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Assessment > Exam 4: Female GU > Flashcards

Exam 4: Female GU Flashcards

1
Q

Accessory organs of the uterus (ovaries, fallopian tubes)

A

Adnexa

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2
Q

Absence of menstruation; termed secondary amenorrhea when menstruation has begun and then ceases, most common cause is pregnancy

A

Amenorrhea

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3
Q

Vestibular glands, located on either side of the vaginal orifice, that secrete a clear lubricating mucus during intercourse

A

Bartholin’s glands

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4
Q

Dislodging of thick cervical mucus plug at end of pregnancy, which is a sign of beginning labor

A

Bloody show

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5
Q

Small, deep red mass protruding from urethral meatus, usually due to urethritis

A

Caruncle

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6
Q

Bluish discoloration of cervix that occurs normally in pregnancy at 6-8 weeks gestation

A

Chadwick sign

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7
Q

Red, round, superficial ulcer with a yellowish serous discharge that is a sign of syphilis

A

Chancre

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8
Q

Small, elongated erectile tissue in the female, located at anterior juncture of labia minora

A

Clitoris

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9
Q

Prolapse of urinary bladder and its vaginal mucosa into the vagina with straining or standing

A

Cystocele

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10
Q

Abdominal cramping and pain associated with menstruation

A

Dysmenorrhea

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11
Q

Painful intercoarse

A

Dyspareunia

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12
Q

Painful urination

A

Dysuria

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13
Q

Aberrant growths of endometrial tissue scattered throughout pelvis

A

Endometriosis

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14
Q

Hard, painless nodules in uterine wall that cause uterine enlargement (myoma)

A

Fibroid

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15
Q

Sexually transmitted infection characterized by purulent vaginal discharge or may have no symptoms

A

Gonorrhea

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16
Q

Softening of cervix that is a sign of pregnancy, occuring at 10-12 weeks gestation

A

Hegar sign

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17
Q

Red-tinged or blood urine

A

Hematuria

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18
Q

Membranous fold of tissue partly closing vaginal orifice

A

Hymen

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19
Q

Whitish yellowish discharge from vaginal orifice

A

Leukorrhea

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20
Q

Onset of first menstruation, usually between the ages of 11 and 13

A

Menarche

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21
Q

Cessation of the menses, usually occurring around 48-51 years old

A

Menopause

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22
Q

Excessively heavy menstrual flow

A

Menorrhagia

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23
Q

Condition of having 2 or more pregnancies

A

Multipara

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24
Q

Condition of having first pregnancy

A

Nullipara

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25
Q

Painless test used to detect cervical cancer

A

Papanicolaou test

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26
Q

Bright red, soft, pedunculated growth emerging from os (bone?)
in cervix

A

Polyp

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27
Q

Prolapse of the rectum and its vaginal mucosa into vagina with straining or standing

A

Rectocele

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28
Q

Deep recess formed by the peritoneum between the rectum and cervix (culdesac of Douglas)

A

Rectouterine pouch

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29
Q

Inflammation of the fallopian tubes

A

Salpingitis

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30
Q

Paraurethral glands

A

Skene’s glands

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31
Q

Inflammation of the vagina

A

Vaginitis

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32
Q

External genitalia of female

A

Vulva

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33
Q

External genitalia of female

A

Vulva or pudendum

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34
Q

The fat covering the symphisis pubis (cartilage joint on pubic bone) (this is where the hair is)

A

Mons pubis

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35
Q

Connecting membrane/tissue on the underside of the vagina

A

Frenulum ro fourchette

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36
Q

From the clitoris to the frenulum, everything in between

A

Vestibule

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37
Q

The opening of the urethra

A

Urethral meatus

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38
Q

Where the baby will develop

A

Uterus

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39
Q

Where the eggs travel down

A

Fallopian tubes

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40
Q

Recess behind the cervix, forming an arch, the most superior part of the vagina

A

Anterior and poster fornix

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41
Q

Recess behind the cervix, forming an arch, the most superior part of the vagina

A

Anterior and poster fornix

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42
Q

What are the stages of menopause

A

1-2 years of a decline in ovarian functions, they will have irregular menses (periods) gradually becoming lighter and further apart
Ovaries stop producing progesterone and estrogen
Reproductive cells are estrogen dependent– so this decrease in estrogen brings dramatic physical changes

