Questions Flashcards
Risk factors for endometriosis
- asian or caucasian
- younger
- nulliparous
- Family history
Risk factors for hemorrhoids
- low fiber diet
- low water intake
- sedentary lifestyle
- pregnancy
Risks for uterine fibroids
- African american
- older women
- nulliparous
Risk factors for cervical cancer
- multiple sex partners
- HPV
- hsitory of using the pill
Risk factors for uterine cancer
- overweight
- older
- nulliparous
- diabetes
Risk factors for ovarian cancer
- Older women
- nulliparous
- history of fertility drugs
Risk factors for breast cancer
- older
- nulliparous
- history of using the pill
- overweight
- alcohol
- sedentary
- family history
Which STD has painful, itchy vesicles that come and go?
herpes
What are the potential complications of chlamydia infection later in life?
PID
infertility
complications in pregnancy
-greater susceptibility to other STDs like HIV
A patient discovers a lump in her breast, are the lumps cancerous?
NO
How often should a patient get the female pelvic exam done?
A baseline exam at 21 for those not sexually active
Every 3 years for sexually active women
How often should a women have a breast exam done by a health professional?
50= yearly
25=every 3 years
Name the 3 main parts of the female exam in order
- speculum
- bimanual
- recto-vaginal
How to assess for urinary incontenince?
look at the urethra while the patient bears down and note leakage of urine
Which should you palpate first: the Skene’s or Batholin glands? why?
Scenes so that you don’t introduce perianal bacteria into vagina or urethra
If the bartholin glands have purulent foul yellowish discharge, what would you suspect?
either a staph infection or and STD (most likely gonorrhea)
If the cervix look like a horizontal slit, what does it mean?
This women is parous (has had a baby)
In which part of the exam might we visualize endometrial lesions?
speculum exam
What are we screening for when we take a sample from the cervix with a spatula, brush or broom?
Abnormal cells; early detection of cervical cancer
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?
PID or endometriosis
List the 4 required steps of the rectovaginal exam
- asses muscle tone
- palpate rectovaginal septum
- palpate the posterior aspect of the cervix and uterus
- palpate the rectal walls
When is the best time to discuss any findings or concerns you have about this exam?
after the patient is dressed