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NURS 2156 OB 2 > Test 2 Womens Health & Breast Cancer > Flashcards

Test 2 Womens Health & Breast Cancer Flashcards

1
Q

Amenorrhea is absence of menses

Nomal…

Abnormal…

A

Normal
Before menarche (1st period)
During preggers
Postpartum
During lactation
After menopause

Abnormal;

Thin / eating Disorders
Competitive Athelete Long distance runner / Gymnast

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2
Q

Amenorrhea has an increased risk for osteoporosis r/t…

A

Decreased estrogen levels

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3
Q

Under ____ % body far wil lose their period

A

16 %

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4
Q

Primary Amenorrhea

Menses begins within 2 years of breast dev 9 - 15

Considered abnormal if no menses by ….

A

16.5

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5
Q

Turners syndrome will cause lack of menses.

Describe how a person gets turners syndrome…

A

Missing 1 (X) chromosome - 45 in total

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6
Q

Causes of primary Amenorrhea (4)

A

Low body weight, Turners, Radiation/ Chemotherapy

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7
Q

Describe 2ndary Amenorrhea ….

Most common cause…

A

Cessation of menses for atleast 6 months in a person who regular has menses.

Cause: Preggers, DM, TB, hypothyroidism, low weight, PCOS (polycystic Ovarian cancer)

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8
Q

Dysmenorrhoea (Painful menses) is causes by….

A

Excessive Prostaglandin production, causes uterine muscle contractions

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9
Q

TX for Dysmenorrhoea…

A

Oral contraceptives (Decrease endometrium growth)

Prostaglandin inhibitor (NSAIDS, Motrin, Advil, Naprosyn)

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10
Q

Pelvix pain that occurs middle of menstrual cycle, Ovulation

Sharp pain felt on Right or Left side.

Last few hours - 2 days

Possible slight vaginal bleeding

A

Mittelschmerz

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11
Q

Mittelschmerz

Day 14 of menstrual cycle

Due to…

A

Rupture of follicle & spillage of folicular fluid / blood into perineal cavity

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12
Q

Presence of tissue outside the uterus that resembles the endometrium in both FORM & FUNCTION…

A

Endometriosis

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13
Q

_____ stimulus growth of tissue and slough durjng menstruation

A

Estrogen & Progesterone

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14
Q

Endometriosis

Prostaglandin secreted by the endometral tissue does what to the body…

Bleeding associated with endometriosis causes…

A

Irritated nerve ending and stimulates uterine contractions

Inflammation & infertility

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15
Q

SS

Pain
Infertility
Dyspareunia (Urine during Sex)
Rectal Pain

A

Endometriosis

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16
Q

It is recommended that women with endometriosis have children quickly, dont delay.

Goal….
Meds…
Surgery….

A

Goal: Stop menstrual cycle (Pseudomenoñause)

Meds: Oral contraceptives, progesterone - Counter acts estrogen which drives the disease

danazol, Lupron (GnRh agonist), Synarel

Surgery: Hysterectomy with bilateral salpingo-oophorectomy (Removal 1 or both ovaries & Fallopian tube), Laproscopic removal of lesions

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17
Q

__________ (Phase & days)

What Happens: The uterine lining (endometrium) sheds, resulting in bleeding (menstruation).

Hormones:
Low levels of estrogen and progesterone trigger menstruation.

_________ (Phase & Days)

What Happens: The pituitary gland releases follicle-stimulating hormone (FSH), which stimulates the ovaries to produce follicles. One follicle becomes dominant and matures an egg.
The endometrium starts rebuilding.

Hormones:
Rising levels of estrogen help thicken the uterine lining.

_____ (Phase & Days)

What Happens: A surge in luteinizing hormone (LH) causes the mature egg to be released from the ovary (ovulation).
Key Point: This is the most fertile time in the cycle.

