2. Obstetric and gynecologic evaluation

Question 1

history taken includes?

Answer 1

1. medical history (complaints, past history)
2. surgical history
3. social history (drugs, tobacco, alcohol, diet)

Question 2

what is considered obstetric and gynecologic history

Answer 2

• Menstrual history (age of menarche/menopause, duration, and regularity of cycles).
• Sexual history.
• Contraceptive use.
• Previous pregnancies (course, type of delivery, duration of labor, maternal/fetal complications).
• Previous miscarriages, attempted pregnancies.

Question 3

physical examination includes..?

Answer 3

1. general PE+ vital signs
2. breast examination
3. pelvic examination- vulvar area, speculum, pap smear, bimanual examinations
4. rectal examination

Question 4

Vulvar area examination

Answer 4

Inspect and examine the labia, hymen, urethra, Bartholin glands, and Skene glands for any abnormal discharge, inflammatory lesions, cysts, abnormal masses, and tumors.

Question 5

Speculum examination

Answer 5

The cervix should be inspected to determine its size, shape, and color.

*The nulliparous patient generally has a conical, unscarred cervix with a circular, centrally placed os; the multiparous cervix is generally bulbous and the os has a transverse configuration.

Any purulent cervical discharge should be cultured.

Question 6

Pap smear

Answer 6

liquid-based sampling, or DNA probe for human papillomavirus (HPV) should be taken before the speculum is withdrawn.

Question 7

Bimanual examination

Answer 7

Provides information about the uterus and adnexa (fallopian tubes and ovaries); during this part of the examination, the bladder should be empty.

The cervix is palpated for consistency, contour, size, and tenderness to motion.

The pouch of Douglas (rectouterine pouch) is assessed for nodularity or tenderness