Reproductive Flashcards

1
Q

What is gynecomastia?

A

Enlarged breast tissue in males

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2
Q

What could be causes of gynecomastia?

A

Obesity, endocrine issues, genetics, small babies who are currently being breast fed

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3
Q

What should we inspect for on a breast exam?

A

Skin changes, symmetry, contours, and retractions

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4
Q

What changes in breast should we consider during menses as normal findings?

A

Fibrocystic breast changes

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5
Q

What is the proper way to palpate during a breast exam?

A

Using finger pads of 2,3, and 4th fingers in small dime size circles with light to medium pressure.

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6
Q

Where is the tail of Spence?

A

Upper outer portion of breast

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7
Q

What 4 things should we inspect the nipple and areola for?

A

Nodules, swelling, ulcerations, and gynecomastia

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8
Q

When assessing the axilla what should we be palpating for?

A

Pectoral nodes, lateral nodes, and sub scapular nodes

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9
Q

Should women with hx of augmentation or reconstructive surgery still have mammograms?

A

Yes

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10
Q

Why should we avoid taking a BP on the same side where patient had a mastectomy?

A

Because they might have issues with lymph drainage which can cause the lymph to get trapped and not drained properly. This will worsen with increase pressure and be uncomfortable.

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11
Q

Breast cancer is the 1st leading cause of cancer death in women? T/F

A

False. 2nd leading cause

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12
Q

What risks are associated with breast cancer?

A
BRCA 1 and 2 gene
Menarche before 12
Alcohol use
First child after 30
Not breast feeding 
Family hx 
High fat diet
Lack of exercise 
Obesity 
Age over 50
Hormones/DES exposure
Ethnicity 
High breast tissue densities on mammogram
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13
Q

What are the mammogram recommended screenings?

A

50-74 every 2 years

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14
Q

What are the recommended screenings for clinical breast exams?

A

20-39 every 3 years; every year starting at 40

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15
Q

A woman’s lifetime risk of breast cancer is 1 in 10. T/F

A

False 1/8

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16
Q

Men do not have breast cancer risk. T/F

A

False; less than 1% chance

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17
Q

What 3 things should we always ask women in regards to their reproductive hx?

A

Menstruation, OB, and sexual hx

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18
Q

What is perimenopause?

A

Period of years during which a woman transitions to menopause

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19
Q

What is post menopausal bleeding?

A

Bleeding occurring 6 months or more after cessation of menses

20
Q

What is considered abnormal uterine bleeding?

A

Bleeding between menses or infrequent, excessive, prolonged, or any post menopausal bleeding

21
Q

What are some physiological signs that can happen during menopause?

A

Pubic hair gradually decreases, skin is thinner and fat deposits decrease, clitoris size decreases after age 60, uterus reduces in size, vaginal mucosa thins, dries, and becomes less lubricated

22
Q

What is FTM?

A

A person who transitions from female to male

23
Q

What is gender non conforming?

A

A person whose gender expression is different from societal expectations related to their perceived gender

24
Q

What is passing?

A

A term used by transgender people to mean that they are seen as the gender with which they self identify.

25
Q

What are important areas of external examination for women?

A

Mons pubis, labia majora and minora, urethral meatus, clitoris, vaginal introitus, perineum

26
Q

If you get the HPV vaccine do you still need to get screened for cervical cancer?

A

Yes because it does not prevent all HPV subtypes

27
Q

What age group is chlamydia the highest in women?

A

20-24

28
Q

What age group in women is the second highest in chlamydia rates?

A

15-19

29
Q

What ethnicities have the highest rate of chlamydia rates in women?

A

African Americans and Indian/Alaska native

30
Q

What are CDC screening recommendations for all sexually active women?

A

annual Chlamydia and gonorrhea screening

31
Q

What are warning indications for HIV testing in women?

A

recurrent vulvo candidiasis, concurrent STIs, abnormal pap smears, and HPV infection

32
Q

How often should HIV and STI testing be done for all sexually active adults from ages 13-64?

A

once a year

33
Q

How often should HIV and STI testing be done for individuals with risky behavior?

A

every 3-6 months

34
Q

Testicular cancer is the most common cancer for what age group?

A

ages 15-35

35
Q

What are possible complications if STD infections go untreated?

A

PID and tubal infertility (most common), gonorrhea, and syphilis.

36
Q

What is orchitis?

A

Inflammation of the testicles

37
Q

What is phimosis?

A

tight prepuce that cannot be retracted or returned to its original position over the glans penis

38
Q

What is paraphimosis?

A

tight prepuce that once retracted cannot be returned

39
Q

What is hypospadias?

A

meatus is coming out of the ventral side (towards scrotum)

40
Q

What is epispadias?

A

meatus is coming out of the dorsal side (away from scrotum)

41
Q

What is a hydrocele?

A

fluid filled mass in the scrotum

42
Q

What are preventative behaviors that sexually active men should be educated on?

A

use of condoms, limiting sexual partners, regular health care for STIs and HIV

43
Q

What is cryptorchidism?

A

undescended testicle

44
Q

What symptoms should prompt a male to seek medical attention?

A

testicular or scrotal swelling, pain/discomfort, enlargement, painless lump, and dull ache in lower abdomen or groin.

45
Q

T/F. Prostate cancer is the second leading cause of death in men?

A

True

46
Q

T/F. Colorectal cancer is the 2nd most common cancer in males and females?

A

False, 3rd most common cause