JBL Module 6 Exam (140 Questions Answered 100% Correct)

1 JBL Module 6 Exam JBL Module 6 Exam (140 Questions Answered 100% Correct) 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: A. administer high -flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. B. administer high -flow oxygen, as k her to remove the tampon, perform a detailed secondary assessment, and transport promptly. C. administer high -flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. D. assist her ven tilations with a bag -valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. (Answer: - C. 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 _________. A. aches and fever associated with urination B. bleeding associated with stress C. nausea and vomiting associated with intercourse D. abdominal pain associated with menstruation (Answer: - D. abdominal pain associated with menstruation Causes of vaginal bleeding include which of the following? Select one: A. Ectopic pregnancy B. Vaginal trauma C. Spontaneous abortion D. All of these answers are c orrect. (Answer: - D. All of these answers are correct. 2 JBL Module 6 Exam During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? A. The amount of time since of the patent's last menstrual cycl e B. The possibility that the patient may be pregnant C. If the patient is sexually active D. All of these answers are correct. (Answer: - D. All of these answers are correct. In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A. becomes engorged with blood. B. thins and begins to separate. C. diverts blood flow to the vagina. D. sheds and is expelled externally. (Answer: - A. becomes engorged with blood. In cases of sexual assault, it is important to ensure that you do which of the following? Select one: A. Immediately write down your observations of the scene before assessing the patient. B. Call for a female EMT or ALS care provider. C. Discuss with law enforcement any suspicions that you may have about the p erpetrator. D. All of these answers are correct. (Answer: - D. 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: A. can be controlled in the field. B. often presents with acute pain. C. is typically not as severe. D. may be relatively painless. (Answer: - D. may be relatively painless. It is common for young females who experience their first menstrual period to: 3 JBL Module 6 Exam A. lose up to 500 mL of blood within th e first 24 hours. B. become so emotionally distraught that they contemplate suicide. C. have a false positive home pregnancy test result. D. experience abdominal cramping, which may be misinterpreted. (Answer: - D. 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: A. provide emotional support and visually assess her for obv ious trauma. B. perform a limited hands -on assessment to detect life -threatening injuries. C. advise her that she cannot clean herself up because this will destroy evidence. D. ask her if there is anyone you can contact, such as a friend or relative. (Answer: - A. 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? A. Chlamydia B. Bacterial vaginosis C. Gon orrhea D. Pelvic inflammatory disease (Answer: - D. Pelvic inflammatory disease Some women experience ___________ during ovulation. A. hypotension B. severe bleeding C. slight cramping D. severe abdominal pain (Answer: - C. slight cramping 4 JBL Module 6 Exam The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. A. perineum; anus B. fallopian tubes; uterus C. vagina; cervix D. labia majora; labia minora (Answer: - D. labia majora; labia minora The _____________ connect(s) each ova ry with the uterus. A. fallopian tubes B. egg C. cervix D. abdomen (Answer: - A. fallopian tubes The EMT should ensure that vaginal bleeding is _________. A. severe enough to warrant transport B. not caused by traumatic injury C. taken seriously and the patient is transported for gynecologic evaluation D. controlled directly by the patient (Answer: - C. taken seriously and the patient is transported for gynecologic evaluation The physical examin ation of a sexual assault victim should be: A. deferred until the patient can be evaluated by a physician. B. limited to a brief survey for life -threatening injuries. C. as detailed as possible so all injuries can be documented. D. performed in the pre sence of at least two police officers. (Answer: - B. limited to a brief survey for life-threatening injuries. When caring for a female patient who has been sexually assaulted, you should: