Female GU Exam

Question 1

Health History Terms
Menarche

Answer 1

age of onset of menses

Question 2

Health History Terms
Menopause

Answer 2

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

Question 3

Health History Terms
Amenorrhea

Answer 3

absence of menses

Question 4

Health History Terms
Dysmenorrhea

Answer 4

Pain with menses

Question 5

Health History Terms
Premenstrual Syndrome (PMS)

Answer 5

emotional, behavioral and physical symptoms 5 days before menses

Question 6

Health History Terms
Abnormal uterine bleeding

Answer 6

bleeding between menses

Question 7

Health History Terms
Polymenorrhea

Answer 7

less than 21 days between menses

Question 8

Health History Terms
Oligomenorrhea

Answer 8

infrequent bleeding

Question 9

Health History Terms
Menorrhagia

Answer 9

excessive flow

Question 10

Health History Terms
Post-coital bleeding

Answer 10

bleeding after intercourse

Question 11

Health History Terms
Metrorrhagia

Answer 11

intermenstrual bleeding

Question 12

Obstetric History Terms
Nulliparous

Answer 12

no births

Question 13

Obstetric History Terms
Nulligravida

Answer 13

no pregnancies

Question 14

Obstetric History Terms
Primigravida

Answer 14

first pregnancy

Question 15

Health History to ask about related to menses?

Answer 15

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

Question 16

Health History to ask about related to vaginal/pelvic area

Answer 16

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

Question 17

Health History to ask about related to sexual activity

Answer 17

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

Question 18

Health History to ask about related to birth control

Answer 18

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

Question 19

OB Health History
G=?

Answer 19

Gravida
total number of pregnancies

Question 20

OB Health History
T =?

Answer 20

Term
39 weeks or greater

Question 21

OB Health History
Early term =?

Answer 21

37-38 weeks gestation

Question 22

OB Health History
Pre-term =?

Answer 22

before 37 weeks gestation

Question 23

OB Health History
Full term =?

Answer 23

39-40 weeks gestation

Question 24

OB Health History
Late term =?

Answer 24

41-42 weeks gestation

Question 25

OB Health History Post term =?

Answer 25

43 or more weeks

Question 26

OB Health History P =?

Answer 26

Para live births or stillbirths

Question 27

OB Health History A =?

Answer 27

Aborted includes spontaneous and medically induced before 20 wks

Question 28

OB Health History L =?

Answer 28

Live births

Question 29

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

Answer 29

G2, P2

Question 30

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

Answer 30

G4, P3, A1

Question 31

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

Answer 31

G1, P1

Question 32

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

Answer 32

One birth

Question 33

Gestational Age Determination Naegele's Rule

Answer 33

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

Question 34

Gestational Age Determination Crown-rump length (CRL) method

Answer 34

Ultrasound measurement done in mm

Question 35

Gestational Age Determination Fundal height measurement

Answer 35

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

Question 36

External Examination of genitalia includes?

Answer 36

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

Question 37

Internal Examination What are the steps of speculum insertion?

Answer 37

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

Question 38

Internal Examination What are the steps after speculum insertion?

Answer 38

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

Question 39

Cervical Cancer Risk Factors Include?

Answer 39

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

Question 40

Pap smear and HPV testing 2018 USPSTF recommendation

Answer 40

start at age 21 cytology alone

Question 41

Pap smear and HPV testing 2021 ACOG recommendation

Answer 41

start at age 21 regardless of sexual activity

Question 42

Pap smear and HPV testing 2020 ACS recommendation

Answer 42

start at age 25 do not screen 21-24

Question 43

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

Answer 43

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

Question 44

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

Answer 44

age 65