GYN and Breast Exams Flashcards
How many menstrual cycles need to be missed in order to count as amenorrhea?
At least 6
What is leukorrhea?
Normal vaginal discharge, excess white cells
What diseases should be covered in the gynecologic disease history?
Polycystic Ovarian Syndrome (PCOS)
Endometriosis
Ovarian Cancer
Uterine Cancer
Fibroids
Pregnancy
What is dyspareunia?
Pain during intercourse
What should be included in breast history?
Self-Examination
Breast pain/discomfort
Breast Lump or mass
Change in breast size, contour, swelling
Nipple discharge
Past breast history (medical or surgical)
What should be the first three steps in starting the discussion prior to GYN exam?
Wash hands, put on gloves
Obtain patient permission
Explain need for chaperone
What structures are to be observed in the external genitalia exam?
Labia minora
Clitoris
Urethral orifice
Introitus
The vulva should be inspected for what?
Scars
Erythema
Masses
Discharge/bleeding
Rash/vesicles
What does the internal genitalia exam include?
Vagina (Cultures/swabs)
Cervix (palpate, assess mobility, cervical sampling)
What device is marketed as a single-device collection tool for pap collections?
The “broom”
How many times should the collection tool be twisted in a clock-wise motion when collecting a pap sample?
5 times
