Chapter 21 Gynecological

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she:
has gathered patient history information.

When caring for a female patient who has been sexually assaulted, you should:
Place any bloodstained clothing or other articles in separate paper bags.

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:
Assist her ventilations with a bag-mask device.

Which of the following statements regarding rape is correct?
Rape is a legal diagnosis, not a medical diagnosis.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
Becomes engorged with blood.

Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.

The physical examination of a sexual assault victim should be:
Limited to a brief survey for life-threatening injuries.

Whenever possible, a female sexual assault victim should be
Given the option of being treated by a female EMT

Bacterial vaginosis is a condition that occurs when
Normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

Which of the following statements regarding gonorrhea is correct?
Painful urination is a common symptom of gonorrhea in men and women.

Which of the following conditions does NOT typically present with vaginal discharge?
Genital herpes

Each ovary produces an ovum in alternating months and releases it into the:
fallopian tube.

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:
carefully removing any foreign bodies from the vagina

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:
administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

PID typically does NOT affect the:
urinary bladder.

When a female has reached menarche
she is capable of becoming pregnant.

Whenever possible, a female sexual assault victim should be:
given the option of being treated by a female EMT.

When documenting a call in which a female was sexually assaulted, you should
keep the report concise and record only what the patient stated in her own words.

It is not uncommon for young females who experience their first menstrual period to:
experience abdominal cramping, which may be misinterpreted.

Which of the following conditions would MOST likely lead to PID if left untreated?
chlamydia

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 PID?
a shuffling gait when walking

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:
provide emotional support and visually assess her for obvious trauma.

Which of the following clinical presentations is MOST consistent with PID?
lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

When caring for a woman who is experiencing a gynecologic emergency, the EMT’s main focus should be to:
maintain her ABCs and transport without delay.

When documenting a call in which a female was sexually assaulted, you should:
keep the report concise and record only what the patient stated in her own words.

Potentially life threatening consequences of PID include
Ovarian abscess and ectopic pregnancy

When a woman presents with abdominal pain or other vague symptoms the emt is often unable to determine the nature of the problem until
Patient history information has been gathered

What is the onset of menstruation called
Menarche

What is the age that menstruation usually occurs?
Between 11 and 16

At what age does menopause begin?
Commonly around the age of 50

What is pelvic inflammatory disease (PID)?
An infection of the female upper organs of reproduction (uterus, ovaries, and fallopian tubes)

What is the most common sign of PID?
Lower abdominal pain

As a woman approaches menopause
Her periods may become irregular and vary in severity.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer
May be relatively painless

What symptoms indicate hemorrhage?
Presence of tachycardia and hypotension

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