A patient with possible pregnancy has signs of shock and severe pelvic pain. Stabilization and urgent consultation should take priority over waiting for imaging.
5 Gynecologic Emergencies Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Gynecologic Emergencies, test your knowledge, and prepare for your next test or exam.
Emergency contraception also prevents sexually transmitted infections.
- A
True
- B
False
A reproductive-aged patient presents with acute pelvic pain and uses contraception. Which approach to pregnancy assessment is most appropriate?
- A
Only test if the patient reports a missed period.
- B
Obtain a pregnancy test early, even if contraception is used.
- C
Wait until ultrasound confirms a possible pregnancy.
- D
Test only if the patient has a history of ectopic pregnancy.
A patient has sudden one-sided pelvic pain with nausea. Ultrasound shows normal Doppler blood flow, but clinical concern for adnexal torsion remains significant. What is the best next step?
- A
Normal Doppler flow rules out torsion, so discharge is appropriate.
- B
Repeat Doppler imaging until blood flow is absent.
- C
Seek urgent gynecologic consultation if suspicion remains significant.
- D
Wait for imaging to prove torsion before consulting a specialist.
In suspected adnexal torsion, normal Doppler blood flow .
A patient treated as an outpatient for pelvic inflammatory disease has not improved. Within how many hours should reassessment occur?
Which actions are consistent with trauma-informed care after a sexual assault? Select all that apply.
- A
Explain options and ask permission before each examination step.
- B
Require forensic evidence collection before providing medical care.
- C
Let the patient decide whether to have an examination or forensic evidence collected.
- D
Provide medical care whether or not the patient reports to law enforcement.
- E
Delay urgent treatment until an advocate or forensic examiner is available.
When HIV nPEP is indicated, start it as soon as possible and no later than hours after exposure; continue the course for days.
A patient at risk for an STI has pelvic pain with no better explanation. Examination shows uterine tenderness but no cervical-motion or adnexal tenderness. What approach is supported?
- A
Wait for all three types of tenderness and positive STI test results.
- B
Consider empiric PID treatment when there is no better explanation for pelvic pain and at least one specified tenderness finding.
- C
Treat only if fever and abnormal discharge are both present.
- D
Exclude PID unless ultrasound shows a tubo-ovarian abscess.
In a patient at risk for an STI, pelvic pain has no better explanation. Name one type of tenderness that can support empiric PID treatment.
Which circumstances support hospital care for a patient with pelvic inflammatory disease? Select all that apply.
- A
A surgical emergency cannot be excluded.
- B
A tubo-ovarian abscess or pregnancy is present.
- C
The illness is severe, including vomiting or high fever.
- D
The patient has mild symptoms and can reliably follow and tolerate outpatient care.
- E
Outpatient treatment cannot be followed or tolerated.
A patient reports bleeding after menopause. Describe the recommended initial evaluation for most such patients and explain why prompt evaluation is important.
A stable, nonpregnant patient presents with acute abnormal uterine bleeding. Which general treatment approach is often considered first when appropriate?
- A
Proceed directly to surgery in every case.
- B
Avoid treatment until the bleeding pattern has continued for several months.
- C
Consider medical therapy first when appropriate, while assessing severity and cause.
- D
Assume bleeding is nonpregnancy-related without checking pregnancy status.
For suspected gynecologic causes of acute pelvic pain, what is the usual first imaging study?
A stable patient has a positive pregnancy test, but an early ultrasound does not establish the pregnancy’s location. Serial hCG measurements and repeat ultrasound may be needed.
- A
True
- B
False
Emergency contraception should be used as soon as possible and within a maximum of how many days after unprotected intercourse? Enter the number of days.
For a reproductive-aged patient with vaginal or uterine bleeding, which step should be taken before labeling the bleeding as nonpregnancy-related abnormal uterine bleeding?
- A
Classify the bleeding as nonpregnancy-related before checking pregnancy status.
- B
Exclude pregnancy before labeling the bleeding as nonpregnancy-related abnormal uterine bleeding.
- C
Assume pregnancy is excluded if contraception is being used.
- D
Wait for ultrasound before performing a pregnancy test.
A patient reports bleeding after menopause. According to the updated guidance described in the material, which initial evaluation is recommended for most such patients?
- A
Reassure the patient because benign causes are common
- B
Use endometrial tissue sampling only if ultrasound is abnormal
- C
Include both transvaginal ultrasound and endometrial tissue sampling in the initial evaluation for most patients
- D
Defer evaluation unless bleeding becomes heavy
A patient who has experienced sexual assault requests medical care and is unsure about a forensic examination. Which approach best supports patient-centered care?
- A
Collect forensic evidence before discussing options so care is not delayed
- B
Explain options and ask permission before each step, allowing the patient to decide about examination and evidence collection
- C
Require a forensic examination before treating injuries
- D
Contact law enforcement before asking what care the patient wants
A patient with acute pelvic pain has signs of shock and possible ongoing internal bleeding. What is the most appropriate immediate approach?
- A
Obtain pelvic imaging before initiating treatment
- B
Wait for laboratory results before arranging specialist care
- C
Begin resuscitation and arrange urgent gynecologic and surgical consultation without delaying for imaging
- D
Treat pain and discharge the patient if the initial examination is inconclusive