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WH1 > H and P HY > Flashcards

H and P HY Flashcards

1
Q

reduced BC risk

A

first birth before 30

breast feeding

avoidance or limited HRT

avoidance of radiation

healthy lifestyle

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2
Q

mastalgia

A

pain in breast

is it temporal sequence (gradual, sudden, duration, constant/intermittent), related to menses

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3
Q

medications that might cause nipple discharge

A

decrease dopamine/dopaminergic effects

antipsychotics, TCAs, SSRIs, verapamil, methadone

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4
Q

cause of milky nipple edischarge

A

pregnancy/lactation

HoThyroid

renal disease

cirrhosis

pituitary prolactinoma

endocrine d/o

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5
Q

cause of spontaneous bloody nipple discharge

A

intraductal papilloma

ductal carcinoma

Paget’s dz of Brest

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6
Q

uni-ductal nipple discharge

A

clear, serous, green, black and non bloody discharge

can be CA

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7
Q

menopause

A

cessation of menses ?1 yr

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8
Q

perimenopause

A

transition from menstrual to non menstrual life

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9
Q

gravid

A

total number of PREGNANCIES (twins count as 1)

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10
Q

parity

A

number births given (twins count as 1)

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11
Q

4 digits of P

A

T (number of pregnancies)
P (preterm deliveries)
A (abortions)
L (living children)

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12
Q

nulligravida

A

never been pregnant, not now pregnant

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13
Q

primigravida

A

first pregnancy

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14
Q

multigravida

A

pregnant more than once

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15
Q

nullipara

A

never given birth, never had pregnancy past 20 weeks

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16
Q

woman who has given brith 3+ times

A

grandmultipara

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17
Q

complications included in OB hx

A

pregnancy
childbirth
postpartum period

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18
Q

increased risk of cervical CA

A 
CIN 2, CIN 3 or cervical cancer 
hx of HPV 
smoking
immunosuppresion  
HIV 
DES exposure
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19
Q

cervical CA screening starts at what age?

A

regardless of sexual activity

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20
Q

who gets screening for cervical CA

A

21-65 y.o

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21
Q

cervical CA screening q 3 yrs for

A

21-29

avg risk women
no co testin

22
Q

30-65 year cervical ca

A
  1. Pap smear every 3 years

2. pap smear and HPV test q 5 years

23
Q

65+ w. prior screening

A

no need to further test

24
Q

65+w.o prior screening

A

screen until 70=75

25
Q

HIV + and cervical CA screen

A

screening starts when diagnosed

<30 = cytology annually

> 30 = co testing or cytology

if nml = q3 yrs (5 if dual)

26
Q

consensus for annual mammogram is strong for:

A

50-69

27
Q

consensus for annual mammogram is NOT strong for:

A

40-49 , >70
clinical breast exam
breast self exam

28
Q

risk increased for breast ca

A
  1. previous breast CA
  2. increased age
  3. estrogen exposure
  4. race (Caucasian)
  5. increased BMI
  6. breast bx/radiation
  7. absence of Brestfeeding
  8. nulliparity or older age of first pregnancy
29
Q

recommendations of breast screening

A

clinical breast exam annually

mammogram 1-2 yrs for 40-49, annually 50+

self exam = “breast awareness”

30
Q

MRI and U/s

A

good for evaluation of palpable masses

not good for average risk

31
Q

chlamydia and gonorrhea screening

A

annually <25

all pregnant women <25 and increased risk >25

32
Q

HIV screen

A

annually for all sexually active

33
Q

gardasil

A

6, 11, 16, 18

males and female

34
Q

cervarix

A

16, 18

female only

35
Q

gardasil 9

A

9 different strains

6, 11, 16, 18 + others

male and female

36
Q

what strains of cervical CA increased risk

A

16 and 18

37
Q

CI of HPV vax

A

yeast allergy

38
Q

3 breast palpitation techniques

A

radial
spiral
vertical strip

+ attempt to elicit nipple discharge

39
Q

common breast masses tumors

A

fibroadenoma
cysts
cancer

40
Q

fibroadenoma breast

A

benign brest tumor

common in puberty/young adults

41
Q

cysts breast

A

30-50

round, soft firm, mobile

42
Q

cancer breast

A

after 50
fixed to underlying tissue

not clearly deliniated

43
Q

abnormal lymph findings

A

nodes >1 cm, firm, fixed or matted to underlying tissue

malignancy

44
Q

Skenes glands location

A

surround urethral meatus

45
Q

bartholin gland location

A

surrounds vaginal oriface

46
Q

fourchette

A

small skin fold at base of vluva

47
Q

pouch of Douglas

A

rectouterine pouch

space between uterus and rectum

48
Q

prepubescent child anatomy

A

narrow vagina

cervix compromises most of uterus

49
Q

menopause

A

decreased size of genitalia

loss of elasticity/tone

narrowing of vagina, decreased lubrication

decresed libido

50
Q

possible etiologies of bludge

A

cystocele
rectocele
uterine prolapse

51
Q

purpose of rectovaginal exam

A

palpate retroverted uterus, uteroscaral ligaments, ouch of Douglas ,adnexa

screen for colon CA (50+)

pelvic pathology

WH1 (6 decks)

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