O&G hx and exams

Question 1

Gynae systems review

Answer 1

PV discharge
PV bleeding 
Periods - cycle, bleeding heaviness and length, pain, menarche 
LMP 
Cervical smear 
STIs ? 
Dyspareunia

Question 2

Other important systems review alongside gynae -

Answer 2

Urinary

Gastro

Question 3

Obestetric hx

Answer 3

Any pregnancies

For each one - term? any problems? mode of delivery?

Any terminations ?

Question 4

Sexual hx

Answer 4

Most recent partner - male or female, type of sex, contraception

How many partners in the last 6m?

Intercourse - pain or discomfort?

Infertility?

Question 5

Causes of menorrhagia

Answer 5

Dysfunctional uterine bleeds
Fibroids 
Endometriosis 
PID 
Clotting disorder

Question 6

Causes of intermenstrual bleeding

Answer 6

Endometrial cancer (>40)
Polyps
Cervicitis / Vaginitis
IUCD

Question 7

Causes of post coital bleeding

Answer 7

Cervical trauma
Cervical polyps
Cervical carcinoma
Vaginal carcinoma

Question 8

Post menopausal bleeding cause -

Answer 8

Endometrial cancer until proven otherwise
Atrophic vaginitis
Cervical / Vulval carcinoma

Question 9

What are you looking for on abdominal inspection in a pregnant abdomen?

Answer 9

distension
fetal movements
scars
skin changes

Question 10

Two different types of striae

Answer 10

gravidarum - purpleish

albicans - silvery

Question 11

what signs on the skin are you looking for in pregnant abdomen?

Answer 11

straie
linea nigra
excoriations - obstetric cholestasis
umbilicus

Question 12

causes of increase bump size for dates?

Answer 12

macrasomia 
polyhydramnios 
multiple preg 
wrong dates 
fibroids

Question 13

causes of decrease bump size for dates?

Answer 13

oligohydramnios
growth restriction
small baby

Question 14

where to roughly find the fetal heart beat?

Answer 14

half way between umbilicus and ASIS

Question 15

to complete a pregnant abdo exam?

Answer 15

BP and urine dip