Female Orientation Quiz Flashcards
Risk factor for Endometriosis?
Asian or Caucasian
Younger
Nuliparous
Family History
Risk factor for Hemorrhoids?
Low fiber diet
Low water intake
Sedentary lifestyle
Pregnancy
Risk factor for Uterine fibroids?
African American
Older women
Nuliparous
Risk factor for Cervical cancer?
Multiple sexual partners
HPV
History of using “the pill”
Smoking
Risk factor for Uterine cancer?
Overweight
Older
Nuliparous
Diabetes
Risk factor for Ovarian cancer?
Older women
Nuliparous
History of fertility drugs
Risk factor for Breast cancer?
Older Nuliparous History of using "the pill" Overweight Alcohol Sedentary Family history
Which STD has painful itchy vesicles that come and go?
Herpes
What are the potential complications of a Chlamydia infection later in life?
Pelvic inflammatory disease, Infertility, complications of pregnancy, greater susceptibility to other STDs like HIV
A patient discovers a lump in her breast… Are most lumps cancerous?
NO
How often should a patient get the female pelvic exam done?
Every 3 years
Name the 3 main parts of the female exam in order:
- Speculum
- Bimanual
- Recto-vaginal
How do you assess for urinary incontinence?
Look at the urethra while the patient bears down; note leakage of urine.
Which should you palpate first; The Skene’s or Bartholin glands? Why?
Skene’s, so that you don’t introduce perianal bacteria into the vagina or urethra.
If the Bartholin glands have purulent foul yellowish discharge what would you suspect?
Either a staph infection or an STD (most likely gonorrhea)
If the cervical os looks like this >——
The woman is parous (delivered a baby)
in which part of the exam might we visualize endometrial lesions?
Speculum Exam
in which part of the exam might we visualize Nabothian cysts?
Speculum exam
What are we screening for when we take a sample from the cervix with a spatula, brush or broom?
Abnormal cells; early detection of cervical cancer.
If you move the cervix during the bimanual part of the exam and it hurts the patients or the cervix is fixed and won’t move, you suspect what?
Pelvic Inflammatory disease or Endometriosis
List the four required steps of the rectal-vaginal exam:
- Assess muscle tone (patient squeezes around your finger)
- Palpate rectovaginal septum
- Palpate the posterior aspect of the cervix and uterus
- Palpate the rectal walls(done LAST to avoid contamination)
When is the best time to discuss and findings or concerns you have about this exam?
After the patient is dressed
