Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clincal Assessment > Test I > Flashcards

Test I Flashcards

1
Q

why are hemorrhoids common during pregnancy

A

constipation

decreased venous return from the pelvis

decreased activity level

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

components of a general SOAP note

A (assessment)

A

diagnosis with or with out differentials

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

goals of a inspection during the pelvic exam

A

visualize vulvar skin lesions

observe for signs of trauma

check for signs of pelvic relaxation

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

describe breast development stage 3

A

enlargement of elevation of breast and areola, no separation in their contours

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

nutrition reccomendations for pregnancy

A

take a prenatal

avoid unpasturized milk and undercooked foods (eggs, meat)

stay away from processed meat (hot dogs, lunch meat)

plan to gain weight

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

how does gestational age correlate with uterine size

A

height in cm roughly equals weeks of gestation

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

four fetal vertex positions

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

exercise indications for pregnancy

exlcusions

A

>30mins of moderate exercise daily unless contraindicated

no hot water exercise, no supine exercises after the 1st trimester, no contact sports

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

cervical polyp

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

what typically causes atrophic vaginitis

is there any discharge

what is the major symptom

A

menopause

decreased from normal

dysparenunia

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

describe the management of a Rh negative mother

A

check Rh(D) an antibodies on first visit, then again at 28 wks

treat wth anti-D Ig at 28wks and within 3 days of delivery to prevent sensitization

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

when should breast cancer screening start

A

early as 20s with family Hx, reccommended 50-74 biennialy

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

describe breast development stage 1

A

preadlolescent, elevation of the nipple only

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

how does a SOAP note for rounds differ from one used in the office

plan

A

what needs to be done

discharge planning

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

10 gyn ROS questions

A
  1. ask if they are sexually active, dating, in a relationship?
  2. how wouAre you or have you ever been sexually active?
  3. Have you ever used contraception? With which partners? What type?
  4. Pregnancy/delivery history
  5. if teenager, ask how she learned about monthly periods, how she felt when they started, regularity of periods?
  6. ask age of menarche?
  7. LMP, how often are periods, how long they last, regular or irregular, flow assessment (soaking pad or tampon, measurement of blood in diva cup)?
  8. is there bleeding between periods?
  9. is there bleeding after intercourse?
  10. dysmenorrhea (pain with periods)- describe pain, how long it lasts, if it interferes with activities, associated symptoms?
  11. PMS (emotional and behavioral symptoms)
  12. history of amenorrhea?
  13. history of AUB?
  14. hx of menopause and/or symptoms of menopause?
  15. hx of pregnancy? how many times, how many living children, hx of miscarriage? GPFPAL
  16. Vaginal discharge and/or itching? lumps or sores in the vulvar area and if they are painful?
  17. sexual health and activity questions, is protection used, sexual abuse concerns? What types of sex are you participating in?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when should a pregnant patient be screened for domestic abuse

three questions to ask

A

once a trimester

since you have been pregnant or within the last year have you bee hit

are you in a relationship with someone who threatens/hurts you

has anyone forced sexual activity on you that made you uncomfortable

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

two reasons to order and early pregnancy ultrasound

A

concerned about ectopic pregnancy

concerned about threatened SAB

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

how can hegar’s sign be felt

A

a anteroflexed parous uterus will feel like the fundus and cervix are separated on bimanual exam

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

T/F enlarged thyroid, goiters, nodules are all normal during pregnancy

A

false, modest enlargement is ok

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

two diseases all sexually active women under 25 and older women with risky sexual behavior should be tested for

A

chlamydia and gonorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

5 bad dictation habits

A

breathing into the mic

multitasking

whispering

speaking mechanically

using abbreviations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

nagele’s rule

A

EDD = LMP + 1year and 7 days - 3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what patients would a peterson speculum be best for

graves

A

medium peterson for sexually active women

narrow for women with a small introitus (virgins, elderly)

graves use for parous women and vaginal prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

candida vaginitis

cause

discharge

other symptoms

A

candida albicans with possible predisposing factors

white, curdy, usually thick, not malodorous

pruritis, vaginal soreness, dryness, dysparunia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

