Test 2 Flashcards

0
Q

What causes the endometrium to grow?

A

High levels of progesterone and estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What is the primary symptom of endometriosis

A

Pelvic pain often associated with your menstural period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is aim therapy of endometriosis

A

Suppress levels of estrogen and progesterone which cause the endometrium to grow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is a cystocele

A

Occurs when the posterior bladder wall protrudes downward through the anterior vaginal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a rectocele

A

Occurs when the rectum sags and pushes against the posterior vaginal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a enterocele

A

Occurs when the small intestine bulges through the posterior vaginal wall (common with straining)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the four most common types of pelvic and genital prolapse

A

Cystocele
Rectocele
Enterocele
Uterine prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a uterine prolapse

A

Occurs when the uterus descends through the pelvic floor and into the vaginal canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are at particular risk for uterine prolapse

A

Multiparous women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a pessary?

A

Synthetic device inserted into vagina to provide support to the bladder and other pelvic organs as a corrective measure for urine incontinence and/or pelvic organ prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is surgery for uterine prolapse

A

Hysterectomy—this is used if you can’t treat it with anything else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which are more common: cervical or endocervical polyps?

A

Endocervical polyps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When do cervical polyps often occur

A

After menarche

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who are endocervical polyps common in?

A

Multiparous women ages 40-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Therapeutic management of polyps

A

Usually consist of simple removal with small forceps done on an outpatient basis, or removal during hysterectomy or D&C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Color of endocervical polyps

A

Cherry red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Color of cervical polyps

A

Grayish-white

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fibroids are ______ dependent and grow rapidly during childbearing years

A

Estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Untreated PCOS=

A

At risk for endometrial cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the most common bacterial STI in the US

A

Chlamydia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is herpes

A

Recurrent lifelong viral infection

21
Q

What is second most reported STI in US

22
Q

What is trichomoniasis

A

Sexually transmitted infection caused by the parasite Trichomonas vaginalis. Not caused by bacteria or virus!

23
Q

What do you also treat when treating PID

A

Bacterial vaginosis

24
What is PID frequently from
Untreated chlamydia or gonorrhea
25
Is cervical dysplasia cancer?
No. It indicates abnormal cells were found on the surface of the cervix
26
With abnormal pap what may doctor recommend
Hpv test and colposcopy
27
What is most common gynecologic malignancy
Endometrial cancer
28
What is the major initial symptom of endometrial cancer
Painless vaginal bleeding
29
Most common STI
HPV
30
What are symptoms like with ovarian cancer
Very vague. Typically not diagnosed until stage 3 or 4
31
Who is vulvar cancer common in
Older women (mid 60s-70s)
32
What are signs of hypovolemic shock
Hypotension, tachycardia, weak and thready pulse, rapid shallow respirations, oliguria
33
What will happen if uterine atony is left untreated
Will result in postpartum hemorrhage and may result in uterine inversion
34
Should you express clots before the uterus becomes firmly contracted?
No because pushing on an in contracted uterus can invert the uterus and result in extensive hemorrhage
35
What is subinvolution
Failure of the uterus to resume to its prepregnant state and may result in late postpartum bleeding
36
What is inversion of the uterus?
The turning out of the uterus and may be partial or complete. Emergency situation and can result in postpartum hemorrhage and requires immediate intervention
37
What is postpartum depression characterized by
Tearfulness, insomnia, lack of appetite, and feeling letdown
38
Excessive blood loss with a pad saturated in ____ minutes or less is a sign of postpartum hypovolemic shock
15
39
Major complication of uterine atony
Postpartum hemorrhage
40
What are often the first sings of inadequate blood volume
Decreasing BP and rising pulse
41
What is the most common cause of secondary dysmenorrhea
Endometriosis
42
Where are Bartholins glands located
Each side of the vaginal opening
43
What do Bartholins glands do
Secrete fluid that helps lubricate the vagina
44
What is most effective treatment for syphilis
Penicillin
45
Do syphilis lesions hurt?
They don't hurt even though they look like they would
46
What are chlamydia and gonorrhea treated with
Antibiotic
47
What medication would you use to treat somebody if they were allergic to penicillin
Doxycycline
48
Ectoderm
Forms the CNS, special senses, skin and glands
49
Mesoderm
Ford skeletal, urinary, circulatory, and reproductive organs
50
Endoderm
Forms respiratory system, liver, pancreas, and digestive system