Genitourinary

Question 1

Health history questions - Female genitourinary

Answer 1

1. menstrual history
2. obstetric history
3. menopause
4. self-care behaviours
5. urinary symptoms
6. vaginal discharge

Question 2

History of… Female genitourinary

Answer 2

sexual activity; contraceptive use; STI risk reduction; STI contact

Question 3

Female genitourinary - additional health history questions for infants & children

Answer 3

urination; perineal hygiene; sexual abuse

Question 4

Female genitourinary - additional health history questions for preadolescents & adolescents

Answer 4

Start of period; sex; STIs; sexual abuse

Question 5

An important part of preparation for exam - Female

Answer 5

measures to enhance comfort during exam

Question 6

Inspection - Female Genitourinary

Answer 6

skin colour; hair distribution; labia majora; any lesions present; clitoris; labia minora; urethral opening; vaginal opening; perineum; anus

Question 7

Palpation - Female Genitourinary

Answer 7

urethra & Skene’s glands; Bartholin’s glands; support of pelvic musculature

Question 8

HIV Risk Factors

Answer 8

older, immigrant, aboriginal women; low socioeconomic status; lack of participation in screening; sexually active at a young age; multiple sexual partners/a partner with a history of multiple sexual partners; smoker; weakened immune system; oral contraceptives; multipara; DES (diethylstilbestrol)

Question 9

HIV Screening process

Answer 9

annual HPV screening with PAP smear within 3 yrs of sexual activity until 3 negative tests; if tests remain negative, can reduce to 1x every 3 yrs until age 70

Question 10

health history questions - male genitourinary

Answer 10

frequency of urination, urgency, nocturia; dysuria; hesitancy & straining; penis (pain, lesions, discharge); scrotum (self-care behaviours, lumps); sexual activity & contraceptive use; STI contact

Question 11

Why is any change in urinary flow important in men?

Answer 11

urethra passes by prostate gland, when gland is enlarged, can restrict flow of urine; enlargement of prostate can be a sign of prostate cancer

Question 12

principles of interviewing male adolescent patients

Answer 12

direct matter-of-fact questions without judgement; permission statements (“Often, boys your age…”); ubiquity approach (“when did you…” instead of “do you…”); open door for later conversation

Question 13

Male genitourinary - additional history for preadolescents & adolescents

Answer 13

teenage boys often have normal experiences and are left wondering if anyone else does too (“who can you talk to?”); around 12/13 yrs; often questions about sexual activity; “has anyone ever taught you…”, “has anyone ever touched your genitals?”

Question 14

Male genitourinary - additional history for aging adults

Answer 14

difficulty urinating; frequency of having to get up in the middle of the night

Question 15

male genitourinary - inspection & palpation

Answer 15

penis — skin; glans; urethral meatus; pubic hair; urethral discharge; shaft
scrotum — skin; testes; epididymis; spermatic cord; any masses
hernia —
inguinal lymph nodes —

Question 16

testicular self-examination

Answer 16

T = timing
S = shower
E = examination points