Female GU

Question 0

Lymphatic drainage to external genitalia & perineum

Answer 0

Superficial and deep inguinal nodes

Question 1

Blood supply to external genitalia & perineum

Answer 1

Internal pudendal arteries

Question 2

Remnant of hymen

Answer 2

Carnunculae myrtiformes

Question 3

2 things that result from imperforate hymens

Answer 3

Hematocolpos & mucocolpos

Question 4

Posteriorly the labia minora meet to form the_______

Answer 4

Fourchette

Question 5

Length of vagina

Answer 5

8cm

Question 6

Arterial supply of the vagina

Answer 6

Internal iliac
Uterine artery
Middle hemorrhoidal artery

Question 7

Lymphatic drainage of the vagina

Answer 7

Lower third: inguinal nodes (palpable)

Upper two thirds: hypo gastric and sacral

Question 8

Thickness of endometrium

Answer 8

2-10mm

Question 9

Process of the change of the structure of the cell at the scj

Answer 9

Squamous metaplasia

Question 10

Area between squamous metaplasia

Answer 10

Transformation zone

Question 11

When does the scj change for the second time and where does it relocate to?

Answer 11

In menopausal years

In the endocervical canal

Question 12

Where does squamous intraepithelial neoplasia occur most?

Answer 12

The transformation zone

Question 13

What is a precursor to cervical cancer?

Answer 13

Squamous intraepithelial neoplasia

Question 14

What do you do if someone has an abnormal pap?

Answer 14

Colposcopy to look at scj

Question 15

Most important supporting ligament of the uterus

Answer 15

Cardinal

Question 16

Pain in which ligament is most clinically important

Answer 16

Round ligament

Question 17

Which ligaments extend from the lateral pelvic walls to insert on the lateral portion of the cervix & vagina?

Answer 17

Cardinal ligaments

Question 18

Cardinal ligaments aka as______

Answer 18

Mackenrodt’s ligament

Question 19

Job of the round ligaments

Answer 19

Keep uterus antiverted or retroverted

Question 20

Path of round ligaments

Answer 20

Anterior uterus
Pelvic side wall in fold of broad ligament
Transverse inguinal canal
End in labia majors

Question 21

Contents of broad ligament

Answer 21

Fallopian tubes
Round ligaments
Uterine and ovarian lymph, vessels, nerves
Ureters

Question 22

Broad ligament path

Answer 22

Lateral pelvic side wall to uterus and adnexa

Question 23

Ligaments that insert to posterioinferior portion of uterus at level of isthmus

Answer 23

Uterosacral ligaments

Question 24

Ligaments that support uterus to prevent enters ele

Answer 24

Uterosacral ligaments

Question 25

Ligaments which pass anterior ly around bladder to posterior surface of pubic symphysis

Answer 25

Pubocervical ligaments

Question 26

3 pelvic floor muscles

Answer 26

Puborectalis Pubococcygeus Iliococcygeus

Question 27

Uterine blood supply

Answer 27

Uterine arteries | Ovarian arteries

Question 28

Uterine lymphatics

Answer 28

Lumbar nodes

Question 29

Length of Fallopian tubes

Answer 29

8-14cm

Question 30

What supports the Fallopian tubes?

Answer 30

Mesosalpinx

Question 31

Location of fertilization

Answer 31

Ampulla of Fallopian tube

Question 32

Location of most ectopic pregnancies

Answer 32

Ampulla

Question 33

How does PID influence Fallopian tubes

Answer 33

Decreases it's ability to move

Question 34

Where do the ovaries rest

Answer 34

Ovarian fossa

Question 35

Which hormones are produced in the ovaries

Answer 35

Estrogen Progesterone Testosterone

Question 36

Adnexa includes

Answer 36

Ovaries Tubes Supporting tissues

Question 37

What secretes estrogen and an ovum

Answer 37

Ovarian Graafian follicle

Question 38

What does the Graafian follicle become after ovulation?

Answer 38

Corpus luteum

Question 39

What does the corpus luteum secrete

Answer 39

Estrogen and progesterone

Question 40

What causes a rise in body temp and what is it a sign of?

