Common Female Questions

Question 1

Risk factors for endometriosis?

Answer 1

Asian or Caucasian
Younger
Nulliparous
Family History

Question 2

Risk factors for Hemorrhoids?

Answer 2

Low fiber diet
Low water intake
Sedentary lifestyle
Pregnancy

Question 3

Risk Factors for Uterine Fibroids?

Answer 3

African American
Older woman
Nuliparous

Question 4

Risk factors for Cervical cancer?

Answer 4

Multiple sex partners
HPV
History of using the “pill”
smoking

Question 5

Risk factors for uterine cancer?

Answer 5

Overweight
Older
Nulliparous
Diabetes

Question 6

Risk factors for Ovarian Cancer?

Answer 6

Older women
Nulliparous
History of fertility drugs

Question 7

Risk factors for breast cancer?

Answer 7

Older
Nulliparous
History of using the "pill"
Overweight
Alcohol
Sedentary
Family history

Question 8

Which STD has painful itchy vehicles that come and go?

Answer 8

herpes

Question 9

What are the potential complications of Chlamydia infection later in life?

Answer 9

Pelvic Inflammatory Disease (PID), infertility, complications of pregnancy, greater susceptibility to other STDs such as HIV

Question 10

A patient discovers a lump in her breast…. Are most lumps cancerous?

Answer 10

NO

Question 11

How often should a woman have a breast exam done by a health professional at 50 years, at 25 years?

Answer 11

50 - yearly

25 - every 3 years

Question 12

What are the three main parts of the female exam in order?

Answer 12

1. Speculum
2. Biannual
3. Recto-vaginal

Question 13

How do you look for urinary incontinence?

Answer 13

Look at the urethra while the patient bears down; note leakage of urine.

Question 14

Which should you palpate first, Skene’s or Bartholin glands? Why?

Answer 14

Skene’s, so that you don’t introduce perineal bacteria into the vagina or urethra.

Question 15

If the Bartholin glands have purulent foul yellowish discharge what would you suspect?

Answer 15

Either a staph infection or an STD (most likely gonorrhea)

Question 16

If the cervical os looks like this >——-

Answer 16

The woman is porous (has delivered a baby)

Question 17

In which part of the exam might we visualize endometrial lesions?

Answer 17

Speculum exam

Question 18

In which part of the exam might we visualize Nabothian cysts?

Answer 18

Speculum exam

Question 19

What are we screening for when we take a sample from the cervix with a spatula or broom?

Answer 19

Abnormal cells; early detection of cervical cancer

Question 20

If you move the cervix during the biannual part of the exam and it hurts the patient or the cervix is fixed and won’t move, you suspect what?

Answer 20

Pelvic Inflammatory disease (PID)

Endometriosis

Question 21

List the 4 required steps of the rectal-vaginal exam:

Answer 21

1) Assess muscle tone (patient squeezes your finger)
2) palpate rectovaginal septum
3) palpate the posterior aspect of the cervix and uterus
4) palpate the rectal walls (done LAST to avoid contamination)

Question 22

When is the best time to discuss any findings or concerns you have about this exam?

Answer 22

After the patient is dressed.