Deck 25: Gynecological Emergencies

Question 1

What is the definition of gynecology?

A) The study of female anatomy.
B) The study of female pathophysiology.
C) The study of the female reproductive system.
D) The study of the female abdominal cavity.

Answer 1

The study of the female reproductive system.

Question 2

What is expelled from the vagina in the early stages of labor?

A) Unfertilized eggs
B) A lubricant
C) A mucus plug
D) The placenta

Answer 2

A mucus plug

Question 3

Which is considered a traumatic gynecological emergency?

A) Sexual assault
B) Cervical cancer
C) Ovarian cysts
D) Ectopic pregnancy

Answer 3

Sexual assault

Question 4

Patients experiencing a gynecological emergency most often present with

A) pain while urinating and defecating.
B) blood in the urine or stool.
C) a painful discharge from the vagina and urethra.
D) abdominal pain or vaginal bleeding.

Question 5

What is the cervix?

A) The opening that connects the uterus with the vagina.
B) The sensitive area of female sexual stimulation.
C) The space of skin between the vagina and the anus.
D) One of the tubes that carries unfertilized eggs to the uterus.

Question 6

When is it okay for an EMT working alone to touch the vaginal area?

A) Whenever there is any bleeding or a suspected delivery.
B) Only during the course of a physical examination.
C) As long as the patient is draped and covered from view.
D) Only when the process of delivery has begun.

Question 7

A patient exhibiting signs of shock from a gynecological emergency should be placed in what position?

A) In a prone position.
B) In a supine position.
C) With her legs elevated.
D) With her chest elevated.

Question 8

A patient says she has had abdominal pain when she urinates and a "nasty smelling" vaginal discharge for the past few days. You suspect that

A) she could have kidney stones.
B) an STD like Chlamydia or syphilis.
C) an ectopic pregnancy or miscarriage.
D) she could have pelvic inflammatory disease.

Question 9

What other ailments have similar pain symptoms and can be confused with Pelvic Inflammatory Disease?

A) Vaginitis and uterine fibroids
B) Appendicitis and cystitis
C) Syphilis and cervical cancer
D) Ectopic pregnancy and peritonitis

Question 10

What is a common sign of syphilis?

A) Bleeding between periods
B) A chancre at the site of infection
C) Pain while urinating
D) White, yellow, or green discharge

Question 11

What is the danger of an ectopic pregnancy?

A) The umbilical cord could wrap around the baby's neck.
B) It can cause dangerously high blood pressure in the mother.
C) The growing embryo could rupture the fallopian tubes.
D) The baby's waste can sicken the mother.

Question 12

Your 24 year old patient complains of severe pain in her lower abdomen. She is pale, tachycardic, and hypotensive. You should

A) assess the abdomen for rigidness and swelling.
B) transport the patient to the hospital emergently.
C) look for evidence of vaginal bleeding.
D) ask the patient to make an appointment with her gynecologist.

Question 13

A woman has fallen from her bike. She is bleeding from her vagina. You should

A) place the patient in a supine position with her knees to her chest.
B) transport the patient in the left lateral recumbent position.
C) pack the vagina with dressings.
D) apply local pressure to the area with dressings.

Question 14

Following a sexual assault, it is important to prevent the victim from

A) combing her hair.
B) drinking liquids.
C) changing her clothes.
D) All of these are correct.

Question 15

When doing a visual examination for a gynecological emergency, you should

A) maintain the examination until advanced support arrives.
B) keep the wound exposed to air.
C) wait until nobody else can see the patient.
D) drape and conceal the patient for privacy.

Question 16

When collecting evidence after a sexual assault, you should

A) only put items in paper bags.
B) gather everything into one bag.
C) send the evidence bag with the paramedics.
D) put items in air-proof bags.

Question 17

Which of the following would be considered a medical emergency?

A) A woman with cramping and a heavy menstrual flow.
B) A woman experiencing pain from an ectopic pregnancy.
C) A woman with diagnosed cervical cancer.
D) A woman who has been diagnosed with latent stage syphilis.

Question 18

Endometriosis is

A) uterine tissue that develops outside of the uterus.
B) a normal period that is unusually heavy.
C) heavy bleeding that occurs after sexual intercourse.
D) a mucus plug that is expelled along with blood.

Question 19

What is an ovarian cyst?

A) A non-cancerous tumor located on or within an ovary
B) A piece of uterine tissue that grows in an ovary
C) A fertilized egg that implants within an ovary
D) A fluid filled sac on or within an ovary

Question 20

Because most non-traumatic gynecological emergencies require advanced technology for diagnosis, your EMT position prepares you to

A) only take a medical history and comment on your general impression.
B) provide emergency care and maintain the woman's well-being.
C) analyze the woman's symptoms and inform her of your general impression.
D) provide supportive care and maintain the woman's comfort.

Question 21

What is the most common sexually transmitted infection?

A) Syphilis
B) Chlamydia
C) Gonorrhea
D) Human papillomavirus

Question 22

What is the treatment for the most common type of ovarian cysts?

A) Surgical removal of the affected ovary
B) Allowing the cyst to go away on its own
C) A complete hysterectomy
D) A multi-spectrum antibiotic

Question 23

A patient with generalized abdominal pain is breathing inadequately. You should

A) give positive pressure ventilation with 100% oxygen.
B) apply oxygen by a non-rebreather mask at 15L/min.
C) ensure an open airway and recheck every 15 minutes.
D) begin chest compressions and begin rescue breathing.

Question 24

Which ailment has the symptoms of mild fever, lower back pain, a foul smelling discharge from the vagina, and pain in the abdomen during urination or sexual intercourse?

A) Ectopic Pregnancy
B) Chlamydia
C) Endometriosis
D) Pelvic Inflammatory Disease

Question 25

Which sexually transmitted disease has four stages, the last of which can cause severe damage to the body and even death?

A) Gonorrhea
B) Chlamydia
C) Human papillomavirus
D) Syphilis

Question 26

What happens in an ectopic pregnancy?

A) The fertilized egg lodges in the fallopian tube, ovaries, or cervix.
B) The perineum ruptures and hemorrhages while giving birth.
C) The pregnant mother is infected with syphilis, Chlamydia, or herpes.
D) The body terminates the pregnancy and expels the embryo.

Question 27

What instigates most cases of cervical cancer?

A) Human Papillomavirus
B) Intravenous drug use
C) Smoking or chewing tobacco
D) Bacterial STDs

Question 28

After a sexual assault, it is important that

A) the EMS responder collects possible evidence samples.
B) the victim is prevented from washing herself.
C) the victim be given time to cleanse herself.
D) the EMS responder performs an internal vaginal examination.

Question 29

Paramedics are loading a patient with vaginal bleeding for transportation. Bloody clothing and blood-soaked pads remain on the scene. You should

A) collect the articles and save them for evidence.
B) leave them for a biohazard team to remove later.
C) collect them and dispose of them in the trash.
D) soak them in denatured alcohol before disposing.

Question 30

Where is the woman's supply of eggs located?

A) Uterus
B) Vagina
C) Fallopian Tubes
D) Ovaries

Question 31

Which of these is best to ask a patient experiencing vaginal bleeding?

A) Do you have a diagnosed case of syphilis?
B) Do you have pain during urination?
C) Does the bleeding lessen when you stand up?
D) Does it look like normal menstrual bleeding?