Gynecology Volume 5 Chapter 1Exam questions with Answers.

Gynecology Volume 5 Chapter 1Exam
Questions with Answers
If a patient presents with what you suspect is a severe case of pelvic inflammatory
disease with lower abdominal pain and rebound tenderness, which of the following
statements is true?
A.
The patient also likely has appendicitis.
B.
If the patient is menstruating, the discharge should be clear and thin.
C.
It may be impossible for you to rule out appendicitis instead of PID.
D.
Routine treatment includes oxygen therapy and an IV of D5W. - Correct Answer C

What tissues form a sling like structure that supports the internal pelvic organs and
that is able to stretch during childbirth?
A.
Mons pubis
B.
Labia
C.
Prepuce
D.
Perineum - Correct Answer D

What branch of medicine deals with the reproductive health needs of females?
A.
Reproductive specialists
B.
Perinatology
C.
Obstetrics
D.
Gynecology - Correct Answer D

You are treating a patient who was just sexually assaulted. Which of the following
statements made by this patient is most likely to be true?
A.
"I deserved this for how I was acting."
B.
"It's not a problem and I'm fine."

,C.
"I wasn't injured."
D.
"I know who did this to me." - Correct Answer D

Until proven otherwise, you should assume that a missed or late menstrual period is
due to:
A.
pregnancy.
B.
stress.
C.
IUD.
D.
menopause. - Correct Answer A

While ovarian cysts may be found during routine pelvic exams, in the field setting
which of the following would likely assist the paramedic in differential diagnosis?
A.
A complaint of one-sided moderate to severe abdominal pain that may radiate to the
back
B.
A complaint of sudden vaginal bleeding
C.
A complaint of a sudden onset of clear vaginal discharge
D.
A complaint of sudden onset rebound tenderness affecting the lower abdomen
bilaterally - Correct Answer A

You respond to a call for a 19-year-old female patient who was sexually assaulted at
a college party where she was drinking. She appears to be slightly intoxicated. She
is wearing high heels, a short skirt, and a low-cut halter top. What is an appropriate
question to ask this patient?
A.
"What did you think was going to happen dressed like this?"
B.
"Did you clearly say no or try to resist?"
C.
"Was there penetration or do you know?"
D.
"Can you tell me where you are injured?" - Correct Answer D

Your 26-year-old patient appears to be acutely ill and palpation of her lower
abdomen produces severe pain. She has drawn her knees up to her chest because
she says that this enables her to feel the most comfort. She says walking intensifies
her pain. You suspect which of the following?

, A.
Endometritis.
B.
Ectopic pregnancy.
C.
Cystitis.
D.
Pelvic inflammatory disease. - Correct Answer D

If a patient reports vaginal discharge and bleeding, what is an appropriate follow-up
question?
A.
"Does positioning yourself on your back or side reduce your discomfort?"
B.
"Why do you think you are bleeding?"
C.
"What is the amount and frequency of the bleeding?"
D.
"Does walking or defecation aggravate your pain?" - Correct Answer C

The first two weeks of the menstrual cycle are known as the:
A.
menstrual phase.
B.
ischemic phase.
C.
secretory phase.
D.
proliferative phase. - Correct Answer D

Which of the following most accurately defines ectopic pregnancy?
A.
Fertilization of the egg within the uterus
B.
Failure of the ovum to become fertilized
C.
Rupture of the fallopian tube
D.
Implantation of a fetus outside of the uterus - Correct Answer D

How should you respond if your female patient is reluctant to discuss the specifics of
her gynecologic complaint with you in detail?
A.
Have her sign a refusal of treatment form.
B.
Insist that she provide you with the information.