Female Sensitive Exam

Question 1

how many gloves worn

Answer 1

2 gloves

Question 2

when doing a female exam, what do ask the patient to do so you can examine her private parts

Answer 2

separate her “knees”

Question 3

what is the positioning called for the female patient

Answer 3

lithotomy position

Question 4

what does ICE mean pertaining to communication

Answer 4

inspect
check
examine

Question 5

what glands are found on both sides of urethra for a female

Answer 5

skene glands

Question 6

what glands are located at the posterolateral portion of the labia minora

Answer 6

bartholin glands

Question 7

what does bartholins press tell the physician

Answer 7

non tender mass without heat - bartholins cysts due to chronic inflammation

tender hot mass - abscess of the gland

Question 8

when you ask the female to bear down on your finger, what are you looking for

Answer 8

bulging or incontinence

anterior wall - cystocele
posterior wall - rectocele

Question 9

insert speculum how

Answer 9

oriented at 45* from horizontal and 45* downward

then rotate to horizontal position when inside the vagina

Question 10

cervix pointing indicates what

Answer 10

points anterior or posterior

indicates pelvic mass or pregnancy

Question 11

what are small raised round bumps on the cervix

Answer 11

nabothian cysts

Question 12

what are the red mucousal cells surrounding the cervical os

Answer 12

everted

Question 13

what term is used to describe the cervical os shaped like a slit

Answer 13

parous

post pregnant

Question 14

what term is used to describe the cervical os that is round shaped

Answer 14

nulliparous

never pregnant

Question 15

what is recommended by the american cancer society to prevent cervical cancer

Answer 15

ages 21-29
pap test every 3 years

ages 30-65
pap test and HPV test every 5 years (preferred) OR only pap test every 3 years (acceptable)

Question 16

what are people that are at a high risk for cervical cancer

Answer 16

immunosuppressed

HIV, organ transplant, steroid use

Question 17

women over the age of __ that have had previous negative results should stop screening

Answer 17

65

Question 18

what is the test used to screen for cervical cancer

what does the test provide us with

when should you repeat this test

Answer 18

HrHPV

detects the DNA of high risk types of HPV

every 3 years

Question 19

a positive HrHPV test implies we should do what next

Answer 19

colposcopy, examine, and biopsy

Question 20

testing for HrHPV can be performed on the ____

Answer 20

thinprep specimen

Question 21

what is the spatula used for

Answer 21

rotate 360

collect endocervical cells

Question 22

what does the brush do

Answer 22

rotate 180

collects endocervical cells

Question 23

what does the broom do

Answer 23

rotate 5 times

inserted into os and collects cells from the ectocervix

Question 24

cultures of vagina are used for what

Answer 24

STD detection

Question 25

warm speculum with what before entry

Answer 25

hot water

Question 26

what do you have to put on your hand prior to entry for bimanual exam

Answer 26

KY gel

Question 27

cervix is soft when

cervic is firm when

Answer 27

soft - pregnant

firm - non pregnant

Question 28

what is it called when patient feels pain on movement of cervix and reaches upward

Answer 28

chandelier sign

Question 29

chandelier sign indicates what

Answer 29

PID or other inflammatory process

Question 30

how big should the uterus be

why would it be bigger

Answer 30

5.5 - 8 cm long

pregnancy

Question 31

what is shape of uterus

Answer 31

pear shaped

Question 32

what is the contour of the uterus

Answer 32

smooth

Question 33

how big should the ovaries be

Answer 33

1-3 cm

Question 34

where do the gloves go after the female exam

Answer 34

biohazard