Ch 41 - Ob/GYN

31 Questions | Total Attempts: 138

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GYN Quizzes & Trivia

Questions and Answers
  • 1. 
    Supportive and kind care for a sexual assault patient includes:
    • A. 

      Cleaning and bandaging the patient's minor cuts and scratches

    • B. 

      Providing emotional support by a same-sex paramedic, if possible

    • C. 

      Discarding the patient's clothes if they are bloody

    • D. 

      Allowing the patient to wash before transport

  • 2. 
    D and C is a:
    • A. 

      Disease of the endometrium

    • B. 

      Surgical procedure

    • C. 

      Medication that regulates menstrual cycles

    • D. 

      Type of birth-control device

  • 3. 
    A 20-year old female is 10 weeks pregnant. she experiences vaginal bleeding and abdominal cramps. What is the most likely cause of these symptoms?
    • A. 

      Spontaneous abortion

    • B. 

      Abrupto placenta

    • C. 

      Ovarian torsion

    • D. 

      Placenta previa

  • 4. 
    What are two factors that increase a baby's chance of a breech birth?
    • A. 

      Low birth weight, nuchal cord

    • B. 

      Multiple births, low birth weight

    • C. 

      Nuchal cord, premature birth

    • D. 

      Premature birth, multiple births

  • 5. 
    A predisposing factor for ectopic pregnancy is:
    • A. 

      Hypertension

    • B. 

      Oral contraceptive use

    • C. 

      PID

    • D. 

      Previous cesarean delivery

  • 6. 
    Which of the following is NOT appropriate in the care of a victim of sexual assault?
    • A. 

      Explain all procedures and ask for permission before beginning them.

    • B. 

      Approach the patient calmly, in a professional manner.

    • C. 

      Be especially attentive to the victim's modesty.

    • D. 

      Touch the patient's shoulder or pat her on the leg often to reassure her.

  • 7. 
    You are treating a woman with a fever, chills, and lower abdominal pain. She tells yout hat she has been urinating frequently and feels the need to urinate urgently. Only a small amount of urine is passed each time, causing intense burning. There are classic symptoms of:
    • A. 

      Ovarian cyst

    • B. 

      Cystitis

    • C. 

      Chlamydia

    • D. 

      PID

  • 8. 
    Your patient is a 32-year-old female who complains of the onset of contractions 45 minutes ago. She is 39 weeks pregnant, G3P2. She states that the contractions are 2 minutes apart but that her membranes have not ruptured. She is anxious and responds affirmatively when you ask if she feels an urge to move her bowels. Which of the following is mose likely?
    • A. 

      Imminet delivery

    • B. 

      Stage one labor

    • C. 

      Preterm labor

    • D. 

      Braxton-hicks contractions

  • 9. 
    Tidal volume and minute ventilation increase during pregnancy by:
    • A. 

      10 to 20%

    • B. 

      20 to 30%

    • C. 

      30 to 40%

    • D. 

      40 to 50%

  • 10. 
    Seventeen-Year-Old-Patient You are responding to a call for a 17-year-old pregnant patient at 36 weeks gestation. She complains of a haedache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are puffy and her rings are cutting into her flesh. Her vital signs are BP 174/104, P 84, R 20. You suspect this patient has:
    • A. 

      Eclampsia

    • B. 

      Essential hypertension

    • C. 

      Preeclampsia

    • D. 

      Gestational hypertension

  • 11. 
    Gender is differentiated during the ___________ month of gestation.
    • A. 

      Fifth

    • B. 

      Sixth

    • C. 

      Seventh

    • D. 

      Fourth

  • 12. 
    Your 28-year-old female patient was sexually assaulted with a foreign object and is bleeding heavily from the vagina. Which of the following is appropriate?
    • A. 

      Performing a manual pelvic exam

    • B. 

      Speculum examination

    • C. 

      Packing dressings in the vagina to stop bleeding

    • D. 

      IV access and fluid replacement

  • 13. 
    You are assisting with a birth and the patient has become extremely frustrated. She says things like "I can't do it" and "Just get the baby out." This patient is in which stage of labor?
    • A. 

      Middle labor

    • B. 

      Active labor

    • C. 

      Transition phase

    • D. 

