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Clinical Assessment III- Bates Flashcards > Female Genitalia > Flashcards

Female Genitalia Flashcards

1
Q

What forms the prepuce and clitoris?

A

Labia minora

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2
Q

What is the vaginal orifice?

A

Introitus

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3
Q

What is the area b/w the introitus and anus?

A

Perineum

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4
Q

Where are the bartholin glands located?

A

5 & 7 o’clock

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5
Q

What is a musculomembranous tube that terminates in the cervix?

A

Vagina

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6
Q

The distal portion of what creates the upper vaginal fornices?

A

Uterine cervix

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7
Q

The point where squamous & columnar epithelium meet

A

squamocolumnar junction

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8
Q

What is the area around the os known as?

A

Transformation zone

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9
Q

What makes up the adnexa?

A

Fallopian tubes & ovaries (almond shaped)

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10
Q

The use of this steroid in the mother of a women can lead to a higher risk of clear cell cancer of the vagina

A

DES exposure (helped maintain the pregnancy)

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11
Q

What typs of HPV does the vaccine protect against?

A

16,18,6,11

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12
Q

When can you start the HPV vaccine?

A

9 and up

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13
Q

WHat is NAATs

A

A urine test for screening for chlamydia and gonorrhea

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14
Q

What is PMB?

A

Postmenopausal bleeding

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15
Q

what is primary amenorrhea?

A

Never had a period

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16
Q

What are some symptoms of a rectocele?

A

Constipation

Manual maneuvers needed to have a bowel movement

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17
Q

with repeated candida what two conditions should you rule out?

A

HIV

Diabetes mellitus

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18
Q

what cells do you look for with bacterial vaginosis?

A

Clue cells

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19
Q

What does a friable cervix mean?

A

Bleeds when you touch it (sign of inflammation)

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20
Q

What is a small, firm, round cystic nodule in the labia. Yellowish in color. There is a dar punctum marking the blocked opening of the gland.

A

Epidermoid Cyst

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21
Q

Warty lesion on the labia and within the vestibule. Results from infection with HPV.

A

Veneral Wart (Condyloma Acuminatum)

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22
Q

A firm, painless ulcer suggests this. Often go undetected.

A

Syphilitic Chancre

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23
Q

Slightly raised, round, or oval, flat-topped papules convered by a gray exudate suggest this.

A

Secondary syphilis (condyloma latum)

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24
Q

Shallow ulcers on a red base. Can be extensive and usually confined to a small patch.

A

Genital herpes

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25
Q

An ulcerated or raised red vulvar lesion in an elderly women may suggest this.

A

Carcinoma of the vulva

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26
Q

With this condition the discharge is yellowish green or gray, possibly frothy and often profuse. Patients will also have pruritus, pain on urination. There will be petechiae on the posterior fornix.

A

Trichomonal vaginitis

27
Q

In this condition women will have white and curdy discharge that is typically thick. Not malodorous and there is pruritus. Vulva and surrounding skin are often inflamed.

A

Candidal vaginitis

28
Q

For trichomonal vaginitis what laboratory evaluation should you do?

A

Scan saline wet mount for trichomonads (will have flagella)

29
Q

For candidal vaginitis what laboratory evaluation should you do?

A

Scan potassium hydroxide (KOH) preparation for branching hyphae of candida

30
Q

This condition is due to a yeast?

A

Candida albicans

31
Q

This condition is due to a protozoan.

A

Trichomonas vaginalis

32
Q

Is trichomonas vaginalis always acquired sexually.

A

No, but often is

33
Q

What may predispose and individual to candidal vaginitis?

A

Antibiotic therapy

34
Q

This condition has a gray or white, thin homogeneous, malodorous. Coats the vaginal walls; usually not profuse. May be minimal. There may be a fishy or musty genital odor.

A

Bacterial vaginosis

35
Q

What laboratory evaluation should you do for bacterial vaginosis?

A

Scan saline wet mount for clue cells (epithelial cells with stippled borders)

36
Q

What condition will have a fishy odor after applying KOH (whiff test) vaginal secretions with pH >4.5.

A

bacterial vaginosis

37
Q

This is a bulge or the upper 2/3 of the anterior vaginal wall together with the bladder above it.