T/F modern breast augmentation does not impair the efficacy of inspection and palpation during the breast exam

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

T/F a lesion significant enough to cause dimpling may not be palpable

A

false, they usually are

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what part of the HP should be excluded from the oral presentation unless it has direct bearing on the CC/HPI

A

family/socal Hx and ROS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

total expected weight gain during pregnancy broken down by BMI

A

<18.5, 28-40lbs

18.5-24.9, 25-35lbs

25-29.9, 15-25lbs

>30, 11-20lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

when does cervical cancer screening begin

what if there is prior sexual activity

A

21, unless there has been prior sexual activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

breast exam by palpation

A

use your fingertips

employ concerntric circles or quadrants

use an appropriate amount of time (15-30s)

end by checking the areola nipple mass and discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Describe the form of a SOAP note

A

Subjective (CC, HP, Med, Histories, ROS)

Objective (PE)

Assessment (Dx, DDx)

Plan (Labs, Rx, education, return)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

T/F you should always include family, social hx in the oral presentaiton

A

false, only if there are particularly relevant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what the parts of a the plan in a soap note

A

testing

meds

holistic/humanistic

education

referreal

return

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

T/F chlamydia, syphyillis, hep B, HIV should be screened for in all pregnant women

A

treu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

three tests for selected patients at the prenatal visit

A

HIV testing

genetic testing

metabolic panel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what is the purpose of a focused noted

A

exploring and characterizing the main health concern with pertinent positives/negatives to help support or disprove a possible cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

describe the process of performing a breast self exam

A

lie supine with a pilllow under you shoulder and arm behind your head

use fingers to feel for a lump with overlapping dime-sized circles

stand in front of a mirror to look for dimpling, redness, scaliness

examine the axilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what is the main focus of a breast exam

A

early detection of breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

when would HIV testing be indicated

A

at least once between 13 and 64

yearly for anyone having unsafe sex or using IV drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

three chracteristics of a breast mass

A

cystic vs solid

fixed vs mobile

painful vs non painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

goals of the diagnosis/confirmation exam

methods

A

confirmation of the pregnancy; determine if the pregnancy is progressing normally

HP, Lab tests, Pelvic, US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

three STI screens for LBGTQ patients

A

chlamydia, gonorrhea, syphilis anually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

steps of the prenatal visit

A

vital signs

pertinent recent history

abdominal exam

digital vaginal exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

common prenatal lab testing for everyone

A

CBC

UA

Blood type with antibody screen

STI screen

glucose challenge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

modifiable risk factors for breast cancer

A

breastfeeding for less than one year

post menopausal use of HRT

smoking

alcohol

sedentary

type of contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q
A

dimpling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

when would you take a sample of vaginal secretions

how can you get a sample

A

suspected vaginitis (itching, discharge)

collect it on the lower end of your speculum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

basic structure of the oral presentation

A

ID

CC

HPI

active medical issues

PE key findings

labs

assessment

plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

six suggestive symptoms of pregnancy

A

amenorrhea

breast tenderness

fatigue

syncope

urinary frequency

nausea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

first considerations for a female breast and pelvic exam

A

alleviate patient anxiety

protect patients privacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q
A

uterine relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

four signs that allow for the presumption of pregnancy when present

A

palpable fetal movements

uterine enlargement

softening of the uterus

cervical vascular changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

when is it difficult to palpate the ovary

A

if the patient is obese

postmenopausal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

when should an oral glucose test be given

when should a rectal vaginal swab be taken

A

24-28 weeks

35-27 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

leukorrhea

A

assymptomatic milky white discahrge from vaginal and cervical epithelium due to vasocongestion and hormonal changes during pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

T/F patient always dresses and undresses in private

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q
A

cervical cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

assessment of the uterus

A

size

position (anteverted/retroverted)

shape (symmetrical vs irregular)

pain on palpation or motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

describe pubic hair development stage 4

A

more coarse hair spreading further than stage 3 but not onto the thighs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

sequence of the pelvic exam

A

inspection

palpation of the external genetalia if needed

visualize cervix with speculum

take samples if needed

rectovaginal exam if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

five questions to ask for GU ROS

A

quiestions to confirm pregnancy

sexually active and monogamous

use of contraception

TPAL

STI Hx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

patient presents with 1st trimester bleeding and flank pain.