      Early labor

  • 14. 
    A(n) __________ is a non-physical clinical healthcare practitioner who focuses on prenatal care and childbirth.
    • A. 

      Doula

    • B. 

      Attendant

    • C. 

      Midwife

    • D. 

      Obstetrician

  • 15. 
    At what age does menarche usually start?
    • A. 

      47 years

    • B. 

      10 years

    • C. 

      13 years

    • D. 

      50 years

  • 16. 
    Seventeen-Year-Old-Patient You are responding to a call for a 17-year-old pregnant patient at 36 weeks gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are puffy and her rings are cutting into her flesh. Her vital signs are BP 174/104, P 84, R 20. The classic presentations of this syndrome are hypertension, excessive weight gain, and:
    • A. 

      Proteinuria

    • B. 

      Increased intracranial pressure

    • C. 

      Seizures

    • D. 

      Hypoglycemia

  • 17. 
    A 30 year old female has recently given birth. Her respirations and heart rate are both elevated, and the patient has difficulty inhaling. Her skin is warm and she is sweating. This is probably caused by
    • A. 

      Hemorrhage.

    • B. 

      Eclampsia.

    • C. 

      Amniotic fluid embolism

    • D. 

      Hyperemesis gravidarum.

  • 18. 
    As she is pushing, your patient, who is at 34 weeks' gestation, states that the baby is coming. You notice a cord protruding from the vagina. You should:
    • A. 

      Place the mother int he knee-chest position

    • B. 

      Deliver the infant as quickly as possible

    • C. 

      Cut and clamp the cord

    • D. 

      Replace the cord into the vagina

  • 19. 
    An IUD is a:
    • A. 

      Surgical procedure

    • B. 

      Disease of the endometrium

    • C. 

      Type of birth control device

    • D. 

      Medication that regulates menstrual cycles

  • 20. 
    Seventeen-Year-Old-Patient You are responding to a call for a 17-year-old pregnant patient at 36 weeks gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are puffy and her rings are cutting into her flesh. Her vital signs are BP 174/104, P 84, R 20. The patients most likely to experience this condition are:
    • A. 

      First-time mothers

    • B. 

      Older patients

    • C. 

      Women with previous histories of hypertension

    • D. 

      Patients taking steroids

  • 21. 
    You are called to the scene of a sexual assault. You are presented witha  19-year-old female who is withdrawn and sitting in a corner in her bedroom. Which of the following questions is appropriate to ask?
    • A. 

      "Why did you bring him home with you from the nightclub?"

    • B. 

      "Are you injured anywhere?"

    • C. 

      "What type of clothing were you wearing?"

    • D. 

      "Do you know if you were penetrated?"

  • 22. 
    Ovulation occurs:
    • A. 

      Secondary to a decrease in FSh and estrogen

    • B. 

      As a result of an LH surge around day 14 of the menstrual cycle

    • C. 

      When the corpus albicans ruptures

    • D. 

      When the corpus luteum ruptures

  • 23. 
    Your patient is a 43-year-old female who is 36 weeks pregnant and alert, complaining of abdominal pain. She states that she slipped on a wet floor earlier today, striking her abdomen on a kitchen chair. She did not have any acture onset of pain but over the enxt hour developed lower abdominal cramping similar to menstrual pain, as well as a lower back ache. She is G4P3, has a history of CVD, renal disease, and had abdominal surgery for a hernia 4 months ago. Based on this history, the patient is MOST likely experiencing:
    • A. 

      Placenta previa

    • B. 

      Preterm labor

    • C. 

      Braxton-Hicks contractions

    • D. 

      Uterine rupture

  • 24. 
    You can estimate the amount of vaginal blood lost by asking the patient:
    • A. 

      "Is there more or less blood than during your normal period?"

    • B. 

      "For how many hours have you been bleeding?"

    • C. 

      "How much blood have you lost?"

    • D. 

      "How many pads or tampons were soaked per hour?"

  • 25. 
    A 35-year-old female presents complaining of a 1-year history of dull, crampy pain in her pelvis that comes with her menstrual cycle, yet is very different from normal menstrual discomfort. She also describes dyspareunia and frequent spotting. Of the following, what is the most likely clincal condition of this patient?
    • A. 

      Uterine fibroids

    • B. 

      Mittelschmerz

    • C. 

      Endometriosis

    • D. 

      Endometritis

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