SANS 500 EVIDENCE-BASED EXAM QUESTIONS AND CORRECT ANSWERS 2025 |GRADED A+ UPDATED VERSIONS!

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: - Answer administer 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 ... - Answer abdominal pain associated with menstruation Causes of vaginal bleeding include which of the following? - Answer Ectopic pregnancy Vaginal trauma Spontaneous abortion During gynecologic emergencies, in addition to the standard Sample questions, the EMT should attempt to determine which of the following? - Answer The amount of time since of the patient's last menstrual cycle The possibility that the patient may be pregnant If the patient is sexually active In anticipation of receiving a fertilized ovum, the lining of the uterine wall: - Answer becomes engorged with blood. In cases of sexual assault, it is important to ensure that you do which of the following? - Answer Immediately write down your observations of the scene before assessing the patient. Call for a female EMT or ALS care provider. Discuss with law enforcement any suspicions that you may have about the perpetrator. In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: - Answer may be relatively painless. It is common for young females who experience their first menstrual period to: - Answer 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: - Answer 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? - Answer Pelvic inflammatory disease Some women experience ... during ovulation. - Answer slight cramping The ... and ... are folds of tissue that surround the urethral and vaginal openings. - Answer labia majora; labia minora The ... connect(s) each ovary with the uterus. - Answer fallopian tubes The EMT should ensure that vaginal bleeding is ... - Answer taken seriously and the patient is transported for gynecologic evaluation The physical examination of a sexual assault victim should be: - Answer limited to a brief survey for life-threatening injuries. When caring for a female patient who has been sexually assaulted, you should: - Answer place any bloodstained clothing or other articles in separate paper bags Which of the following conditions would most likely lead to pelvic inflammatory disease if left untreated? - Answer Chlamydia Which of the following drugs is commonly referred to as "roofies"? - Answer Rohypnol Which of the following infections, when left untreated, may lead to infection of the blood and brain? - Answer Gonorrhea While the ages can vary, women typically experience menstruation from approximately ... to ... years of age. - Answer 11, 50 cervix - Answer The lower third, or neck, of the uterus; it is the narrowest portion of the uterus and opens into the vagina. vagina - Answer The outermost cavity of a woman's reproductive tract that connects the uterus with the vulva or the external female genitalia, the lower part of the birth canal. ovaries - Answer The primary female reproductive organs that produce sex hormones and an ovum, or egg, that, if fertilized, will develop into a fetus. uterus - Answer The muscular organ where the fetus grows, also called the womb; responsible for contractions during labor. if a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin, you should; - Answer place the patient in a supine position Left untreated, .... can lead to premature birth or low birth weight in pregnant women. - Answer bacterial vaginosis Often the most important intervention for a sexual assault patient is ... and transport to a facility with a staff specially trained to deal with this scenario. - Answer comforting reassurance Painful urination associated with burning and a yellowish discharge is associated with: - Answer gonorrhea what is the most common presenting sign or symptom of pelvic inflammatory disease or PID is - Answer lower abdominal pain You are called to the scene of a possible assault. Upon arrival, you are directed by police to a dark room where you find a 22 year old woman who says she was sexually assaulted by a coworker this afternoon. The patient tells you that she would really like to be transported to the hospital but refuses a physical examination. You should: - Answer follow your system's refusal of treatment policy and respect the patient's wishes without judgement. your .... is the best tool to gain the patient's confidence to seek medical help - Answer compassion .... can cause significant blood loss and lead to hypovolemia - Answer Vaginal bleeding .... pregnancy and spontaneous abortion are two conditions that can cause vaginal bleeding in women who do not appear to be pregnant and may not even realize that they are pregnant. - Answer Ectopic Symptoms of ... appear approximately 2 to 10 days after exposure - Answer gonorrhea Disinfectant - Answer What sterilization technique cleans but does not sterilize? Hold hands up while rinsing - Answer What is NOT part of the medical asepsis handwashing procedure? 18 inches - Answer What is the preferred length for atraumatic sutures? Cold sterilization - Answer What best sterilizes equipment that is delicate or sensitive to heat? Invasive - Answer What best describes a procedure that creates an opening in the skin, such as a surgical incision, or inserting a urinary catheter? Surgical Asepsis - Answer What term best describes practices known as sterile technique? Contamination - Answer What term best describes the result when a non sterile item/surface comes in contact with a sterile area? Absorbable - Answer What best describes sutures made from materials that dissolve when they encounter the tissue enzymes in the body? To prevent microorganisms from entering the body during invasive procedures - Answer What is the primary purpose of surgical asepsis? Retractor - Answer What instrument is NOT a grasping and clamping instrument? Dilator - Answer What instrument is inserted into narrowed or constricted ducts and tubes for the purpose of gradually enlarging the opening? Hemostat - Answer What instrument is commonly used to clamp blood vessels? Which of the following is NOT a part of the renal tubule? - Answer Bowman's capsule Which renal filtration structure restricts the movement of blood, cells, and large molecules? - Answer glomerular capillary endothelium Which portion of the renal tubule system is responsible for increasing the surface area for enhanced absorption and secretion? - Answer proximal convoluted tubule The medial border of the kidneys that receives the renal blood vessels is called the ___. - Answer hilum Which outer portion of the kidney contains the glomeruli? - Answer cortex Which structures unite to form the renal pelvis? - Answer major calyces Which artery provides the blood supply to the kidney? - Answer renal Which muscle is responsible for emptying the bladder and closing the bladder orifice? - Answer detrusor Which important clinical landmark is marked by ureteral and urethral orifices? ...