Physical Examination of the Female Genitalia

Question 1

what is amenorrhea?

Answer 1

absent menstrual flow.

Question 2

what is defined as prolonged menses?

Answer 2

more than 7 days

Question 3

what is included in the external genitalia for females?

Answer 3

the vulva includes mons pubis, labia majora and minora, clitoris, vestibular glands, vaginal vestibule, vaginal orifice, and urethral opening.

Question 4

what is the labia minora divided into?

Answer 4

two lamellae

Question 5

the lower pair of lamellae form the frenulum of what?

Answer 5

clitoris

Question 6

the upper pain of lamellae forms the what?

Answer 6

prepuce

Question 7

the labia minora fuse to form what?

Answer 7

fourchette

Question 8

what is the primary center of sexual excitement for the female?

Answer 8

clitoris

Question 9

what is a muscle membranous tube that is transversely rugated during the reproductive phase of life?

Answer 9

vagina

Question 10

what separates the anterior wall of the vagina from the bladder and urethra?

Answer 10

vesicovaginal septum

Question 11

the posterior wall of the vagina is separated from the rectum by what?

Answer 11

rectovaginal septum

Question 12

pelvic organs may be palpated through the pockets around the cervix called what?

Answer 12

fornices.

Question 13

how is the non pregnant uterus usually positioned and weight?

Answer 13

anterior posteriorly and weights 60-90 g.

Question 14

what are the parts of the uterine corpus?

Answer 14

fundus, the body, and the isthmus (constricted lower portions)

Question 15

where are the ovaries located?

Answer 15

resting in a slight depression on the lateral pelvic wall at the anterior superior iliac spine.

Question 16

what ligaments support the internal genitalia?

Answer 16

the cardinal, uterosacral, round, and broad ligaments

Question 17

what are the four bones that form the pelvis?

Answer 17

two innominate (consisting of ilium, ischium, and pubis), the sacrum, and coccyx.

Question 18

what are the four pelvic joints?

Answer 18

the symphysis pubis, the sacrococcygeal, and two sacroiliac joints. (they usually have little movement)

Question 19

what are the two parts the pelvis is divided into?

Answer 19

the shallow upper section(false pelvis), mainly flared out iliac bones.

the true pelvis is the lower curved bony canal, including the inlet, cavity, and outlet.

Question 20

how large is the cervix compared to the uterus in infants and children?

Answer 20

two thirds.

Question 21

average age of menarche in the United States?

Answer 21

11- 14 years old.

Question 22

at how many weeks of pregnancy does the uterus rise out of the pelvis?

Answer 22

12 weeks

Question 23

what is the weight of the uterus at term, not including the baby and placenta?

Answer 23

1000g

Question 24

between what ages does menopause occur?

Answer 24

40 and 50.

Question 25

ovulation ceases how many years before menopause?

Answer 25

1 to 2 years

Question 26

what is conventionally defined as menopause?

Answer 26

1 year with no menses

Question 27

what is prescribed to reduce the impact of menopausal symptoms and sequelae?

Answer 27

estrogen with or without progestin

Question 28

what is the traditional position for pelvic exams?

Answer 28

lithotomy position

Question 29

the clitoris is usually how many cm in length?

Answer 29

2 CM

Question 30

what is the usual origin of Bartholin gland abscess?

Answer 30

gonococcal or staphylococcal

Question 31

bulging of the anterior wall and urinary incontinence with vaginal muscle tone test usually indicated the presence of what?

Answer 31

cystocele

Question 32

bulging of the posterior wall wall with vaginal muscle tone test suggests what?

Answer 32

rectocele

Question 33

what indicates a anteverted uterus?

Answer 33

a cervix pointing posteriorly

Question 34

what indicates a retroverted uterus?

Answer 34

a cervix pointing anteriorly

Question 35

what does an enlarged clitoris indicated with newborns?

Answer 35

adrenal hyperplasia

Question 36

what is a sign of sexual abuse with female infant genitalia?

Answer 36

swelling of vulvar tissue with bruising

Question 37

what is the Regar sign?

Answer 37

softening of the isthmus

Question 38

what is chadwicks sign?

Answer 38

bluish cervix (usually from pregnancy)

Question 39

what is Goodell sign?

Answer 39

cervical softening from pregnancy

Question 40

what is piskacek sign?

Answer 40

the uterus deviating at 8 to 10 weeks of gestation

Question 41

what is a warty lesion on the labia as a result of HPV?

Answer 41

condyloma acuminatum (genital warts)

Question 42

what is benign skin infection caused by poxvirus, STI, with white or flesh colored dome shaped papules. the surface has a central umbilication with a thick cream upon expression.

Answer 42

Molluscum Contagiosum

Question 43

what are flat, round, or oval papules covered by gray exudates (from secondary syphilis)

Answer 43

condyloma latum

Question 44

what is a hernial protrusion of the urinary bladder through the anterior wall of the vagina? with bulging seen as the woman bears down

Answer 44

cystocele

Question 45

what is a hernial protrusion of the rectum through the posterior wall of the vagina

Answer 45

rectocele

Question 46

what is a bright red polypoid growth that protrudes from the urethral meatus?

Answer 46

urethral carbuncle

Question 47

what is a watery discharge that is not foul smelling, causing dysuria, profuse frothy green discharge

Answer 47

trichomoniasis

Question 48

what vaginal infection will have purulent discharge from cervix and skene bartholin inflammation?

Answer 48

Gonorrhea

Question 49

what vaginal infection will have homogenous thing, white or gray discharge with a + KOH w clue cells

Answer 49

bacterial vaginosis

Question 50

what is a nabothian cyst?

Answer 50

enlarged fluid filled retention cysts that vary in size

Question 51

what may appear as a shiny red tissue around the os thay may bleed easily?

Answer 51

columnar epithelium

Question 52

what are myomas?

Answer 52

common, benign, uterine tumors that appears as firm, irregular nodules in the contour of the uterus

Question 53

what is an inflammation or infection of the fallopian tube associated with PID?

Answer 53

Salpingitis

Question 54

in children, what is a vaginal secretion that collects behind the hymen and manifests by a small midline lower abdominal mass or small cyst between the labia?

Answer 54

hydrocolpos