What would the US on the left indicate

What about the one on the right

A

right would be worrisome for ectopic pregnancy

left would be worrisome for a threatened SAB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

T/F a nulliparous patient should not have milky nipple discharge

A

true, a multiparous patient might

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

six guidelines for a good oral presentation

A

<5 minutes

don’t read from notes

eye contact

only give the facts needed to understanding the current issue

emphasis on HPI, assessment, plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

5 sexual history ROS questions

A
  1. Are you or have you ever been sexually active?
  2. Have you ever used contraception? With which partners? What type?
  3. Pregnancy/delivery history
  4. How many lifetime partners have you had?
  5. Are you in a monogamous relationship/do you have any partners outside of your marriage/partnership?
  6. Have you ever been treated for an STI?
  7. Have you ever had a pap smear/pelvic exam? When was the most recent one?
  8. If so, have you ever had an abnormal result?
  9. Do you do self-testicular exams?/Have you ever had a prostate exam? If so, when was last one?
  10. Have you ever been a victim of sexual or physical abuse?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

ways to reduce pelvic anxiety

A

be congenial

eudcate the patient on what is happening

be professional

always have a female assistant with you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

1st-4th leopold manuver

A

palpate the fundus to feel for head or butt

palpate sides to determine where the fetal back is

palpate lower pole to confirm presenting part

palpate uterine sides again to confirm presening part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

how will the vulva/vaginal wall appear with atrophic vaginitis

what lab work should be done

A

pale, smooth vaginal mucosa, small cervix, small introitus

menopausal labs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

notable things on PE inspection of the breast

A

skin dimpling, nipple retraction, orange skin, exfoliating rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

patient 20 weeks pregnant presents with a fundal height of 16 cm

what might you suspect

what if it were 25 cm

in either case, what should be done

A

multiple gestation, large fetus, polyhydraminos, fibroid

oligohydraminos, missed SAB, IUGR, fetal anomaly

both conditions need utral sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

baterial vaginosis

cause

discharge

other symptoms

A

bacterial overgrowth from sexually transmitted anaerobes

gray/white, homogenous, malodorous coating of the vaginal walls

unpleasant fishy small reported after intercourse

72
Q

where is the best place to listen for fetal hear tones

how can you differentiate between FHT and maternal HR

A

the fetal back or umbillical cord

the FHR 120-160, maternal HR is less than 100

73
Q

how will a breast cancer lesion feel on palpation

what age groups is this commonly found in

A

irregular, firm, can be mobile or fixed

25-50 or 50+

74
Q

describe pubic hair development stage 5

A

hair adult in quantity and quality that spreads on the medial thigh but not up the abdomen

75
Q

point of note during inspection of the breast

A

skin dimpling; retracted nipple; edema; abnormal vasculature; exfoliating skin disease around the nipple

76
Q

nine prenatal lab screenings

A

blood type

Rh/antibody

CBC

rubella

syphilis

hep B

HIB

STI for gonorrhea/chlamydia

urinalysis w/ culture

77
Q

five guidelines for the oral presentation

A

less than 5 minutes

delivered mostly from memory

make eye contact

only convey what is needed

emphasize HPI, assessment, plan

78
Q

when should cervical cancer screening start

how frequent should they be between 21-29

30-65

when can you stop

A

at 21

every 3 years

3-5 years

after 65 or after hysterectomy

79
Q

how to do a bimanual exam

A

one hand in the vagina against the cervix, one hand suprapubic palpating the uterus

