Special Pops Final Practice

120 Questions | Total Attempts: 116

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Special Pops Final Practice

Questions and Answers
  • 1. 
    At what age does menarche usually occur?
    • A. 

      10 years

    • B. 

      13 years

    • C. 

      47 years

    • D. 

      50 years

  • 2. 
    The most serious complication of a ruptured ovarian cyst is:
    • A. 

      Ectopic Pregnancy

    • B. 

      Hemorrhage

    • C. 

      Infection

    • D. 

      Loss of future ovarian function

  • 3. 
    The goal of treatment in the field for a woman with abdominal pain and vaginal bleeding is to:
    • A. 

      Identify life-threatening conditions and transport rapidly

    • B. 

      Determine the cause of the bleeding

    • C. 

      Rule out ectopic pregnancy

    • D. 

      Aggressively manage the cause of the bleeding

  • 4. 
    Abdominal pain in a woman that presents 1 week after menstruation is typical of:
    • A. 

      Mittelschmerz

    • B. 

      Ruptured ectopic pregnancy

    • C. 

      Ruptured ovarian cyst

    • D. 

      PID

  • 5. 
    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. 

      “How much blood have you lost?”

    • C. 

      “How many pads or tampons were soaked per hour?”

    • D. 

      “For how many hours have you been bleeding?”

  • 6. 
    IV access for patients with gynecological complaints:
    • A. 

      Should be initiated prior to transport

    • B. 

      Can wait until transport begins

    • C. 

      Is usually unnecessary

    • D. 

      Can be detrimental to the patient

  • 7. 
    Many patients with pain caused by gynecological complaints prefer to be transported:
    • A. 

      Sitting on the bench seat

    • B. 

      In a left-lateral recumbent position

    • C. 

      Lying prone

    • D. 

      Lying supine with legs extended

  • 8. 
    Vaginal bleeding should be controlled with:
    • A. 

      Administration of pitocin

    • B. 

      Uterine massage

    • C. 

      Trauma dressings or sanitary pads

    • D. 

      Vaginal packing or tampons

  • 9. 
    Analgesic therapy for abdominal pain should be:
    • A. 

      Administered orally

    • B. 

      Withheld until after physician evaluation

    • C. 

      Given intravenously

    • D. 

      Given by IM or SQ injection

  • 10. 
    When treating a patient who was sexually assaulted:
    • A. 

      Assess a thorough history of the assault for reporting purposes

    • B. 

      Limit the history of the event to elements necessary for care

    • C. 

      Genital examination is mandatory for accurate assessment

    • D. 

      Allow the patient to express feelings with no fear that his or her words will be reported

  • 11. 
    Immediately after birth, which of these things happens for the first time?
    • A. 

      The heart begins to beat

    • B. 

      The alveoli open

    • C. 

      Blood is circulated

    • D. 

      Maternal blood bypasses the fetal lungs

  • 12. 
    The term for a first-time pregnant patient is:
    • A. 

      Primigravida

    • B. 

      Nullipara

    • C. 

      Gravidapara

    • D. 

      Unogravida

  • 13. 
    A pregnant patient can't remember how many weeks she is into her pregnancy. On exam, you feel the fundus of the uterus at the level of the umbilicus, leading you to conclude that she has been pregnant for:
    • A. 

      12 weeks

    • B. 

      18 weeks

    • C. 

      24 weeks

    • D. 

      30 weeks

  • 14. 
    A fetal heart rate of 80 indicates:
    • A. 

      Fetal pain

    • B. 

      Hypoxia

    • C. 

      Maternal dehydration

    • D. 

      A normal finding

  • 15. 
    Painless vaginal bleeding during pregnancy is most likely related to:
    • A. 

      Abruptio placentae

    • B. 

      Placenta previa

    • C. 

      Uterine rupture

    • D. 

      Ruptured ectopic pregnancy

  • 16. 
    Abruptio placentae is often associated with:
    • A. 

      Teen pregnancy, trauma

    • B. 

      Hypertension, preeclampsia

    • C. 

      Trauma, preterm labor

    • D. 

      Preterm labor, hypertension

  • 17. 
    If the amniotic sac has not ruptured before the delivery of the infant's head you should:
    • A. 

      Continue with the delivery; the sac does not present a problem.

    • B. 

      Have the mother pant and stop pushing; this is a true emergency

    • C. 

      Puncture the sac and remove it from around the infant's head

    • D. 

      Immediately cross clamp the cord and deliver the infant

  • 18. 
    After delivery of the infant, the mother continues to bleed briskly, losing approximately 1 L of blood. You should:
    • A. 

      Do nothing; this is normal after delivery

    • B. 

      Pack the vagina with sterile dressings and transport quickly

    • C. 

      Administer 1 to 2 g of magnesium sulfate

    • D. 

      Encourage the mother to breast-feed the infant and massage the uterus

  • 19. 
    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 in the knee-chest position

    • B. 

      Deliver the infant as quickly as possible

    • C. 

      Replace the cord into the vagina

    • D. 

      Cut and clamp the cord

  • 20. 
    If your patient inverts her uterus immediately after delivery of the infant, it is important to:
    • A. 

      Quickly pull on the placenta to reduce bleeding

    • B. 

      Wrap the uterus and placenta in dry towels

    • C. 

      Soak the placenta in a saline bath to keep it from drying

    • D. 

      Attempt to reinsert it once, without removing the placenta

  • 21. 
    The leading cause of death in frail geriatric patients is bacterial:
    • A. 

      Cholecystitis

    • B. 

      Pneumonia

    • C. 

      Brain

    • D. 

      Bladder Infection

  • 22. 
    You are called to the home of a 75-year-old male. Neighbors tell you that the patient has been confused, hostile, anorexic, and depressed and has been falling frequently. You suspect that the patient may be abusing:
    • A. 

      Stimulants

    • B. 

      Alcohol

    • C. 

      Opiates

    • D. 

      Narcotics

  • 23. 
    You are called to a local mall for an elderly patient with an unknown medical complaint. On arrival you find a very distressed Asian male sitting by a pay phone. He is cool, pale, and diaphoretic and is laboring to breathe. As you approach, a mall security guard informs you that the patient does not speak English. After confirming that the patient does not understand English, subsequent communication with this patient should be:
    • A. 

      In written form

    • B. 

      In the form of signs or gestures

    • C. 

      Stopped until an interpreter can be found

    • D. 

      Continued as usual, in English, because the patient may understand the tone of your communication

  • 24. 
    You expect a patient with Down syndrome to have complications related to:
    • A. 

      Heart defects

    • B. 

      Musculoskeletal atrophy

    • C. 

      Blindness

    • D. 

      Immature lung development

  • 25. 
    Hyperthermia in the geriatric patient may be brought on by certain medications that inhibit heat dissipation, such as:
    • A. 

      Beta Blockers

    • B. 

      Aspirin

    • C. 

      Furosemide

    • D. 

      Prednisone

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