Gynecology

Question 1

Corpus

Answer 1

main body of the uterus

Question 2

Cervix

Answer 2

neck of the uterus; in childbirth, cervix dilates to let fetus out of uterus

Question 3

3 phases of menstruation

Answer 3

Follicular Phase- Ovaries produce oocytes

Ovulatory Phase – egg captured in fallopian tube

Luteal Phase- If egg fertilized, moves to uterus via fallopian tube

Question 4

PID Shuffle

Answer 4

A sign of Pelvic Inflammatory Disease.

Patient bent over usually clutching abdomen and shuffeling slowly.

Question 5

Pelvic Inflammation Disease (PID)

Answer 5

Infection of the Female upper reproductive organs. Effects primarily women 20-24 yrs

Usually caused by:
STI, specifically Neisseria gonorrheae , Chlamydia trachomatis.

•Staphylococci and Streptococci are usually the results of surgery

Question 6

Cystitis

Answer 6

An inflamed or irritated bladder caused by a bacterial infection.
Signs and Symptoms

Question 7

Menarche

Answer 7

First menstrual cycle.

Question 8

Triad of Ectopic Pregnancy

Answer 8

Pain

Amenorrhea

Vaginal bleeding (any)

Question 9

Maxeran

Answer 9

Increases GI motility

Question 10

Fundus

Answer 10

uppermost part of the uterus, above the attachment of the fallopian tubes

Question 11

Ovarian Cyst

Answer 11

A fluid filled sac that forms on an ovary.

May mimic an ectopic pregnancy

• May rupture (most commonly 1 week prior to menstrual bleeding is to begin)
• Ruptured cyst can result in one sided localized abd pain and cause signs of peritonitis if hemorrhage has occurred.

Question 12

Dysmenorrhea

Answer 12

pain during menstruation.

Most often occurs in women who are not sexually active and who have not borne children.

HA, backache, dizziness, faintness, N/V, syncope, leg pain.

Question 13

Mittelschmerz

Answer 13

“middle pain”. Pain from the rupture of the graafian follicle and bleeding from the ovary during menstrual cycle.

Question 14

Endometritis

Answer 14

Inflammation of the endometrium.

Symptoms:

• Malaise
• Fever
• Lower abdominal pain
• Vaginal Bleeding
• Pelvic Pain
• purulent vaginal discharge

Question 15

Endometriosis

Answer 15

Occurs when endometrial tissue grows outside the uterus

• Generally grow on the surface of abdominal and pelvic organs
• May have no symptoms or can cause severe pain(lower back, pelvic and abdominal regions)
• Causes painful coitus, painful menstruation, and heavy periods
• Unable to conceive (30-40% of women)

Question 16

Leading cause of first trimester maternal death in Canada

Answer 16

Ectopic Pregnancy

Question 17

Extopic Pregnancy

Answer 17

A fertilized egg implanted somewhere outside the uterus

risk Factors:
•Scarred tubes from STDs
•Tubal ligation
•Reversal of tubal ligation
•IUD in place
•Abnormal fallopian tubes

Question 18

Vaginal Bleeding

Answer 18

Blood loss from uterus, cervix or vagina

Traumatic causes
➢Straddle injuries
➢Blows to perineum
➢Blunt force to lower abdomen

Other causes
➢Foreign bodies
➢Intercourse
➢Spontaneous Abortion
➢Sexual assault
➢Onset of labour
➢PID

Question 19

Aspects of Obstetrical History

Answer 19

Obstetrical History
➢Pregnancy
➢Cesarean deliveries
➢Last menstrual period
➢Possibility of pregnancy
➢Previous gynecological problems
➢Blood loss
➢Vaginal discharge
➢Contraceptive use
➢Trauma to reproductive system

Question 20

4 deadly causes of Abdominal pain to be ruled out.

Answer 20

Aortic Aneurism

Peritonitis

Ectopic Pregnancy

Uncontrolled GI Bleeding