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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

Which of the following statements regarding rape is correct?

Rape is a legal diagnosis, not a medical diagnosis

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

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

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

has gathered patient history information.

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:

carefully removing any foreign bodies from the vagina

Which of the following statements regarding gonorrhea is correct?

Painful urination is a common symptom of gonorrhea in men and women

If a woman with vaginal bleeding reports syncope, the EMT must assume that she:

is in shock

Potentially life-threatening consequences of PID include:

ovarian abscess and ectopic pregnancy

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

place any bloodstained clothing or other articles in separate paper bags

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

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

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

becomes engorged with blood

Which of the following conditions would MOST likely lead to PID if left untreated?


It is not uncommon for young females who experience their first menstrual period to:

experience abdominal cramping, which may be misinterpreted.

Whenever possible, a female sexual assault victim should be:

given the option of being treated by a female EMT

PID typically does NOT affect the:

urinary bladder

When a female has reached menarche

she is capable of becoming pregnant

As a woman approaches menopause:

her menstrual periods may become irregular and vary in severity

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

may be relatively painless

Bacterial vaginosis is a condition that occurs when:

normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for PID?

a shuffling gait when walking

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

fallopian tube.

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

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

Which of the following clinical presentations is MOST consistent with PID?

lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

The onset of menstruation is called menarche and usually occurs in women who are

between 11 and 16 years of age.

The physical examination of a sexual assault victim should be:

limited to a brief survey for life-threatening injuries.

Which of the following conditions does NOT typically present with vaginal discharge?

genital herpes

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

maintain her ABCs and transport without delay.

During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should:

assist her ventilations with a bag-mask device.

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