WFR Genitourinary, Reproductive, and Obstetric Emergencies

Question 1

A woman of reproductive age on a trip has sudden one-sided lower abdominal pain, shoulder-tip pain, and signs of shock. Her period is late. What should you suspect?

Accepted Answer

Ruptured ectopic pregnancy

Answer

A ruptured ectopic pregnancy causes internal bleeding. Shoulder-tip pain comes from blood irritating the diaphragm, and shock follows. This is a life-threatening emergency that needs rapid evacuation.

Question 2

A teenage male on a trip has sudden severe pain in one testicle, with nausea. What is the correct management?

Accepted Answer

Treat as possible testicular torsion and evacuate urgently

Answer

Testicular torsion cuts off the testicle's blood supply. Surgery within roughly 6 hours gives the best chance of saving it, so sudden testicular pain calls for urgent evacuation.

Question 3

During a backcountry childbirth, the baby's head has delivered. What should the WFR check for next?

Accepted Answer

Whether the umbilical cord is wrapped around the baby's neck

Answer

Once the head is out, feel for a nuchal cord (cord around the neck). If it is there, gently slip it over the baby's head before the shoulders deliver.

Question 4

What is the best first step for controlling heavy bleeding after the placenta delivers in the field?

Accepted Answer

Firmly massage the uterus (fundal massage) and encourage breastfeeding

Answer

Fundal massage and breastfeeding both cause the uterus to contract. Breastfeeding works by releasing oxytocin. A contracted uterus clamps down on the bleeding vessels and reduces postpartum hemorrhage.

Question 5

A participant has painful, frequent urination, and over the next day develops fever, chills, and flank pain. What does this progression suggest?

Accepted Answer

A kidney infection (pyelonephritis), which needs antibiotics and evacuation

Answer

Fever and flank pain show that a urinary tract infection has spread to the kidneys. Pyelonephritis can lead to sepsis, so it needs antibiotics and evacuation.

WFR - Wilderness First Responder Practice Test

WFR - Wilderness First Responder Practice Test

WFR Genitourinary, Reproductive, and Obstetric Emergencies