history taking and PE, office gynecology

Question 1

General data

Answer 1

name, age, marital status, religion, OB INDEX address, naem of hospital, number of admission, date of admission

Question 2

OB INDEX

Answer 2

GP TPAL

Question 3

G

Answer 3

GRAVIDITY, number of pregnancies, irregrdless of outcome

Question 4

P

Answer 4

parity, number of pregnancies wc reached the age of viabilty >=28wks

Question 5

T

Answer 5

term >=37 wks

Question 6

P

Answer 6

preterm, less than 37 wks aog

Question 7

A

Answer 7

abortion

Question 8

L

Answer 8

number of children alive

Question 9

chief complaint

Answer 9

primary symptom prompting the patient to seek medical attention

Question 10

OBSTETRIC/GYNECOLOGIC HX

Answer 10

age of meanrche, subsequent menses, age of coitus, number of sexual partners, hx of post coital bleeding, infections, dyspareunia, method of contraception, legth of time used, complications, lmp and pmp

Question 11

mean duration of regular menstrual cycle

Answer 11

28 plus minus 7 days

Question 12

timing of bse

Answer 12

7-10 days after onset pf menstruation in regular menstruating women, same calendar day for post menopausal and post hysterctomy px

Question 13

different positions for bse

Answer 13

arms at the side, arms overhead, hand on hips, bending forward

Question 14

palpation

Answer 14

standing or lying method

Question 15

wet technique

Answer 15

standing position, done while in the shower to increase tactile sensitivity

Question 16

flat pads of what fingers for palpation

Answer 16

2nd 3rd 4th

Question 17

3 methods of bse

Answer 17

rotatary, circular, vertical, wedge palpation

Question 18

pelvic exam

Answer 18

dorsal lithotomy position *drape the px, tell px to relax

Question 19

HOW TO DO SPECULUM EXAM

Answer 19

insert spec in a vertical position
direct downward (if up, SP na kasi so ouchy)
gently twist 
open and look for cervix
screw and stabilize, get sample

Question 20

BIMANUAL EXAM indications

Answer 20

both pregnant and nonpregnant patients

Question 21

in IE palpating the ant fornix is for

Answer 21

locating the uterus

Question 22

in IE, palpating the lat fornix

Answer 22

to assess the adnexa

Question 23

in IE, the dominant hand (index and mid fing) is

Answer 23

inserted to the vagina

Question 24

in IE, the nondom hand

Answer 24

used to palpate the fundus of the uterus

Question 25

in rectovaginal exam whic fingers are inserted in the vag and rectum?

Answer 25

Index in the vag, mid fing in the rectum

Question 26

when would u use rectal exam?

Answer 26

accdg to doc bau girl, if the px does not consent to IE or if virgin pa the px

Question 27

weight of menstruating adul breast

Answer 27

200g-300g

Question 28

how many lobes in the breast

Answer 28

12-20

Question 29

mature breast is composed of

Answer 29

20% glandular tissue, 80% fat and connective tissue

Question 30

lymphatics of the breast, majority goes to

Answer 30

axilla 75%

Question 31

other lymphatic routes

Answer 31

internal mammary, intercostal, subpectoral, subdiaphragmatic

Question 32

average increase in the premenstrual breast, in mL

Answer 32

25-30 mL

Question 33

supernumerary nipples

Answer 33

polythelia

Question 34

supernumerary breasts

Answer 34

polymastia

Question 35

assymmetry of breast

Answer 35

benign, normal variation unless palpable abnormality was present

Question 36

exaggeration of normal physiologic response of breast tissue to cyclic levels o ovarian hormones

Answer 36

fibrocystic changes

Question 37

most common benign breast abnormality

Answer 37

fibrocystic changes

Question 38

painful, excessive nodularity, like a plateful of peas or “balloon fill” upon palpation

Answer 38

fibrocystic changes