________ (Phase & Days)

What Happens: The ruptured follicle turns into the corpus luteum, which produces progesterone to maintain the uterine lining for a potential pregnancy.
If the egg is not fertilized, the corpus luteum breaks down, progesterone and estrogen levels drop, and the cycle restarts.

A

Menstrual Phase (Days 1-5):

What Happens: The uterine lining (endometrium) sheds, resulting in bleeding (menstruation).
Hormones:
Low levels of estrogen and progesterone trigger menstruation.

Follicular Phase (Days 1-13):

What Happens: The pituitary gland releases follicle-stimulating hormone (FSH), which stimulates the ovaries to produce follicles. One follicle becomes dominant and matures an egg.
The endometrium starts rebuilding.
Hormones:
Rising levels of estrogen help thicken the uterine lining.

Ovulation Phase (Day 14):

What Happens: A surge in luteinizing hormone (LH) causes the mature egg to be released from the ovary (ovulation).
Key Point: This is the most fertile time in the cycle.

Luteal Phase (Days 15-28):

What Happens: The ruptured follicle turns into the corpus luteum, which produces progesterone to maintain the uterine lining for a potential pregnancy.
If the egg is not fertilized, the corpus luteum breaks down, progesterone and estrogen levels drop, and the cycle restarts.

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18
Q

PMS / PMDD

Cyclic and recurrent in _____ phase of menstrual cycle.

The woman is symptom free during ____ phase

Cause unknown

A

Cyclic and recurrent in Luteal phase of menstrual cycle. (After ovulation)

The woman is symptom free during Follicular phase (Before Ovulation)

Cause unknown

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19
Q

Which day do you begin counting the menstrual cycle…

A

first day of menstrual bleeding, which is considered Day 1 of the cycle.

Beginning of the menstrual phase, where the uterine lining sheds and bleeding occurs.

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20
Q

PMS management

Diet…

RX….

A

Avoid caffeine/ chocolate

Rx:
oral contraceptives
Antidepressants SSRI
Estrogen therapy (migraine)
Danasol (Steroid = breast pain)
Bromocriptine (breast pain)

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21
Q

SS

Hypovolemia
Hypotension
Shock
Sudden fever
Flulike symptoms

Caused by S Auerus. Alters permeability of capillaries allowing intravascular fluid to leak from the membranes.

A

TOXIC SHOCK SYNDROME

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22
Q

High absorption tampons
Diaphragm
Cervical cap

All may contribute to this infection…

A

Toxic shock syndrome

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23
Q

Change tampons how often

A

Atleast q4h

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24
Q

Super adsorption pads will protect from toxic shock syndrome

A

False

They cause it.

Use a pad

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25
Q

Meds/treatment for TSS

A

Fluid replacement
Vasopressor drugs
Antimicrobial
Corticosteroids

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26
Q

This hormone production slows down woth menopause…

A

Estrogen

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27
Q

Perimenopause

Irregular periods
Hot flashes
Sleep issues

Happens when…

A

10 years prior to Menopause

About 41 / 42

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28
Q

Postmenopausal bleeding may indicate….

A

Endometeral cancer

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29
Q

Labia thins
Vag dry
Dyspareunia
Smaller breast
Loss bladder tone
Increased LDL (Heart disease)
HDL decrease
Hot flashes
Psych changes

A

Post menopause symptoms

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30
Q

Estrogen treats postmenopausal SS

Hot flashes
Osteoporosis
Atrophic vag

Risk…

A

Breast cancer & heart disease

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31
Q

Hormone therapy postmenopausal

With Hysterectomy

Without Hysterectomy

A

Woth Hysterectomy: Estrogen

Without: Estrogen & Progesterone (Decreased risk of endometrial cancer)

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32
Q

HRT

_____ Reduces risk of endometrial cancer when estrogen is used postmenopausal

A

Progesterone

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33
Q

Contraindications for Estrogen hormone replacement (7)

