Questions and Answers
What is bacterial vaginosis?
A condition that occurs when normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.
What should you do when a sexual assault victim does not want to be treated?
Provide emotional support and visually assess her for obvious trauma.
When documenting a call involving a sexual assault victim, what is important to remember?
Keep the report concise and record only what the patient stated in her own words.
What should the physical examination of a sexual assault victim focus on?
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If a woman with vaginal bleeding reports syncope, what should the EMT assume?
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What does each ovary produce in alternating months?
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How does bleeding caused by conditions like polyps or cancer compare to bleeding from external trauma?
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Which organ is typically not affected by pelvic inflammatory disease (PID)?
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What are some potentially life-threatening consequences of pelvic inflammatory disease?
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What should be the main focus when caring for a woman experiencing a gynecologic emergency?
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Rape is a medical diagnosis.
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A female sexual assault victim should always be treated by a male EMT.
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What drug is commonly referred to as 'roofies'?
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What happens to the lining of the uterine wall in anticipation of receiving a fertilized ovum?
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At what age does the onset of menstruation usually occur in females?
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PID can scar the fallopian tubes.
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What should you do for a young female with decreased level of consciousness and rapid, shallow respirations?
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What additional findings might increase suspicion for pelvic inflammatory disease in a patient with lower abdominal pain?
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Which condition could most likely lead to pelvic inflammatory disease if left untreated?
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How do menstrual periods change as a woman approaches menopause?
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What should you do for a 26-year-old female presenting with heavy vaginal bleeding and signs of shock?
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A female who has reached menarche is capable of becoming pregnant.
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When is it usually possible to determine the nature of a woman's abdominal pain?
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What should you do with bloodstained clothing or articles from a sexual assault victim?
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Study Notes
Bacterial Vaginosis
- Condition caused by an overgrowth of certain bacteria in the vagina, replacing normal flora.
Response to Sexual Assault
- Provide emotional support to victims; assess for trauma visually.
- Respect the victim's decision regarding treatment and transportation.
Documentation Practices
- Keep reports concise, using the victim's own words in the documentation.
Physical Examination of Sexual Assault Victims
- Focus on a brief survey to check for life-threatening injuries.
Vaginal Bleeding and Syncope
- Syncope in women with vaginal bleeding indicates possible shock.
Ovum Production
- Each ovary releases an ovum monthly, depositing it in the Fallopian tube.
Bleeding Causes
- Non-traumatic bleeding such as from polyps or cancer is often painless.
Pelvic Inflammatory Disease (PID)
- PID does not impact the urinary bladder.
- Serious consequences include ovarian abscess and ectopic pregnancy.
- PID can lead to scarring of fallopian tubes, elevating ectopic pregnancy risk.
Emergency Care for Gynecologic Issues
- Primary focus should be maintaining ABCs (airway, breathing, circulation) and prompt transport.
Legal and Medical Definitions
- Rape is defined legally, not as a medical diagnosis.
- Female sexual assault victims should ideally be treated by female EMTs.
Drugs Related to Sexual Assault
- "Roofies" commonly refer to the drug Rohypnol.
Uterine Response to Fertilization
- Uterine lining becomes engorged with blood in preparation for a fertilized ovum.
Menstruation Onset
- Typically occurs between ages 11 and 16.
Assessing Young Females
- In cases of non-traumatic vaginal bleeding, monitor vital signs closely; assist ventilations if needed.
Indicators of PID
- A shuffling gait can raise suspicion for pelvic inflammatory disease.
Chlamydia and PID
- Untreated Chlamydia infections are the most likely cause of pelvic inflammatory disease.
Menopause Changes
- As menopause approaches, menstrual periods may become irregular and vary in intensity.
Management of Heavy Vaginal Bleeding
- Provide high-flow oxygen, standard care for heavy bleeding, and transport promptly.
Menarche
- Reaching menarche indicates a female's ability to become pregnant.
Abdominal Pain Assessment
- EMTs must gather patient history to determine unclear abdominal pain causes.
Evidence Collection in Sexual Assault
- Collect and store any bloodstained clothing and items in separate paper bags for evidence preservation.
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Description
This quiz focuses on key concepts from Chapter 24, including bacterial vaginosis and the response to sexual assault situations. It is designed to test your knowledge of medical definitions and emergency response protocols. Perfect for students in health-related fields.
