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Flashcards in Chapter 23 Deck (24)
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1
Q

external female genitalia:

… and ..
..

A

vaginal opening
labia majora; labia minora
clitoris

2
Q

ovaries lie on each side of … and produce … (egg)

… connect each ovary with the uterus, a muscular organ where … grows

A

lower abdomen; ovum; fallopian tubes; fetus

3
Q

each month one ovum is relaased into the fallopian tube–> process is called …
narrowest part of uterus is the .., which opens into the vagina, which is the outermost cavity of a woman’s repro system

A

ovulation; cervix

4
Q

ovulation and menstruation begin in puberty
onset of menstruation is … and occurs between 11-16
ovulation and menstruation continue until … which occurs around age 50

A

menarche; menopause

5
Q

sperm are deposited form penis, pass through .. to … and end up in the … where the ovum is fertilized
the embryo travels into the uterus, attaches to the … and continues to grow

A

cervix; uterus; fallopian tubes; uterine wall

6
Q

if fertilization doesn’t occur within about 14 days of ovulation the lining of the uterus begins to … and … occurs for about a week

A

separate; menstruation

7
Q
pelvic inflammatory disease: 
infection of upper organs of repro: 
…, …, …
occurs almost exclusively in … women
can result in increased risk of .. pregnancy or … 
most common sign is generalized …
A

uterus; ovaries; fallopian tubes; sexually active; ectopic; sterility; lower abdominal pain

8
Q

other signs of PID: abnormal/foul-smelling .., increased … with intercourse, …, general … and … and …

A

vaginal discharge; pain; fever; malaise; nausea; vomiting

9
Q

STDs can lead to more serious conditions, such as PID

…: most common STD, usually mild/absent symtpoms, can spread to rectum and progress to PID

A

chlamydia

10
Q

…: most common vaginal infection to afflict women

untreated it can progress to premature birth or low birth weight in pregnancy and PID

A

bacterial vaginosis

11
Q

…: grows and multiplies rapidly in warm, moist areas of reproductive tract; urethra in men and women
severe infections present with cramping and abdominal pain, nausea, vomiting, and bleeding between periods

A

gonorrhea

12
Q
vaginal bleeding--possible causes: 
abnormal … 
vaginal … 
… pregnancy 
… 
… 
..
A
menstruation
trauma
ectopic
spontaneous abortion
cervical polyps
cancer
13
Q

scene safety: gynecologic emergencies can involve large amounts of … and body fluids potentially contaminated
note .. patient is found and … of residence

A

blood; position; condition

14
Q

for abdominal pain ask about:
…, .., .., and …
… or … factors
and associated symptoms like syncope, light-headedness, nausea, vomiting, fever

A

onset; duration; quality; radiation

provoking; relieving

15
Q
for vaginal bleeding, ask about: 
.. 
..
… (number of sanitary pads soaked)
associated symptoms such as syncope and light-headedness
A

onset;
duration
quantity

16
Q

SAMPLE: ask about … or …

ask about last … and …

A

birth control pills; devices

menstrual period; STDs

17
Q
secondary assess findings should include
vitals
abdomen: … and …
genitourinary: visible .. 
neurologic: mental status
A

distension; tenderness; bleeding

18
Q

vaginal bleeding: visualize the bleeding and ask about … and …–> use .. to control bleeding

A

quality; quantity; external pads

19
Q

secondary assess:
observe for vaginal …
.., .., …, and … are significant in gynecologic emergencies

A

discharge

syncope; fever; nausea; vomiting

20
Q

there are very few … with a gynecologic emergency
have a .. emt participate in patient’s care if possible
excessive internal vaginal bleeding–> use … on external genitalia to absorb blood and document .. of them that were saturated

A

interventions; female; sanitary pads; number

21
Q

external genitals have a rich .. supply which makes injuries very painful
treat external lacerations with .., … compresses–> do not pack/place dressings in vagina

A

rich nerve; moist; sterile

22
Q

a patient with PID will complain of .. which usually starts during/after normal menstruation
pain may be made worse by walking. patients often present with a distinctive gait that appears as a ..
prehospital treatment is limited
.. transport usually recommended

A

abdominal pain; shuffle; nonemergency

23
Q
for sexual assault patients, your focus should be: 
.. of patient
… care of patient
… 
…
A

medical treatment
psychological
preserve evidence
take history

24
Q

for sex assault patients, may be necessary to persuade patient not to … herself, as doing so can destroy evidence; patient should also be discouraged from …, …, moving her … or … her mouth
offer to call local rape crisis center
take patient’s history and limit physical exam to brief survey for life threatening injuries

A

clean; urinating; changing clothes; bowels; rinsing