A

Previous Breast, Ovarian, Uterine cancer

Family member with breast cancer

Thromboembolic disease

Stroke

Liver disease

Gallbladder/ Pamcreatic disease

DM

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34
Q

Small boned
Fair skinned White / Asian
Family history
Early menopause
Sedentary lifestle
Smoker / Drinker
Caffeine
Corticosteroids/ Anticonvulsants
Inadequate intake of calcium during youth

A

Risk factors for osteoporosis

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35
Q

Risk factors for osteoporosis

A

Small boned
Fair skinned White / Asian
Family history
Early menopause
Sedentary lifestle
Smoker / Drinker
Caffeine
Corticosteroids/ Anticonvulsants
Inadequate intake of calcium during youth

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36
Q

Estrogen Replacement fir osteoporosis
Haults boneless

When to start & stop

A

Start with in 5 yrs of menopause

And continue for 10 years

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37
Q

Vitamin D Is needed to absorb Calcium

Start at age 25 - 50 What Doseage….

Postmenopausal What Doseage….

A

1000mg

1200 - 1500 mg

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38
Q

Does broccoli & green leafy veg have calcium?

A

Yes substantial amount

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39
Q

Management of Osteoporosis

Calcitonin IM, SC, Nasal Spray (Use)
Evista (Use)
Foramen (Use)

Patient teaching…

A

Calcitonin IM, SC, Nasal Spray

Increase bone mass

Evista (Use)

Increase bone mass

Foramen (Use)

Inhibits bone reabsorption

Patient teaching…
Stop smoking, ETOH, Caffeine
Prevent Falls

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40
Q

Anterior wall prolapse bladder protrude into vag…

A

Cystocele

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41
Q

Cystocele

A

Anterior wall prolapse bladder protrude into vag

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42
Q

What can a Cystocele (Anterior wall prolapse bladder protrude into vag) lead to…

What would you teach this patient…

Causes. ..

A

Incomplete bladder emptying
Cystitis
Stress urinary incontence

Teach: Kegal exercises

Causes: Childbirth/ Menopause

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43
Q

Pouch of Douglas
(Fold of peritoneum that dips down between rectum & uterus)

Is associated with…

A

Enterocele

Prolapse of the upper Posterior vag wall between vag & rectum (may include loop of the bowel)

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44
Q

Prolapse of the upper Posterior vag wall between vag & rectum

May include loop of the bowel

A

Enterocele

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45
Q

POSTERIOR vag wall weakness can cause weakness during defecation and allow feces into the vag in this disorder….

Teaching….

Digital pressure required….

A

Rectocele

Avoid constipation

Maybe digital pressure

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46
Q

Symptoms get worse with standing

SS

Feeling of pelvic fullness
Pelvic pressure
Low back ache
Feeling “ Everything is falling out”
Urine frequency, urgency, incontence
Constipation, flatulence, difficulty defecation

A

Pelvic floor dysfunction- Uterine Prolapse

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47
Q

Muscle, lig, and fascia are damged/weak. Pelvic organs prolapse into vag….

A

Pelvic floor dysfunction- Uterine Prolapse

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48
Q

Nursing Management for Uterine Prolapse

A

Surgery Anterior & Posterior Colporrhaphy (A&P repair)

Sutures supporting the fascia to lift bladder, perineum, rectum

Vag hysterectomy

HRT

Kegels

Graduated weights

Pessary - Devices inserted into vag to keep organs from prolapse

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49
Q

Uterine Leiomyomas aka

A

Fibroids

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50
Q

Describe the growth of Uterine Leiomyomas….

A

Estrogen dependent

Grow during Childbearing years / Shrink after menopause (Unless HRT)

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51
Q

PAIN
INCREASE RISK OF MISCARRIAGE/PRETERM BIRTH
maybe no symptoms
Excessive bleeding
Anemia
Weakness
Pelvic pressure
Bloating
Urinary frequency

A

Uterine Leiomyomas (Fibroids)

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52
Q

Why might Fibroids enlarge during preggers…

A

Increase Estrogen levels

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53
Q

Myomectomy….

