Quiz #4 (female stuff) prep

Question 1

Why is the female reproductive system prone to infection?

Answer 1

b/c its an open system that is highly vascularized

Question 2

What is cystocele?

Answer 2

• bulging of anterior vaginal wall

- the urinary bladder is displaced downward

Question 3

What is lithotomy?

Answer 3

bladder pushes anterior vaginal wall downward into vagina

Question 4

What is rectocele?

Answer 4

bulging of posterior vaginal wall

Question 5

What are the 3 stages of uterine prolapse?

Answer 5

stage 1 - cervix remains in vagina
stage 2 - cervix appears at the perineum or protrudes with straining
stage 3 - entire uterus protrudes outside body, total inversion of vagina.

Question 6

Specialt implications for uterine prolapse and pelvic floor dysfunction?

Answer 6

• pelvic floor rehab
• suggest alternate sexual positions
• difficult to wt bear activities for long periods
• urinary incontinence - (pelvic floor, behavior training, trigger point therapy)

Question 7

Clinical features of cervix cancer?

Answer 7

• discharge bloody and foul-smelling
• important to get yearly pap test
• decrease of menses in advanced CA
• metastis to urinary bladder and rectum
• Rx: surgical removal of cervix with radiation therapy and chemo (depending on stage)

Question 8

What is endometriosis?

Answer 8

bengin endometrial tissue outside the uterus. (estrogen-dependent) and abnormal tissues fill with blood the same time a women cycles causing pain/discomfort.

Question 9

Special implications for pelvic inflammatory disease?

Answer 9

• pelvic and/or back pain that is not musculoskeletal (send patient for consult)
• specialized soft tissue techniques for adhesions