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Chapter 22
Paramedic: Gynecologic Emergencies
100
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Not Applicable
02/18/2013

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Term
What is a branch of medicine that deals with the diseases and routine physical care of the reproductive system of women?
Definition
Gynecology 1185
Term
What is a branch of medical science that deals with birth and with its antecedents and sequels?
Definition
Obstetrics 1185
Term
What is the female external genitalia?
Definition
Pudendum 1185
Term
What is an anatomic landmark that is a rounded pad of fatty (adipose) tissue that overlies the symphysis pubis, located anterior to the urethral and vaginal opening?
Definition
Mons Pubis 1185
Term
What are the outer fleshy lips covered with pubic hair that protects the vagina?
Definition
Labia Majora 1185
Term
What are the inner fleshy lips devoid of pubic hair that protect the vagina?
Definition
Labia Minora 1185
Term
What is the area between the vaginal opening and the anus?
Definition
Perineum 1185
Term
What is a small, cylindrical mass of erectile tissue and nerves located at the anterior junction of the labia minora, similar to the glans penis of the male?
Definition
Clitoris 1185
Term
What is the layer of the skin directly above the clitoris?
Definition
Prepuce 1185
Term
What is a cleft between the labia minora, where the urethral opening (orifice), the vaginal opening (orifice), and the hymen are located?
Definition
Vestibule 1185
Term
What is the lower portion of the birth canal, serves as a passage for menstrual flow and as the receptacle of the penis during sexual intercourse?
Definition
Vagina 1185
Term
What are the glands that secrete mucus for sexual lubrication?
Definition
Bartholin Glands 1185
Term
What is a membrane that protects the vaginal orifice before first intercourse?
Definition
Hymen 1185
Term
What is a condition where the hymen may completely cover the vaginal orifice?
Definition
Imperforate Hymen 1186
Term
What are two glands, one on each side of the uterus, that are similar in function to the male testes?
Definition
Ovaries 1186
Term
What is the precursor to a mature egg?
Definition
Oocyte 1186
Term
What is a female reproductive organ that produces an oocyte (ovum) that if fertilized will develop into a fetus?
Definition
Ovary 1186
Term
What contains thousands of follicles?
Definition
Ovary 1186
Term
What does each follicle contain?
Definition
Oocyte 1186
Term
How many fallopian tubes are normally associated with each ovary?
Definition
One 1186
Term
What is the anatomic structure that connects each ovary with the uterus and provides a passageway for the ova?
Definition
Fallopian Tube 1186
Term
What is the muscular organ where the embryo grows and is responsible for contractions during labor and ultimately helps to push the infant through the birth canal?
Definition
Uterus or Womb 1186
Term
What consists of the lower portion of the uterus called the cervix and the vagina?
Definition
The Birth Canal 1186
Term
What is the outermost cavity of the female reproductive system and forms the lower part of the birth canal?
Definition
The Vagina 1186
Term
What is about 8 to 12 cm in length, begins at the cervix, and ends as an external opening of the body?
Definition
The Vagina 1186
Term
What is the cyclic and periodic vaginal discharge of 25 to 65 mL of blood, epithelial cells, mucus, and tissue?
Definition
Menstruation 1186
Term
What is the average range of menstruation?
Definition
24 days to 35 days 1186
Term
What is the narrowest portion (lower third of neck) of the uterus that opens into the vagina?
Definition
Cervix 1186
Term
What is composed of two phases, the ovarian cycle (ovarian changes) and the uterine cycle (changes in the uterus)?
Definition
Menstrual Cycle 1186
Term
What is a vascular headache resulting from the hormonal dump?
Definition
Menstrual Migraine 1186
Term
What is the onset of the first menses, when a female reaches childbearing age?
Definition
Menarche 1187
Term
What is the average age that menarche occurs?
Definition
Between 11 and 14 1187
Term
What is the last menses, when a woman has reached the end of childbearing age?
Definition
Menopause 1187
Term
When does menopause typically begin?
Definition
Between 40 and 50 1187
Term
What is a cluster of all or some of the troubling symptoms mentioned in the discussion of the menstrual cycle?