Answer 40

Progesterone secretion | Ovulation

Question 41

What do ovarian hormones cause a change in

Answer 41

Breast and uterus

Question 42

What happens when pregnancy doesn't occur

Answer 42

Corpus luteum regresses Decrease ovarian hormones (Premensrual symptoms) 5 days later the menses begin

Question 43

Term for When ladies can feel ovulation

Answer 43

Mittleschmertz

Question 44

Normal length of menstruation

Answer 44

3-7 days

Question 45

Amount of blood from menstruation

Answer 45

50-150mL

Question 46

Contents of menstrual "clot"

Answer 46

Red cells Glycoproteins Mucoid substances

Question 47

Mean age of menarche

Answer 47

12.8

Question 48

After menarche irregular for...

Answer 48

1-2 years

Question 49

Age of menopause

Answer 49

50-55 | 51.5 average

Question 50

Premature menopause

Answer 50

Before 40

Question 51

Perimenopausal symptoms

Answer 51

3-5 years prior

Question 52

Most common menopausal distress symptom

Answer 52

Hot flashes

Question 53

Other menopausal symptoms

Answer 53

Night flushes Insomnia Tiredness Irritability

Question 54

Post menopausal vagina shrinks or expands?

Answer 54

Shrinks

Question 55

Effects of menopause on bladder

Answer 55

Decrease elastic capacity

Question 56

Secondary amenorrhea

Answer 56

Absence of menses for 6 months in previously regular woman

Question 57

Who is amenorrhea common in

Answer 57

``` Runners Anorexia Low body fat Disease of hypothalamus Pituitary dz Ovary dz Uterus dz Thyroid dz Chronic dz ```

Question 58

Fat causes estrogen to increase or decrease

Answer 58

Increase

Question 59

Primary amenorrhea

Answer 59

No bleeding by 16 or no secondary sexual characteristics by 14

Question 60

Excessive or prolonged menses > 7 days

Answer 60

Menorrhagia

Question 61

Irregular bleeding

Answer 61

Metrorrhagia

Question 62

Heavy irregular bleeding

Answer 62

Menometrorrhagia

Question 63

Post menopausal bleeding

Answer 63

Uterine cancer until proven otherwise.

Question 64

Painful menstruation

Answer 64

Dysmenorrhea

Question 65

Tx for dysmenorrhea

Answer 65

Ocp or NSAID if not pathologic

Question 66

Cause of dysmenorrhea

Answer 66

Prostaglandin release from uterus

Question 67

Dysmenorrhea symptoms

Answer 67

Colicky uterine contractions Pain in lower abdomen and back Pain radiation to legs NVD

Question 68

Dysmenorrhea occurring in the first 6-12 months of menarche

Answer 68

Primary

Question 69

Dysmenorrhea occurring within 2 years of menarche most likely

Answer 69

Secondary | Endometriosis

Question 70

Descent of urethra

Answer 70

Urethrocele

Question 71

Who does cystocele occur most in

Answer 71

Parous women

Question 72

Stress incontinence Urgency Incomplete emptying Falling out

Answer 72

Cystocele

Question 73

Upper vaginal wall prolapse

Answer 73

Enterocele

Question 74

Where does the pouch of Douglas herniate to in enteroceles

Answer 74

Between Uterosacral ligaments into rectovaginal septum

Question 75

What does an enterocele contain?

Answer 75

Loops of small bowel maybe omentum

Question 76

Where is an enterocele

Answer 76

Bulge above rectocele | Maybe prolapsed through vagina

Question 77

What is often injured in a uterine prolapse

Answer 77

Endopelvic fascia Cardinal ligaments Uterosacral ligaments Pelvic floor muscles

Question 78

Complete uterine prolapse aka

Answer 78

Procidentia

Question 79

What is often present in a uterine prolapse

Answer 79

Cystocele and rectocele

Question 80

Cause of trichomonas vaginitis

Answer 80

Trichomonas vaginalis

Question 81

Discharge in trichomonas

Answer 81

