Female exam

Question 1

risk factors for endometriosis

Answer 1

asian
caucasian
yonger
nuliparous
family hx

Question 2

risk factors for hemorrhoids

Answer 2

low fiber diet
low water intake
sedentary
preggo

Question 3

risk factor for uterine fibroids

Answer 3

AA
older
nuliparous

Question 4

risk factors for cervical CA

Answer 4

multiple sex partners
HPV
oral birth control
smoking

Question 5

risk factors for uterine CA

Answer 5

overweight
older
nuliparous
diabetes

Question 6

risk factors for ovarian CA

Answer 6

older
nuliparous
hx of fertility drugs

Question 7

risk factors for breast CA

Answer 7

older
nuliparous
hx of oral birth control
overweight
alcohol
sedentary
family hx

Question 8

which STD has painful itchy vesicles that come and go

Answer 8

herpes

Question 9

what are the potential complications of a chlamydia infection later in life

Answer 9

PID
infertility
complications of pregnancy
greater susceptibility of STDs

Question 10

a patient discovers a lump in her breast, are most lumps CA

Answer 10

no

Question 11

how often should a patient get the female pelvic exam done

Answer 11

2-3 years

Question 12

how often should a women have a breast exam done

Answer 12

50 years old- yearly

25 years old-every 3 years

Question 13

3 parts to female exam

Answer 13

speculum
bimanual
recto-vaginal

Question 14

how do you assess for urinary incontinence

Answer 14

look at the urethra while the patient bears down

note leakage

Question 15

which should you palpate first skene or bartholin glands and why

Answer 15

skenes, so you dont induce a perianal bacteria into the vagina or urethra

Question 16

if the bartholin glands have purulent foul yellowish discharge what would you suspect

Answer 16

staph infection or STD like gonorrhea

Question 17

if the cervical os is a horizontal slit what does it mean

Answer 17

woman has delivered a baby

Question 18

in which part of the exam might we visualize endometrial lesions

Answer 18

speculum exam

Question 19

in which part of the exam might we visualize nabothian cyst

Answer 19

speculum exam

Question 20

what are we screening for when we take a sample from the cervix with a brush

Answer 20

abnormal cells

early detection of cervical cancer

Question 21

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

Answer 21

PID

endometriosis

Question 22

4 required steps of rectal-vaginal exam

Answer 22

1. Assess muscle tone (patient squeezes around 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 23

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

Answer 23

after patient is dressed