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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:
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, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport.
C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delay.
D. administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly.
C. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delay
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:
A. perform a visual assessment of her vaginal area.
B. perform a rapid secondary assessment.
C. assess her blood pressure and elevate her legs.
D. assist her ventilations with a bag-mask device.
D. assist her ventilations with a bag-mask device.
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 can't remember
anything, but I know I was raped." The EMTs should suspect that:
A. an underlying head injury is causing her amnesia.
B. the patient was given a drug prior to the incident.
C. the traumatic experience has created a mental block.
D. the patient knew her attacker, but is afraid to say.
B. the patient was given a drug prior to the incident.
If a woman with vaginal bleeding reports syncope, the EMT should assume that she:
A. is in shock.
B. has an infection.
C. has an ectopic pregnancy.
D. is pregnant.
A. is in shock.
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,The physical examination of a sexual assault victim should be:
A. performed in the presence of at least two police officers.
B. limited to a brief survey for life-threatening injuries.
C. as detailed as possible so all injuries can be documented.
D. deferred until the patient can be evaluated by a physician.
B. limited to a brief survey for life-threatening injuries.
Which of the following clinical presentations is MOST consistent with pelvic
inflammatory disease (PID)?
A. Pain around the umbilicus, low-grade fever, and generalized weakness
B. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge
C. Upper abdominal cramping, severe headache, and heavy vaginal bleeding
D. Left lower quadrant pain, referred pain to the left shoulder, and fever
B. lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge
As a woman approaches menopause:
A. she cannot become pregnant because of fluctuating hormone levels.
B. her risk of developing pelvic inflammatory disease lowers significantly.
C. she usually experiences abdominal cramping without vaginal bleeding.
D. her menstrual periods may become irregular and vary in severity.
D. her menstrual periods may become irregular and vary in severity.
When caring for a woman who is experiencing a gynecologic emergency, the EMT's
main focus should be to:
A. ask questions related to her gynecologic history.
B. maintain her ABCs and transport without delay.
C. determine the underlying cause of her problem.
D. keep assessment and treatment to a minimum.
B. maintain her ABCs and transport without delay.
Which of the following statements regarding pelvic inflammatory disease (PID) is
correct?
A. The most common presenting symptom of PID is generalized upper abdominal pain.
B. PID most commonly affects women who have had an ectopic pregnancy in the past.
C. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
D. The most severe cases of PID occur in women who are not sexually active.
C. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
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?
A. Vaginal passage of blood clots
B. Bright red blood in the urine
C. A history of ectopic pregnancy
D. A shuffling gait when walking
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,D. A shuffling gait when walking
A 30-year-old female was robbed and assaulted by a gang as she was leaving a
nightclub. She has massive facial trauma and slow, gurgling respirations. As your
partner manually stabilizes her head, you should:
A. apply oxygen via a nonrebreathing mask.
B. visualize her mouth for obvious wounds.
C. begin immediate ventilatory assistance.
D. suction her oropharynx.
D. suction her oropharynx.
A 52-year-old unrestrained female struck the steering wheel with her face when her
truck collided with another vehicle. She has obvious swelling to her face and several
dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious
and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and
respirations of 22 breaths/min with adequate tidal volume. You should:
Select one:
A. Fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed,
and transport.
B. Fully immobilize her spine, irrigate her empty tooth sockets, attempt to locate the
dislodged teeth, and transport.
C. Apply oxygen via a nonrebreathing mask, suction her airway as needed, disregard
the dislodged teeth, and transport.
D. Assist ventilations with a BVM device, immobilize her spine, suction her oropharynx
for 30 seconds, and transport.
A. Fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed,
and transport.
A young female was involved in a motor vehicle crash. She complains of pain to her left
eye, which appears to have a piece of glass impaled in it. Further assessment reveals a
large laceration to her left forearm with active venous bleeding. As your partner
manually stabilizes the patient's head, you should:Select one:
A. stabilize the impaled glass in her eye.
B. administer 100% supplemental oxygen.
C. carefully remove the glass from her eye.
D. apply direct pressure to her arm wound.
D. apply direct pressure to her arm wound.
Abnormal variations in pupil size and reaction would MOST likely be observed in a
patient with:
A. conjunctivitis
B. a brain injury
C. contact lenses
D. retinitis
B. a brain injury
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, Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:
A. direct pressure using dry, sterile dressings.
B. digital pressure to an adjacent pulse point.
C. pressure dressings and chemical ice packs.
D. ice packs and elevation of the patient's head.
A. direct pressure using dry, sterile dressings.
Frequent reassessments of the patient with face or neck injuries are most important
because:
A. They lend credibility to your documentation.
B. Such injuries can affect the respiratory system.
C. Hospital staff require frequent patient updates.
D. Rapid facial swelling may mask hidden injuries.
D. Rapid facial swelling may mask hidden injuries.
Significant trauma to the face should increase the EMT's index of suspicion for a(n):
A. basilar skull fracture
B. airway obstruction
C. displaced mandible
D. spinal column injury
D. spinal column injury
The MOST significant complication associated with facial injuries is:Select one:
A. mandibular immobility.
B. airway compromise.
C. cervical spine injury.
D. damage to the eyes.
B. airway compromise.
When a light is shone into the pupil:
A. It should become smaller in size.
B. It should become larger in size.
C. The opposite pupil should dilate.
D. Both pupils should dilate together.
A. It should become smaller in size.
You are dispatched to a convenience store, where the clerk sustained a laceration to
the side of his neck during a robbery attempt. During your assessment, you note bright
red blood spurting from the laceration. You should:
A. apply direct pressure below the lacerated vessel.
B. circumferentially wrap a dressing around his neck.
C. apply pressure to the closest arterial pressure point.
D. apply direct pressure above and below the wound.
D. apply direct pressure above and below the wound.
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