Test 2 Part 2 Flashcards
What exam follows the speculum exam?
The Bimanual Exam
What structures are evaluated during the Bimanual Exam?
cervix, uterus, and adenexal regions
T/F: The Bimanual Exam is only performed on sexually active females.
False; important even if patient is not sexually active
What is the final part of the pelvic exam?
The Recto-Vaginal Exam, DRE
T/F: The labia minora may be more prominent in newborns.
True
It is common to see a mucoid, whitish vaginal discharge in the newborn period (sometimes mixed with blood). What is this due to?
passive hormonal transfer from the mother
T/F: The clitoris may be barely visible in infants.
False; may appear relatively large
When is it appropriate to perform an internal vaginal exam on children?
only when there is a specific problem: bleeding, discharge, trauma, suspected sexual abuse
What are the common s/s of Bartholin gland abscess?
external labia swelling, pain, warmth and redness
What would and enlarged clitoris in a newborn suggest?
adrenal hyperplasia
T/F: Bartholin and Skene glands and ovaries are not usually palpable in children.
True
T/F: Vaginal secretions decrease before menarche.
False; increase
The Hegar, Chadwick, and Goodell signs occur during pregnancy. What are they?
Hegar - softening of the isthmus,
Chadwick - bluish cervix,
Goodell - cervical softening
The uterus deviates at 8 to 10 weeks of gestation. What is this called?
Piskacek sign
In older females, what is indicated by bulging of the anterior vaginal wall with urinary incontinence?
Posterior wall?
cystocele;
rectocele
What is the term for protrusion of the cervix or uterus through the vaginal introitus?
uterine prolapse
Amenorrhea, nausea, breast changes, skin pigmentation, and urinary frequency are all possible signs of what condition?
pregnancy
What is the McDonald sign which occurs between 7-8 weeks gestation?
fundus flexes easily on the cervix
What is the Braun von Fernwald sign which occurs between 7-8 weeks gestation?
fullness/softening of fundus at site of implantation
What is the Piskacek sign which also occurs at 7-8 weeks gestation?
palpable lateral bulge/soft prominence of one uterine cornu
How many days before menses does PMS typically occur?
5-7 days before, supposedly subsides with onset of menses
T/F: Chemical substances, hematologic disorders, immunologic disorders, and relationship problems can all influence fertility.
True
What is the term for the presence/growth of endometrial tissue outside of the uterus?
Endometriosis
How is endometriosis confirmed?
laproscopy (also tender nodules may be palpable along the uterosacral ligaments)
What is the Chandelier sign associated with Endometriosis?
pain during intercourse
Who is at greatest risk for Endometriosis?
Asians and Caucasians, especially with delayed childbearing
Endometriosis is very painful, so why is often delayed in diagnosis?
Often mistaken for “typical” dysmenorrhea or UTIs
What is the most common site for endometrial deposits?
ovary (75%)
T/F: While pregnancy may “cure” endometriosis, patients with this condition tend to have issues with fertility.
True…causes changes in the volume and cellular content of the peritoneal fluid
What is the common culprit for Bartholin’s Cysts?
Gonorrhea
Itching and a pruritic discharge (white, curdy) is commonly associated with what conditon?
Candida vulvovaginitis
Profuse, frothy, greenish discharge and “strawberry cervix” are associated with what conditon?
Trichomoniasis
T/F: Patients with Chlamydia may or may not show signs.
True