A

Cystocele

38
Q

this is when the entire anterior vaginal wall together with urethra is involved in the bulge. There is sometimes a groove present to define the border.

A

Cystourethrocele

39
Q

This is a small, red benign tumor visible at the posterior part of the urethral meatus. Occurs normally in postmenopausal women.

A

Urethral caruncle

40
Q

This forms a swollen red ring around the urethral meatus. Usually occur before menarche or after menopause.

A

Prolapse of the urethral mucosa

41
Q

Appears as a tense, hot, very tender abscess. Look for pus coming out the duct or erythema around the duct opening. Causes include trauma, gonococci anaerobes like bacteroides and peptostreptococci and chlamydia trachomatis.

A

Bartholin’s Gland INfection

42
Q

This is a herniation of the rectum into the posterior wall of the vagina resulting from a weakness or defect in the endopelvic fascia.

A

Rectocele

43
Q

What are the two kinds of epithelia that cover the cervix?

A

Shiny pink squamous epithelium

Deep, red, plush columnar epithelium

44
Q

Where do the two kinds of epithelia that cover the cervix meet?

A

squamocolumnar junction

45
Q

What is the term for when columnar epithelium is transformed into squamous epithelium?

A

Metaplasia

46
Q

If secretions of columnar epithelium are blocked with increasing estrogen stimulation during adolescence what can form?

A

Retention cysts (nabuthian cysts)

47
Q

This arises from the endocervical canal and becomes visible when is protrudes through the cervical os. It is bright red, soft, often fragile.

A

Cervical polyp

48
Q

What are the two normal shapes of the cervical os?

A

Oval

Slit-like

49
Q

What are the three types of shapes of the cervical os that can be caused from lacerations from delivery?

A

Bilateral transverse, stellate, unilateral transverse

50
Q

This type of cervicitis results in a purulent yellow drainage from the cervical os. Usually from chlamydia trachomatis, neisseria gonorrhoeae or herpes infection.

A

Mucopurulent cervicitis

51
Q

In daughter of women who took DES during pregnancy what type cell may cover most or all of the cervix?

A

Columnar epithelium

52
Q

In daughters of women exposed to DES they may also have what 2 things besides columnar epithelium on most of the cervix.

A

Vaginal adenosis

A cervical collar

53
Q

This refers to a tilting backward of the entire uterus including both body and cervix?

A

Retroversion of the uterus

54
Q

In this type of retroversion the body of the uterus may not be palpable with either hand.

A

Moderate retroversion

55
Q

In this type of retroversion the body can be felt posteriorly, either through the posterior fornix or through the rectum.

A

Marked retroversion

56
Q

This refers to a backward angulation of the body of the uterus in relation to the cervix. The body of the uterus is often palpable through the posterior fornix or through the rectum.

A

Retroflexion of the uterus

57
Q

This is a common benign uterine tumor. May be single or multiple and can reach massive porportions. Feel like a firm, irregular nodules in continuity with the uterine surface.

A

Myomas of the uterus (fibroids)

58
Q

This results from weakness of the supporting structures of the pelvic floor and is often associated with cystocele and rectocele.

A

Prolapse of the uterus

59
Q

With this type of prolapse the uterus is at the introitus.

A

Second-degree prolapse

60
Q

In this type of prolapse the cervix and vaginal are outside the introitus.

A

Third-degree prolapse

61
Q

In this type of prolapse the cervix is still well within the vagina.

A

First-degree prolapse

62
Q

These type cysts tend to be smooth and compressible. Small cysts often occur in young women and are usually benign and often disappear after the next menstrual period.

A

Ovarian cysts

63
Q

This patient can present with guarding and rebound tenderness. A unilateral adnexal mass may be palpable. There is fainting, syncope, naseau, vomiting, tachycardia and shock.

A

Ruptured tubal pregnancy

64
Q

This is often a result of sexually transmitted infection of the fallopian tubes. Associated with very tender, bilateral adnexal masses. Movement of the cervix produces pain. If not treated a tubo-ovarian abscess or infertility may ensue.

A

Pelvic Inflammatory DIsease

Clinical Assessment III- Bates Flashcards (14 decks)

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