Chapter 23

What is (are) the primary female reproductive organ(s) called? Select one: A. Uterine tubes B. Uterus C. Vagina D. Ovaries

The sperm typically fertilizes the egg in the _________. Select one: A.fallopian tube B. vagina C. uterus D. ovary

Menstrual flow will typically last approximately _________. Select one: A. 1 day B. 3 days C. 1 week D. 1 month

If fertilization has not occurred in approximately 14 days postovulation: Select one: A. the ovum will begin to travel to the uterus. B. another egg will be released. C. menstruation will begin. D. All of these answers are correct.

Chlamydia, bacterial vaginosis, and gonorrhea are all examples of _________. Select one: A. "women's conditions" B. diseases that can cause scarring of the fallopian tubes C. sexually transmitted diseases D. causes of vaginal bleeding

Signs and symptoms of bacterial vaginosis typically include _________. Select one: A. blood associated with vaginal intercourse B. "fishy," foul-smelling discharge C. low back pain D. rectal pain and discharge

______________ may be a cause of vaginal bleeding in a patient who states that she is NOT pregnant. Select one: A. Bacterial vaginosis B. Hypotension C. Ectopic pregnancy D. Menopause

A patient with vaginal bleeding _________. Select one: A. will have profound and obvious signs of shock B. may not have obvious signs of shock even if she has experienced significant blood loss C. may want to stand, rather than sit or lie on the stretcher D. will have a weak and rapid pulse but not pale or diaphoretic skin

The EMT should perform a "rapid scan" to determine if the patient is __________ during the __________. Select one: A. stable or unstable; primary assessment B. breathing or not breathing; primary assessment C. complaining of vaginal bleeding; history taking D. pregnant; secondary assessment

Which of the following signs/symptoms is considered particularly significant in gynecological emergencies? Select one: A. Syncope B. Abdominal cramping C. Painful urination D. Vaginal bleeding

When prioritizing care for the victim of a sexual assault, the EMT should focus on _________ first. Select one: A. preserving evidence B. relaying the patient's account of the event to law enforcement C. soft-tissue injuries D. life-threatening injuries

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT: Select one: A. supplemental oxygen and keeping the patient supine. B. refraining from placing any dressings into the vagina. C. carefully removing any foreign bodies from the vagina. D. treating external lacerations with sterile compresses.

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I cannot remember anything, but I know I was raped." The EMTs should suspect that: Select one: A. the patient was given a drug prior to the incident. B. the patient knew her attacker, but is afraid to say. C. an underlying head injury is causing her amnesia. D. the traumatic experience has created a mental block.

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease? Select one: A. A shuffling gait when walking B. Bright red blood in the urine C. A history of ectopic pregnancy D. Vaginal passage of blood clots

During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should: Select one: A. perform a rapid secondary assessment. B. assist her ventilations with a BVM. C. assess her blood pressure and elevate her legs. D. perform a visual assessment of her vaginal area.

As a woman approaches menopause: Select one: A. her menstrual periods may become irregular and vary in severity. B. she cannot become pregnant because of fluctuating hormone levels. C. she usually experiences abdominal cramping without vaginal bleeding. D. her risk of developing pelvic inflammatory disease lowers significantly.

Which of the following statements regarding pelvic inflammatory disease (PID) is correct? Select one: A. The most severe cases of PID occur in women who are not sexually active. B. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy. C. PID most commonly affects women who have had an ectopic pregnancy in the past. D. The most common presenting symptom of PID is generalized upper abdominal pain.

When a female has reached menarche: Select one: A. she is capable of becoming pregnant. B. she can no longer produce an ovum. C. she usually requires hormone therapy. D. menstrual periods become less frequent.

What is typically the most important intervention that an EMT can provide to the victim of sexual assault? Select one: A. Control of vaginal bleeding B. Calling for ALS personnel C. Comfort and reassurance D. High-flow oxygen therapy

The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. Select one: A. fallopian tubes; uterus B. perineum; anus C. labia majora; labia minora D. vagina; cervix

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? Select one: A. Genital herpes B. Ectopic pregnancy C. Chlamydia D. Ovarian cysts

The _____________ connect(s) each ovary with the uterus. Select one: A. abdomen B. egg C. fallopian tubes D. cervix

When caring for a female patient who has been sexually assaulted, you should: Select one: A. allow law enforcement to take her statement before you begin treatment. B. place any bloodstained clothing or other articles in separate paper bags. C. ask the patient for a concise, detailed report of what happened to her. D. advise her that she will not be allowed to shower or change her clothes.

Which of the following infections, when left untreated, may lead to infection of the blood and brain? Select one: A. Pelvic inflammatory disease B. Bacterial vaginosis C. Gonorrhea D. Chlamydia

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. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. 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, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: A. diverts blood flow to the vagina. B. becomes engorged with blood. C. thins and begins to separate. D. sheds and is expelled externally.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: Select one: A. may be relatively painless. B. is typically not as severe. C. can be controlled in the field. D. often presents with acute pain.

It is common for young females who experience their first menstrual period to: Select one: A. have a false positive home pregnancy test result. B. experience abdominal cramping, which may be misinterpreted. C. lose up to 500 mL of blood within the first 24 hours. D. become so emotionally distraught that they contemplate suicide.

Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Chlamydia B. Pelvic inflammatory disease C. Gonorrhea D. Bacterial vaginosis

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.

A patient with pelvic inflammatory disease will typically complain of _________. Select one: 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

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.

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. advise her that she cannot clean herself up because this will destroy evidence. B. provide emotional support and visually assess her for obvious trauma. C. ask her if there is anyone you can contact, such as a friend or relative. D. perform a limited hands-on assessment to detect life-threatening injuries.

Which of the following drugs is commonly referred to as "roofies"? Select one: A. Ketamine B. GHB C. MDMA D. Rohypnol

The physical examination of a sexual assault victim should be: Select one: A. limited to a brief survey for life-threatening injuries. B. as detailed as possible so all injuries can be documented. C. performed in the presence of at least two police officers. D. deferred until the patient can be evaluated by a physician.

The EMT should ensure that vaginal bleeding is _________. Select one: A. controlled directly by the patient B. not caused by traumatic injury C. taken seriously and the patient is transported for gynecologic evaluation D. severe enough to warrant transport

While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age. Select one: A. 10; 40 B. 20; 60 C. 11; 50 D. 10; 70

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.

Some women experience ___________ during ovulation. Select one: A. hypotension B. severe bleeding C. severe abdominal pain D. slight cramping