Chapter 4 Flashcards
Which gland controls the menstral cycle at the start?
hypothalamus
hypothalamus secretes what?
GNRH gonadotropin releasing hormone
GNRH travels to which part of the pituitary gland?
anterior
Anterior pituitary secretes
FSH and LH
FSH
“Recruits” hormones
LH
means to break, this hormone is responsible for ovulation
FSH and LH travel to ovary and tells them to excrete
estrogen and progesterone
what day of the cycle do you ovulate
day 14
Pap smear - 2 kinds
part of annual exam
women over 21 includes bimanual and poss. pap
PAP with HPV
PAP without HPV
do you get paps prior to age 21?
no
which type of PAP is most accurate?
with HPV
PAP recommendations for ages 21-30
PAP only every 3 years
PAP recommendations for ages 31-65
PAP with HPV testing every 5 years or PAP alone every 3 years
newest guideline suggest HPV every 5 years for screening.
PAP recommendations for ages 65+
no screening if no history of abnormal cervical changes.
can have 3 negative PAP in a row, or 2 Negative HPV in a row, within last 10 years and most recent performed in the last 3 years
post hysterectomy PAP
hx of cervical cancer or mod-severe cervical changes, recommend PAP for 20 yrs post surgery. No changes no PAP recommended.
Gardisill
ages 9-12 start vaccine, 2nd dose 6-12 months later.
if over 15 at 1st dose will get 3 doses.
prevents cancer and pre-cancer of cervix, vagina, vulva, penis, anus, throat, tongue, tonsils.
indicated for men and women up to age 45
mammograms at age 40
annually or every other year (earlier if high risk)
majority of guidelines suggest starting at age 40 unless high risk for breast cancer
mammograms at age 50
annually or every other year (depends on guideline)
mammograms at age 75
stop- according to guidelines (even though risk increases with age)
many HCP’s do not follow guidelines on this.
self breast exams
teach to do before age 40
monthly
chlamydia screening
yearly until 25 if sexually active
after 25 PRN or with new partners, multiple partners
may need every 3-6 months if high risk behaviors
