Female Sensitive Exam Flashcards

1
Q

how many gloves worn

A

2 gloves

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2
Q

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

A

separate her “knees”

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3
Q

what is the positioning called for the female patient

A

lithotomy position

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4
Q

what does ICE mean pertaining to communication

A

inspect
check
examine

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5
Q

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

A

skene glands

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6
Q

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

A

bartholin glands

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7
Q

what does bartholins press tell the physician

A

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

tender hot mass - abscess of the gland

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8
Q

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

A

bulging or incontinence

anterior wall - cystocele
posterior wall - rectocele

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9
Q

insert speculum how

A

oriented at 45* from horizontal and 45* downward

then rotate to horizontal position when inside the vagina

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10
Q

cervix pointing indicates what

A

points anterior or posterior

indicates pelvic mass or pregnancy

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11
Q

what are small raised round bumps on the cervix

A

nabothian cysts

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12
Q

what are the red mucousal cells surrounding the cervical os

A

everted

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13
Q

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

A

parous

post pregnant

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14
Q

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

A

nulliparous

never pregnant

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15
Q

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

A

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)

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16
Q

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

A

immunosuppressed

HIV, organ transplant, steroid use

17
Q

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

18
Q

what is the test used to screen for cervical cancer

what does the test provide us with

when should you repeat this test

A

HrHPV

detects the DNA of high risk types of HPV

every 3 years

19
Q

a positive HrHPV test implies we should do what next

A

colposcopy, examine, and biopsy

20
Q

testing for HrHPV can be performed on the ____

A

thinprep specimen

21
Q

what is the spatula used for

A

rotate 360

collect endocervical cells

22
Q

what does the brush do

A

rotate 180

collects endocervical cells

23
Q

what does the broom do

A

rotate 5 times

inserted into os and collects cells from the ectocervix

24
Q

cultures of vagina are used for what

A

STD detection

25
warm speculum with what before entry
hot water
26
what do you have to put on your hand prior to entry for bimanual exam
KY gel
27
cervix is soft when cervic is firm when
soft - pregnant firm - non pregnant
28
what is it called when patient feels pain on movement of cervix and reaches upward
chandelier sign
29
chandelier sign indicates what
PID or other inflammatory process
30
how big should the uterus be why would it be bigger
5.5 - 8 cm long pregnancy
31
what is shape of uterus
pear shaped
32
what is the contour of the uterus
smooth
33
how big should the ovaries be
1-3 cm
34
where do the gloves go after the female exam
biohazard