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Genitourinary-Part 2 (WOMEN) > Physical Examination of the Female Genitalia > Flashcards

Physical Examination of the Female Genitalia Flashcards

1
Q

what is amenorrhea?

A

absent menstrual flow.

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2
Q

what is defined as prolonged menses?

A

more than 7 days

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3
Q

what is included in the external genitalia for females?

A

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

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4
Q

what is the labia minora divided into?

A

two lamellae

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5
Q

the lower pair of lamellae form the frenulum of what?

A

clitoris

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6
Q

the upper pain of lamellae forms the what?

A

prepuce

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7
Q

the labia minora fuse to form what?

A

fourchette

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8
Q

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

A

clitoris

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9
Q

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

A

vagina

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10
Q

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

A

vesicovaginal septum

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11
Q

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

A

rectovaginal septum

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12
Q

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

A

fornices.

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13
Q

how is the non pregnant uterus usually positioned and weight?

A

anterior posteriorly and weights 60-90 g.

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14
Q

what are the parts of the uterine corpus?

A

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

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15
Q

where are the ovaries located?

A

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

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16
Q

what ligaments support the internal genitalia?

A

the cardinal, uterosacral, round, and broad ligaments

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17
Q

what are the four bones that form the pelvis?

A

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

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18
Q

what are the four pelvic joints?

A

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

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19
Q

what are the two parts the pelvis is divided into?

A

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.

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20
Q

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

A

two thirds.

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21
Q

average age of menarche in the United States?

A

11- 14 years old.

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22
Q

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

A

12 weeks

23
Q

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

A

1000g

24
Q

between what ages does menopause occur?

A

40 and 50.

25
Q

ovulation ceases how many years before menopause?

A

1 to 2 years

26
Q

what is conventionally defined as menopause?

A

1 year with no menses

27
Q

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

A

estrogen with or without progestin

28
Q

what is the traditional position for pelvic exams?

A

lithotomy position

29
Q

the clitoris is usually how many cm in length?

A

2 CM

30
Q

what is the usual origin of Bartholin gland abscess?

A

gonococcal or staphylococcal

31
Q

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

A

cystocele

32
Q

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

A

rectocele

33
Q

what indicates a anteverted uterus?

A

a cervix pointing posteriorly

34
Q

what indicates a retroverted uterus?

A

a cervix pointing anteriorly

35
Q

what does an enlarged clitoris indicated with newborns?

A

adrenal hyperplasia

36
Q

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

A

swelling of vulvar tissue with bruising

37
Q

what is the Regar sign?

A

softening of the isthmus

38
Q

what is chadwicks sign?

A

bluish cervix (usually from pregnancy)

39
Q

what is Goodell sign?

A

cervical softening from pregnancy

40
Q

what is piskacek sign?

A

the uterus deviating at 8 to 10 weeks of gestation

41
Q

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

A

condyloma acuminatum (genital warts)

42
Q

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.

A

Molluscum Contagiosum

43
Q

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

A

condyloma latum

44
Q

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

A

cystocele

45
Q

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

A

rectocele

46
Q

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

A

urethral carbuncle

47
Q

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

A

trichomoniasis

48
Q

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

A

Gonorrhea

49
Q

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

A

bacterial vaginosis

50
Q

what is a nabothian cyst?

A

enlarged fluid filled retention cysts that vary in size

51
Q

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

A

columnar epithelium

52
Q

what are myomas?

A

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

53
Q

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

A

Salpingitis

54
Q

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?

A

hydrocolpos

Genitourinary-Part 2 (WOMEN) (24 decks)

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