Chap 1: Woman's Health Exam & Care Management Flashcards
Menstrual pain is mediated through?
Prostaglandins (should be responsive to NSAIDs)
Cessation of menses for greater than 1 year
Menopause
Time of transition from menstrual to nonmenstrual life when ovarian function begins to wane, often lasting 1-2 yrs
Perimenopause
Gynecologic history
Sexual hx; contraceptive hx;
Gravida
A woman who is or has been pregnant
Primigravida
A woman who is in or who has experienced her first pregnancy
Mutligravida
A woman who has been pregnant more than once
Nulligravida
A woman who has never been pregnant and is not now pregnant
Primipara
A woman who is pregnant for the first time or who has given birth to only one child
Multipara
A woman who has given birth two or more times
Nullipara
A woman who has never given birth or who has never has a pregnancy progress beyond the gestational age of an abortion
Obstetric history
Includes: pt’s gravity; infertility
Premature birth
Less than 37 wks
What is the age guideline for initiation of cervical cancer screening?
Recommended at age 21 regardless of coitarche
If a high-risk HPV type is detected, what should be done?
The patient needs a colposcopy with biopsies.
An alternative approach can be close surveillance with repeat Pap smears in 12 months and if normal, she may return to routine screening. Initiation of treatment by way of cone biopsy, LEEP, or cryotherapy is not indicated at this time without a biopsy-confirmed diagnosis of cervical dysplasia.
Mucopurulent cervicitis with exacerbation in the symptoms during and after menstruation is classically?
Gonorrhea
__________ is frequently associated with gonorrhea and also causes cervicitis and pelvic inflammatory disease.
Chlamydia
__________ may cause a yellow frothy discharge, and _______ may cause a thick white cottage cheese like discharge, but neither would cause fever and abdominal pain.
Trichomonas; Candida
Erythematous patches on the cervix that are characteristic of “strawberry cervicitis”.
Trichomoniasis
__________ are ________ protozoans, which are easily seen moving across the slide with flagella.
Trichomonads: Unicellular protozoans
Women with trichomonas vaginal infections may have a _______, _________ vaginal discharge.
frothy, yellow-green vaginal discharge
___ ____ are seen on a saline wet mount in women who have bacterial vaginosis.
Clue cells are characterized by adherent coccobacillary bacteria that obscure the edges of the cells. A drop of KOH releases amines from the cells and a fishy odor is noted if bacterial vaginosis is present.
Yeast vaginitis is characterized by a ___ ___ ___ discharge which results in erythema, swelling and intense pruritus.
thick white clumpy
Multinucleate giant cells and inflammation may be _______.
Herpes
