Female Genitourinary

Question 1

at birth

Answer 1

Size of external genitalia engorged, size recedes in a few weeks
Sanguinous or mucus discharge from vagina normal during first few weeks because of maternal estrogen effect.

Question 2

childhood

Answer 2

ovaries are in the abdomen rather than the pelvis; move into the pelvis at the time of menarche.

Question 3

pregnant women

Answer 3

Cervical and vaginal secretions increase during pregnancy.
20-24 weeks—uterus almost to the liver, displacing intestines superiorly and laterally.
During pregnancy—risk of yeast infection

Question 4

aging woman

Answer 4

Menopause at 48-51 years—cessation of menses
Ovaries stop producing progesterone and estrogen.
Decreased size of the uterus; ovaries atrophy; uterus droops;
Vagina less elastic; atrophies; decreased secretions
Decreased sexual response; decreased vaginal secretions; decreased duration of orgasm and rapid resolution.

Question 5

menstrual history

Answer 5

normal menses Q 28 days; 3-7 days duration

Question 6

Chadwick sign

Answer 6

bluish discoloration of the cervix that normally occurs 6-8 weeks gestation

Question 7

caruncle

Answer 7

small, deep red mass protruding from urethral meatus, usually due to urethritis

Question 8

cystocele

Answer 8

prolapse of urinary bladder and its vaginal mucosa into the vagina with straining or standing

Question 9

Hegar sign

Answer 9

softening of cervix that is a sign of pregnancy, occuring at 10-12 weeks gestation

Question 10

multipara

Answer 10

having two or more pregnancies

Question 11

salpingitis

Answer 11

inflammation of Fallopian tubes

Question 12

Skene glands

Answer 12

paraurethral glands

Question 13

Bartholian glands

Answer 13

vaginal lubrication during intercourse

Question 14

menarche

Answer 14

mean age at onset 12-13 years

delayed onset suggest endocrine and underweight problem

Question 15

side effects of HRT

Answer 15

fluid retention
breast pain
vaginal bleeding
cardiovascular risk
breast cancer risk

Question 16

ibuprofen effect on dysmenorrhea

Answer 16

because it works on uterine smooth muscle

Question 17

Pap test

Answer 17

begin at 21 years, no matter the age of sexual debut or history

interval of 3 years for women ages 21-30 years

HPV and Pap “co-testing” every 5 years for women ages 30-65 years

Question 18

acute pain causes

Answer 18

PID, appendicitis, ruptured ovarian cysts, ovarian torsion

Question 19

infertility is considered

Answer 19

after 1 year of unprotected sexual intercourse without conceiving

Question 20

screen for STIs in adolescents

Answer 20

1) with h/o multiple sexual partners
2) with previous STI treatment
3) chlamydia and gonorrhea screening annually for sexually active adolescents
4) syphilis screening for teens who trade sex for drugs or money, use IV drugs, or live in high-prevalence neighborhood

Question 21

changes between 7-10 years

Answer 21

Mons pubis thickens
Labia majora thicken
Labia minora become slightly rounded
Pubic hair begins around 11

Question 22

screen for STI in adolescents

Answer 22

1) With history of multiple sexual partners.
2) With previous STI treatment.
3) Chlamydia and gonorrhea screening annually for sexually active adults.
4) Syphilis screening for teens who trade sex for drugs or money, use IV drugs, or live in a high prevalence neighborhood.