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AHA > Female GU Exam > Flashcards

Female GU Exam Flashcards

1
Q

Health History Terms
Menarche

A

age of onset of menses

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2
Q

Health History Terms
Menopause

A

absence of menses for 12 consecutive months, usually between age 48 and 55 years

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3
Q

Health History Terms
Amenorrhea

A

absence of menses

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4
Q

Health History Terms
Dysmenorrhea

A

Pain with menses

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5
Q

Health History Terms
Premenstrual Syndrome (PMS)

A

emotional, behavioral and physical symptoms 5 days before menses

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6
Q

Health History Terms
Abnormal uterine bleeding

A

bleeding between menses

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7
Q

Health History Terms
Polymenorrhea

A

less than 21 days between menses

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8
Q

Health History Terms
Oligomenorrhea

A

infrequent bleeding

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9
Q

Health History Terms
Menorrhagia

A

excessive flow

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10
Q

Health History Terms
Post-coital bleeding

A

bleeding after intercourse

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11
Q

Health History Terms
Metrorrhagia

A

intermenstrual bleeding

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12
Q

Obstetric History Terms
Nulliparous

A

no births

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13
Q

Obstetric History Terms
Nulligravida

A

no pregnancies

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14
Q

Obstetric History Terms
Primigravida

A

first pregnancy

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15
Q

Health History to ask about related to menses?

A

Age when menses started (or ended for menopausal women)
Last menstrual period (LMP)
Regular or irregular onset
Number of days flow
Heaviness of flow/# of pads or tampons used

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16
Q

Health History to ask about related to vaginal/pelvic area

A

sore/lumps in vulvar area, is it painful?
Pelvic pain (acute/chronic)
Regular Pap smears or screening for HPV
Any hormone replacement therapy (HRT)

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17
Q

Health History to ask about related to sexual activity

A

Hx of STI
Issues with intercourse, sexual response
Monogamous partner or multiple partners
Sexual orientation
Any vulvovaginal symptoms (itching, discharge, odor)

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18
Q

Health History to ask about related to birth control

A

Method of contraception by patient and partner
Timing and circumstances of abortion (spontaneous or induced)
Issues related to loss of pregnancy or difficulties w/ pregnancy

19
Q

OB Health History
G=?

A

Gravida
total number of pregnancies

20
Q

OB Health History
T =?

A

Term
39 weeks or greater

21
Q

OB Health History
Early term =?

A

37-38 weeks gestation

22
Q

OB Health History
Pre-term =?

A

before 37 weeks gestation

23
Q

OB Health History
Full term =?

A

39-40 weeks gestation

24
Q

OB Health History
Late term =?

A

41-42 weeks gestation

25
Q

OB Health History
Post term =?

A

43 or more weeks

26
Q

OB Health History
P =?

A

Para
live births or stillbirths

27
Q

OB Health History
A =?

A

Aborted includes spontaneous and medically induced before 20 wks

28
Q

OB Health History
L =?

A

Live births

29
Q

G/P/A notation examples
A woman who has had two pregnancies (both of which resulted in live births) is noted as

A

G2, P2

30
Q

G/P/A notation examples
A woman who has had four pregnancies, one of which was miscarried, and the others viable is noted as

A

G4, P3, A1

31
Q

G/P/A notation examples
A woman who has had one pregnancy of twins with viable outcomes would be noted as

A

G1, P1

32
Q

Pregnancies consisting of multiples, such as twins or triplets, count as how many births for the G/P/A notation?

A

One birth

33
Q

Gestational Age Determination
Naegele’s Rule

A

Most common method to determine EDOC or “due date”
To the first day of the LMP add 1 year, subtract 3 months, add 7 days
Can be imprecise, requires accurate recall of LMP and regular menstruation

34
Q

Gestational Age Determination
Crown-rump length (CRL) method

A

Ultrasound measurement
done in mm

35
Q

Gestational Age Determination
Fundal height measurement

A

During the second half of pregnancy, the fundal height of the uterus in cm can approximate the number of weeks of gestation
+/- 2cm

36
Q

External Examination of genitalia includes?

A

Labia minora
Clitoris
Urethral meatus
Vaginal opening or introitus
Look for inflammation, ulceration, discharge, swelling or nodules

37
Q

Internal Examination
What are the steps of speculum insertion?

A

Warm the speculum with water
Apply downward pressure at the lower edge of the vaginal introitus
Introduce the closed speculum, downward slope
Open the speculum carefully

38
Q

Internal Examination
What are the steps after speculum insertion?

A

Visualize the cervix
Obtain cervical specimen for PAP smear
Remove the speculum and inspect the vaginal wall while doing so
Perform a bimanual exam

39
Q

Cervical Cancer Risk Factors Include?

A

HIV
HPV
Hx of smoking
use of BC pills (more than 5 years)
Para 3 or more children
Multiple sexual partners

40
Q

Pap smear and HPV testing
2018 USPSTF recommendation

A

start at age 21
cytology alone

41
Q

Pap smear and HPV testing
2021 ACOG recommendation

A

start at age 21
regardless of sexual activity

42
Q

Pap smear and HPV testing
2020 ACS recommendation

A

start at age 25
do not screen 21-24

43
Q

Pap smear and HPV testing
Two days prior patient should no do what?

A

no sex
no BC foam/jelly
no douche
no tampon use

44
Q

Pap smear and HPV testing
If normal results when can pap smears stop?

A

age 65

AHA (10 decks)

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