Term
| A 25-year-old woman presents with acute abdominal pain and vaginal bleeding. She tells you that she has soaked eight high-absorbency tampons in the past 2 hours. Approximately how much blood has she lost externally? |
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Definition
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Term
| A 30-year-old woman complains of an "achy" pain to both lower abdominal quadrants, which she states is made worse by walking. She further tells you that she recently finished her menstrual period. She has a fever of 101.9°F. Her blood pressure is 122/62 mm Hg, pulse rate is 84 beats/min and strong, and respirations are 14 breaths/min and unlabored. After gathering the rest of her medical history, you should: |
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Definition
| provide emotional support, make her as comfortable as possible, and safely transport her to an appropriate hospital. |
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Term
| A ruptured ovarian cyst typically presents with: |
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Definition
| a sudden onset of abdominal pain that can be related to the menstrual cycle. |
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Term
| Common signs and symptoms of gardnerella vaginitis include: |
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Definition
| a "fishy" vaginal odor, itching, irritation, and vaginal discharge. |
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Term
| Common signs and symptoms of infection with the cytomegalovirus include: |
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Definition
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Term
| During normal menstruation, approximately ____ to ____ mL of blood is discharged from the vagina. |
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Definition
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Term
| Dysmenorrhea that occurs before, during, and after menstrual flow: |
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Definition
| may signal an underlying illness. |
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Term
| If a 17-year-old woman with a gynecologic problem answers your question, "Is there any possibility that you are pregnant?" with a firm "No way!" you should: |
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Definition
| ask the patient why she is sure that she is not pregnant. |
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Term
| If a woman who is being treated with the antibiotic metronidazole for bacterial vaginosis consumes alcohol during treatment: |
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Definition
| she may develop severe nausea and vomiting. |
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Term
| If a young female with a known history of gonorrhea presents with abdominal pain, nausea and vomiting, and bleeding between periods: |
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Definition
| she most likely has pelvic inflammatory disease |
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Term
| Implantation of a fertilized egg within a fallopian tube: |
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Definition
| can cause severe intra-abdominal hemorrhage. |
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Term
| In contrast to endometritis, endometriosis: |
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Definition
| may present without abdominal pain. |
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Term
| In the average female, the menstrual cycle lasts ___ days. |
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Definition
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Term
| In the late stage of syphilis: |
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Definition
| the patient is usually asymptomatic, but damage to the brain, heart, blood vessels, and liver is occurring. |
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Term
| Initial signs and symptoms of toxic shock syndrome include all of the following, EXCEPT: |
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Definition
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Term
| Law enforcement request that you respond to a local apartment complex for a young woman who was sexually assaulted. When you arrive at the scene, you find the patient sitting on her couch, clearly upset. You see a small amount of blood on her shorts, near the groin area. What is your initial priority in the care of this patient? |
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Definition
| Identifying and treating immediate life threats |
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Term
| Mittelschmerz is defined as: |
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Definition
| unilateral abdominal pain and cramping that occur during the ovulatory process. |
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Term
| Pelvic inflammatory disease commonly affects all of the following organs, EXCEPT the: |
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Definition
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Term
| Pelvic inflammatory disease MOST commonly affects: |
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Definition
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Term
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Definition
| are more susceptible to atherosclerosis and osteoporosis. |
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Term
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Definition
| a rare complication associated with untreated chlamydia and is characterized by arthritis and skin lesions. |
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Term
| Risk factors for pelvic inflammatory disease include all of the following, EXCEPT: |
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Definition
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Term
| The Candida albicans fungus is the causative agent in: |
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Definition
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Term
| The external female genitalia are collectively referred to as the: |
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Definition
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Term
| The headache commonly experienced by women during their menstrual cycle is caused by: |
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Definition
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Term
| The lesions associated with genital herpes: |
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Definition
| initially appear as small red bumps |
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Term
| The MOST common cause of amenorrhea is: |
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Definition
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Term
| The MOST common underlying cause of a tubo-ovarian abscess is: |
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Definition
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Term
| The MOST important aspect in the care of a woman with severe vaginal bleeding is: |
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Definition
| treating for shock and transporting rapidly. |
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Term
| The onset of menses is called ___________, and typically occurs between the ages of ___________. |
