Common Conditions Part 1

Question 1

Amenorrhea, nausea, breast changes, skin pigmentation, urinary frequency

Answer 1

“Possible/Presumptive” signs of pregnancy

Question 2

Fluttering in lower abdomen, enlarged uterus, positive pregnancy test

Answer 2

“Probable” pregnancy signs

Question 3

Visualization of embryo via ultrasound, fetal heartbeat and movement felt by doctor

Answer 3

“Positive” pregnancy signs

Question 4

Goodell sign

Answer 4

softening of cervix (4-6 weeks)

Question 5

Hegar sign

Answer 5

softening of uterine isthmus (6-8 weeks)

Question 6

McDonal sign

Answer 6

fundus flexes easily on cervix (7-8 weeks)

Question 7

Braun von Fernwald sign

Answer 7

fullness/softening of fundus at implantation site (7-8 weeks)

Question 8

Piskacek sign

Answer 8

palpable lateral bulge on uterine cornu (7-8 weeks)

Question 9

Chadwick sign

Answer 9

bluish color of cervix, vagina, and vulva (8-12 weeks)

Question 10

Typically begins in late 20s and increases in incidence and severity as menopause approaches

Answer 10

Premenstraul Syndrome (5-7 days before menses)

Question 11

T/F A healthy lifestyle may help decrease PMS symptoms

Answer 11

Is this even a question? (in addition to obvious habits and foods, B6 and Oil of Primrose have shown positive effects)

Question 12

Inability to conceive over a period of 1 year

Answer 12

Infertility

Question 13

Presence/growth of endometrial tissue outside the uterus

Answer 13

Endometriosis

Question 14

Symptoms: Endometriosis

Answer 14

Pelvic pain, dysmenorrhea, heavy/prolonged menstrual flow

Question 15

Endometriosis is confirmed via ____

Answer 15

Laproscopy

Question 16

Pain during intercourse, common with Endometriosis, is known as

Answer 16

Chandelier sign

Question 17

Age and Ethnicity risk factors for Endometriosis

Answer 17

25-44 - Asian and Caucasian

Question 18

T/F Delay in diagnosis of Endometriosis is common, sometimes up to 10 years

Answer 18

True

Question 19

Endometriosis: Patterns of menstruation

Answer 19

Shorter intervals
Prolonged flow (>1 weeks)
More severe cramps

Question 20

Endometrial deposits most commonly occur in which 2 locations

Answer 20

Ovary (75%) and Posterior cul-de-sac (70&)

Question 21

What % of Endometriosis cases recur after treatment?

Answer 21

10-20% w/in 3 years

Question 22

Endometriosis INCREASES or DECREASES peritoneal fluid levels, leukocytes, prostaglandins, and enzyme levels all w/in the peritoneal fluid

Answer 22

INCREASES

Question 23

Which infection commonly inflames the Bartholin Gland

Answer 23

Gonorrhea - also staph, E. coli, and chlamydia

Question 24

Medica tx of inflamed Bartholin Gland

Answer 24

lance and drain

Question 25

Causative organism: Bacterial vaginosis

Answer 25

Gardnerella vaginalis

Question 26

Causative organism: Candida vulvovaginitis

Answer 26

Candida albicans

Question 27

Review Slide 22/23 chart

Answer 27

odors, discharge, confirmation tests

Question 28

Cervical Cancer is either of which two carcinomas?

Answer 28

Squamous cell carcinoma or Adenocarcinoma

Question 29

Cervical CA typically originates from a lesion present at which location?

Answer 29

squamocolumnar junction

Question 30

T/F Precancerous and early cervical cancer changes are detected by physical exam

Answer 30

False - Pap smear

Question 31

Descent or herniation of uterus into or beyond vagina

Answer 31

Uterine Prolapse

Question 32

This condition is a result of weakening of the supporting structures of the pelvic floor

Answer 32

Uterine Prolapse

Question 33

____-degree: cervix remains w/in the vagina

Answer 33

First-degree

Question 34

____-degree: cervix is at the introitus

Answer 34

Second-degree

Question 35

____-degree: cervix and vagina drop outside the introitus

Answer 35

Third-degree

Question 36

absence of menses

Answer 36

Amenorrhea

Question 37

excessive bleeding during a menstrual cycle

Answer 37

Hypermenorrhea

Question 38

decreased amount of menstrual flow

Answer 38

Hypomenorrhea

Question 39

excessive bleeding during a menstrual period that is LONGER in duration than normal

Answer 39

Menorrhagia

Question 40

menstual bleeding at IRREGULAR intervals, sometimes prolonged but of expected amounts

Answer 40

Metorrhagia

Question 41

infrequent menstruation

Answer 41

Oligomenorrhea

Question 42

increase in FREQUENCY of menstruation not consistently associated with ovulation

Answer 42

Polymenorrhea

Question 43

small amounts of inter menstrual bloody vaginal discharge (pink to dark brown)

Answer 43

Spotting

Question 44

abnormal uterine bleeding NOT associated with tumor, inflammation, pregnancy, trauma, or hormonal imbalance

Answer 44

DUB - Dysfunctional uterine bleeding

Question 45

menstrual bleeding occuring 1 year or more after menopause

Answer 45

Postmenopausal bleeding

Question 46

review slide 31

Answer 46

uterine bleeding w/ associated common causes