A

Surgical removal of fibroid

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54
Q

Uterine Fibroids Treatment

A

Depends on size, location, desire to have babies.

Observation only
Uterine Artery Embolization, occlusion
Myomectomy - Surgical removal of fibroid
Hysterectomy
GnRh agonist
Ablation

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55
Q

TOL after myomectomy…

A

No

Only uterine surgery with TOL is Lower Transverse Cesarean Section

56
Q

GnRh agonist…

For….

A

Gonadotropin releasing hormone Increaser

Treats Uterine Fibroids

57
Q

Hysterosalpingogram…

A

Fluid injected into uterus & X-ray taken for Fibroids

58
Q

Candidiasis aka yeast infection

MOST COMMON FORM OF VAGINITIS - NOT AN STD

Risk factors….

Hallmark signs…

Tx….

A

Risk

Preggers
DM
Oral contraceptives
Antibiotics

Hallmark sign

Itching
Inflammation vag
Cottage cheese discharge from vag

TX

Doesn’t require RX
Miconazole (Monistat)
Fluconazole (Diflucan)

59
Q

Candidiasis is an overgrowth of normal flora…

A

True

60
Q

Anaerobic Protozoan

SS

Purulent vag discharge
THIN, FROTHY, MALODOROUS, YELLOW/GREEN, VAG ITCHY,
Edema / Redness

DX: Wet Mount

Name problem

A

Trichomonas

61
Q

Trichomonas

Anaerobic protozoan

TX……

Avoid sex until cured

A

TX: Not preggers Metronidazole (Flagyl)

62
Q

When taking Metronidazole (Flagyl) avoid…

A

ETOH - Has an antibuse like affect

63
Q

Inhabits vag of healthy women- Not Always an STD

SS
Thin grayish white vag discharge
Fishy odor

Dx Saline Wet Mount

A

Bacterial Vaginosis

64
Q

Treatment of Bacterial Vaginosis…

A

Metronidazole

Clindamycin cream

65
Q

Possible causes

Trauma
Frequent vag intercourse
Multiple partners
Douching

A

Bacterial vaginosis

66
Q

Most common STD

A

Chlamydia

67
Q

Biggest risk with Chlamydia in females…

A

Infertility

68
Q

SS

Asymptomatic
Yellowish vag discharge & painful urination.
Infertility if left untreated

A

Chlamydia

69
Q

Chlamydia

TX…..

A

Erythromycin when preggers

Doxycycline
Clindamycin
Azithromycin

70
Q

Dx of chlamydia

A

Tissue culture

71
Q

SS

Maybe Asymptomatic in women
Purulent DC
Risk for progression to PID

DX: GC culture

Tx…..

A

Cefriaxone
Cefeximine
Ciprofloxin

72
Q

Syphilis Stages

Primary
Painless chancer on genitls, anus, oral cavity heals in 6 weeks

Secondly
Spirochete causes enlargement of liver, spleen, lymphedema, headache, anorexia, rash, lesions

Describe 3rd stage…

A

May occur 10 - 30 years later

Damged heart
CNS
Paralysis
Psychosis

73
Q

DX & TX for Syphilis…

A

DX

VDRL
RPR Rapid Plasma Reagin
FTA-ABS Fluorescent treponemal antibody absorption

TX; Penicillin

74
Q

HSV 1&2

Most dangerous to newborn…

A

Primary (1st) infection during 1st 20 weeks of preggers

75
Q

HSV 1&2

Dx

Tx

A

Dx: Culture of fluid from vesicle

Tx: No cure. Acyclovir/ Valores helps with symptoms

76
Q

Type of precautions with HSV 1&2

A

Contact until lesions are dry and crusted, then its standard

77
Q

Condylomata Acuminta ….

A

Vag warts

78
Q

Small growths that resemble cauliflower.

