Lecture 4: Well Woman Exam Flashcards
How should a pt’s PSH be recorded?
Chronologically including dates, hospital, surgeon and any complications
What are the components of gravidity and parity; in the correct order?
- Gravidity: the # of times a women has been pregnant
- Parity: the # of pregnancies that led to a birth at or beyond 20 wks
- Term: 37-42 wks
- Preterm: 20-36 wks and 6 days (36+6)
- Abortion: includes all losses before 20 wks i.e., therapeutic/elective AB, spontaneous AB and ectopics
- Living
2 most common causes of amenorrhea?
Pregnany and menopause
Post coital (after sex) bleeding in female is a concern for what?
Cervical cancer
Post-menopausal bleeding is a concern for what?
Endometrial/uterine cancer
Heavy bleeding, passing clots etc. in a female may indicate what?
Structural abnormality
How do you use the LMP and Naegeles Rule to estimate date of delivery in pregnant pt?
- Subtract 3 months and add 7 days
- i.e., LMP 07/20/2016 —> EDC = 04/27/2017
What is the recommendation for breast exams in women aged 20-39 and 40+?
- Every 1-3 years for women ages 20-39
- Annually for women 40+
Pelvic exams are recommended to begin at what age?
21 y/o
ACOG recommends the initital visit to OB/GYN for screening and the provision of preventative health care servives and guidance take place when?
Btw age 13-15
Which immunizations should be given/offered to girls btw ages 13-18?
- Tdap vaccine booster: once btw ages 11-18 years
- HBV: one series if they have not yet received
- HPV vaccine: one series btw ages of 9-45 y/o
In screening girls 19-39 y/o what important parts of their sexual practices need to be discussed?
Type of intercourse: vaginal, anal, and oral; sexual orientation; number of partners, and contraceptive use
A clinical breast exam should occur q 1-3 years beginning at what age?
20 y/o
What are recommendations for cervical cytology in pt’s age 21-29 and age 30+?
- 21-29 y/o: screen q 3 years w/ cytology alone
- 30+: screen q 3 years w/ cytology + co-test w/ cytology and HPV testing q 5 years
What are 2 components of the psychosocial evaluation in females 19-39 years that should be discussed?
- Intimate partner violence
- Acquaintance Rape prevention
How often should woman 50+ y/o receive a colonoscopy?
Every 10 years = preferred method
At what age should women get a lipid profile assessment and how often?
q 5 years beginning at 45 y/o
What are the criteria that must be met to discontinue cervical cytology in women aged 65+?
- Women with no hx of CIN2 or higher
- 3 consecutive negative prior cytology results
- 2 consecutive negative co-test within previous 10 years
If female >65 y/o has hx of CIN2 or 3; what is recommendation for cervical screening?
Need to continue pap x 20 years after even if it extends >65 y/o
In absence of new risk factors what is recommendation for bone mineral density screeing in women 65+ y/o?
Do NOT screen more frequently than q 2 years
Which vaccine should be offered at 65 y/o+?
Pneumococcal vaccine
A female with pigmentation over the bridge of the nose and under eyes may be showing signs of what?
Pregnancy
Which specific speculum has wider blades and is more appropriate in multiparous females?
Graves speculum
What is the most common vaginal infection?
Bacterial vaginosis
