Female Sensitive Exam Flashcards
how many gloves worn
2 gloves
when doing a female exam, what do ask the patient to do so you can examine her private parts
separate her “knees”
what is the positioning called for the female patient
lithotomy position
what does ICE mean pertaining to communication
inspect
check
examine
what glands are found on both sides of urethra for a female
skene glands
what glands are located at the posterolateral portion of the labia minora
bartholin glands
what does bartholins press tell the physician
non tender mass without heat - bartholins cysts due to chronic inflammation
tender hot mass - abscess of the gland
when you ask the female to bear down on your finger, what are you looking for
bulging or incontinence
anterior wall - cystocele
posterior wall - rectocele
insert speculum how
oriented at 45* from horizontal and 45* downward
then rotate to horizontal position when inside the vagina
cervix pointing indicates what
points anterior or posterior
indicates pelvic mass or pregnancy
what are small raised round bumps on the cervix
nabothian cysts
what are the red mucousal cells surrounding the cervical os
everted
what term is used to describe the cervical os shaped like a slit
parous
post pregnant
what term is used to describe the cervical os that is round shaped
nulliparous
never pregnant
what is recommended by the american cancer society to prevent cervical cancer
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)
what are people that are at a high risk for cervical cancer
immunosuppressed
HIV, organ transplant, steroid use
women over the age of __ that have had previous negative results should stop screening
65
what is the test used to screen for cervical cancer
what does the test provide us with
when should you repeat this test
HrHPV
detects the DNA of high risk types of HPV
every 3 years
a positive HrHPV test implies we should do what next
colposcopy, examine, and biopsy
testing for HrHPV can be performed on the ____
thinprep specimen
what is the spatula used for
rotate 360
collect endocervical cells
what does the brush do
rotate 180
collects endocervical cells
what does the broom do
rotate 5 times
inserted into os and collects cells from the ectocervix
cultures of vagina are used for what
STD detection
warm speculum with what before entry
hot water
what do you have to put on your hand prior to entry for bimanual exam
KY gel
cervix is soft when
cervic is firm when
soft - pregnant
firm - non pregnant
what is it called when patient feels pain on movement of cervix and reaches upward
chandelier sign
chandelier sign indicates what
PID or other inflammatory process
how big should the uterus be
why would it be bigger
5.5 - 8 cm long
pregnancy
what is shape of uterus
pear shaped
what is the contour of the uterus
smooth
how big should the ovaries be
1-3 cm
where do the gloves go after the female exam
biohazard
