Chapter 27

Question 1

Vulva Description

Answer 1

External genitalia

Question 2

Vagina

Answer 2

Internal genitalia

Question 3

HPV Vax

Answer 3

Only for girls/women age 9-26 who are not sexually active. Prevents Cervical Cancer.

Question 4

Vestibule during female examination

Answer 4

You will see Urethral Meatus and Vaginal Orifice

Question 5

Using Speculum during female examination

Answer 5

You will see the Cervix at the end of the Vaginal Canal

Question 6

Uterus

Answer 6

Tilts forward and superior to the Bladder this makes it anteverted and anteflexed

Question 7

Tanner Scale

Answer 7

1. Preadolescent no pubic hair
2. Growth sparse and on Labia
3. Growth sparse and spreading over Mons Pubis
4. Hair is adult but over smaller area
5. Adult type and pattern hair, inverse triangle

Question 8

Goodwill sign

Answer 8

Cervix softens at 4-7 weeks

Question 9

Chadwick sign

Answer 9

Cervix looks cyanotic 8-12 weeks

Question 10

Hargar sign

Answer 10

Uterus softens 6-8 weeks

Question 11

Aging women

Answer 11

Uterine and Ovarian atrophy, Vaginal epithelium become thinner, dry, itchy

Question 12

Decreased vaginal secretions

Answer 12

Vagina dry and intercourse can be painful

Question 13

Gravida

Answer 13

Number of pregnancies’

Question 14

Para

Answer 14

Number of births

Question 15

Abortions

Answer 15

Number of interrupted pregnancies

Question 16

Perimenopausal

Answer 16

Hormone imbalance; hot flashes, headaches, mood swings, drenching in sweat, vaginal dryness and itching
40-55 years of age

Question 17

HRT side effects

Answer 17

Fluid retention, breast pain, vaginal bleeding

Question 18

Amenorrhea

Answer 18

Absent menses

Question 19

Menorrhagia

Answer 19

Heavy menses

Question 20

Dysmenorrhea

Answer 20

Painful menses

Question 21

Menopause

Answer 21

Cessation of menses

Question 22

Normal cycle

Answer 22

Every 28 days

Question 23

Stress incontinence

Answer 23

Involuntary urine loss; physical strain, sneeze, coughing

Question 24

Urge incontinence

Answer 24

Involuntary urine loss; overactive detrusor muscle in bladder

Question 25

Vaginal irritation

Answer 25

Antibiotics

Question 26

Infertility

Answer 26

After 1 year of trying to conceive

Question 27

STI

Answer 27

Transmitted vaginally, orally, or anal

Question 28

Ask post menopausal women

Answer 28

If they have been bleeding, need referral

Question 29

When doing an examination on a female patient

Answer 29

Make her comfortable by maintaining eye contact and elevate head
First exam; give a mirror so she can see what is going on and educate on examination

Question 30

Pap Smear

Answer 30

Have patient to bear down, insert downward at a 45 degree angle toward the small of the woman’s back

Question 31

Sequence of speculum examination

Answer 31

Speculum, bimanual, and rectovaginal

Question 32

Before a Pap Smear

Answer 32

Avoid sex, douche within 24 hours or inserting anything into the Vagina

Question 33

Nulliparous Woman

Answer 33

Cervix is small and round