Female Exam Flashcards
Endometriosis
Asian /Caucasian
Young
Nulliparious
Colon cancer
Low fiber diet
Low water intake
Uterine fibroids
African American
Older women
Nulliparious
Cervical cancer
Multiple sex partners
HPV
History f using the pill
Uterine cancer
Overweight
Older
Nulliparious
Diabetes
Ovarian cancer
Older women
Nulliparious
History of fertility drugs
Breast cancer
Older
Nulliparious
Overweight
Sedentary
Alcohol 2+ servings
Which std has painful itchy vesicles that come and go ?
Herpers
Potential complications of chlamydia infection later in life ?
PID, infertility, pregnancy complications, susceptible to STDS
Are most lumps cancerous ?
NO
How often should a patient get female Pap smear exam ?
Every 3 years after getting a baseline at 21
How often should a women has a breast exam done by a health professional ?
50 years old: yearly
< 49 every 3 years
Name the 3 main parts of the female exam in order
Speculum
Bimanual
Recto-vaginal
How do you assess for urinary incontinence?
Have patient bear down, note leakage of urine
Which should you palpate first ?
Skene’s gland, so that you don’t introduce perianal bacteria to the vagina or urethra
If the bartholian glands have purulent foul yellowish discharge what would you do ?
Suspect staph infxn or STD like gonorrhea
If cervical os looking like >——< what does that mean ?
Woman is parous has delivered a baby or been in labor
Which part of the exam would we visualize endometrial lesions ?
Speculum exam
Which part of exam would we visualize nabothian cysts?
Speculum exam
What are we screening for when we take a sample from the cervix with a spatula brush or broom?
Abnor cells. Early detection of cervical cancer
If you move the cervix during the exam and causing pain to the patient or the cervix is immovable what would you suspect ?
PID or endometriosis, or ovarian cysts or ectopic pregnancy
List 4 required steps of the rectal-vaginal exam:
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 )