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Definition
enarche, 11 and 14 years
(menarche) |
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Term
| There is evidence that a 21-year-old woman was given Rohypnol before being raped. She presents with alcohol on her breath, drowsiness, and memory loss. Her blood pressure is 98/68 mm Hg, pulse is 58 beats/min and weak, and respirations are decreased and shallow. You attempt to administer high-flow oxygen, but she resists. What should you do now? |
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Definition
| Consider administering naloxone in case she was also given a narcotic drug |
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Term
| What part of the female genitalia is homologous to the glans penis of the male? |
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Definition
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Term
| When conducting the scene size-up of a call involving a gynecologic emergency, it is MOST important to: |
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Definition
| assess for danger because any scene should be considered volatile. |
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Term
| Which of the following conditions is characterized by a lack of progesterone and increased androgen levels, and can lead to gestational diabetes and cardiac problems? |
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Definition
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Term
| Which of the following conditions poses the LEAST risk for shock due to vaginal bleeding? |
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Definition
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Term
| Which of the following conditions, if it remains undetected until puberty, can result in acute pain, severe constipation, and low back pain at the onset of menses? |
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Definition
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Term
| Which of the following is a potential complication of pelvic inflammatory disease? |
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Definition
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Term
| Which of the following is NOT characteristic of the secondary stage of syphilis? |
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Definition
| A single or multiple chancres |
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Term
| Which of the following medications would MOST likely be used in the prehospital setting to treat some women with severe premenstrual syndrome? |
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Definition
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Term
| Which of the following questions is the MOST important to ask when obtaining a patient's gynecologic history? |
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Definition
| "When was your last menstrual period?" |
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Term
| Which of the following statements regarding ectopic pregnancy is MOST correct? |
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Definition
| In ectopic pregnancy, a fertilized egg implants somewhere other than the uterus. |
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Term
| Which of the following statements regarding endometritis is correct? |
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Definition
| Untreated endometritis may result in septic shock |
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Term
| Which of the following statements regarding the human papillomavirus (HPV) is correct? |
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Definition
| HPV has been identified as a causative agent in cervical cancer. |
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Term
| Which of the following statements regarding toxic shock syndrome (TSS) is correct? |
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Definition
| Patients with TSS may show signs of liver failure |
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Term
| While caring for an unresponsive young woman who was apparently sexually assaulted, you note that her respirations are slow and shallow, her pulse is slow and weak, and her blood pressure is low. There is a small amount of dried blood on her thigh, but no grossly active bleeding. Immediate care for this patient involves: |
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Definition
| maintaining her airway and providing ventilatory assistance. |
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Term
| Within a few days after having a therapeutic abortion, a 33-year-old woman presents with malaise, fever, constipation, and pelvic pain. Her blood pressure is 124/84 mm Hg, pulse rate is 104 beats/min and strong, and respirations are 22 breaths/min and regular. You should be MOST suspicious for: |
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Definition
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Term
| You are caring for a 44-year-old woman who was sexually assaulted by several men. She is conscious but very quiet. Your partner, a female paramedic, quickly examines her and finds no immediate life-threatening injuries. The patient tells you that all she wants to do is go home and take a shower. After multiple attempts to convince the patient to consent to transport, you are unsuccessful. Your MOST appropriate action should be to: |
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Definition
| ask the patient if there is a friend you can call with whom she can stay. |
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Term
| You are caring for a young woman with constant, diffuse abdominal pain, referred pain to both shoulders, and vaginal bleeding. She states that her last menstrual period was 2 months ago, but she adamantly denies being pregnant. Her blood pressure is 86/50 mm Hg, pulse rate is 120 beats/min and weak, and respirations are 24 breaths/min and regular. Which of the following interventions is NOT appropriate for this patient? |
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Definition
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Term
| You are dispatched to a grocery store for a woman with severe abdominal pain. When you arrive, you find the patient lying on her side in the manager's office. She is confused, is diaphoretic, and appears to be bleeding from her vagina. Her blood pressure is low, and her pulse and respiratory rates are elevated. You should: |
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Definition
| apply high-flow oxygen, visually inspect her vagina and cover it with sterile dressings, keep her warm, begin transport, establish at least one large-bore IV en route, and administer enough crystalloid fluid to maintain radial pulses |
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Term
| You are dispatched to a residence for a 34-year-old woman who is "sick." Upon your arrival, the patient greets you at the door. She tells you that she began experiencing a dull aching pain in the left lower quadrant of her abdomen. She further states that she recently had her menstrual period, which was accompanied by more pain than usual. Her vital signs are stable, she is conscious and alert, and she denies vaginal bleeding or fever. This patient MOST likely has: |
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Definition
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