West Coast EMT - Block 5 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: 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. - B. 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 _________. 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 - A. 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. - 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? 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. - . All of these answers are correct. 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. - B. 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. - 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: Select one: A. often presents with acute pain. B. is typically not as severe. C. may be relatively painless. D. can be controlled in the field. - C. may be relatively painless. It is common for young females who experience their first menstrual period to: Select one: A. experience abdominal cramping, which may be misinterpreted. B. become so emotionally distraught that they contemplate suicide. C. lose up to 500 mL of blood within the first 24 hours. D. have a false positive home pregnancy test result. - A. 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: Select one: A. ask her if there is anyone you can contact, such as a friend or relative.B. advise her that she cannot clean herself up because this will destroy evidence. C. perform a limited hands-on assessment to detect life-threatening injuries. D. provide emotional support and visually assess her for obvious trauma. - D. provide emotional support and visually assess her for obvious trauma.