80
Q

four STIs that pregnant women should be screened for

A

Chlamydia, syphilis, Hep B, HIV

81
Q

how frequent should HIV testing be for an average person

what about they having unsafe sex and/or using IV drugs

A

at least once in their lifetime

one a year

82
Q

goodells sign

A

softening of the cervix indicative of pregnancy

83
Q

what will the vaginal vulvar mucus look like in trichomonasis

how can it be evaluated in a lab

A

vestibule, labia minora, and vaginal mucosa can be erythmatous, with petechiae on the posterior fornix

look for flagellates on wet moutn

84
Q

what is the purpose of the oral presentation

A

to summarize the HP, diagnostic results, and clinical reasoning leading to a Dx

85
Q

criteria for hyperemesis gravidarum

A

loss of more than 5% pre-pregnancy weight from NV

86
Q

Components of a general SOAP note

S (subjective)

A

CC, HPI, meds, allergies, medical/surgical/family/social Hx, ROS

87
Q

head and neck issues found in PE of a pregnant patient

A

chloasma/melasma

facial edema

mild hirsuitism

nose bleeds and nasal congestion

gingival enlargement

88
Q

how to determine fetal position

A

careful uterine palpation on a relaxed uterus with leopold manuvers

89
Q

three OB exam scenarios

A

diagnosis and confirmation of pregnancy

intial visit

prenatal checkup

90
Q

what is the percent breakdown of breast cancer by location on the breast

A
91
Q

when should the cervix be assessed in a pregnant patient

A

14-18 weeks

weekly past 35 weeks

92
Q

adnexal assessment

A

ovarian size

enlargement (cystic vs solid)

mobility

pain

93
Q

menstrual cycle information to update

A

LMP

frequency

amount/duration of bleeding

pain associated with cycles

94
Q

how is obstetrical dating done

A

week completed since the 1st day of the LMP

95
Q

GYN to update during a routine exam

A

menstrual cycle info

contraception changes

bladder or bowel problems

96
Q

when is necessary to do a pelvic exam

A

if the patient has GYN symptoms

if the patient is due for a cervical cancer screening

probably not as part of a routine annual exam in family practice

97
Q

points interest on inspection of the breast

A

skin dimpling

retracted nipples

edema (orange skin)

abnormal vasculature

exfoliating skin especially around the nipple

98
Q

four parts to the cervical assessment

A

effacement

cervical dilation

confirm presenting part

determine if the fetus is engaged to the pelvis

99
Q

three aspects of the abdominal exam during the prenatal visist

A

measure uterus

determine fetal lie

listen for fetal heart tones

100
Q

typical cause of atrophic vaginitis

A

menopause

101
Q

what are the safe immunizations during pregnancy

unsafe

A

pneumococcal, meningitis, Hep b, hep A

MMR, polio, varicella

102
Q

characterize a breast cyst

fibrocystic changes

what age groups are they found in

A

usually soft to firm, round, mobile, often tender

nodular, rope like

25-50

103
Q

breast inspection positions

A

hands on hips

arms over head

bending forward

104
Q

components of a rounding SOAP note

A (assessment)

A

diagnosis, status, progression, complications

105
Q

what is the purpose of the oral presentation

A

to summarize the patients HP, testing results, and what these items indicate clinically

106
Q

parts of the annual GYN exam

A

vital signs

update HP

specific exam based on complaints and dominant history

breast exam

abdominal and pelvic exam

107
Q

what is the earliest uterine contractions will start

at what point can they be induced with palpation

A

12 weeks

3rd trimester

108
Q

trichomonasis

cause

discharge

other symptoms

A

protozoan that can be sexually acquired

yellow green discharge that can be frothy or malodorous that will pool in the vaginal fornix

