Chap 1: Woman's Health Exam & Care Management

Question 1

Menstrual pain is mediated through?

Answer 1

Prostaglandins (should be responsive to NSAIDs)

Question 2

Cessation of menses for greater than 1 year

Answer 2

Menopause

Question 3

Time of transition from menstrual to nonmenstrual life when ovarian function begins to wane, often lasting 1-2 yrs

Answer 3

Perimenopause

Question 4

Gynecologic history

Answer 4

Sexual hx; contraceptive hx;

Question 5

Gravida

Answer 5

A woman who is or has been pregnant

Question 6

Primigravida

Answer 6

A woman who is in or who has experienced her first pregnancy

Question 7

Mutligravida

Answer 7

A woman who has been pregnant more than once

Question 8

Nulligravida

Answer 8

A woman who has never been pregnant and is not now pregnant

Question 9

Primipara

Answer 9

A woman who is pregnant for the first time or who has given birth to only one child

Question 10

Multipara

Answer 10

A woman who has given birth two or more times

Question 11

Nullipara

Answer 11

A woman who has never given birth or who has never has a pregnancy progress beyond the gestational age of an abortion

Question 12

Obstetric history

Answer 12

Includes: pt’s gravity; infertility

Question 13

Premature birth

Answer 13

Less than 37 wks

Question 14

What is the age guideline for initiation of cervical cancer screening?

Answer 14

Recommended at age 21 regardless of coitarche

Question 15

If a high-risk HPV type is detected, what should be done?

Answer 15

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.

Question 16

Mucopurulent cervicitis with exacerbation in the symptoms during and after menstruation is classically?

Answer 16

Gonorrhea

Question 17

__________ is frequently associated with gonorrhea and also causes cervicitis and pelvic inflammatory disease.

Answer 17

Chlamydia

Question 18

__________ may cause a yellow frothy discharge, and _______ may cause a thick white cottage cheese like discharge, but neither would cause fever and abdominal pain.

Answer 18

Trichomonas; Candida

Question 19

Erythematous patches on the cervix that are characteristic of “strawberry cervicitis”.

Answer 19

Trichomoniasis

Question 20

__________ are ________ protozoans, which are easily seen moving across the slide with flagella.

Answer 20

Trichomonads: Unicellular protozoans

Question 21

Women with trichomonas vaginal infections may have a _______, _________ vaginal discharge.

Answer 21

frothy, yellow-green vaginal discharge

Question 22

___ ____ are seen on a saline wet mount in women who have bacterial vaginosis.

Answer 22

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.

Question 23

Yeast vaginitis is characterized by a ___ ___ ___ discharge which results in erythema, swelling and intense pruritus.

Answer 23

thick white clumpy

Question 24

Multinucleate giant cells and inflammation may be _______.

Answer 24

Herpes