Definition
Premenstrual Syndrome (PMS) 1187
Term
What is the absence or cessation of menses?
Definition
Amenorrhea 1188
Term
What is the most common cause of amenorrhea?
Definition
Pregnancy 1188
Term
What is a sign of respiratory insufficiency?
Definition
Cyanosis 1189
Term
What can indicate shock?
Definition
Pallor 1189
Term
What may be seen with fever from infection?
Definition
Flushing 1189
Term
What is the most important thing to look for in woman with abdominal pain?
Definition
Signs of Shock 1189
Term
What describes the number of times a woman has been pregnant?
Definition
Gravida 1191
Term
What denotes the number of times a pregnant woman has delivered a viable newborn?
Definition
Para 1191
Term
What is the number of elective abortions the woman has had?
Definition
Abortive History 1191
Term
What is the estimated amount of women that are abuse when pregnant?
Definition
30% to 50% 1191
Term
What is ecchymosis at the umbilicus?
Definition
Cullen Sign 1191
Term
What is ecchymosis at the flanks?
Definition
Grey Turner Sign 1191
Term
What are the only three true life-threatening emergencies involving gynecologic conditions?
Definition
Ectopic Pregnancy, Ruptured Ovarian Cyst, and Tubo-Ovarian Abscess 1192
Term
What is painful menses?
Definition
Dysmenorrhea 1192
Term
What are the 2 categories of dysmenorrhea?
Definition
Primary and Secondary 1192
Term
What occurs with the advent of the menstrual flow and normally last for the first 1 to 2 days with gradual relief?
Definition
Primary Dysmenorrhea 1192-1193
Term
What accounts for about 80% of patients presenting with painful menses and accompanies a regular period?
Definition
Primary Dysmenorrhea 1193
Term
What is pain that is present before, during, and after the menstrual flow and it is generally organic in nature (not hormonal) and may signal an underlying illness or dysfunction?
Definition
Secondary Dysmenorrhea 1193
Term
What is one of the most frequent reasons that women consult a gynecologist and can occur at any age?
Definition
Vaginal Bleeding or Dysfunctional Uterine Bleeding 1193
Term
What is irregular vaginal bleeding that is not caused by pregnancy, infection, or tumors?
Definition
Dysfunctional Uterine Bleeding 1193
Term
What is menstrual blood flow that last several days longer than it should or flow that is abnormally excessive?
Definition
Hypermenorrhea 1193
Term
What is menstrual blood flow that occurs more often than a 24-day interval?
Definition
Polymenorrhea 1193
Term
What is blood flow or intermittent spotting of blood occurring irregularly but frequently?
Definition
Metrorrhagia 1193
Term
What is of greatest concern to paramedics because its cause range from hormonal imbalance to malignancies to spontaneous abortion (miscarriage)?
Definition
Metrorrhagia 1193
Term
What means located away from a normal position?
Definition
Ectopic 1193
Term
What is a fertilized oocyte implanted somewhere other than the uterus?
Definition
Ectopic Pregnancy 1193
Term
What is the leading cause of maternal death in the first trimester, accounting for approximately 10% of pregnancy-related deaths?
Definition
Ectopic Pregnancy 1193
Term
What is blood in the abdominal cavity?
Definition
Hemoperitoneum 1194
Term
What is an inflammation or irritation of the endometrium (uterine lining)?
Definition
Endometritis 1194
Term
What is the uterine lining?
Definition
Endometrium 1194
Term
What results when endometrial tissue grows outside the uterus, generally on the surface of abdominal and pelvic organs?
Definition
Endometriosis 1194-1195
Term
What is an infection of the female upper organs of reproduction, specifically the uterus, ovaries, and fallopian tubes?
Definition
Pelvic Inflammatory Disease (PID) 1195
Term
Approximately how many women in the United States will contract pelvic inflammatory disease (PID)?
Definition
1 in 7 or more than 1 million 1195
Term
What is an inflammation of the vagina that is caused by an infection and is a common condition seen in women?
