breast and pelvic

Question 1

inspect breasts in what four motions

Answer 1

1. arms overhead with palms together
2. hands on hips and press down
3. shrug shoulders
4. lean forward

Question 2

where are most breast CA located

Answer 2

upper outer quadrant

Question 3

is light milkly discharge from nipple normal?

Answer 3

yes, serous or bloody discharge is typically abnormal

Question 4

examination of axillary noes: 4 sweeps

Answer 4

1. anterior axillary region, to include under pectoralis muscle
2. mid-axillary high into apex
3. posterior axillary region beneath teres minor
4. down medial aspect upper arm

Question 5

gravity

Answer 5

of times pregnant

Question 6

parity

Answer 6

outcome of each pregnancy

Question 7

what glands should you palpate for in the pelvic exam

Answer 7

Bartholin glands

Question 8

how do you milk the urethra

Answer 8

1. gently spread labia to visualize urethral meatus
2. insert index finger into vagina and gently apply pressure to the anterior wall as you slide your finger toward you

Question 9

why do you ask patient to bear down when you are doing the pelvic exam

Answer 9

check for cystocele or rectocele

Question 10

what type of pressure is applied to the vagina in the speculum exam

Answer 10

posterior pressure

Question 11

parous cervix

Answer 11

the cervix is bulkier and the external os has a more slit like appearance

• seen post pregnancy

Question 12

thinPrep system for pap smear can either use which two sampling devices

Answer 12

1. broom cervical sampling device
2. cytobrush/spatula cervical sampling device

Question 13

spatula/brush technique

Answer 13

• insert spatula into cervical os and rotate 360 degrees
  
  • rinse by swirling in solution at least 10 times
• introduce endocervical brush into cervical os and rotate 1/2 turn in one direction
  
  • rinse by swirling in solution at least 10 times

Question 14

pap smear: broom protocol

Answer 14

• insert central bristles into endocervical canal and rotate clockwise 5x
• push the broom on the bottom of vial 10x, then swirl vigorously

Question 15

thin prep has concurrent testing for

Answer 15

HPV and GC/chlamydia

Question 16

if patient has a retroflexed or retroverted uterus, what exam should you perform

Answer 16

rectovaginal exam