Introduction

Question 1

What is the most common cause of death?

Answer 1

Heart disease

Question 2

What are the top three cancers in terms of prevalence?

Answer 2

1. Lung
2. Breast/prostate
3. Colorectal

Question 3

What are the top three cancers in terms of mortality rates?

Answer 3

1. Lung
2. Colorectal
3. Breast/prostate

Question 4

What percent of pregnancies are unintentional?

Answer 4

49%

Question 5

What percent of women are smokers?

Answer 5

20% ish

Question 6

What percent of white women over the age of 80 have osteoporosis?

Answer 6

70%

Question 7

What percent of women are obese/overweight?

Answer 7

35% ish

Question 8

What percent of women experience intimate partner violence?

Answer 8

35% ish

Question 9

How many people die everyday from preventable causes related to pregnancy and childbirth?

Answer 9

800

Question 10

True or false: there is little discrepancy between maternal mortality rates between minorities and whites

Answer 10

False

Question 11

Why is there an increasing incidence of maternal mortality with increasing age?

Answer 11

• Higher prevalence of preexisting conditions

- More complications

Question 12

Why are multiple births more common in older mothers?

Answer 12

Fertility drugs

Question 13

What percent of maternal deaths occur in developing countries?

Answer 13

99%

Question 14

What are the common etiologies of maternal deaths? (4)

Answer 14

• Hemorrhage
• Infx
• HTN
• Unsafe abortion

Question 15

What are the two major means to increase maternal outcomes?

Answer 15

• Provide to all women

- Provide access to contraception

Question 16

Which ethnicity has the highest incidence of HPV cervical cancer?

Answer 16

Black women

Question 17

What are the components of preventative care for women?

Answer 17

• Immunizations
• Certain labs
• Pap smears etc

Question 18

What are the four focuses of well women care?

Answer 18

• Health maintenance
• Preventative services
• Early disease detection
• Continuity of care

Question 19

What are the risk factors for 13-18 year olds?

Answer 19

Risk taking behaviors

EtOH and drugs

Question 20

What are the risk factors for 19-39 yo?

Answer 20

Nutrition
Physical activity
Sexual practices and contraceptives

Question 21

When does breast cancer assessment begin?

Answer 21

19-39 yo

Question 22

What are the major concern with 40-64 yo?

Answer 22

Menopause ssx

Sexual dysfunction

Question 23

What are the major concerns with pts over 65 yo?

Answer 23

Nutrition
ADLs
Fall prevention and osteoporosis

Question 24

Is a pelvic exam appropriate for women 13-20 if there are no ssx?

Answer 24

External yes, but probs not full pelvic

Question 25

Are annual pelvic exams performed for asymptomatic women?

Answer 25

Not recommended–discuss with patient

Question 26

What are the labs that should be obtained regularly?

Answer 26

STD screens (25 or less)
Pap smears
Lipids

Question 27

How often should thyroid function tests be performed with women office visits?

Answer 27

every 5 years after 50 yo

Question 28

How often should BG levels be obtained?

Answer 28

Q 3 years after 45 yo

Question 29

When does colorectal screening begin for women?

Answer 29

Q 10 years at 50 years

Question 30

When should DXA scans be performed?

Answer 30

After 65 unless other risk factors

Question 31

What is the age range for giving the HPV vaccine?

Answer 31

9-26

Question 32

What percent of self-identifying lesbians have had sex with men?

Answer 32

75%

Question 33

EtOH abuse is more common in heterosexual or homosexual women?

Answer 33

Homosexual

Question 34

Smoking is how many times more prevalent in homosexual women?

Answer 34

4x greater

Question 35

True or false: sexual abuse is about as common in lesbians as it is in heterosexual women

Answer 35

True

Question 36

true or false: gyn exams are not usually performed on adolescents unless there are ssx to be evaluated

Answer 36

True