Introduction Flashcards
What is the most common cause of death?
Heart disease
What are the top three cancers in terms of prevalence?
- Lung
- Breast/prostate
- Colorectal
What are the top three cancers in terms of mortality rates?
- Lung
- Colorectal
- Breast/prostate
What percent of pregnancies are unintentional?
49%
What percent of women are smokers?
20% ish
What percent of white women over the age of 80 have osteoporosis?
70%
What percent of women are obese/overweight?
35% ish
What percent of women experience intimate partner violence?
35% ish
How many people die everyday from preventable causes related to pregnancy and childbirth?
800
True or false: there is little discrepancy between maternal mortality rates between minorities and whites
False
Why is there an increasing incidence of maternal mortality with increasing age?
- Higher prevalence of preexisting conditions
- More complications
Why are multiple births more common in older mothers?
Fertility drugs
What percent of maternal deaths occur in developing countries?
99%
What are the common etiologies of maternal deaths? (4)
- Hemorrhage
- Infx
- HTN
- Unsafe abortion
What are the two major means to increase maternal outcomes?
- Provide to all women
- Provide access to contraception
Which ethnicity has the highest incidence of HPV cervical cancer?
Black women
What are the components of preventative care for women?
- Immunizations
- Certain labs
- Pap smears etc
What are the four focuses of well women care?
- Health maintenance
- Preventative services
- Early disease detection
- Continuity of care
What are the risk factors for 13-18 year olds?
Risk taking behaviors
EtOH and drugs
What are the risk factors for 19-39 yo?
Nutrition
Physical activity
Sexual practices and contraceptives
When does breast cancer assessment begin?
19-39 yo
What are the major concern with 40-64 yo?
Menopause ssx
Sexual dysfunction
What are the major concerns with pts over 65 yo?
Nutrition
ADLs
Fall prevention and osteoporosis
Is a pelvic exam appropriate for women 13-20 if there are no ssx?
External yes, but probs not full pelvic
Are annual pelvic exams performed for asymptomatic women?
Not recommended–discuss with patient
What are the labs that should be obtained regularly?
STD screens (25 or less)
Pap smears
Lipids
How often should thyroid function tests be performed with women office visits?
every 5 years after 50 yo
How often should BG levels be obtained?
Q 3 years after 45 yo
When does colorectal screening begin for women?
Q 10 years at 50 years
When should DXA scans be performed?
After 65 unless other risk factors
What is the age range for giving the HPV vaccine?
9-26
What percent of self-identifying lesbians have had sex with men?
75%
EtOH abuse is more common in heterosexual or homosexual women?
Homosexual
Smoking is how many times more prevalent in homosexual women?
4x greater
True or false: sexual abuse is about as common in lesbians as it is in heterosexual women
True
true or false: gyn exams are not usually performed on adolescents unless there are ssx to be evaluated
True
