SOLVED

11) Your patient is a 42-year-old female who is alert and upset, complaining of vaginal bleeding. She states that the bleeding began ten hours ago and is heavier than her normal menstrual flow. Her last menstrual period was four months ago, G3P3, and there is no other significant gynecologic history. Physical exam reveals dark red blood from her vagina, a soft and non-tender abdomen and skin that is warm and dry. HR = 92, BP = 114/76, RR = 12, SpO2 = 98%. This is most consistent with: A) ectopic pregnancy. B) pelvic inflammatory disease. C) menopause-related dysfunctional uterine bleeding. D) spontaneous abortion. 12) A 24-year-old female presents complaining of severe bilateral lower quadrant abdominal pain and bloody, purulent vaginal discharge three days after having a dilation and curettage. Of the following, which is the most likely clinical condition of this patient? A) Endometritis B) Mittelschmerz C) Endometriosis D) Uterine fibroids 13) A 33-year-old female presents with “a heavy menstrual flow” after not having her menstrual period for two months. What other signs and symptoms would you MOST expect with this patient? A) Dull, lower left quadrant abdominal pain B) Crampy abdominal pain and passing of clots and tissue C) Sharp, lower right quadrant abdominal pain D) Fever and purulent, foul-smelling discharge 14) Which of the following is associated with pelvic inflammatory disease? A) Cystitis B) Inflammation of the fallopian tubes C) Urethritis D) Nephritis 15) Your patient is a 35-year-old female who is complaining of severe abdominal pain in both lower quadrants. She states that she had a tubal ligation two years ago and “knows she can’t be pregnant.” Which of the following questions is appropriate to prehospital care? A) “Have you ever had a sexually transmitted disease?” B) “Do you have more than one sexual partner?” C) “Do you suspect your husband has been unfaithful to you?” D) “When was your last menstrual period?” 16) The muscular organ that contains the fetus, placenta, amniotic fluid, and associated structures during pregnancy is the: A) endometrium. B) uterus. C) rectovaginal pouch. D) oviduct. 17) The time from ovulation to menstruation is approximately ________ days. A) 28 B) 7 C) 21 D) 14 18) A 45-year-old female presents complaining of abdominal pain just superior to the symphysis pubis, urinary frequency, dysuria, and a fever of 99°F. Based on her complaints, the best diagnosis would be: A) cystitis. B) endometriosis. C) ruptured ovarian cyst. D) endometritis. 19) A 35-year-old female presents complaining of a one-year history of dull, cramping pain in her pelvis that comes with her menstrual cycle, yet is different from normal menstrual discomfort. She also describes pain with intercourse and frequent spotting. Of the following, what is the most likely clinical condition of this patient? A) Mittelschmerz B) Endometritis C) Uterine fibroids D) Endometriosis 20) Menorrhagia is: A) irregular cycles of menstruation. B) painful menstruation. C) absence of menstruation. D) excessive menstrual flow.