moulton Flashcards
term
37-42 weeks
preterm
20-36 weeks
parity
Term, Preterm, AB, Living
gravity
pregnancies
nullipara def
F who has never given birth or who has never had pregnancy progress beyond gestational age of an abortion
post menopausal bleeding is a concern for
endometrial/uterine cancer
post coital bleeding is a concern for
cervical cancer
heavy bleeding is a concern for
structral abn
Naegel’s rule
estimated date of confinement = 1st day of LMP - 3mo + 7 days
**recommendation for breast exam every 1-3 years is in ages…
20-39
annual mammograms recommended for women…
40+
first recommended visit to OBGYN
13-15 years old
gardasil HPV v. gardasil 9 coverage:
9-26 year old
gardasil HPV = 6/11,16/18
Gardasil 9 = extended
ask about vaginal, anal, oral sex in what age group screenings?
19-39
cytology for 21-29 v. 30+
21-29 = q 3 years 30+ = q 3 years; cytology and HPV q 5 yeras
Tdap booster q __ years
10
begin colorectal cancer screening at what age? what intervals? if african american?
begin at 50 years, then every 10 years
african american - begin 45years
lipid profile assessment - being and q __ years
45, q 5 years
what age can you discontinue cervical cytology in F with no hx of CIN2+
65
what constitutes/allows to stop cervical cytology at age 65
no hx of CIN2+
- 3 consecutive (9 years) of negative results
- 2 negative co-tests (HPV and cytology) w/in last 10 years
if F has hx of CIN2 or CIN3, continue pap for __ years
20 years, even if past 65
give pneumococcal vaccine at what age.
65 years
abnormal external genetalia lesions -
think __ if warty
think __ if flatter and painful
HPV (6/11)
HSV
use what speculum in nulliparous F
Pederson - narrower blades
use what speculum in multiparous F
Graves - wider blades
direct speculum into vaginal vault at what angle
45 degrees
circular v elongated cervix indicates…
circular = nulliparous elongated = multiparous
chadwicks sign
pregnant cervix (blueish hue)
foul smelling, thin grey homogenous discharge, think…
BV (fishy odor after intercourse)
STD that causes yellow/green discharge and punctate hemorrhages on ectocervix
trichomonas
insert swab to test cervical discharge for G/C for ___sec
45
PAP: what gently scrapes ectocervix v. endocervix
ectocervix = spatula endocervix = cytobrush
conventional slide test cervix for
specimen for cytology only
liquid based prep tests cervix for
cytology, HPV, ASCUS, G/C
pregnant cervix v. non pregnant cervix
pregnant - soft
non pregnant - firm
varicella vaccine
60