43
Q

In an aging woman, these atrophy or shrink to 1-2 cm and are not palpable after menopause

A

Ovaries

44
Q

In an aging woman, this shrinks because of decreased myometrium

A

Uterus

45
Q

This may sometimes protrude or prolapse into the vagina
It shrinks, looks paler, thick, and glistens
It droops as the sacral ligaments relax and pelvic muscles become weak

A

Uterus

46
Q

Its good to get a hysterectomy between the ages of..

A

35-50

47
Q

In an aging woman, this becomes shorter, narrower, and less elastic because of an increased connective tissue

A

Vagina

48
Q

Without sexual activity the vagina can atrophy to..

A

1/2 its original size

49
Q

Vaginal epithelium atrophies, becoming thinner, itchier, and drier.. this sets the vagina up for..

A

Bleeding, vaginitis, irritation, and dyspareunia

50
Q

What 12 subjective data points should you look at with the female GU

A

MOMS SUV Carries STIs

Menstrual history
Obstetric history
Menopause
Self care behaviors

Sexual activity
Urinary symptoms
Vaginal discharge

Contraceptives

STI contact
STI risk reduction

51
Q

What 10 subjective data points should you look at with the female GU

A

MOMS SUV Carries STIs

Menstrual history
Obstetric history
Menopause
Self care behaviors

Sexual activity
Urinary symptoms
Vaginal discharge

Contraceptives

STI contact
STI risk reduction

52
Q

What 10 subjective data points should you look at with the female GU

A

MOMS SUV Carries STIs

Menstrual history
Obstetric history
Menopause
Self care behaviors

Sexual activity
Urinary symptoms
Vaginal discharge

Contraceptives

STI contact
STI risk reduction

53
Q

UTIs can look like ____ in older people

A

Dementia

54
Q

A heavy flow could mean..

A

Something else is wrong, a different underlying problem

55
Q

The # of times a woman has been pregnant

A

Gravida

56
Q

This term means the # of pregnancies that were carried more than 20 weeks

A

Para

57
Q

Hot flashes, night sweats, numbness, tingling, headache, palpitations, drenching sweats, mood swings, vaginal dryness and itching are signs/symptoms of..

A

Menopause

58
Q

Menopause can last..

A

2 years

59
Q

This can increase your risk for blood clots and breast cancer

A

Hormone replacements

60
Q

How often should you get a breast and vaginal exam

A

Every year

61
Q

Pap smear recommendation right now for a low risk pt is every ___ years

A

5 years

62
Q

This can cause urination when sneezing, laughing, or coughing

A

Vaginal deliveries (stress incontinence)

63
Q

Stress incontinence doesn’t really have a cure, but this type of incontinence has meds to help

A

Urge incontience

64
Q

You can get a frequency or urge to urinate if you have

A

Inflammation

65
Q

If you have the urge to pee in the middle of the night, what might it be

A

Inflammation/swelling has gone down making you feel like you have to go

66
Q

When asking about vaginal discharges its important to look at a family history of diabetes because diabetics have a lot of sugar usually so they are more apt for..

A

Yeast infections

67
Q

When asking about vaginal discharges its important to look at a family history of diabetes because diabetics have a lot of sugar usually so they are more apt for..

A

Yeast infections

68
Q

Douching can change the vaginal..

A

pH levels

69
Q

If a yeast infection comes back within 3 months you should..

A

See a doctor

70
Q

It is important to accepting and non judgmental when asking about..