Transmitted through skin-skin contact

Associated risk of cervical cancer

How to prevent the cervical cancer…

A

Condylomata Acuminta aka Genital warts

Semi-annual pap smears

79
Q

Trichloroacetic acid is used to…

A

Remove genial warts

As well as other therapy

80
Q

Number one killer of women…

A

Cardiovascular

More than all cancers combined

81
Q

___ provides protective effect againt CV diseases

A

Estrogen

Postmenopausal is more dangerous for women

82
Q

Is colon cancer a high risk for women, which age?

Fecal occult test: Avoid what…

A

Yes, over 50.

NSAIDS, Raw meat, raw fruit & veg, vitamin C, horseradish

83
Q

At age 50

What screening for colon cancer

A

Yearly Occult blood

Sigmoidoscopy 3 - 5 yrs

Colonoscopy q10years

84
Q

Fibrocystic breast changes (Benign)

Thickening of nomal breast tissue ____ menopause

Bilateral pain and tenderness most common during which cycle phase….

Increased risk of breast cancer…

Mammogram, why?

Symptom relief…

A

Before

Premenstrual phase

Yes increased risk of breast cancer

Mamogram to RO malignant

Symptom relief

Avoid Stimulants
Danazol / Androgenic (Supress estrogen)
Bromocriptine: Prolactin inhibitor
Tamoxifen: Estrogen inhibitor; Usually fir CA tx

85
Q

Smooth and well delineated

Benign or Matastic

A

Benign

86
Q

Tamoxifen….

A

Estrogen inhibitor

Used for breast CA & Fibrocystic breast changes

87
Q

Benign tumor that can occur at any age.

Most common in teens & 20s

Firm, movebale, maybe tender, doesn’t change during cycle

Tx: observation, fine needle biopsy, core biopsy, excision

A

Benign disorder: Fibroadenoma

88
Q

Goal of breast self-awareness…

A

Women become aware of their normal appearance and feel by regular breast assessment

89
Q

When and how often should women do breast self awareness exams…

A

Week after period

90
Q

Signs to report from breast self exam

A

Lump/ Thickening
Skin dimplings
Inverted nipple
Discharge from nipple
Change in texture shape color of skin
Mass firmly fixed & not well delineated

91
Q

About 50 % of breast cancers are found where…

A

Upper outer quadrant

92
Q

Red flag for breast cancer…

A

Non moveable & not well defined

93
Q

Why are mammogram not recommended for <39

A

Due to how thick the breast tissue is

94
Q

Mamogram screening recommendations

40 - 44
45 - 54
>55

A

40 - 44: Choice if they want annual Mamogram

45 - 54: Yearly Mamogram

> 55: Option of Yearly or every 2 years

95
Q

Risk & Modifible risk for breast cancer

A

1:8 have a chance of developing B CA

Old age
Genetics (BRCA 1&2 / CHEK -2)
Early menarche
Late menopause
Dense breast
Family/personal history

Modifible Risks

Sedentary
Overweight
HRT
1ST preggers >30
Not breastfeeding
Drink alcohol

96
Q

Tumor, Node, Metástasis

Finding of concern….

A

Node or Mestasis

97
Q

Breast cancer surgery depends on Type, Location, Stage of disease

Give the (4) surgical procedures from least to most invasive…

A

Local Excision Lumpectomy
Quadrantectomy Quadrant of tissue
Simple mastectomy Remove entire breast
Modified Radical Mastectomy: Breast Tissue, Axillary Node, some Chest Muscle

98
Q

Define

Sentinel Lymph Node Biopsy

A

Only removes key affected lymphnodes

Avoids issues with lymphedema (Localized swelling caused by accumulation of lymph fluid)

Tracer dye injected near tumor site

99
Q

Limb care after removal of lymph nodes

A

No BP on affected arm

AVOID INFECTION

No IV or Blood draws
Keep hands moist
Keep arms clean
Wear protective gloves, thimble, electric shaver, insect repellent

Avoid Burns

Avoid Constriction: Clothing, Straps, Jewelry

Compression Sleeves when flying

ELEVATE ARM ABOVE HEART AS OFTEN AS POSSIBLE

100
Q

Breast cancer

Adjunctive Therapy

Radiation/Chemo

Hormone Therapy….

A

Medications to reduce production of estrogen and / or progesterone.

Tumor growth is stimulated by estrogen

TAMOXIFEN is most common

Aromatase inhibitors

Anastrozole
Exemestane
Letrizole

101
Q

Tamoxifen (Novadex)

Estrogen receptor Antagonist antieoplastic agent

Used in women who had ____ estrogen hormone receptors

Stops growth of breast cancer cells that may still be in body after surgery

SE…..

Dose….

A

Positive estrogen hormone receptors

SE: Menopause symptoms

Dose: 20mg/day 5 years

102
Q

Malignant Disorders

Uterine cancer: Risk factors

Cervical cancer: Risk factors

Ovarian cancer: Risk factors

A

Uterine

Obesity
Nulliparous
Late menopause
DM
HTN
Gallbladder disease
Breast,Colon, Ovarian CA
LT unopposed estrogen therapy

Cervical Cancer

First sex <20
HX STD
Multiple sex partners
Poor
Black

Ovarian CA

White
Menopause
Family history
Nulliparous

103
Q

Vulvar self-exam

Conduct every month when sex active or >18

Vulva Intrapithelial neoplasia (VIN) is a precancerous condition that affects the vulva

Rates increasing due to ….

A

HPV

104
Q

Screening Test

Uterus

Cervix

Ovarian

A

Uterus: US, Bimanul exam, endometrial biopsy

Cervix: PAP - Screening
Colposcopy - Diagnosis for Cervical cancer

Ovarian: US, CA 125, Bimanual exam

105
Q

Between periods
No douching / sex 48 hrs before
No topical meds / lube

Empty bladder

Maybe difficulty with hx of abuse

A

Pelvic exam

106
Q

What does a pelvic exam consist of…

A

External organs exam
Speculum
Pap test
STD screening
Cultures
Bimanual exam
( Examines uterus and ovaries inserting fingers into the vagina while simultaneously palpating the abdomen)

107
Q

Pap test screens for…

A

Cervicak precancerous changes & HPV testing

108
Q

ACS Cervical Cytology screening guidlines

Start at 21

21 - 29
30 - 65
>65

Additional screening for ab history and risk factors

A

21 - 29 Q3 years
30 - 65 Q5 years
>65 No screening if normal pap over last 10 years

109
Q

Mangt of Malignant cancers if reproductive organs

Cryosurgry, electrosurgery excision, cotización, total hysterectomy, radation, chemo

Hysterectomy, radation, intracavity radition, chemotherapy

Oophorectomy, hysterectomy, chemotherapy

Ovarian, Cervical, Endometrial

A

Cervical
Cryosurgry, electrosurgery excision, cotización, total hysterectomy, radation, chemo

Endometrial
Hysterectomy, radation, intracavity radition, chemotherapy

Ovarian
Oophorectomy, hysterectomy, chemotherapy

110
Q

Removal of clit

Removal of part of clit and labia minor

Infibulation….

Piercing, scrapping, or cauterizing the genitals

Female Genital mutilation

A

Infibulation = Narrowing vag with caustic chemicals

111
Q

Pain circumstances: can occur during sexual intercourse

Whole body: fatigue, night sweats, osteoporosis, hot flashes, or sweating

Sleep: early awakening or insomnia
Menstrual: absence of menstruation or irregular menstruation

Hair: dryness or loss of scalp hair

Also common: anxiety, dry skin, irritability, moodiness, reduced sex drive, or vaginal dryness

A

Menopause

112
Q

Menopause SS

Sex?

Whole body?

Hair?

Sleep?

Misc?

A

Pain circumstances: can occur during sexual intercourse

Whole body: fatigue, night sweats, osteoporosis, hot flashes, or sweating

Sleep: early awakening or insomnia
Menstrual: absence of menstruation or irregular menstruation

Hair: dryness or loss of scalp hair

Also common: anxiety, dry skin, irritability, moodiness, reduced sex drive, or vaginal dryness

113
Q

Uterine Cancer Risks…

A

Obesity
Nulliparous
Late menopause
DM
HTN
Gallbladder disease
Breast,Colon, Ovarian CA
LT unopposed estrogen therapy

114
Q

Cervical Cancer Risks….

A

First sex <20
HX STD
Multiple sex partners
Poor
Black

115
Q

Ovarian CA Risks

A

White
Menopause
Family history
Nulliparous

116
Q

FORCE

Facing
Our
Risk
Cancer
Empowered

Coined the term Previvor, define….

Define person/group of people term relates to…

A

A person who is at risk for developing a disease (breast cancer) but Never Contracted it.

Previvor <40 women with predisposición to BC & taken steps to prevent diagnosis

117
Q

BRCA 1 & 2

Describe….

A

Genes that increase odds of getting BC

1: 55 - 65% BC <70
2: 45% BC <70

118
Q

Breastfeeding can increase risk of breast cancer…

A

False

Lowers it. The longer you breast feeding the lower the odds BC

119
Q

Management of BC

Breast MRI every year starting…

A

25 yrs old

> 40 Mamogram & MRI q1year

120
Q

Tamoxifen & Raloxifene can prevent breast cancer but with this serious possible SE

A

Uterine Cancer

121
Q

Culture with high rate of BC…

A

Ashkenazi Jews 2.5%

122
Q

Endometeral Cancer

Risk….

SS…

A

Risk: Prolonged expose to Estrogen without Progesterone

SS: Postmenopausal vag bleeding

123
Q

Cervical Cancer

Caused by….

SS….

A

HPV

Painless vag bleeding

124
Q

Firm, unmoving, non tender lump describes…

A

Breast cancer

125
Q

Pap smears check fir..

A

Cervical Cancer

126
Q

Tamoxifen

Does what…

Prescribed for…

A

antiestrogens

Breast cancer

127
Q

Mastectomy has this major precaution…

Wear sling while ambulation

A

No taking BP / IV from affected side

Yes sling. Wear loose fitting long sleves

128
Q

Fibrocystic breast changes

Occur due to…

Are they cancerous?

A

Increase estrogen

No cancer

129
Q

PCOS can cause amenorrhea

A

True

130
Q

Endometriosis can cause dysmenorrhoea & pelvis pain…

A

True

131
Q

HRT (Estrogen / possibly progesterone) can help with the symptoms of menopause (Osteoporosis, Hot Flashes, Not Sleeping)

But carries these risks…

A

Increase thrombolytic disorder

Increased breast cancer

132
Q

Vaginal pessaries are…

A

Insertable (vag) devices that support vag and prevent Prolapse of uterus, bladder, colon

133
Q

Are being pregnant/ DM a risk factor for candidiasis (Yeast infection)

Describe appearance of a yeast infection….

Tx…..

A

Yes as well as:
Oral contraceptives
Antibiotics

Hallmark sign

Itching
Inflammation vag
Cottage cheese discharge from vag

TX

Doesn’t require RX
Miconazole (Monistat)
Fluconazole (Diflucan)

134
Q

Miconazole (Monistat)
Fluconazole (Diflucan)

Treat…

A

Candidiasis aka yeast infection

135
Q

Danazol / Androgenic (Supress estrogen)

Bromocriptine: Prolactin inhibitor

Maybe used for…

A

Benign fibrocystic breast changes

136
Q

Acyclovir

Used to treat….

A

HSV 1&2

137
Q

Describe chlamydia…

Tx….

A

Asymptomatic
Yellowish vag discharge & painful urination.
Infertility if left untreated

Erythromycin If pregnancy

Doxycycline
Azithromycin

NURS 2156 OB 2 (12 decks)

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