Chapter 4

Question 1

Which gland controls the menstral cycle at the start?

Answer 1

hypothalamus

Question 2

hypothalamus secretes what?

Answer 2

GNRH gonadotropin releasing hormone

Question 3

GNRH travels to which part of the pituitary gland?

Answer 3

anterior

Question 4

Anterior pituitary secretes

Answer 4

FSH and LH

Question 5

FSH

Answer 5

“Recruits” hormones

Question 6

LH

Answer 6

means to break, this hormone is responsible for ovulation

Question 7

FSH and LH travel to ovary and tells them to excrete

Answer 7

estrogen and progesterone

Question 8

what day of the cycle do you ovulate

Answer 8

day 14

Question 9

Pap smear - 2 kinds

Answer 9

part of annual exam
women over 21 includes bimanual and poss. pap
PAP with HPV
PAP without HPV

Question 10

do you get paps prior to age 21?

Answer 10

no

Question 11

which type of PAP is most accurate?

Answer 11

with HPV

Question 12

PAP recommendations for ages 21-30

Answer 12

PAP only every 3 years

Question 13

PAP recommendations for ages 31-65

Answer 13

PAP with HPV testing every 5 years or PAP alone every 3 years
newest guideline suggest HPV every 5 years for screening.

Question 14

PAP recommendations for ages 65+

Answer 14

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

Question 15

post hysterectomy PAP

Answer 15

hx of cervical cancer or mod-severe cervical changes, recommend PAP for 20 yrs post surgery. No changes no PAP recommended.

Question 16

Gardisill

Answer 16

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

Question 17

mammograms at age 40

Answer 17

annually or every other year (earlier if high risk)

majority of guidelines suggest starting at age 40 unless high risk for breast cancer

Question 18

mammograms at age 50

Answer 18

annually or every other year (depends on guideline)

Question 19

mammograms at age 75

Answer 19

stop- according to guidelines (even though risk increases with age)
many HCP’s do not follow guidelines on this.

Question 20

self breast exams

Answer 20

teach to do before age 40

monthly

Question 21

chlamydia screening

Answer 21

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