiology)
supine.
D. carefully removing any foreign bodies from the
vagina. - ANSWER -D. carefully removing Which of the following clinical presentations is
any foreign bodies from the vagina. MOST consistent with pelvic inflammatory
(See Emergency Medical Care) disease (PID)?
A. Left lower quadrant pain, referred pain to the
left shoulder, and fever
EMTs receive a call for a possible sexual assault. B. Upper abdominal cramping, severe headache,
The patient is a young female who is conscious and heavy vaginal bleeding
and alert and has no apparent injuries. She C. Lower abdominal pain, fever, general malaise,
states, "I can't remember anything, but I know I and foul-smelling vaginal discharge
was raped." The EMTs should suspect that: D. Pain around the umbilicus, low-grade fever,
A. an underlying head injury is causing her and generalized weakness - ANSWER -C.
amnesia. Lower abdominal pain, fever, general malaise,
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