Multiple Choice

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Chapter 39

Multiple Choice

Multiple Choice

This activity contains 10 questions.

Which of the following questions is LEAST likely to get an accurate response from a female who is complaining of abdominal pain?

	Are you currently menstruating?
	Are you sexually active?
	Could you be pregnant?
	Have you ever experienced this pain during menses?
	Have you experienced dizziness?

The term used to describe the number of times a woman has been pregnant is:

	gravida.
	gravity.
	paridy.
	parita.
	completa.

The easiest means by which an EMS provider can estimate menstrual flow is:

	cervical palpation.
	the testimony of the patient.
	direct observation.
	the saturation of one tampon or pad.
	the number of tampons or pads used in the past hour.

The most common cause of nontraumatic abdominal pain is:

	cystitis.
	mittelschmerz.
	pelvic inflammatory disease.
	ruptured ovarian cyst.
	endometriosis.

Scenario: A female patient reports frequent urination and dysuria. This is probably due to:

	cholecystitis.
	cystitis.
	dysmenorrhea.
	dyspareunia.
	endometriosis.

Severe abdominal pain associated with ovulation is:

	cystitis.
	endometriosis.
	endometritis.
	cholecystitis.
	mittelschmerz.

A condition in which endometrial tissue is found outside the uterus is:

	ectopic pregnancy.
	endometriosis.
	endometritis.
	eschar.
	mittelschmerz.

Which condition often mimics signs and symptoms of severe PID?

	endometriosis.
	endometritis.
	mittelschmerz.
	ruptured ovarian cyst.
	cholecystitis.

Scenario: A female reports that during aggressive intercourse, she felt a sudden and sharp tearing sensation. She is now bleeding from the external genitalia, although the bleeding is minimal. Management should include:

	asking the woman to hold a dressing over the area and apply direct pressure.
	establishing an IV and beginning fluid resuscitation regardless of blood loss.
	packing the vagina with sterile dressings.
	palpating the interior of the vagina to determine the extent of bleeding.
	securing a hot pack over the vaginal opening with tape.

The BEST management for a victim of a sexual assault is:

	aggressive questioning and management.
	discouraging the patient from dressing since this may taint evidence.
	examining the genitalia.
	psychological and emotional support.
	prompt summoning of law enforcement officials.

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