Questions

Question 1

Risk factors for endometriosis

Answer 1

• asian or caucasian
• younger
• nulliparous
• Family history

Question 2

Risk factors for hemorrhoids

Answer 2

• low fiber diet
• low water intake
• sedentary lifestyle
• pregnancy

Question 3

Risks for uterine fibroids

Answer 3

• African american
• older women
• nulliparous

Question 4

Risk factors for cervical cancer

Answer 4

• multiple sex partners
• HPV
• hsitory of using the pill

Question 5

Risk factors for uterine cancer

Answer 5

• overweight
• older
• nulliparous
• diabetes

Question 6

Risk factors for ovarian cancer

Answer 6

• Older women
• nulliparous
• history of fertility drugs

Question 7

Risk factors for breast cancer

Answer 7

• older
• nulliparous
• history of using the pill
• overweight
• alcohol
• sedentary
• family history

Question 8

Which STD has painful, itchy vesicles that come and go?

Answer 8

herpes

Question 9

What are the potential complications of chlamydia infection later in life?

Answer 9

PID
infertility
complications in pregnancy
-greater susceptibility to other STDs like HIV

Question 10

A patient discovers a lump in her breast, are the lumps cancerous?

Answer 10

NO

Question 11

How often should a patient get the female pelvic exam done?

Answer 11

A baseline exam at 21 for those not sexually active

Every 3 years for sexually active women

Question 12

How often should a women have a breast exam done by a health professional?

Answer 12

50= yearly

25=every 3 years

Question 13

Name the 3 main parts of the female exam in order

Answer 13

• speculum
• bimanual
• recto-vaginal

Question 14

How to assess for urinary incontenince?

Answer 14

look at the urethra while the patient bears down and note leakage of urine

Question 15

Which should you palpate first: the Skene’s or Batholin glands? why?

Answer 15

Scenes so that you don’t introduce perianal bacteria into vagina or urethra

Question 16

If the bartholin glands have purulent foul yellowish discharge, what would you suspect?

Answer 16

either a staph infection or and STD (most likely gonorrhea)

Question 17

If the cervix look like a horizontal slit, what does it mean?

Answer 17

This women is parous (has had a baby)

Question 18

In which part of the exam might we visualize endometrial lesions?

Answer 18

speculum exam

Question 19

What are we screening for when we take a sample from the cervix with a spatula, brush or broom?

Answer 19

Abnormal cells; early detection of cervical cancer

Question 20

If you move the cervix during the bimanual part of the exam and it hurts the patient or the cervix is fixed and won’t move, you suspect what?

Answer 20

PID or endometriosis

Question 21

List the 4 required steps of the rectovaginal exam

Answer 21

1. asses muscle tone
2. palpate rectovaginal septum
3. palpate the posterior aspect of the cervix and uterus
4. palpate the rectal walls

Question 22

When is the best time to discuss any findings or concerns you have about this exam?

Answer 22

after the patient is dressed