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H&P Exam 2 > Breast, Pelvic and Male GU Exam > Flashcards

Breast, Pelvic and Male GU Exam Flashcards

1
Q

The female GU exam is an essential component of a woman’s _____ health care

A

annual

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2
Q

Presenting history questions for Female GU Exam

A

“Any concerns today?”
“Any abnormal discharge?”

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3
Q

Female GU History Items

A

Medical and surgical history
Allergies
Menstrual history and pattern
Obstetric history
Results of pap smears
Breast concerns
Sexual history
Intimate partner violence screen
Family history
Vaccine history
Urinary and rectal symptoms

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4
Q

Breast exam visual examination: inspect for _____ with the patient sitting

A

symmetry

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5
Q

Visual examination on the breast

A
  • Inspect for symmetry with the patient sitting
  • Ask the patient to sit with arms lifted overhead and then leaning forward while she places her hands on her waist
  • Examine the anterior chest wall
  • Assess pigmentation changes, surface irregularities
  • Inspect for symmetry in the recumbent position
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6
Q

Palpation of the breast is performed using the base of the fingertips in small _____ with variable depth

A

circular motions

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7
Q

Three breast examination palpation techniques

A

Circles
Wedges
Lines

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8
Q

What you are looking for with breast examination

A

Irregular skin texture and tone
Changes to nipple shape
Discharge from the nipple
Irregular fullness or pluckering

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9
Q

_____ breast changes tend to be on both breasts

A

Fibrocystic

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10
Q

Why many women fear pelvic exams:

A

Fear
Embarrassment
Lack of information
Cultural or language barriers
Previous painful exams
PTSD related to sexual assault

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11
Q

Supplies for the female pelvic exam

A

Gloves
Light source
Speculum
Lubricant
Cervical cytology
Wet prep slides
pH paper
Swabs
STD testing

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12
Q

The typical position for a female pelvic exam is to have the patient in the _____ position

A

Lithotomy

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13
Q

T/F - you should Insert the speculum at an angle

A

T

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14
Q

Bimanual exam is meant to assess what

A

Cervix
Vaginal walls
Abdomen

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15
Q

If you need to examine the rectum only, the lateral position is satisfactory and affords a better view of the _____ and _____ areas

A

perianal; sacrococcygeal

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16
Q

Examples of male sexual dysfunction questions

A

“How do you feel about your ability to perform sexually?”
“Does your partner have any concerns regarding your sexual performance?”
“Can you achieve and maintain an erection?”
“Do you experience erections when you awake?”
“Do you climax too soon?”
“Do you find that you cannot have orgasm even though you can have an erection?”
“Any difficulty conceiving?”

17
Q

Male GU Health history

A

Penile Disorders
Scrotum Disorders
Prostate Disorders

18
Q

Scrotum disorder questions

A

“Do you have any scrotal pain?”
“Do you have any scrotal swelling?”

19
Q

Prostate disorder questions

A

“Do you have difficulty initiating urination?”
“Is the flow weak?”
“How often are you getting up in the middle of the night to pee?”

20
Q

Penile shaft inspection

A

Lesions
Carcinoma
Peyronie’s
Evaluate the base of the penis for excoriations, nits, or lice in the pubic hair

21
Q

_____: foreskin cannot be retracted over the glans

A

Phimosis

22
Q

_____: Foreskin once retracted cannot be returned.

A

Paraphimosis

23
Q

Penis inspection for

A

Chancres
Carcinomas
Smegma: a cheesy white material that may accumulate normally under the foreskin

24
Q

Scrotal examination

A
  • Skin
    Lift up the scrotum so you can see the posterior surface
    Look for rashes, epidermoid cysts, rarely skin cancer
  • Scrotal contours
    Swelling, lumps, veins
25
Q

A poorly developed scrotum may suggest _____ (undescended testicle)

A

cryptorchidism

26
Q

You can locate the ______ on the superior posterior surface of each testicle. (It feels nodular and cordlike)

A

epididymis

27
Q

Painless nodules in the testis could be ____

A

testicular cancer

28
Q

Tortuous veins in this area of the ______ typically indicate varicocele

A

spermatic cord

29
Q

The serous fluid in hydroceles will light up when performing ______ to evaluate for scrotum swelling

A

Transillumination

30
Q

Small testis are notable in _____ syndrome

A

Klinefelter’s

31
Q

Inspection for hernia

A

Check the inguinal and femoral areas for bulges.
Ask the patient to bear down
invert the scrotal skin on each side and feel for any new pressure

32
Q

If you suspect a possible scrotal hernia

A

Ask patient to lie down
If the scrotal mass returns to the abdomen = hernia
Can you get your finger above the mass? If yes, it is a hydrocele
Can you hear bowel sounds in the mass? If yes, it is a hernia

33
Q

Palpation of the prostate

A

Note the size, shape ,and consistency of the prostate
Identify any nodules or tenderness
The normal prostate is rubbery and non-tender

34
Q

In a Bimanual exam you are palpating these things

A

Cervix and cervical os
Uterine body and apex of fundus
Adnexa/overies

35
Q

_____ refers to varicose veins of the spermatic cord, usually found on the left

A

Varicocele

36
Q

A _____

A

H&P Exam 2 (5 decks)

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