EMT Chapter23

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:`

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 _________.

abdominal pain associated with menstruation

Causes of vaginal bleeding include which of the following?

All of these answers are correct.

During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following?

All of these answers are correct.

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

becomes engorged with blood.

In cases of sexual assault, it is important to ensure that you do which of the following?

All of these answers are correct.

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

may be relatively painless.

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

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:

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?

Pelvic inflammatory disease

Some women experience ___________ during ovulation.

slight cramping

The __________ and _________ are folds of tissue that surround the urethral and vaginal openings.

labia majora; labia minora

The _____________ connect(s) each ovary with the uterus.

fallopian tubes

The EMT should ensure that vaginal bleeding is _________.

taken seriously and the patient is transported for gynecologic evaluation

The physical examination of a sexual assault victim should be:

limited to a brief survey for life-threatening injuries.

When caring for a female patient who has been sexually assaulted, you should:

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?

Chlamydia

Which of the following drugs is commonly referred to as "roofies"?

Rohypnol

Which of the following infections, when left untreated, may lead to infection of the blood and brain?

Gonorrhea

While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age.

11; 50