Oncology FEMALE

Question 1

When should a girl start doing her monthly self breast exam?

Answer 1

As soon as she begins menstruation

Question 2

why would you not wanna do your monthly self breast exam right before or during your period starts?

Answer 2

because of swelling and tenderness

Question 3

If you have a patient that’s post-menaupausal or had a hysterectomy, how would you tell them to remember when to do their monthly self breast exam?

Answer 3

pick a date in the month and do it the same date each month. ex: the 14th of each month

Question 4

Clinical breast exams need to be done on women >___ years old

Answer 4

40 y.o

Question 5

Women ages 20- 39 need clinical breast exams done every___ years

Answer 5

3

Question 6

A pap smear is only needed every__ years if there has been no trouble

Answer 6

3

Question 7

T OR F? You should never use a douche unless it’s medically prescribed. why?

Answer 7

T! It can alter the cervical cells

Question 8

T OR F? It’s ok to have sex before pap- smear

Answer 8

F!

Question 9

A mammogram baseline should be done between __ to __ years of age. Should be done yearly after___ y.o

Answer 9

35 - 40 40

Question 10

Before you have a mammogram, what should you NOT have on your body? why?

Answer 10

Lotion powder deodorant they can show up as calcium deposits (calcium deposits typically mean cancer)

Question 11

Colonoscopy starts at age___ and then every ___ years after that.

Answer 11

50 ; 10 but, the more problems you’ve had, the more frequently you need to do it.

Question 12

Cervical cancer: Sex, pregnancy at a young age, and repeated STDs (whoever is most reproductively mature) are all___

Answer 12

risk factors

Question 13

T OR F? The early sign of pre-invasive cervical cancer is lower abdominal pain

Answer 13

F! Often asymptomatic

Question 14

What is the classic symptom of invasive cervical cancer?

Answer 14

Painless vaginal bleeding

Question 15

other general S/S of cervical cancer: watery, blood tinged___ leg pain along the ___ nerve back/___pain

Answer 15

vaginal discharge sciatic flank

Question 16

T OR F? There’s a 100% cure of cervical cancer is detected early what is the test to help DX this? what will they do if it’s abnormal the firs time?

Answer 16

T! pap smear they’ll repeat the test

Question 17

What is conization? what is a hysterectomy?

Answer 17

• remove part of cervix -remove uterus

Question 18

What does a TAH (Total abdominal hysterectomy) consist of? bilateral oopherectomy is the removal of ___ bilateral salpingectomy is the removal of___

Answer 18

ONLY the removal of the uterus and cervix! ovaries fallopian tubes

Question 19

What is a radical hysterectomy?

Answer 19

removal of ALL the pelvic organs. This patient can be expected to have a colostomy or an illeal conduit.

Question 20

the GREATEST time for bleeding/hemorrhage following these surgeries is___. why?

Answer 20

the 1st 24 hours pelvic congestion of blood (we have a lot of blood rushing to the pelvis)

Question 21

What is the MAJOR complication with abdominal hysterectomy?

Answer 21

Hemorrhage

Question 22

What is the MAJOR complication with a vaginal hysterectomy?

Answer 22

infection because the vagina harbors mucho bacteria.

Question 23

After having any surgery involving general anesthesia, ESPECIALLY after having a hysterectomy, YOU BETTER MAKE SURE THAT THIS PATIENT CAN___ in the next 8 hours.

Answer 23

pee/ void

Question 24

Why is it so important to prevent abdominal distention after having a hysterectomy? that can cause what?

Answer 24

• we do not want tension on the suture line; - dehiscence (when wound margins are separating) evisceration (when you have organs coming out)

Question 25

Which position should we avoid putting this patient in? why?

Answer 25

High fowlers position we don’t wanna put more pressure on the incision site, and in that position, more blood will rush to the site

Question 26

Because this patient is at risk for pneumonia, thrombophlebitis, and constipation. what is one thing we can do to prevent these complication?

Answer 26

early ambulation

(they are able to walk now and because immobility causes constipation by making you pee more… you lose water, so you gotta walk)

Question 27

Avoid what 5 things after having this surgery for a period of time?

Answer 27

1- sex

2- driving

3- girdles

4- douches

5- any exercise, including lifting heavy objects that will increase pelvic congestion

Question 28

is it possible that a patient can experience hemorrhage 10 - 14 days after surgery?

Answer 28

yes

Question 29

is a whitish vaginal discharge ok?

Answer 29

yes; whitish is normal. worry about infection when it starts to change colors.

Question 30

must this patient take showers or baths? why?

Answer 30

showers. baths will promote an ascending infection

Question 31

T OR F? Many tumors in women are testosterone dependent.

Answer 31

F! estrogen dependent