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Page 1 of 569 Python OA Mastery Bundle — Exam-Style Questions & Solutions Why is it important to transport a sexual assault victim to the hospital even if she does not have any obvious injuries? - There may be injuries that were not detected in the field, such as internal bleeding, that have a delayed onset of symptoms. - It is not safe to allow the victim to return home until the police have had a chance to collect evidence. - Full documentation needs to be completed before the case can go to court. Page 2 of 569 - The police need confirmation that a sexual assault actually occurred. - .ANSWER.../V There may be injuries that were not detected in the field, such as internal bleeding, that have a delayed onset of symptoms. 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: - administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. Page 4 of 569 A patient with pelvic inflammatory disease will typically complain of abdominal pain associated with menstruation nausea and vomiting associated with intercourse bleeding associated with stress aches and fever associated with urination - .ANSWER...// abdominal pain associated with menstruation Causes of vaginal bleeding include which of the following? Page 5 of 569 - Ectopic pregnancy - Vaginal trauma - Spontaneous abortion - All of these answers are correct. - .ANSWER.../V/ All of these answers are correct. During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? - The amount of time since of the patent's last menstrual cycle Page 7 of 569 - thins and begins to separate. - becomes engorged with blood. - .ANSWER...// becomes engorged with blood. In cases of sexual assault, it is important to ensure that you do which of the following? - Immediately write down your observations of the scene before assessing the patient. - Call for a female EMT or ALS care provider if you yourself are not a female provider. Page 8 of 569 - Discuss with law enforcement any suspicions that you may have about the perpetrator. - All of these answers are correct. - .ANSWER...// Call for a female EMT or ALS care provider if you yourself are not a female provider. In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: - can be controlled in the field. - may be relatively painless. Page 10 of 569 - lose up to 500 mL of blood within the first 24 hours. - ANSWER... /_ 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: - provide emotional support and visually assess her for obvious trauma. Page 11 of 569 - advise her that she cannot clean herself up because this will destroy evidence. - perform a limited hands-on assessment to detect life- threatening injuries. - ask her if there is anyone you can contact, such as a friend or relative. - .ANSWER.../V/ 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? Page 13 of 569 - slight cramping - severe bleeding - .ANSWER.../V_ slight cramping The and are folds of tissue that surround the urethral and vaginal openings. - fallopian tubes; uterus - vagina; cervix - labia majora; labia minora Page 14 of 569 - perineum; anus - .ANSWER.../V labia majora; labia minora The connect(s) each ovary with the uterus. - cervix - egg - fallopian tubes - abdomen - .ANSWER...// fallopian tubes The EMT should ensure that vaginal bleeding is Page 16 of 569 - performed in the presence of at least two police officers. - deferred until the patient can be evaluated by a physician. - as detailed as possible so all injuries can be documented. - limited to a brief survey for life-threatening injuries. - .-ANSWER.../ JV limited to a brief survey for life-threatening injuries. limited to a brief survey for life-threatening injuries. - allow law enforcement to take her statement before you begin treatment. Page 17 of 569 - advise her that she will not be allowed to shower or change her clothes. - ask the patient for a concise, detailed report of what happened to her. - place any bloodstained clothing or other articles in separate paper bags. - .ANSWER...//_ place any bloodstained clothing or other articles in separate paper bags. Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? Page 19 of 569 - Rohypnol - Ketamine - .ANSWER.../V Rohypnol Which of the following infections, when left untreated, may lead to infection of the blood and brain? - Pelvic inflammatory disease - Bacterial vaginosis - Chlamydia Page 20 of 569 - Gonorrhea - .ANSWER...// Gonorrhea While the ages can vary, women typically experience menstruation from approximately to years of age. - 10; 70 - 20; 60 - 10; 40 - 11; 50- .ANSWER..// 11; 50 
