Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PD Block 3 > Pelvic Exam > Flashcards

Pelvic Exam Flashcards

1
Q

Things to look for/at during pelvic inspection

A
  1. Hair distribution
  2. Lesions/rashes
  3. Discharge
  4. Labial folds
  5. Bartholin/skene glands
  6. Urethral meatus
  7. perineum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the purpose of the speculum portion of the exam

A

To assess the vaginal walls and cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are you palpating during pelvic exam

A
  1. Milking the skene gland for discharge
  2. Squeezing bartholin gland for tenderness and discharge
  3. Feeling the adnexa -bimanual
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bimanual examinaton

A

Done to inspect the uterus and adnexa for growths, size, location and tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anteverted uterus

A

Uterus is tipped forward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Anteflexed uterus

A

Top of uterus is bent forward relative to cervix.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Gravida

A

A pregnant woman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gravidity

A

The # of pregnancies a woman has had

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Para

A

A woman who has given birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Parity

A

The # of completed pregnancies over 24 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Retroverted uterus

A

Uterus is tilted back towards spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Retroflexed uterus

A

top of uterus flops back towards spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Multiparous

A

A woman who has given birth to more than one child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Multigravida

A

A woman who has been pregnant more than once

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Corpus

A

The main body of the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fundus

A

The top of the uterus, lies inbetween the fallopian tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Adnexa

A

Ovaries and fallopian tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Nulliparous

A

Never given birth to a child, or carried a child past 24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Nulliparity

A

Condition of not haven given birth to a child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Water under the bridge

A

Ureter is under the ovarian artery, very important when doing hysterectomies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the OS

A

The opening of the cervix (there is an internal and external os)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which direction does the cervix normally point

A

Slightly posterior, with fundus pointing anteriorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Where is the uterus in relation to the bladder

A

Posterior, but some of the uterus my rest on top of bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Follicular phase

A

Preovulatory phase of the ovaries.

25
Q

What is follicle stimulated by

A

FSH from pituitary

26
Q

Luteal phase

A

Postovulatory phase of ovaries.

27
Q

What is luteal phase stimulated by

A

LH from pituitary.

28
Q

What happens during follicular phase

A

formation of primary, secondary, and tertiary follicle

29
Q

What happens during luteal phase

A

Formation and degeneration of corpus lutes (progesterone and estrogen secreted)

30
Q

What happens during days 1-4 of menstrual cycle

A
  1. Bleeding
  2. New egg/follicle are being prepared
  3. FSH/LH levels decrease
  4. Breast ducts shrink
31
Q

What happens during days 5-12 of menstrual cycle

A
  1. Follicle matures (follicular phase)
  2. Egg develops within follicle
  3. FSH stimulates follicle for growth
  4. Uterus is thickening
32
Q

What happens during days 13-14 of menstrual cycle

A

“ovulation phase” Egg expelled from ovary, drawn into FT, begins to form corpus luteum (luteal phase).
LH levels are very high!

33
Q

What happens during days 15-20 of menstrual cycle

A

“Secretory phase” Egg is moved by cilia into the uterus, becomes complete corpus luteum.

34
Q

What happens during days 21-28 of menstrual cycle

A

“premenstrual phase” If no sperm, the corpus luteum degenerates. Menstruation starts around day 28.
Vascular engorgement and water retention.

35
Q

Pediatric Pederson speculum

A

Pediatric speculum. Used in children, adolescent, or virgin

36
Q

Graves speculum

A

Largest speculum. Used in women who have had previous vaginal births, or very relaxed walls

37
Q

Pederson speculum

A

Medium sized speculum. Used in sexually active women with adequate vaginal wall tone

38
Q

What does the os look like in a nulliparous woman

A

Surface will be pink squamous epithelium, with uniform consistency and small os

39
Q

What does the os look like in a parous woman

A

Surface of os will be covered with pink squamous epithelium, and will have a transverse stellate slit - slit in os

40
Q

What position may work best for a disabled female

A

lying on their side in the knee-chest position

41
Q

Typical findings in an older woman during pelvic exam

A

Postmenopausal changes: decreased estrogen, thinning of vaginal tissues, loss of labia minora

42
Q

Typical findings in children during a pelvic exam

A

Labia minor thin, hymen intact. May have to use different positions with the child (utilized parent to help hold)

43
Q

Things to look for in a pregnant woman

A
  1. Gestational age estimation
  2. Uterine size/contour
  3. pelvic size
  4. Cervix size/dilation
44
Q

When do you start pelvic exams on adolescents

A

If sexually active, within 3 years of sex. If not sexually active, first exam should be at 21

45
Q

Red flags for sexual abuse

medical findings

A
  1. Trauma/scarring in genital area
  2. Unusual change in skin color
  3. Anorectal itching, bleeding, or pain
  4. Vaginal infections, pain, dysuria, bleeding
46
Q

Red flags for sexual abuse (behavior)

A
  1. School issues
  2. Weight changes
  3. Depression/anxiety
  4. Sleep problems
47
Q

Red flags for sexual abuse (inappropriate sexual behaviors)

A
  1. Provocative mannerisms
  2. Excessive masturbation
  3. Inappropriate sexual knowledge
  4. Sex play between children (4 years age difference)
48
Q

Cervical motion tenderness

A

Pain elicited when uterine cervix is manipulated during the pelvic exam. Usually due to PID (STI)

49
Q

Vaginal discharge

A

Normal discharge - odorless
Heavier mid-cycle
Bacterial/fungal discharge - has an odor

50
Q

Cystocele

A

Anterior vaginal wall prolapse (can usually be visualized at the introitus)

51
Q

Rectocele

A

Posterior vaginal wall prolapse (also can be visualized at introitus)

52
Q

Urethrocele

A

Prolapse of the urethra into the vagina (not always visible externally, depends on the prolapse)

53
Q

Uterine prolapse

A

The entire uterus prolapses (seen externally - can get pushed out quite a ways)

54
Q

Cervical stenosis

A

Diameter is 2-3cm, so anything that is smaller is considered a stenosis

55
Q

Friable cervix

A

Easily irritated and inflamed cervical tissue, bleeds easily

56
Q

Cyanotic cervix

A

Bluish color that indicates increased vascularity, often seen in pregnant women

57
Q

Ectropion

A

Normal finding, internal epithelium protrudes through external os

58
Q

Entropion

A

Opposite of ectropion, external epithelium migrates into the internal cervical canal

PD Block 3 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions