Test 2 Part 2

Question 1

What exam follows the speculum exam?

Answer 1

The Bimanual Exam

Question 2

What structures are evaluated during the Bimanual Exam?

Answer 2

cervix, uterus, and adenexal regions

Question 3

T/F: The Bimanual Exam is only performed on sexually active females.

Answer 3

False; important even if patient is not sexually active

Question 4

What is the final part of the pelvic exam?

Answer 4

The Recto-Vaginal Exam, DRE

Question 5

T/F: The labia minora may be more prominent in newborns.

Answer 5

True

Question 6

It is common to see a mucoid, whitish vaginal discharge in the newborn period (sometimes mixed with blood). What is this due to?

Answer 6

passive hormonal transfer from the mother

Question 7

T/F: The clitoris may be barely visible in infants.

Answer 7

False; may appear relatively large

Question 8

When is it appropriate to perform an internal vaginal exam on children?

Answer 8

only when there is a specific problem: bleeding, discharge, trauma, suspected sexual abuse

Question 9

What are the common s/s of Bartholin gland abscess?

Answer 9

external labia swelling, pain, warmth and redness

Question 10

What would and enlarged clitoris in a newborn suggest?

Answer 10

adrenal hyperplasia

Question 11

T/F: Bartholin and Skene glands and ovaries are not usually palpable in children.

Answer 11

True

Question 12

T/F: Vaginal secretions decrease before menarche.

Answer 12

False; increase

Question 13

The Hegar, Chadwick, and Goodell signs occur during pregnancy. What are they?

Answer 13

Hegar - softening of the isthmus,
Chadwick - bluish cervix,
Goodell - cervical softening

Question 14

The uterus deviates at 8 to 10 weeks of gestation. What is this called?

Answer 14

Piskacek sign

Question 15

In older females, what is indicated by bulging of the anterior vaginal wall with urinary incontinence?
Posterior wall?

Answer 15

cystocele;

rectocele

Question 16

What is the term for protrusion of the cervix or uterus through the vaginal introitus?

Answer 16

uterine prolapse

Question 17

Amenorrhea, nausea, breast changes, skin pigmentation, and urinary frequency are all possible signs of what condition?

Answer 17

pregnancy

Question 18

What is the McDonald sign which occurs between 7-8 weeks gestation?

Answer 18

fundus flexes easily on the cervix

Question 19

What is the Braun von Fernwald sign which occurs between 7-8 weeks gestation?

Answer 19

fullness/softening of fundus at site of implantation

Question 20

What is the Piskacek sign which also occurs at 7-8 weeks gestation?

Answer 20

palpable lateral bulge/soft prominence of one uterine cornu

Question 21

How many days before menses does PMS typically occur?

Answer 21

5-7 days before, supposedly subsides with onset of menses

Question 22

T/F: Chemical substances, hematologic disorders, immunologic disorders, and relationship problems can all influence fertility.

Answer 22

True

Question 23

What is the term for the presence/growth of endometrial tissue outside of the uterus?

Answer 23

Endometriosis

Question 24

How is endometriosis confirmed?

Answer 24

laproscopy (also tender nodules may be palpable along the uterosacral ligaments)

Question 25

What is the Chandelier sign associated with Endometriosis?

Answer 25

pain during intercourse

Question 26

Who is at greatest risk for Endometriosis?

Answer 26

Asians and Caucasians, especially with delayed childbearing

Question 27

Endometriosis is very painful, so why is often delayed in diagnosis?

Answer 27

Often mistaken for “typical” dysmenorrhea or UTIs

Question 28

What is the most common site for endometrial deposits?

Answer 28

ovary (75%)

Question 29

T/F: While pregnancy may “cure” endometriosis, patients with this condition tend to have issues with fertility.

Answer 29

True…causes changes in the volume and cellular content of the peritoneal fluid

Question 30

What is the common culprit for Bartholin’s Cysts?

Answer 30

Gonorrhea

Question 31

Itching and a pruritic discharge (white, curdy) is commonly associated with what conditon?

Answer 31

Candida vulvovaginitis

Question 32

Profuse, frothy, greenish discharge and “strawberry cervix” are associated with what conditon?

Answer 32

Trichomoniasis

Question 33

T/F: Patients with Chlamydia may or may not show signs.

Answer 33

True