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Patient Assessment > Female Genital > Flashcards

Female Genital Flashcards

1
Q

absence of menstruation

A

amenorrhea

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2
Q

shortened interval between periods—less than 19 to 21 day

A

oligomenorrhea

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3
Q

lengthened interval between periods—more than 35 days

A

polymenorrhea

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4
Q

excessive flow during normal duration of regular periods

A

Hypermenorrhea

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5
Q

d flow during normal duration of regular periods

A

Hypomenorrhea

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6
Q

regular and normal interval between periods, excessive flow and duration

A

menorrhagia

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7
Q

irregular interval between periods, excessive flow and duration

A

metrorrhagia

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8
Q

irregular or excessive bleeding during periods and between periods

A

menometrorrhagia

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9
Q

What is time btw menstrual cycle?

A

mittelschmerz

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10
Q

What is GTPAL?

A 
gravidity
term preg
preterm preg
abortions
Living
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11
Q

What is the purpose of the genital self exam?

A

to find STI or malignant changes

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12
Q

What are symptoms of female genitalia that are related to aging?

A

itching, urinary symptoms, dyspareunia

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13
Q

Who can discontinue cervical cancer screening?

A

those post hysterectomy that have had it removed for non cancerous reasons

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14
Q

What are pap smear and pelvic recommendations for healthy low risk asymptomatic pts?

A

3-5 yrs

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15
Q

What is pap/pelvic recommendation for high risk disease, symptomatic?

A

yearly

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16
Q

When should cervical ca screenings start?

A

age 21

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17
Q

How often should cervical CA be screened in 21-29yo?

A

every 3 yrs, NO HPV testing

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18
Q

How often should women 30-65 be screen for cervical CA?

A

pap + HPV every 5 years
OR
pap every 3

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19
Q

What is the screening requirement for women over 65 for cervical canceR?

A

if had normal results than NONE

hx of cervical precancer - test for 20 years after yearly

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20
Q

What is the recommendation for cervical screening for pt with uterus and cervix removed?

A

none – if not removed for cancer reasons

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21
Q

What are risk factors for cervical cancer?

A 
HPV infection
HPV vaccination is + protect
Lack of pap smears
high parity
young age at parity
smoking
HIV infection
Diet - if shitty/overwt
DES exposure
OCP use for 5+ years
low socioeconomic status
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22
Q

What are risk factors for ovarian cancer?

A 
age - increases
BRCA 1 and BRCA 2 
Family hx - colon ca, ashkenazi jew
obesity
Nulliparity
use fertility drugs
personal hx of ca
hormone replacement therapy
diet - high fat
OCP - + protective
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23
Q

What is a protective factor for cervical CA?

A

HPV caccination

24
Q

What is protective factor for ovarian?

A

OCP use

25
Q

What are the risk factors for endometrial CA?

A 
early menarch 50
total menstration years
infertility or nulliparity
obesity
tamoxifen
ERT
ovarian disease
diet - high fat
DM
age - increase >40 yo
family hx - endo, breast, ovrain, colorectal
personal ca hx
pelvic radiation
26
Q

What position do you do the pelvic in?

A

lithotomy

27
Q

What do you palpate the cervix for?

A

size, shape, position, length, mobility

28
Q

What do you have pt do before pelvic?

A

empty bladder

29
Q

How big is the clitoris?

A

2 cm long and .5cm wide

30
Q

What gland do you milk?

A

skene, move finger up and outward

31
Q

What is an anterior pointing cervix?

A

retroverted uterus

32
Q

What is posterior pointing cervix?

A

anteverted

33
Q

What is a horizontal cerix?

A

midposition

34
Q

What does the os look like in nulliparitious?

A

small round or oval

35
Q

How does the os look like in multiparious women?

A

horizontal slit or irregualar shape

36
Q

What can present on cervix?

A

nab cyst

37
Q

hold a cotton swab in the cervical os for 10 to 30 seconds. Then spread the specimen in a Z pattern over the culture medium

A

gonococcal culture specimen

38
Q

rotate a Dacron swab in the endocervical canal for 30 seconds. Then place the swab in the reagent tube.

A

DNA probe fro clamydia and gonorrhea

39
Q

obtain a vaginal discharge specimen with a swab. Smear the specimen on a glass slide and add a drop of normal saline

A

wet mount

40
Q

What does a wet mount detect?

A

trichomonads or clue cells

41
Q

What does a fishy odor mean?

A

bacterial vaginosis

42
Q

obtain a vaginal discharge specimen with a swab. Place the specimen on a glass slide and add a drop of 10% potassium hydroxide.

A

KOH test

43
Q

what does KOH test for?

A

candidiasis

44
Q

What do you want to check the vaginal walls for?

A

color, surface, secretion, hernial protrusions

45
Q

What is protrusion through anterior vagina?

A

cystocele

46
Q

What is protrusion through posterior vaginal wall?

A

rectocele

47
Q

What part of the pap stick should you use for post hysterectomy?

A

blunt end around suture

48
Q

What do you have to label pap for post hysterectomy?

A

vaginal cells

49
Q

What do you look for with the uterus?

A

location, position, size, shape, contour, mobility

50
Q

How does the vaginal mucosa appear?

A

transverse rugated, loses rugation after menopause

51
Q

What is chadwick sign?

A

blue vagina mucosa

52
Q

What can cervical motion tenderness mean?

A

PID

53
Q

Are nabothian cysts malignant?

A

no, normal variant

54
Q

What are clue cells seen in?

A

bacterial vaginosus

55
Q

What does a fixed uterus mean?

A

adhesions

56
Q

What do cervical polyps look like?

A

bright red

Patient Assessment (23 decks)

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