PRACTICE MATERIALS
◉ A patient with pelvic inflammatory disease will typically complain
of _________.
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. Answer: D.
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.. Answer: 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?
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: D. All of these answers
are correct.
◉ In anticipation of receiving a fertilized ovum, the lining of the
uterine wall:
A. becomes engorged with blood.
B. thins and begins to separate.
C. diverts blood flow to the vagina.
D. sheds and is expelled externally.. Answer: A. 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.. Answer: 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:
A. can be controlled in the field.
B. often presents with acute pain.
C. is typically not as severe.
D. may be relatively painless.. Answer: D. may be relatively painless.
◉ It is common for young females who experience their first
menstrual period to:
A. lose up to 500 mL of blood within the first 24 hours.
B. become so emotionally distraught that they contemplate suicide.
C. have a false positive home pregnancy test result.
D. experience abdominal cramping, which may be misinterpreted..
Answer: D. 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:
A. provide emotional support and visually assess her for obvious
trauma.
B. perform a limited hands-on assessment to detect life-threatening
injuries.
C. advise her that she cannot clean herself up because this will
destroy evidence.
D. ask her if there is anyone you can contact, such as a friend or
relative.. Answer: A. provide emotional support and visually assess
her for obvious trauma.
◉ Patient complaints of pain during intercourse, lower abdominal
discomfort, and nausea may be indicative of which of the following?
A. Chlamydia
B. Bacterial vaginosis
C. Gonorrhea