When a women presents with abdominal pain or other vague symtoms, the EMT is often unable to determine the nature of the problem until he or she:

A. ascertains if the patient was ever pregnant

B. has formed a genreal impression of the patient

C. has obtained a complete set of vital signs

D. has gathered patient history information

As a women approaches menopause:

A. her menstrual periods may become irregular and vary in severity

B. she usually experiences abdominal cramping without vaginal bleeding

C. she cannot become pregnant because of fluctuating levels

D. her risk of developing PID lowers significantly

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

A. fallopian tube

B. cervix

C. uterus

D. vagina

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

A. ask questions related to her gynecologic history

B. maintain her ABCs and transport without delay

C. keep assessment and treatment to a minimum

D. determine the underlying cause of her problem

The physical examination of a sexual assault victim should be:

A. limited to a brief survey for life-threatening injuries

B. performed in the presence of at least 2 police officers

C. as detailed as possible so all injuries can be documented

D. deferred until to patient can be evaluated by a physician

When documenting a call in which a famale was sexually assaulted, you should:

A. translate the patient's words or statement using proper medical terminology

B. keep the report concise and record only what the patient stated in her own words

C. only use quotation marks when recording any statements made by witnesses

D. record your opinion only if you have reasonable proof to justify the statement

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

A. thins and begins to seperate

B. diverts blood flow to the vagina

C. sheds and is expelled externally

D. becomes engorged with blood

Whenever possible, a female sexual assault victim should be:

A. asked to provide a bried description of the perpetrator

B. encouraged to take a shower and change her clothes

C. thoroughly assessed, even if no signs of injury exist

D. given the option of being treated by a female EMT

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer:

A. can be controlled in the field

B. is typically not as severe

C. often presents with acute pain

D. may be relatively painless

Which of the following statements regarding pelvic inflammatory disease (PID) is correct?

A. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy

B. the most severe cases of PID occur in women who are not sexually active

C. the most common presenting symptom of PID is generalized upper abdominal pain

D. PID is most commonly affects women who have had a ectopic pregnancy in the past

Possible causes of vaginal bleeding include all of the following EXCEPT:

A. ectopic pregnancy

B. cervical polyps

C. vaginal trauma

D. peptic ulcer

Painful urination associated with burning and a yellowish discharge is assocated with:

A. chlamydia

B. gonorrhea

C. endometriosis

D. syphilis

Which of the following statements is FALSE regarding assessment and treatment of a woman who was the victim of sexual assault?

A. You may be called to testify in court regarding the incident

B. You should question the victim thoroughly about the assaulter in case the police missed any details

C. The patient should be given the option of being treated by a female responder

D. The patient should be discouraged from urinating or changing her clothes prior to examination at the hospital

The onset of menstruation usually occurs between the ages of:

A. 8 and 10 years

B. 11 and 16 years

C. 16 and 18 years

D. 17 and 20 years

The most common presenting sign of PID is:

A. vaginal discharge

B. fever

C. nausea and vomiting

D. lower abdominal pain

In rare cases, ____________ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra.

A. chlamydia

B. gonorrhea

C. PID

D. vaginal bleeding

Left untreated, ________ can lead to premature birth or low birth weight in pregnant women.

A. chlamydia

B. gonorrhea

C. bacterial vaginosis

D. vaginal bleeding

if a patient with vaginal bleeding present with a rapid pulse and pale or cool skin, you should:

A. attempt to locate the source of bleeding and correct it

B. place the patient in a supine position with her legs elevated

C. consider this to be a normal sign in a menstruating woman

D. inquire about recent problems with urination

When taking a history on a patient experiencing a gynecologic emergency, you should consider asking all of the following EXCEPT:

A. Are you taking birth control?

B. When was your last menstrual period?

C. How many sexual partners have you has in the past?

D. Do you have any history of sexually transmitted diseases? 

The "PID Shuffle" refers to:

A. a distinctive gait when the patient walks

B. rotation of the microorganisms that cause PID

C. symtoms that come and go

D. a structural that come and go

EMTs treating a patient of a sexual assault may not only be dealing with medical issues, but with ___________ issues as well.

A. psychological

B. physiological

C. educational

D. sociological

When performing a physical exam on a victim of sexual assault, you should:

A. expose and evaluate the patient's vaginal area regardless of whether there is bleeding

B. allow multiple people to observe the examination in case you have to testify

C. limit your examination to a brief survey for life-threatening injuries

D. place the patient's clothes into a paper bag

Rape is considered to be a ________________ diagnosis, not a medical diagnosis.

A. psychological

B surgical

C. sociological

D. legal 

Often the most important intervention for sexual assault patient is __________ and transport to a facility with staff specially trained to deal with this scenario.

A. comforting reassurance

B. excellent assessment skills

C. bandaging skills

D. emotional sympathy

A. comforting reassurance

Your _________ is the best tool to gain the patient's confidence to seek medical help.

A. professionalism

B. content knowledge

C. compassion

D. empathy

True or False

Chlamydia infection of the cervix can spread to the rectum, leading to rectal pain, discharge, or bleeding

True or False

If gonorrhea is not treated, the bacteria may enter the bloodstream and spread to other parts of the body, including the brain.

True or False

Because menstrual bleeding is monthly occurence, it is not necessary to assess for other causes of vaginal bleeding.

True or False

Obtaining an accurate and detailed patient assessment is critical when dealing with gynecologic issues.

True or False

Most cases of gynecologic emergencies are not life threatening.

True or False

Gynecologic emergencies are typically not embarrassing for women.

True or False

When taking a history of a woman with a gynecologic complaint, you should inquire about the possibility of pregnancy and exposure to sexually transmitted diseases.

True or False

Most presentations of tachycardia and hypotension are related to anxiety

True or False

Any report of syncope in a woman complaining of vaginal bleeding is considered significant.

True or False

It is acceptable to place dressing into the vaginal canal to stop significant bleeding.

True or False

When examining a female, you should limit the number of people involved.

True or False

Gynecological emergencies can occur at any age during a woman's lifetime.

True or False

Injuries to the external genitals are typically not painful due to the very sparse nerve supply.

True or False

When completing documentation of a sexual assault incident, adding your personal throughts can help with the investigation.

True or False

Determining the cause of vaginal bleeding should be of less importance than treating for shock and transporting the patient to an appropriate faicility.

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The _________ are located on each side of the lower abdomen and produce the ovum, or egg.

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When a female reaches ____________, she begins to ovulate and experience menstruation.

Fill-in-the-Blank

__________ ___________ __________ is the most common gynecologic rason why women call for EMS.

Fill-in-the-Blank

___________ _________ can be very messy, sometimes involving large amounts of blood and bodily fluids.

Fill-in-the-Blank

___________ ____________ and _____________ ____________ are two conditions that can cause a vaginal bleeding in women who do not appear to be pregnant and who may not realize they are pregnant.

Fill-in-the-Blank

Make sure to use ____________ ____________ when attempting to control vaginal bleeding.

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__________ _____________ can cause significant blood loss and lead to hypovolemia.

Fill-in-the-Blank

You will need to work together with _________ ____________ when dealing with a victim of sexual assault.

Fill-in-the-Blank

Symptoms of ____________ appear approximately 2 to 10 days after exposure.

Fill-in-the-Blank

Women will continue to experience menstruation until they reach __________.