pruritis, dysuria, dyspareunia

109
Q

T/F it is not possible to pass HPV from the vagina to the rectum

A

false, you should change gloves before doing an RV exam

110
Q

most breast cancers occur in what area

A

ductal vs glandular

111
Q

what position should the pregnant person be in during the adominal exam

A

legs up with knees into chest

112
Q

what will the vulva/vaginal mucosa look like with yeast infection

how can it be evaluated in a lab

A

inflammation of the vulva and surrounding skin

erythmatous mucosa with white discharge

slide with KOH will show budding yeast

113
Q

5 questions to ask for breast ROS

A

masses

nipple discharge

unilateral or bilateal symptoms

skin discoloration

lesions or ulcerations

114
Q

T/F masses less than 1cm are very hard to palpate

A

true

115
Q

cystocele vs rectocele

A

cystocele is anterior wall relaxation

rectocele is posterior wall

116
Q

lymph nodes most closely associated with te breast

A

axiallary, supraclavicular

117
Q

characteristics of a breast mass

A

llocations by quadrant

size

shape

consistency

deliniation

tenderess

mobility

lymph nodes

118
Q

reccomended inclusions to a prenatal vitamin

A

400 micrograms for folic acid

600 IU of vitamin D

27mg iron

1g Ca

150-290 micrograms of iodine

119
Q

describe breast development stage 2

A

brest development stage, elevation of the breast and nipple as a small mound with enllargement of the areolar diameter

120
Q

indications for RV exam

A

colorectal screening

evaluation of cul de sac or nodularity

121
Q

ROS questions for female sexual Hx

A
122
Q
A

cervcitis

123
Q

goals of leopold manuvers

A

determine if the fetus is longitudinal or transverse

determine if vertex or breech

determine the location of the fetal back

124
Q

the main scenarios that would lead to an ob gyn exam

A

annual check up

examine a new complaint

follow up visit for a new complaint

125
Q

describe breast development stage 5

A

mature state with projetion of the nipple only

126
Q

why is increased urinary frequency common during pregnancy

A

increase blood volume increases GFR

gravid uterus puts pressure on the bladder

127
Q

hegars sign

A

softening of the uterine neck

128
Q

pertinent medical history related to the breast exam

A

nodules, masses, pain, nipple discharge

129
Q

two situations that would call for a SOAP note

A

office setting for short visits or follow up

hospital rounding

130
Q

how does a SOAP note for rounds differ from one used in the office

objective

A

the whole PE isn;t needed

important to note I&O from drains, catheters, oral

labs and imaging review

131
Q

describe breast development stage 4

A

projection of the areola and nipple to form a secondary mound

132
Q

how to do a recrovaginal exam

A

like a bimanual exam except the index infinger ins in the vagina, middle in the bladder

133
Q

how often should a cervical cancer screening be done bewteen 21-29

30-65

what does screening stop

A

every 3 years

3-5 years

after 65 or hysterectomy

134
Q

how does a SOAP note for rounds differ from one used in the office

assessment

A

reconfirm diagnosis

record patient status

progression

complications

135
Q

describe pubic hair development stage 2

A

sparse growth of long, slightly pigmented, downy hair chiefly along the labia

136
Q

5 bad dicatation habits

A

making noise

not speaking clearly

using abbreviations

speaking too fast or too quiet

multitasking

137
Q

when would inverted nipples be an indication of a subareolar mass

A

when they don’t normally look like that

138
Q

three problems that can confound obstetrical dating

A

amenorrhea

irregular menstrual cycles

variable folicular phase lengths

139
Q

when should pregnant women get a Tdap if not immune

what happens after delivery

A

27-36 weeks, then check for rubella immunity and immunize after delivery if needed

140
Q

components of a rounding SOAP note

P (plan)

A

what needs to be done

when will the patient be discharged

141
Q

goals of the bimanual exam

A

assess the uterus

assess the left and right adnexa

assess the cul de sac

142
Q

describe pubic hair development stage 1

A

preadolescent, no pubic hair

143
Q

what makes heartburn common in any stage of pregnancy

A

progesterone relaxes the esophageal sphincter

gravid uterus pushes on the stomach

144
Q

T/F a breast mass in a female under 25 is always considered breast cancer until proven otherwise

