Female Exam

Question 1

Endometriosis

Answer 1

Asian /Caucasian
Young
Nulliparious

Question 2

Colon cancer

Answer 2

Low fiber diet
Low water intake

Question 3

Uterine fibroids

Answer 3

African American
Older women
Nulliparious

Question 4

Cervical cancer

Answer 4

Multiple sex partners
HPV
History f using the pill

Question 5

Uterine cancer

Answer 5

Overweight
Older
Nulliparious
Diabetes

Question 6

Ovarian cancer

Answer 6

Older women
Nulliparious
History of fertility drugs

Question 7

Breast cancer

Answer 7

Older
Nulliparious
Overweight
Sedentary
Alcohol 2+ servings

Question 8

Which std has painful itchy vesicles that come and go ?

Answer 8

Herpers

Question 9

Potential complications of chlamydia infection later in life ?

Answer 9

PID, infertility, pregnancy complications, susceptible to STDS

Question 10

Are most lumps cancerous ?

Answer 10

NO

Question 11

How often should a patient get female Pap smear exam ?

Answer 11

Every 3 years after getting a baseline at 21

Question 12

How often should a women has a breast exam done by a health professional ?

Answer 12

50 years old: yearly
< 49 every 3 years

Question 13

Name the 3 main parts of the female exam in order

Answer 13

Speculum
Bimanual
Recto-vaginal

Question 14

How do you assess for urinary incontinence?

Answer 14

Have patient bear down, note leakage of urine

Question 15

Which should you palpate first ?

Answer 15

Skene’s gland, so that you don’t introduce perianal bacteria to the vagina or urethra

Question 16

If the bartholian glands have purulent foul yellowish discharge what would you do ?

Answer 16

Suspect staph infxn or STD like gonorrhea

Question 17

If cervical os looking like >——< what does that mean ?

Answer 17

Woman is parous has delivered a baby or been in labor

Question 18

Which part of the exam would we visualize endometrial lesions ?

Answer 18

Speculum exam

Question 19

Which part of exam would we visualize nabothian cysts?

Answer 19

Speculum exam

Question 20

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

Answer 20

Abnor cells. Early detection of cervical cancer

Question 21

If you move the cervix during the exam and causing pain to the patient or the cervix is immovable what would you suspect ?

Answer 21

PID or endometriosis, or ovarian cysts or ectopic pregnancy

Question 22

List 4 required steps of the rectal-vaginal exam:

Answer 22

1.assess muscle tone patient squeezes around finger
2. Palpate rectovsginsl septum
3. Palpate the posterior aspect of the cervix and the uterus
4. Palpate the rectal walls (done last to avoid contamination )