``` Gray/green/yellow Frothy Profuse Pooled in vaginal fornix Malodorous ```

Question 82

Other symptoms of trichomonas

Answer 82

``` Pruritis Dysuria Dysparunia Erythematous vestibule Strawberry cervix ```

Question 83

Lab eval for trichomonas

Answer 83

Saline wet mount

Question 84

Cause of candida

Answer 84

Candida albicans

Question 85

Aka candida

Answer 85

Monilia

Question 86

Risk factors for candida

Answer 86

Pregnancy | Abx

Question 87

Candida discharge

Answer 87

White and curdy Not malodorous Not profuse

Question 88

Other symptoms of candida

Answer 88

Pruritis Vaginal soreness Dysuria Dysparunia

Question 89

Appearance of vulva in candida

Answer 89

Inflammed and swollen

Question 90

Appearance of vaginal mucosa in candida

Answer 90

Red Specked white discharge Friability

Question 91

Lab eval for candida

Answer 91

Potassium hydroxide preparation

Question 92

Cause of bacterial vaginosis

Answer 92

Anaerobic bacteria | Sexually transmitted

Question 93

Discharge of bv

Answer 93

Gray/white Thin Malodorous Minimal

Question 94

Lab eval for bv

Answer 94

Saline wet mount for clue cells | Only one done with saline

Question 95

What is the only lab eval done with saline?

Answer 95

Bv

Question 96

What are clue cells?

Answer 96

Epithelial cells with stippled borders (bv)

Question 97

Cause of strophic vaginitis

Answer 97

Decreased estrogen after menopause

Question 98

Discharge of atrophic vaginitis

Answer 98

Variable in color consistency and amount | +\- blood tinged

Question 99

Other symptoms of atrophic vaginitis

Answer 99

Pruritis Soreness Burning Dyspareunia

Question 100

Appearance of vulva in atropic vaginitis

Answer 100

``` Atrophic Dry Pale Red Bleeds easily Erosion ```

Question 101

3 questions for itching

Answer 101

DM Soap Douching New partner

Question 102

Vaginal itching associates with

Answer 102

``` Monila Glycosuria Vulvar leukoplakia Pyschosomatic Chemical ```

Question 103

Involuntary contractions of the vagina

Answer 103

Vaginismus

Question 104

Hirtsuitism Menstral irregularities Infertility Obesity

Answer 104

Polycystic ovarian disease

Question 105

Causes of alopecia

Answer 105

``` Meds Chemo Crash diets Pregnancy Infections ```

Question 106

Causes of neurological incontinence

Answer 106

Cerebral dysfunction Spinal cord disease Peripheral nerve lesion MS

Question 107

Infertility

Answer 107

Inability to achieve pregnancy after 1 year

Question 108

Menstral history

Answer 108

Catamenia

Question 109

Catamenia calculation

Answer 109

Age of menarche x length of cycle x # days they bleed

Question 110

Full term how many weeks

Answer 110

37

Question 111

Collects endocervical sample

Answer 111

Ayer

Question 112

Collects columnar cells

Answer 112

Cervix brush

Question 113

Elevation of bed to

Answer 113

30 degrees

Question 114

What to tell patient when milking urethral meatus

Answer 114

Urge to urinate

Question 115

Pediatric speculum

Answer 115

Pederson

Question 116

Speculum that is wider and curved

Answer 116

Graves

Question 117

Angle of speculum

Answer 117

45 degrees

Question 118

Cysts in cervix that can get plugged

Answer 118

Nabothian

Question 119

Uterus is evaluated for this on bi manual exam

Answer 119

``` Size Shape Consistency Mobility Masses ```

Question 120

When is it especially important to do rectovaginal exam

Answer 120

Over 40 Mass Retroverted uterus

Question 121

Most common uterine position

Answer 121

Anteverted | Anteflexed

Question 122

Posterior cervix _____ uterus

Answer 122

Anteflexed Antiverted Mid position

Question 123

Anterior cervix ______ uterus

Answer 123

Retroverted

Question 124

Which uterus position is hard to feel

Answer 124

Anteflexed