A

false, lesion over 50 is breast cancer

145
Q

chadwick’s sign

A

blue coloration of the cervix indicative of pregnancy

146
Q

uterine growth landmarks

A

non pregnant/nulliparous: size of fist or smaller

12 weeks palpable just at or above the pubic symphysis

20 weeks palpable at the umbilicus

36 weeks palpable at the xiphoid

147
Q

5 good dicatation habits

A

be ready

ID yourself at the beginning

start with a greeting

correct errors

speak with inflection

148
Q

how does pagets disease present

why is it commonly misdiagnosed

A

nipple erosion or superficial ulceration

misdiagnosis as dermatitis

149
Q

peau de orange

A

tough dimpled skin indicative of breast cancer

150
Q

6 ROS questions for OB

A
  1. confirmation of pregnancy questions.
  2. has pt had missed periods, breast tenderness, n/v, fatigue, or urinary frequency?
  3. how does the pt feel about the pregnancy?
  4. who plans to be involved?
  5. what does her support system look like?
  6. what are past medical conditions?
  7. past ob hx?
  8. does she use tobacco, alcohol, illicit drugs?
  9. what is the family hx of her and the father?
  10. does she plan to breastfeed?
  11. are there plans for postpartum contraception?
151
Q

ROS for breast

A

mass

nipple discharge (milk-like, bloody, other)

pain (bilateral vs unilateral, relationship to menstrual cycle)

152
Q

ladin’s sign

A

softening of the anterior uterine wall

153
Q

how should the gravid uterus be measured

A

10-12 weeks with bimanual exam

past 12 weeks measure the pubis from the top of the fundus with a tape or caliper

154
Q

components of a general SOAP note

O (objective)

A

includes every positive finding to confirm and any negative items related to the chief complaint that can rule in/out a differential

155
Q

four indications for a pelvic exam on an adolescent

A

suspected abuse

foreign body

vaginal discharge

trauam

156
Q

pagets disease of the breast (pagets carcinoma)

A

subareolar ductal carcinoma or carcinoma in situ that causes irritation of the skin

157
Q

five good dictation habits

A

give correct information

speak with inflection

ID self

be in a quiet area

have your materials ready ahead of time

158
Q
A

vulvar warts

159
Q

when to screen for chlamydia

A

all sexually avtive women less than 25 OR older women with risk factors

160
Q

continuous mammary souffle

A

a blowing sound heard on ausculation over the gravid breasts, strongest over the 2nd adn 3rd intercostal

161
Q

characterize a fibroadenoma

what age groups are they found in

A

smooth, rubbery, round, mobile, non-tender

15-25

162
Q

main goals of a new OB visit

A

identify health problems that may influence or be influenced by the pregnancy

educate the patient

plan any referrals and consultation

plan lab testing

163
Q

descriptors for a breast mass

A

size in cm

location quadrant

characteristics

are there palpable axillary or supraclavicular lymph nodes

164
Q

basic structure of the oral presentation

A

ID patient

CC

HPI

other pertinent Hx

PE findings

labs

assessment and plan

165
Q

quardrants of the breast for exam

A

upper inner

upper outer

lower inner

lower outer

bonus tail of spence

166
Q

describe pubic hair development stage 3

A

darker, coarser hair spreading over the pubic symphysis

167
Q

components of a rounding SOAP note

O (objective)

A

vitals, weights, intake/output (urine, IVF, drains), labs, imaging, physical findings

168
Q

how does a SOAP note for rounds differ from one used in the office

subjective

A

Subjective includes patient, family, and staff observations

Objective (

169
Q

what is the appearance of the vulva/vaginal mucosa with bacterial vaginosis

what is the lab test

A

usually normal

wet mount for clue cells, sniff for fishy odor

170
Q

breast dimpling is a sign of what

A

breast cancer

171
Q

non-modifiable factors for breast cancer

A

age, famly Hx, BRCA1/2, high levels of test/estrogen, early menarche

172
Q

components of a rounding SOAP note

S (subjective)

A

patient comments

observations by family and other staff

173
Q
A

anterior wall relaxation

174
Q

components of a general SOAP note

P (plan)

A

testing, medications, alternative treatments, referral, return plan

175
Q

most important finding on the breast exam should be visible in what position

A

supine

Clincal Assessment (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions