ENA Gynecologic Emergencies Questions and Answers
What is (are) the primary female reproductive organ(s) called? - ANSWEROvaries
The sperm typically fertilizes the egg in the _________. - ANSWERfallopian tube
Menstrual flow will typically last approximately _________. - ANSWER1 week
If fertilization has not occurred in approximately 14 days postovulation: -
ANSWERmenstruation will begin.
Chlamydia, bacterial vaginosis, and gonorrhea are all examples of _________. -
ANSWERsexually transmitted diseases
Signs and symptoms of bacterial vaginosis typically include _________. -
ANSWER"fishy," foul-smelling discharge
______________ may be a cause of vaginal bleeding in a patient who states that she
is NOT pregnant. - ANSWEREctopic pregnancy
A patient with vaginal bleeding _________. - ANSWERmay not have obvious signs of
shock even if she has experienced significant blood loss
The EMT should perform a "rapid scan" to determine if the patient is __________
during the __________. - ANSWERstable or unstable; primary assessment
Which of the following signs/symptoms is considered particularly significant in
gynecological emergencies? - ANSWERSyncope
When prioritizing care for the victim of a sexual assault, the EMT should focus on
_________ first. - ANSWERlife-threatening injuries
At the scene of a sexual assault, the EMT should attempt to preserve evidence by
_________. - ANSWERdiscouraging the patient from removing clothes, using the
bathroom, or showering
What is typically the most important intervention that an EMT can provide to the
victim of sexual assault? - ANSWERComfort and reassurance
When a female has reached menarche: - ANSWERshe is capable of becoming
pregnant.
Which of the following statements regarding pelvic inflammatory disease (PID) is
correct? - ANSWERPID can scar the fallopian tubes, which increases the risk of an
ectopic pregnancy.
, As a woman approaches menopause: - ANSWERher menstrual periods may become
irregular and vary in severity.
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: -
ANSWERassist her ventilations with a BVM.
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? - ANSWERA shuffling gait when walking
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: - ANSWERthe
patient was given a drug prior to the incident.
General treatment for a woman with vaginal bleeding and shock following sexual
assault includes all of the following, EXCEPT: - ANSWERcarefully 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: - ANSWERadminister high-flow
oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay.
A patient with pelvic inflammatory disease will typically complain of _________. -
ANSWERabdominal pain associated with menstruation
Causes of vaginal bleeding include which of the following? - ANSWERA. Ectopic
pregnancy
B. Vaginal trauma
C. Spontaneous abortion
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? - ANSWERA. 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.****
In anticipation of receiving a fertilized ovum, the lining of the uterine wall: -
ANSWERbecomes engorged with blood.
What is (are) the primary female reproductive organ(s) called? - ANSWEROvaries
The sperm typically fertilizes the egg in the _________. - ANSWERfallopian tube
Menstrual flow will typically last approximately _________. - ANSWER1 week
If fertilization has not occurred in approximately 14 days postovulation: -
ANSWERmenstruation will begin.
Chlamydia, bacterial vaginosis, and gonorrhea are all examples of _________. -
ANSWERsexually transmitted diseases
Signs and symptoms of bacterial vaginosis typically include _________. -
ANSWER"fishy," foul-smelling discharge
______________ may be a cause of vaginal bleeding in a patient who states that she
is NOT pregnant. - ANSWEREctopic pregnancy
A patient with vaginal bleeding _________. - ANSWERmay not have obvious signs of
shock even if she has experienced significant blood loss
The EMT should perform a "rapid scan" to determine if the patient is __________
during the __________. - ANSWERstable or unstable; primary assessment
Which of the following signs/symptoms is considered particularly significant in
gynecological emergencies? - ANSWERSyncope
When prioritizing care for the victim of a sexual assault, the EMT should focus on
_________ first. - ANSWERlife-threatening injuries
At the scene of a sexual assault, the EMT should attempt to preserve evidence by
_________. - ANSWERdiscouraging the patient from removing clothes, using the
bathroom, or showering
What is typically the most important intervention that an EMT can provide to the
victim of sexual assault? - ANSWERComfort and reassurance
When a female has reached menarche: - ANSWERshe is capable of becoming
pregnant.
Which of the following statements regarding pelvic inflammatory disease (PID) is
correct? - ANSWERPID can scar the fallopian tubes, which increases the risk of an
ectopic pregnancy.
, As a woman approaches menopause: - ANSWERher menstrual periods may become
irregular and vary in severity.
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: -
ANSWERassist her ventilations with a BVM.
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? - ANSWERA shuffling gait when walking
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: - ANSWERthe
patient was given a drug prior to the incident.
General treatment for a woman with vaginal bleeding and shock following sexual
assault includes all of the following, EXCEPT: - ANSWERcarefully 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: - ANSWERadminister high-flow
oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay.
A patient with pelvic inflammatory disease will typically complain of _________. -
ANSWERabdominal pain associated with menstruation
Causes of vaginal bleeding include which of the following? - ANSWERA. Ectopic
pregnancy
B. Vaginal trauma
C. Spontaneous abortion
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? - ANSWERA. 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.****
In anticipation of receiving a fertilized ovum, the lining of the uterine wall: -
ANSWERbecomes engorged with blood.
