FP-C Obstetric and Gynecological Emergencies

Question 1

A 32-week pregnant patient presents with painless bright-red vaginal bleeding. Which condition should the flight paramedic suspect first?

Accepted Answer

Placenta previa

Answer

Placenta previa classically presents with painless bright-red vaginal bleeding in the second or third trimester.

Question 2

During a flight transport, a laboring patient delivers the head but the shoulders become impacted. What is the FIRST maneuver to attempt?

Accepted Answer

McRoberts maneuver with suprapubic pressure

Answer

McRoberts maneuver (hyperflexion of maternal thighs) combined with suprapubic pressure is the first-line intervention for shoulder dystocia.

Question 3

A patient at 36 weeks gestation presents with severe hypertension (180/110 mmHg), headache, and visual disturbances. Which medication is most appropriate for acute BP management in-flight?

Accepted Answer

Hydralazine or labetalol IV

Answer

IV hydralazine or labetalol are first-line agents for acute severe hypertension in preeclampsia, as they are safe in pregnancy and allow titrated control.

Question 4

Which magnesium sulfate finding during eclampsia management should prompt the flight paramedic to stop the infusion immediately?

Accepted Answer

Loss of deep tendon reflexes

Answer

Loss of deep tendon reflexes is an early sign of magnesium toxicity and warrants stopping the infusion before respiratory arrest occurs.

Question 5

A post-partum patient develops heavy vaginal bleeding unresponsive to fundal massage. What is the most common cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Uterine atony accounts for approximately 80% of postpartum hemorrhage cases and is the most common cause.

FP-C - Flight Paramedic-Certification Practice Test

FP-C - Flight Paramedic-Certification Practice Test

FP-C Obstetric and Gynecological Emergencies