ENA Gynecologic Emergencies Questions and Answers
ENA Gynecologic Emergencies 1
ENA Gynecologic Emergencies
Questions and Answers
A patient presents with right lower quadrant pain, which she rates as an 8 (on a 0-
to-10 scale). She is afebrile and states that her last normal menstrual period began
2 weeks ago. Based on these findings, which disorder is she most likely to have?
A. Syphilis
B. Tuboovarian abscess
C. Ectopic pregnancy
D. Ovarian cyst
[Ans: – D. Ovarian Cyst
Which gynecologic disorder causes visceral pain?
A. Ruptured ectopic pregnancy
B. Adhesions
C. Endometritis
D. Ruptured ovarian cyst
[Ans: – B. Adhesions
Chlamydia trachomatis causes which disorder?
A. Ovarian torsion
B. Vulvovaginitis
C. Dermatitis
D. Cervicitis
[Ans: – D. Cervicitis
Which statement accurately characterizes vaginal bleeding?
A. Vaginal bleeding is normal in prepubertal females.
ENA Gynecologic Emergencies 2
B. Six saturated pads or ten saturated tampons per day signal excessive bleeding.
C. Exercise can cause abnormal vaginal bleeding or amenorrhea.
D. Dysfunctional uterine bleeding results from development of the corpus luteum.
[Ans: – C. Exercise can cause abnormal vaginal bleeding or amenorrhea.
Which organism causes cervicitis?
A. Human papillomavirus
B. Candida albicans
C. Trichomonas vaginalis
D. Chlamydia trachomatis
[Ans: – D. Chlamydia trachomatis
Which statement correctly describes endometriosis?
A. Endometriosis causes pain that usually is worse midcycle.
B. Endometriosis is easily diagnosed in the emergency department.
C. Endometriosis results from endometrial tissue development inside the uterus.
D. Endometriosis is a common cause of cyclic pain in menstruating women.
[Ans: – D. Endometriosis is a common cause of cyclic pain in menstruating women.
Which statement correctly describes a Bartholin’s gland abscess?
A. Bartholin’s glands are easily palpated and visualized.
B. Bartholin’s glands are located on the labia majora.
C. A Bartholin’s gland abscess is treated with human papillomavirus quadrivalent
vaccine, recombinant (Gardasil).
D. A cyst develops when the duct of the gland becomes occluded and can lead to an
abscess.
[Ans: – D. A cyst develops when the duct of the gland becomes occluded and can
lead to an abscess.
Which statement correctly describes vaginitis?
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