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Women's Health > Final (Women's Health II) > Flashcards

Final (Women's Health II) Flashcards

1
Q

Clue Cells

A

Bacterial Vaginitis

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2
Q

pH > 5

A

Atrophic Vagnitis

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3
Q

psuedohyphae

A

Candida

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4
Q

Abundant WBC

A

Trich/Candida

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5
Q

Toxic Shock Syndrome

A
  • Colonoization of Staphlococcus aureus, produces EXOTOXINS
  • Trigger of immune response
  • The criteria established by the Centers for Disease Control and Prevention (CDC, 1997) to diagnose TSS include fever > 38.9°C, hypotension, diffuse erythroderma, desquamation of the palms and soles, and the involvement of three or more major organ systems.
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6
Q

Justice

A

duty to be fair

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7
Q

Beneficience

A

duty to prevent harm and promote good

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8
Q

Veracity

A

duty to be truthful

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9
Q

Fidelity

A

duty to be faithful

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10
Q

Autonomy

A

duty to respect one’s right to their own thoughts/actions

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11
Q

utilitarianism

A

the happiness of the greatest number of people in the society is considered the greatest good.

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12
Q

Infertility

A

1 year of unprotected frequent intercourse that has not resulted in conception

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13
Q

Semen Analysis

A
  • 2 specimens, 1 month apart
  • ## Specimen arrival to lab within 30 minutes of ejaculation
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14
Q

Clomid

A
  • 50mg daily for 5 days beginning on the 5th day of menstrual cycle; max 3 courses.
  • If ovulation does not occur after 1st course, increase dose to 100mg daily for 2nd course; max 100mg/day for 5 days. See full labeling.
    Contraindications:
    Primary ovarian failure. Ovarian cysts. Uterine leiomyomas. Abnormal vaginal bleeding. Thrombophlebitis. Liver disease. Depression. Uncontrolled thyroid or adrenal dysfunction. Organic intracranial lesions (eg, pituitary tumor). Pregnancy (Cat.X).
  • Warnings/Precautions:
    Perform initial complete pelvic and endocrinologic exam. If ovarian enlargement occurs, hold dose until ovaries return to pretreatment size, and reduce dosage or duration of next course. Polycystic ovary syndrome. Discontinue if visual disorders occur. Nursing mothers.
  • Adverse Reactions:
    Ovarian enlargement, abdominal pain and bloating, blurred vision, hot flashes, breast discomfort, depression, multiple births, ocular toxicity.
    How Supplied:
    Tabs—30
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15
Q

Polycystic Ovarian Syndrome (PCOS)

Classic Features

A 
Obese
Oligomenorrheic
Hirsutism, acne, acanthosis nigricans
Polycystic-appearing ovaries on ultrasound
Hyperandrogenism
Oligoovulation or Anovulation
Insulin resistance (50-70%)
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16
Q

PCOS TX

A
  • Weight loss and diabetic diet
  • Metformin 500 mg, titrate to 1500/day x 5 weeks and assess for ovulation x 6 months
  • Clomid is often added to induce ovulation
  • Remember to have PNV onboard
17
Q

IUI (intrauterine insemination)

A

sperm collected and washed then placed in sterile medium. Sperm then concentrated in small volume of medium then inserted into uterus

18
Q

Endometriosis

A
  • endometrial glands and stroma outside the endometrial cavity
  • ONLY diagnosed via laproscopy
  • Can affect fertility
19
Q

Simple Ovarian Cysts

A
  • contain fluid
  • < 5 cm = functional, will usually resolve spontaneous
  • 5-7 cm = needs follow up in 3-4 months
  • > 7 cm = needs referral to GYN
20
Q

Complex Ovarian Cysts

A
  • more substance in the cysts like a septum, blood, and so on…may not resolve spontaneously
  • Refer all of them
21
Q

Uterine Fibroid Tumors

A
  • Non-malignant
  • Leiomyomas grow in the smooth muscle lining and have more estrogen/progesterone receptors that other tissue in the area = get bigger and bleed a lot (annoying)
    Most common reason for hysterectomy in US

Tx:
NSAID, OCP, Lupron
Ablation
Surgery

22
Q

Cervical Cancer Symptom

A

abnormal vaginal bleeding or discharge

23
Q

Ovarian Cancer Symptom

A
  • abnormal vaginal bleeding or discharge
  • pelvic pain or pressure
  • abdominal or back pain
  • bloating
  • changes in bathroom habits
24
Q

Uterine Cancer Symptoms

A
  • abnormal vaginal bleeding or discharge

- pelvic pain or pressure

25
Q

Vaginal Cancer Symptoms

A

abnormal vaginal bleeding or discharge

26
Q

Vulvar Cancer Symptoms

A
  • pelvic pain or pressure
  • itching or burning of the vulva
  • changes in vulvar color or skin (rash, warts, sores)

Women's Health (2 decks)

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