Chapter 26: Female Genitourinary System

Question 1

Is it normal for external genitalia to be engorged at birth?

Answer 1

Yes it is because of mothers hormones

Question 2

False menses

Answer 2

Common in infant females, called “pseudomenstration”

Question 3

Leukorrhea

Answer 3

is a thick, whitish or yellowish vaginal discharge

Question 4

Ambiguous genitalia

Answer 4

rare condition in which an infant’s external genitals don’t appear to be clearly either male or female

Question 5

When do secondary sex characteristics begin to develop?

Answer 5

At puberty

Question 6

When does puberty begin for females?

Answer 6

between 9 and 13

Question 7

Goodell’s sign

Answer 7

It is a significant softening of the vaginal portion of the cervix from increased vascularization

Question 8

Chadwicks sign

Answer 8

Bluish discoloration of the cervix

Question 9

Hegar’s sign

Answer 9

Softening of the uterus

Question 10

Hormone levels with aging. Men vs Female

Answer 10

Female’s hormonal level decreases rapidly in contrast with slow decline in aging male

Question 11

Menopause

Answer 11

Cessation of menses

Question 12

Developmental Competence: Aging woman

Answer 12

Vagina becomes shorter, narrower, and less elastic
Decreased vaginal secretions; dyspareunia
Pubic hair thins and grays
Ovaries atrophy are not usually palpable after menopause
Uterus shrinks, droops, protrude, or prolapse, into vagina

Question 13

With what population is cervical cancer most prevalent

Answer 13

A.A

Question 14

Female circumcision

Answer 14

Infibulation or female genital mutilation
Removal of the clitoris
Common with aboriginals, christians and muslims

Question 15

Functional Urinary Incontinence

Answer 15

Inability of usually continent person to reach toilet in time to avoid unintentional loss of urine

Question 16

Reflex urinary incontinence

Answer 16

Involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached

Question 17

Stress Urinary Incontinence

Answer 17

Sudden leakage of urine occurring with activities that increase abdominal pressure

Question 18

Total Urinary Incontinence

Answer 18

Continuous and unpredictable passage of urine

Question 19

Urge Urinary Incontinence

Answer 19

Involuntary passage of urine occurring soon after a strong sense of urgency to void

Question 20

When asking women questions about their sexual health and activity how should she be positioned?

Answer 20

The woman should be sitting up because an equal-status position is important to establish trust and rapport before the vaginal exam

Question 21

What position should the female be in during vaginal exam?

Answer 21

Lithotomy exam

Question 22

What to look at for bimanual exam of vagina

Answer 22

Vaginal Wall, Cervix, Uterus

Question 23

What is the os?

Answer 23

The external os is the opening in the center of the ectocervix. The endocervix, also known as the endocervical canal, is a passage that connects the vagina to the uterus. The internal os is the opening into the uterus from the cervix.

Question 24

HPV vaccinations

Answer 24

Gardasil and Ceravix

Question 25

When should a pap smear be done?

Answer 25

21

Question 26

STDs

Answer 26

Herpes, Gonorrhea, Chlamydia

Question 27

HPV

Answer 27

- Vaccines don't protect from all types of HPV | - Condoms may not protect against HPV because areas not covered by condom can be exposed to virus

Question 28

Pediculosis pubis "crab lice"

Answer 28

S: severe perineal itching O: Excoriations and erythematous areas. May see little dark spots, nits adherent to pubic hair near roots. Usually localized

Question 29

Syphilitic chancre

Answer 29

O: STI begins small, solitary silvery papule that erodes to a red, round oval. Non-tender indurated base. Can be lifted like a button. Resolves spontaneously.

Question 30

Red rash, contact deermititis

Answer 30

S:History of skin contact with allergenic substances in environment, intense pruritus O: Primary lesions, red, swollen vesicles. Weeping lesions, crust, scales, thickening of skin, excoriations from scratching. Can be due to using feminine hygiene spray or synthetic clothing

Question 31

Herpes simplex virus, type 2 herpes genitalia

Answer 31

S: episodes of local pain, dysuria and fever O: Clusters of small, shallow, vesicles with surrounding erythema; erupts on genital area and thigh. Inguinal adenopathy Virus lays dorment indefinitely Infection lasts 3 - 10 days

Question 32

Candidiasis

Answer 32

A fungal infection typically on the skin or mucous membranes caused by candida.

Question 33

Chlamydia

Answer 33

Is found in infected semen and vaginal fluids. It's a sexually transmitted infection (STI) that can be passed on through sex without a condom or sharing sex toys with someone who has chlamydia (even if they don't have symptoms), or from a pregnant woman to her unborn baby.

Question 34

Gonorrhea

Answer 34

A sexually transmitted bacterial infection that, if untreated, may cause infertility. Affects urethra, rectum, throat

Question 35

Hematuria

Answer 35

Blood in urine

Question 36

Dysuria

Answer 36

Pain with urination

Question 37

Polyuria

Answer 37

Urinating a lot

Question 38

Nocturia

Answer 38

Frequent urination at night

Question 39

Anuria

Answer 39

Failure of the kidney to produce urine

Question 40

Oliguria

Answer 40

Production of abnormally small amounts of urine

Question 41

Glycosuria

Answer 41

a condition characterized by an excess of sugar in the urine, typically associated with diabetes or kidney disease

Question 42

Ketonuria

Answer 42

the excretion of abnormally large amounts of ketone bodies in the urine, characteristic of diabetes mellitus, starvation, or other medical conditions.

Question 43

Proteinuria

Answer 43

the presence of abnormal quantities of protein in the urine, which may indicate damage to the kidneys.

Question 44

Enuresis

Answer 44

involuntary urination, especially by children at night.

Question 45

When do vesicles on the labia rupture with HSV2

Answer 45

1-3 days

Question 46

Hw long does the initial infection of HSV2 last?

Answer 46

7-10 days

Question 47

HPV genital warts

Answer 47

S: painless, warty growths O: pink or fleshy soft pointed, moist, warty papules. Single or multiple cauliflower patches. Occurs around vulva. Most common STI.