EXAM #1: INTRO. WOMEN'S HEALTH

Question 1

What are the top three leading causes of death for women?

Answer 1

1) Heart Disease
2) Lung cancer
3) CVA

Question 2

What is the leading cause of disability for women?

Answer 2

CVA

Question 3

What are the two leading causes of death during childbirth?

Answer 3

1) Pre-existing conditions
2) Severe bleeding

*Note that 800 women die daily from preventable issues related to pregnancy and childbirth

Question 4

Why has there been a recent increase in pregnancy related deaths?

Answer 4

Multiple births

Question 5

Geographically, what is the correlation between access to contraception and maternal mortality?

Answer 5

Africa= lowest contraceptive prevalence AND highest maternal mortality ratio (1:15)

Question 6

What are the etiologies of maternal mortality in developing countries?

Answer 6

1) Maternal blood loss
2) Infection
3) HTN
4) Unsafe abortion

Question 7

What are the obstacles to providing skilled OB/GYN care to all women?

Answer 7

1) Poverty
2) Distance
3) Lack of education
4) Inadequate services
5) Cultural practices

Question 8

What is mortality in cervical cancer directly related to?

Answer 8

Access to health care i.e. pap-smears

Question 9

What are the four focuses/components of well woman care?

Answer 9

1) Health maintenance
2) Preventative services
3) Early disease detection
4) Continuity of care

Question 10

What are the specific concerns in history taking for the 13-18 y/o woman?

Answer 10

1) Risk-taking behavior
2) Sexual practice
3) Driving
4) Drugs and alcohol
5) Eating disorders

Question 11

What are the specific concerns in history taking for the 19-39 y/o woman?

Answer 11

1) Nutrition
2) Physical activity
3) Sexual practices
4) Pregnancy desires
5) Drugs/alcohol
6) Intimate partner violence
7) Breast cancer risk

Question 12

What are the specific concerns in history taking for the 40-64 y/o woman?

Answer 12

1) Menopause
2) Sexual function
3) Incontinence

Question 13

What are the specific concerns in history taking for the 65+ y/o woman?

Answer 13

1) Nutrition
2) ADLs
3) Fall prevention
4) Abuse/neglect

Question 14

What is ACOG guideline on an annual pelvic exam?

Answer 14

Shared decision between patient and provider

Question 15

When is Chlamydia screening recommended?

Answer 15

Sexually active females under 25 y/o

Question 16

What are the thyroid screening recommendations?

Answer 16

q5 years after 50 y/o

Question 17

What are the glucose screening recommendations?

Answer 17

q3 years after 45 y/o

Question 18

What are the colorectal cancer screening recommendations?

Answer 18

Colonoscopy after age 50 y/o

Question 19

What are the bone density screening recommendations?

Answer 19

After 65 y/o

Question 20

What percentage of lesbians has had heterosexal sex?

Answer 20

75%

Question 21

What are lesbians at risk for?

Answer 21

1) Alcohol abuse
2) Smoking (college age)
3) Less frequent contraceptive use (70% have sex with men)

Question 22

At what age is there the most precipitous bone loss in women?

Answer 22

50-60 y/o

Question 23

What do you need to remember about abortions?

Answer 23

1) Non-directive counseling

2) Awareness of legal issues