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Physical Assesment 2023 > Sexual History > Flashcards

Sexual History Flashcards

1
Q

When should you take a sexual history?

A
  1. All new patients
  2. Patient that present with a problem that is likely to be sexually related
  3. Patient has medical or social problems that may lead to sexual difficulties
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2
Q

What is the definition of queer

A

Someone with a sexual orientation or gender identity or expression that differs from that of a cisgender, heterosexual person

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3
Q

What is intersex

A

Features congenital variations of the reproductive system
*sex chromosomes, external genitalia, or internal reproductive systems are not considered exclusively male or female
*ambiguous genitalia

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4
Q

What are the 5 P’s of sexual history

A
  1. Partners
  2. Sexual practices
  3. Protection from STIs
  4. Past STIs
  5. Pregnancy history and plans
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5
Q

What are the components of a women’s health history

A
  1. Menstrual history
  2. Gynecological history
  3. Sexual and contraceptive history
  4. Obstetric history
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6
Q

What is menarche

A

Age of onset of menses

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7
Q

How to document last menstrual period

A

First day of last normal menstrual period

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8
Q

What is the normal range of menarche

A

9-16
*can take a year to be regular

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9
Q

What is the normal interval between periods

A

21-35 days
*bleeding lasts 3-7 days

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10
Q

What is the definition of menopause

A

Absence of menses for 12 consecutive months
*occurs between 48-55 years old

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11
Q

What is amenorrhea

A

Absence of menses
*primary = failure to initiate a period
*secondary = had a cycle, then stopped

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12
Q

What is oligomenorrhea

A

Light or infrequent bleeding

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13
Q

What is menorrhagia

A

Excessive flow

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14
Q

What is metorrhagia

A

Intermenstrual bleeding

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15
Q

What is menometorrhagia

A

Excessive intermenstrual bleeding

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16
Q

What is dysmenorrhea

A

Pain with menses

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17
Q

What is polymenorrhea

A

Less than 1 days interval between menses

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18
Q

What is naegeles rule

A

Used to determine expected date of delivery (EDD)
*first date of LMP + 7 days - 3 months

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19
Q

What is gravity

A

Total number of pregnancies
*must include current
*she is or has been pregnant
*the pregnancy can be live birth, miscarriage, premature birth, stillbirths or an abortion

20
Q

What is parity

A

Number of pregnancies that have ended at gestational ages >24 weeks
*viable pregnancies

21
Q

How to count multi-fetal births?

A
  1. They count as one gravida and one para
22
Q

Patient with a miscarriage and two live births has a GP documentation of

A

G: 3
P: 2

23
Q

A 34 year old lady is currently pregnant. She has 4 year old twins and a 2 year old son. In this lady’s hospital file you will find gravida () and para ()

A

G: 3
P: 2

24
Q

What is GPTPAL

A

G: number of pregnancies
P: number of pregnancies that have ended at gestational age >24 weeks
T: term delivers
P: preterm delivers
A: abortions
L: live births

25
Q

How many week is a term

A

Number of births >37 weeks

26
Q

How many week is a preterm pregnancy

A

20-37 weeks

27
Q

How many week is an abortion for GPTPAL

A

Number of birth <20 weeks

28
Q

What does G2P1001

A

G: two pregnancies
P:
T: one term pregnancy
P: zero pre-term pregnancy
A: zero abortions
L: one living

29
Q

What is an early term baby

A

Born 37-38 weeks

30
Q

What are full term babies

A

Born 39 to 40 weeks

31
Q

What are late term babies

A

Born 41 to 41 (6/7 day)

32
Q

What are post term babies

A

Born 42 weeks or later

33
Q

Which week is the best time to deliver birth

A

39 weeks or later
*babies born before 39 weeks are not as developed
*born after 39 week babies have fewer poor outcomes

34
Q

What is gravida

A

A woman who is or has been pregnant

35
Q

What is primigravida

A

A woman who is in or who has experienced her first pregnancy

36
Q

What is multigravida

A

A woman who has been pregnant more than once

37
Q

What is Nulligravida

A

A woman who currently is not pregnant, nor has she ever been pregnant

38
Q

What is primipara

A

A women who has given birth for the first time

39
Q

What is mulitpara

A

A woman who has given birth two or more times

40
Q

What is nullipara

A

A woman who has never had a pregnancy progress beyond the gestational age of abortion

41
Q

When is the APGAR test done

A

At 1 and 5 minutes after birth

42
Q

What does the 1 minute score determine

A

How well the baby tolerated the birthing process

43
Q

What does the 5 minute score indicate

A

How well the baby is doing outside the mothers womb

44
Q

What are the normal APGAR scores

A

7, 8, 9
*sign of good health

45
Q

What should the first line of obstetric presentation include

A
  1. Age
  2. Gravity
  3. Parity
  4. LMP
  5. Estimated Gestational Age
  6. CC

Physical Assesment 2023 (20 decks)

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