Female GU and Breast Exams - King Flashcards

1
Q

Define menarche

A

age at onset of menses

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2
Q

Define menopause

A

absence of menses for 12 consecutive months (usually 48 – 55 years old)

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3
Q

Define post-menopausal bleeding

A

bleeding occurring 6 months or more after cessation of bleeding

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4
Q

Define amenorrhea

A

absence of menses

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5
Q

Define dysmenorrhea

A

pain with menses

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6
Q

Define polymenorrhea

A

menses at abnormally frequent intervals

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7
Q

Define oligomenorrhea

A

abnormally scant or infrequent menses

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8
Q

Define menorrhagia

A

excessive bleeding

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9
Q

Define metrorrhagia

A

bleeding between periods

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10
Q

Define post-coital bleeding

A

bleeding after sexual intercourse

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11
Q

Things to include in a gynecologic history:

A
Last menstrual period
Regularity of periods
Usual time between periods
Number of days of flow
Amount of flow
Pain with periods
Bleeding between periods
Age of menarche
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12
Q

Ask about ________ (4) in sexual history taking:

A

Current sexual status
Number of partners
Gender of partners
Any sexually transmitted diseases

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13
Q

G5P2032 means what?

A

5 pregnancies, 2 term deliveries, (0 pre-term deliveries), 3 abortions, 2 living offspring

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14
Q

G4P3105 means what?

A

4 pregnancies, 3 term deliveries, 1 preterm deliveries, 5 living

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15
Q

G3P3002?

A

3 pregnancies, 3 term deliveries, 2 living

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16
Q

The GU exam is performed best (better exam and pt comfort) after the pt has _______?

A

Voided their bladder

17
Q

Skene’s glands are located where in the vaginal opening?

A

10 and 2 o’clock

18
Q

Location of Bartholin’s glands?

A

4 and 8 o’clock

19
Q

When doing a pap smear, the physician “scrapes” cells from this portion of the cervix:

A

The transformation zone (TZ)

20
Q

What occurs at the TZ?

A

premalignant changes and neoplasia occur (Encompasses immature and mature squamous metaplasia)

21
Q

What is the true squamocolumnar junction (SCJ) and where is it located?

A

It is the proximal limit of squamous metaplasia

It usually not visualized because it is located within the endocervical canal, approximately 3 cm from observed SCJ

22
Q

Define flexion of the uterus

A

the relationship between the fundus of the uterus and the cervix

23
Q

Define version of the uterus

A

the relationship between the fundus of the uterus and the vagina

24
Q

When doing a rectovaginal exam, what are you trying to palpate and assess?

A

A retroverted and retroflexed uterus and the uterosacral ligaments; assess pelvic pathology in the posterior rectovaginal pouch (Pouch of Douglas)

25
Q

If you can palpate an ovary during a bimanual exam…

A

“something is wrong”…. if bimanual is normal, document “ovaries are non palpable”

26
Q

Bimanual examination can reveal pelvic floor….

A

strength

27
Q

Which quadrant of breast contains the most breast tissue? What is this area called?

A

The upper outer quadrant does compared to the other three quadrants… it contains the axillary tail “of Spence” which extends laterally across the anterior axillary fold

28
Q

Axillary tails drains into…

A

the subscapular group of axillary nodes

29
Q

Upper portion of breast drains into…

A

the infraclavicular nodes

30
Q

Most of the lymph from the subareolar and submammary plexus is drained to…

A

the anterior or pectoral group of axillary nodes

31
Q

Medial part of the breast is drained by…

A

the submammary plexus of the opposite breast, the lymph nodes along the internal thoracic artery and then to mediastinal nodes

32
Q

The inferior portion of the breast is drained by the…

A

lymphatics of the abdominal wall and to the extra peritoneal lymphatic plexus

33
Q

When is the best time to do a breast exam?

A

Around 5-7 days post-menses (5-7 days following the end of the LMP)… this is when the secretory tissue are at their lowest size

34
Q

Things to look for during inspection of the breasts:

A
Development
Size and symmetry
Contours
***Retractions or dimpling (of skin)
Skin color and texture
Venous engorgement
35
Q

Where else should you palpate for enlarged nodes during a breast exam?

A

The axilla