A

Sexual activity

71
Q

Symptoms of this STI can go away for a while or remain dormant and than reappear later

A

Syphilis

72
Q

Symptoms of this STI can go away for a while or remain dormant and than reappear later

A

Syphilis

73
Q

This locks and unlocks with a resounding click and that can be alarming

A

A plastic speculum

74
Q

This is inserted into the vagina to dilate it for examination of the vagina and cervix

A

Vaginal speculum

75
Q

What are 2 types of vaginal speculums (note you should try both before using them so you can know which you like to use better, practice opening and closing)

A

Metal and plastic

76
Q

What are 2 types of vaginal speculums (note you should try both before using them so you can know which you like to use better, practice opening and closing)

A

Metal and plastic

77
Q

What is the difference between a graves and pederson speculum

A

Graves is wider and made for women who may be more sexually active (wider vagina)
Pederson is narrower for younger women, those who have never had sex, or post menopausal (older)

78
Q

What is the difference between a graves and pederson speculum

A

Graves is wider and made for women who may be more sexually active (wider vagina)
Pederson is narrower for younger women, those who have never had sex, or post menopausal (older)

79
Q

These are used to get samples from the cervix wall

A

Cyto brush

Ayre’s spatula

80
Q

These are used to get samples from the cervix wall

A

Cyto brush

Ayre’s spatula

81
Q

Initially the position of the women should be..

A

Sitting up facing you, establish trust

82
Q

What position should she be in for examination

A

Lithotomy

83
Q

What 5 techniques will make sure that the woman is relaxed

A
  1. have her empty her bladder first
  2. don’t put her private parts facing any open doors
  3. don’t abduct or spread legs too far apart
  4. ask if she wants someone at HOB with her
  5. have her head and shoulders elevated to maintain eye contact
84
Q

What 5 techniques will make sure that the woman is relaxed

A
  1. have her empty her bladder first
  2. don’t put her private parts facing any open doors
  3. don’t abduct or spread legs too far apart
  4. ask if she wants someone at HOB with her
  5. have her head and shoulders elevated to maintain eye contact
85
Q

This works well for teaching anatomy, to see abnormalities, and to see treatments

A

Mirror technique

86
Q

This works well for teaching anatomy, to see abnormalities, and to see treatments

A

Mirror technique

87
Q

The genitalia is usually an even skin color.. these may be a darker pink

A

labia minora

88
Q

Labia majora are usually midline in ____ women

and gaping and shriveled in ____ women

A

Midline in nulliparous

Gaping in parous

89
Q

Labia majora are usually midline in ____ women

and gaping and shriveled in ____ women

A

Midline in nulliparous

Gaping in parous

90
Q

What should you do with the speculum before insertion

A

Warm under warm running water and lubricate, especially inferior blade?

91
Q

Labia majora are usually midline in ____ women

and gaping and shriveled in ____ women

A

Midline in nulliparous (never given birth)

Gaping in parous (has given birth)

92
Q

What should you do with the speculum before insertion

A

Warm under warm running water and lubricate, especially inferior blade?

93
Q

This scans for cervical cancer but not endometrial or ovarian

A

Pap smear

94
Q

You should not obtain a pap smear sample during..

A

Period or with heavy infectious discharge

95
Q

Women should not douche, have sex, or put anything into their vagina, 24 hours before a …

A

Pap smear or collection of specimen

96
Q

What is the order for obtaining cultures

A

Pap smear first

Bacterial culture for STIs 2nd

97
Q

What is the order for obtaining cultures

A

Pap smear first

Bacterial culture for STIs 2nd

98
Q

This screens for asymptomatic human papilloma virus (HPV) which can cause genital warts

A

Acetic acid wash (white vinegar)

99
Q

Should be done after all other specimens are gathered
Paints the cervix
Temporarily dehydrates and coagulates proteins

A

Acetic acid wash with white vinegar

100
Q

What is the normal response to an acetic acid wash with white vinegar

A

No change in cervical epithelium indicates no HPV

101
Q

What is the normal response to an acetic acid wash with white vinegar

A

No change in cervical epithelium indicates no HPV

102
Q

For patients with arthritis, what might ease the joint pain from the positioning

A

Ibuprofen, mild analgesic or anti-inflammatory

103
Q

With aging women its best to schedule their exam when joint pain..

A

is at its least so maybe early morning when she wakes up

Assessment (11 decks)

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