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Year 2 PCM IV midterm > Female GU Exam 15? > Flashcards

Female GU Exam 15? Flashcards

1
Q

causes of bartholin glands abscess

A

gonococcus and chlamydia

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2
Q

third degree uterine prolapse

A

entire uterus prolpase

procidentia

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3
Q

where is P applied with speculum

A

posterior wall

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4
Q

inspect os for

A 
shape
polyps
pus
cancer
cysts
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5
Q

labs for discharge from cervix

A

wet prep
KOH
culture

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6
Q

nabothian cyst

A

inclusion cyst of endocervical glands

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7
Q

transformation zone

A

squamocolumnar junction moves dependent on age and hormonal status

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8
Q

what hormone causes the metaplasia of columnar to squamous

A

Estrogen

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9
Q

causes of infecitous cervicitis

A

chlamydia trachomatis, N gonorrhea, trichomonals, Herpes, HPV

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10
Q

when do you insepct vagina

A

when removing speculum

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11
Q

what lesions can be in vagina

A 
epidermal cysts
venereal warts
genital herpes
chancre (syphillis)
carcinoma
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12
Q

bimanual exam you are feeling for

A

cervical tenderness or enlargment and mobility
uterus size shape consistency
ovaries size shap mobility, tenderness

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13
Q

what is uteral version

A

releationship between fundus of uterus and vagina

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14
Q

what is flexion of uterus

A

relationship between fundus uterus and cervix

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15
Q

rectovaginal exam

A

posterior wall of vagina
rectovaginal pouch
rv rf uterus
rectum

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16
Q

most common type hernia in women

A

indirect

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17
Q

femoral hernia more common in

A

women

18
Q

how many lobes in breast

A

15-20

19
Q

what are the fibrous bands in breast

A

suspensory ligaments of cooper

20
Q

coopers ligaments attach to dermis how

A

perpendicularly

21
Q

what is lactiferous sinus

A

dilated portion of major ducts

lined with stratified squamous

22
Q

major ducts lined with what

A

2 layers cuboidal cells

minor ducts have one layer of columnar or cuboidal

23
Q

extend of femal breast

A

2nd or 3rd rip to inframammary fold at 6th or 7th rib

lateral border sternum to anterior axillary line

24
Q

deep surface breast rests on what

A

pectoralis major, serratus anterior and external oblique and upper part rectus sheath

25
Q

tail of spence extends wehre

A

laterally across the anterior axillary fold

26
Q

arterial supply to breast

A

internal mammary artery
lateral form posterior intercostal artheries
branches from axillary (thoracic, lateral thoracic and pectoral branches)

27
Q

what are the medial mammary arteries

A

2-4 anterior intercostal perforators and branches from internal mammary

28
Q

what gives rise to lateral mammary branches

A

lateral thoracic a

29
Q

optimal time to examine breast in regards to LMP

A

5-7 days after

30
Q

erythema of breast

A

mastitis, inflammatory carcinoma

31
Q

masses in breast

A

cysts, fibroadenomas, carcinoma

32
Q

nipple discharge of breast

A

bloody- papilloma, CA

non-bloody: endocrine

33
Q

nipple ulceration

A

pagets

mechanical

34
Q

4 positions to examine breast

A

arms at sides
arms over head
hands on hips
leaning forward

35
Q

risk Factors breast cancer

A 
Hx breast cancer
FMH breast cancer
age
nulliparous
first child after age 30
early menarche
E and HRT
radiotherapy to chest
smoking
36
Q

majoirty breast ca present with

A

lump

37
Q

stage 1 breast cancer

A

tumor <2 cm diamtere
no nodal spread
no mets
5 yr survival 98%

38
Q

stage II breast cancer

A 
2-5 cm
may have spread to axillary lymph
>5 cm no spread
<2cm has spread
no mets
5 yr 76-88%
39
Q

stage III breast cancer

A

spread to lymph ndoes near breast
>5cm with spread
<5 m but spread above collarbone

40
Q

inflammatory breast cancer

A

spread to skin causing redness and swelling
can be stage II
5 yr 49-56% with Tx

41
Q

stage IV breast cancer

A

distant mets
Tx won’t cure
Sx relief is priority

Year 2 PCM IV midterm (6 decks)

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