Definition
Vaginitis 1196
Term
What are typically caused by the Candida albicans fungus?
Definition
Vaginal Yeast Infections 1196
Term
Approximately how many of all women will likely experience at least one yeast infection during their lifetime?
Definition
75% 1196
Term
What is an inflammation of the external vulva?
Definition
Vulvovaginitis 1196
Term
Approximately how many of the women in the United States are diagnosed and treated for a Bartholin abscess every year?
Definition
2% 1196
Term
What is an infection caused by a bacterium that normally resides in the genital area in women but that can cause infection if the bacteria becomes too numerous?
Definition
Gardnerella Vaginitis 1196
Term
What is cause by an increase of the Gardnerella bacterium?
Definition
Gardnerella Vaginitis 1196
Term
What is essentially a fluid-filled sac that forms on or within an ovary?
Definition
Ovarian Cyst 1197
Term
What is the most common type of ovarian cyst that generally develops during the menstrual cycle?
Definition
Functional Cyst 1197
Term
What occurs when a cyst does not self-resolve and grows to a significant size?
Definition
Ovarian Torsion 1197
Term
What is an infectious mass growing within the ovaries and fallopian tubes?
Definition
Tube-Ovarian Abscess 1197
Term
What usually presents with a sudden onset of abdominal pain and can be related to the menstrual cycle?
Definition
Ruptured Ovarian Cyst 1197
Term
What occurs when the uterus drops from its normal position?
Definition
Prolapsed Uterus 1197
Term
What is a form of septic shock caused by Streptococcus pyogenes (group A strep) or Staphylococcus aureus?
Definition
Toxic Shock Syndrome (TSS) 1198
Term
What are bloodshot eyes?
Definition
Scleral Injection 1198
Term
What is an overgrowth of bacteria in the vagina, characterized by itching, burning, or pain, and possibly a fishy smelling discharge?
Definition
Bacterial Vaginosis 1198
Term
What is one of the most common conditions to afflict women?
Definition
Bacterial Vaginosis 1198
Term
What is a highly contagious STD caused by the bacteria Haemophilus ducreyi, which causes painful sores (ulcers), usually of the genitals?
Definition
Chancroid 1198
Term
What is caused by the bacterium Chlamydia trachomatis?
Definition
Chlamydia 1198
Term
What is considered the most widespread STD in the United States?
Definition
Chlamydia 1198
Term
What is in rare cases, chlamydia causes arthritis that may be accompanied by skin lesions and inflammation of the eyes and urethra?
Definition
Reiter Syndrome 1198
Term
What is a herpes virus that can produce the symptoms of prolonged high fever, chills, headache, malaise, extreme fatigue, and an enlarged spleen?
Definition
Cytomegalovirus (CMV) 1198
Term
What is an infection of the genitals, buttocks, or anal area caused by herpes simplex virus, type I or type II?
Definition
Genital Herpes 1199
Term
Which is the most common form of genital herpes that infects the mouth and lips, causing cold sores or fever blisters and may also produce sores on the genitals?
Definition
Type I 1199
Term
What is the more serious type of genital herpes and can affect the mouth as well, but is more commonly known as the primary cause of genital herpes?
Definition
Type II 1199
Term
What is caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply rapidly in the warm, moist areas of the reproductive tract, including the cervix, uterus, and fallopian tubes in women and in the urethra in women and men?
Definition
Gonorrhea 1199
Term
What is gonorrhea infection of the throat?
Definition
Gonococcal Pharyngitis 1199
Term
What are warts caused by the human papillomavirus (HPV), a STD?
Definition
Genital Warts 1199
Term
What is the most common STD?
Definition
Genital Warts 1199
Term
What are throat warts that block the airway, a potentially life-threatening condition?
Definition
Laryngeal Papillomatosis 1200
Term
What is a STD caused by the bacterium Treponema pallidum, which manifests in three stages-primary, secondary, and late-and is transmitted through direct contact with open sores?
Definition
Syphilis 1200
Term
What is caused by a single-celled protozoan parasite, Trichomonas vaginalis?
Definition
Trichomoniasis 1200
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