Gynecologic Assessment Flashcards

1
Q

female anatomy anterior to posterior

A

pubic bone, bladder, uterus, bowel

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2
Q

which day is the first day of cycle

A

1st day of period

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3
Q

G-Gravida

A

total number of pregnancies

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4
Q

T-Term births

A

when the birth happens between 37-42 weeks of gestation

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5
Q

P-Preterm births:
Extreme:___weeks
Very:__ weeks
Moderate to late:__weeks

A

Extreme: <28 weeks
Very preterm: 28-32 weeks
moderate to late: 32<37 weeks

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6
Q

A-Abortions

A

loss of baby spontaneously or elective in utero to 20 weeks gestation

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7
Q

first gynecological visit for screening and preventative services should occur at which age

A

13-15

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8
Q

what should a first gynecological visit consist of

A

patient education

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9
Q

a pap is a patient choice under which circumstances?

A

total hysterectomy, no hx of vulvar neoplasia, not HIV positive, not exposed to diethylstilbestrol in utero

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10
Q

if a patient does not want a pap what should still continue?

A

external genitalia

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11
Q

adnexa

A

ovaries

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12
Q

bimanual exam is better for evaluating the uterus or adnexa (ovaries)

A

uterus

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13
Q

what age is a pap/cervical screening recommended regardless of sexual activity

A

21

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14
Q

do you have to have a pelvic exam/cervical cancer screening in order to get oral contraceptives?

A

no

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15
Q

how often should cervical screenings take place for 20-29 yr olds

A

q3 yrs

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16
Q

how often should cervical screenings take place for 30-65 yr olds?

A

q5 years

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17
Q

how often should cervical screenings take place for >65 yr olds?

A

as long as they have regular screening for last 10 years and everything normal for past 20 years, may discontinue pap if requested, if they have had precancerous findings then continue pap for 20 years

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18
Q

condylomata acuminatum

A

HPV lesions, white dry, painless growth

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19
Q

chancroid

A

painful ulcer with rough floor and purulent yellow exudate, it heals leaving a scar

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20
Q

cystocele

A

bulge of upper 2/3 of vaginal wall with bladder above (fingers go underneath) it

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21
Q

rectocele

A

herniation of rectum into the posterior wall of vagina (fingers go above)

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22
Q

what are you checking for when palpating the external genitalia?

A

checking for lymphadenopathy, bartholin’s glands, masses, nodules, discharge

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23
Q

are Nabothian cysts normal on a cervix?

A

yes

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24
Q

stellate cervix

A

tearing of the cervix

25
Q

what does a squamous epithelium cervix tissue look like and where does it extend to?

A

shiny, smooth and pink, extends to vaginal lining

26
Q

what does a columnar epithelium cervix tissue look like and where does it extend to?

A

deep red and granular, extends into the lining of the endo-cervical canal

27
Q

how many layers does a squamous epithelium cervix tissue have?

A

4 layers

28
Q

what does columnar epithelium cervix tissue secrete?

A

mucus

29
Q

hormonal response or presence of inflammation or infections are noted in which cervix tissues?

A

squamous epithelium

30
Q

squamous metaplasia cervix tissue

A

originally squamous epithelium which turns to columnar epithelium

31
Q

what zone do you sample when doing a pap

A

transformation zone

32
Q

when does cloudy, sticky or slightly yellow vaginal discharge appear normally?

A

several days before ovulation

33
Q

when do you have a little vaginal discharge?

A

right after menses

34
Q

when does heavy-egg white consistency vaginal discharge occur?

A

1-3 days after ovulation

35
Q

when does clear, watery vaginal discharge occur?

A

before menses

36
Q

frothy vaginal discharge is indicative of?

A

trichomoniasis

37
Q

abnormal watery vaginal discharge is indicative of?

A

BV

38
Q

curdy vaginal discharge is indicative of?

A

yeast

39
Q

where do you collect a sample from if you think patient has chlamydia/trichomoniasis?

A

endocervical

40
Q

where do you collect sample from if you think patient has yeast infection?

A

lateral walls of vagina

41
Q

what are you palpating for when doing a bimanual exam

A

vagina, vaginal fornix, cervix, uterus, adnexa, vaginal walls

42
Q

uterine position: anteverted (location of cervix and how you palpate it)

A

cervical os posterior, uterus palpated with vaginal hand in anterior fornix

43
Q

uterine position: anteflexed (location of cervix and how you palpate it)

A

cervical os posterior, uterus palpated in anterior fornix

44
Q

uterine position: midline (location of cervix and how you palpate it)

A

cervical os midline, uterus palpated between 2 hands deep in abdomen

45
Q

uterine position: retroverted (location of cervix and how you palpate it)

A

cervical os anterior, uterus palpated posterior fornix of rectum

46
Q

uterine position: retroflexed (location of cervix and how you palpate it)

A

cervical os anterior, uterus palpated posterior fornix or rectum

47
Q

1 misdiagnosed reproductive cancer

A

ovarian cancer

48
Q

s/s ovarian cancer

A

bloating, fullness, bowel changes

49
Q

what do cysts feel like when palpating?

A

smooth and compressible

50
Q

what do tumors feel like when palpating?

A

solid and nodular

51
Q

hydrosalpinx

A

distention of the fallopian tube by clear fluid

52
Q

when do you screen for colorectal cancer?

A

> 50 years old

53
Q

exam findings in post-menopausal woman?

A

stinotic cervix( its pale), dry, vagina shortness

54
Q

1 cause of cancer worldwide

A

breast cancer

55
Q

concerning s/s of breast

A

change in skin texture, bloody nipple discharge, change in nipple position, hard immovable mass

56
Q

which 3 positions do you inspect the breast?

A
  • upright with hands relaxed in lap
  • arms in air
  • hands on hips or pushing each other
57
Q

breast lymph node locations

A

supra/infra clavicular nodes, axillary nodes

58
Q

fibroadenoma and cystic breast changes are what?

A

common benign causes of breast lumps

59
Q

when should you do self exam?

A

after period is over