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PCM II Midterm > Repro > Flashcards

Repro Flashcards

1
Q

What is puberty?

A

developmental stage characterized by transition from sexual immaturity to sexual maturity

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2
Q

What is gonadarche?

A

activation of gonads by FSH and LH

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3
Q

What is adrenarche?

A

increase in androgen hormone

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4
Q

What is thelarche?

A

development of breast tissue due to estrogen from ovaries

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5
Q

What is menarche?

A

First menstrual cycle

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6
Q

What is spermarche?

A

First sperm production

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7
Q

What is pubarche?

A

pubic hair development

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8
Q

What are the tanner stages of male external genitalia?

A

1: prepubertal
2: enlargement of testes and scrotum
3: enlargement of penis
4: increased size of penis, test, and scrotum
5: adult genitalia

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9
Q

What are the tanner stages of breast development in females?

A

1: prepubertal
2: breast bud
3: further enlargement
4: areola and papilla form secondary mound
5: mature stage

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10
Q

What are the tanner stages of pubic hair development?

A

1: prepubertal
2: sparse growth, slightly pigmented
3: darker, coarser, more curles
4: adult in type, no spread to thighs
5: adult in type and quality, horizontal upper boarder

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11
Q

What is gravida para?

A

number of pregnancies, number of viale births?

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12
Q

What does the acronym “TPAL” stand for?

A

Term delivers > 37 wks
Preterm delivery 20-37 wks
Abortion <20 wks
Live delivery

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13
Q

What is a pap smear? What age?

A

21 to 65 every year if abnormal, every 3 years if normal, every 5 if normal and - HPV, screen for cervical cancer

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14
Q

Where do cells for a pap smear need to come from?

A

ectocervix, endocervix, transitional zone, squamocolumnar junction

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15
Q

What does a pelvic exam entail?

A

visual and bimanual exam of internal and external genitalia, check for cervical motion tenderness, STI testing

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16
Q

Ectopic pregnancy - presentation and work up

A

abdominal or pelvic pain with bleeding, pregnancy related symptoms, workup should include speuculum exam and transvaginal US

17
Q

Urinary TI - presentation and findings

A

dysuria, urinary frequency and urgency, suprapubic pain, caused by E. coli, use Lloyd’s punch and perform abdominal exam

18
Q

What does a well male exam include?

A

prostate and testicular exam (not routine), prostate specific antigen not routine

19
Q

What is included in a male genital exam?

A

inspection of scrotum, penile shaft, glans, inguinal region; palpate penile shaft and scrotum with thumb and first two fingers; palpate for hernias

20
Q

Inguinal hernia - presentation and workup

A

pain with increased intra-abdominal pressure, bulge on effected side, imaging

21
Q

What are the most important things to obtain in a sexual history?

A

parterns, practices, prevention of pregnancy, protection from STIs, past history of STI

22
Q

What organism causes gonorrhea?

A

gram-negative intracellular diplocci

23
Q

What is the classic presentation of gonorrhea?

A

penile discharge and dysuria, pelvic pain and vaginal discharge

24
Q

What organism causes chlamydia?

A

gram negative bacteria and chlamydia trachomatis

25
Q

What is the classic presentation of chlamydia

A

penile discharge and pruritus, vaginal discharge or pain during intercourse

26
Q

What organism causes syphilis?

A

spirochete, treponema pallidum

27
Q

What is the classic presentation of syphilis?

A

chancre, joint pains, fatigue, lymphadenopathy, neurosyphilis

28
Q

What organism causes genital herpes?

A

Herpes Simplex Virus 2

29
Q

What is the classic presentation of genital herpes?

A

single or clusters of vesicles on genitalia, may have burning, tingling and pain

30
Q

What organism causes trichomonis?

A

protozoa with flagella

31
Q

What is the classic presentation of tricomonis?

A

foul smelling thin or purulent vaginal discharge

32
Q

Human papillomavirus presentation

A

genital warts, can lead to cancer

PCM II Midterm (6 decks)

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