Gynecologic Emergencies Quiz & Flashcards

Questions and Answers

As a woman approaches menopause, what is true about her menstrual periods?

She cannot become pregnant because of fluctuating hormone levels.

Her menstrual periods may become irregular and vary in severity. (correct)

She usually experiences abdominal cramping without vaginal bleeding.

Her risk of developing PID lowers significantly.

Each ovary produces an ovum in alternating months and releases it into the:

Cervical os

Uterus

Vagina

Fallopian tube (correct)

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:

Supplemental oxygen and keeping the patient supine

Treating external lacerations with sterile compresses

Refraining from placing any dressings into the vagina

Carefully removing any foreign bodies from the vagina (correct)

What should EMTs suspect when a patient states, 'I can't remember anything, but I know I was raped.'?

The patient was given a drug prior to the incident. Signup and view all the answers

In anticipation of receiving a fertilized ovum, the lining of the uterine wall:

Becomes engorged with blood. Signup and view all the answers

Bleeding caused by conditions such as polyps or cancer is typically:

Relatively painless. Signup and view all the answers

Which clinical presentation is MOST consistent with pelvic inflammatory disease (PID)?

Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge Signup and view all the answers

Which statement regarding gonorrhea is correct?

Painful urination is common in both men and women. Signup and view all the answers

During assessment of a young female with nontraumatic vaginal bleeding, what action should be taken?

Assist her ventilations with a bag-mask device. Signup and view all the answers

Additional assessment findings that would increase suspicion for pelvic inflammatory disease include:

A shuffling gait when walking Signup and view all the answers

When a sexual assault victim expresses a desire to clean up, what should EMTs do?

Provide emotional support and visually assess for obvious trauma. Signup and view all the answers

It is common for young females experiencing their first menstrual period to:

Experience abdominal cramping, which may be misinterpreted. Signup and view all the answers

Pelvic inflammatory disease (PID) typically does NOT affect the:

Urinary bladder Signup and view all the answers

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include:

Ovarian abscess and ectopic pregnancy Signup and view all the answers

The onset of menstruation usually occurs in females who are:

Between 11 and 16 years of age Signup and view all the answers

The physical examination of a sexual assault victim should be:

Limited to a brief survey for life-threatening injuries. Signup and view all the answers

When a female has reached menarche, this means:

She is capable of becoming pregnant. Signup and view all the answers

To determine the nature of a problem when a woman presents with abdominal pain, the EMT should:

Gather patient history information. Signup and view all the answers

When caring for a female patient who has been sexually assaulted, what should be done?

Place bloodstained clothing in separate paper bags. Signup and view all the answers

When caring for a woman experiencing a gynecologic emergency, the EMT's main focus should be to:

Maintain her ABCs and transport without delay. Signup and view all the answers

When documenting a call involving a sexual assault, you should:

Keep the report concise and in the patient's words. Signup and view all the answers

Whenever possible, a female sexual assault victim should be:

Given the option to be treated by a female EMT. Signup and view all the answers

Which condition would MOST likely lead to pelvic inflammatory disease if left untreated?

Chlamydia Signup and view all the answers

Which statement regarding pelvic inflammatory disease (PID) is correct?

PID can scar the fallopian tubes, increasing the risk of ectopic pregnancy. Signup and view all the answers

Which statement regarding rape is correct?

Rape is a legal term, not a medical diagnosis. Signup and view all the answers

Study Notes

Menopause and Menstrual Changes

Women approaching menopause often experience irregular menstrual periods with varying severity.
The lining of the uterine wall engorges with blood in anticipation of a fertilized ovum.

Ovulation and Reproductive Anatomy

Each ovary releases an ovum into the fallopian tube every other month.

Vaginal Bleeding and Trauma

In the case of vaginal bleeding from sexual assault, addressing external lacerations and providing supplemental oxygen are critical, but do not remove foreign bodies from the vagina.

Understanding Sexual Assault Cases

When a patient reports memory loss after a sexual assault, consider the possibility of drug administration.

Gynecological Emergencies

Pelvic inflammatory disease (PID) manifests as lower abdominal pain, fever, malaise, and foul-smelling discharge.
Patients may experience relatively painless bleeding due to conditions like polyps or cancer.

Gonorrhea Symptoms

Painful urination is a common sign of gonorrhea in both men and women.

Patient Assessment

In cases of nontraumatic vaginal bleeding with decreased consciousness and weak pulse, assisting ventilations is a priority.
A shuffling gait may heighten suspicion for PID during assessment.

Responses to Sexual Assault Victims

Providing emotional support and assessing for trauma are essential in addressing needs of sexual assault victims.
Documenting interactions should reflect the patient’s words without personal opinions.

Menstrual Onset and Characteristics

Menarche typically occurs between ages 11 and 16, and young females may experience asymptomatic cramping during their first period.

IVF and Reproductive Health

PID can lead to serious complications like ovarian abscess and ectopic pregnancy.
Chlamydia, if untreated, is a leading cause of PID.
The urinary bladder is not affected by PID.

Documentation and Reporting

Maintain concise and factual reports when documenting cases of sexual assault, focusing on the patient’s statements.
When possible, offer female patients the option to be treated by female EMTs for comfort.

Legal Understanding of Rape

Rape is classified as a legal term, and establishing it is not within the EMT's scope; focus should be on providing care and assessing physical injuries.

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Description

Test your knowledge with flashcards based on EMT Chapter 24 focused on gynecologic emergencies. This chapter covers important concepts, including the physiological changes during menopause and associated medical implications. Perfect for students preparing for their EMT exams.

EMT Chapter 24 - Gynecologic Emergencies