Well Woman Flashcards
gravid
women who is or has been pregnant
women who is in or who has experienced her first pregnancy
primagravida
primapara
has given birth to one child
multipara
given birth 2 or more times
nullipara
never given birth or who has never had a pregnancy progress beyond the gestational age of an abortion
in post coital bleeding be concerned for
cervical caner
post menopausal bleed thing
endometrial or uterine ancer
heavy bleeding, passing of clots
structural abnormality
mittelschmerz syndrome
midcyle ovulatory pain
is breast pain a common sign of cancer
no
breast exam how often if 20-39
1-3 yrs
annual mammogram for women age __ and older
40
ACOG reccommends annual pelvic exams at age what
21
what age for initial screening for Ob.GYN
13-15
history at first screen
menstrual cycle
family medical history
tobacco, alcohol, and other drugs
sexual abuse
PE first screen
tanner stage
pelvic exam
etc
what periodic labs for 13-18 y/o if sexually active
chlamydia and gonorrhea
hiv
immunizations at age 13-18
TDAP
hep B
hpv vaccine if aged 9-26
cervical cytology age 21-29
screen q 3 yrs w cytology alone
cervical cytology for 30 or older
screen q 3 yrs w cytology alone
co-test with cytology and hpv testing q 5 yrs
eval and counseling 19-39
discussion of reproductive helath plan preconception and genetic counsleing STD prevention intimate partner violence rape prevntion breast self awareness tob, alc, drugs
-same for 40-64
age 40-64 screening
fam med history T/A/D pelvic prolapse menopausal symptoms bresast (yearly clinical exam)
colorectal cancer screen
age 50
45 if black
then every 10 yr
immunization 40-64 extra one to add
varicella zoster vaccination
-if over 60
cervical cytology over 65 can discontinue what
in women with no history of CIN 2 or higher
3 consecutive neg prior cytology
2 consec neg co-test within prev 10 yrs
ages 65 yrs and older lab test if has history of CIN2, or 3
need to continue pap x 20 yrs after even if it extends into over 65
other lab tests over 65
bone mineral density screen every 2 yrs
lipid profile every 5 yrs at 45 begin
mammography yearly
pneumococcal vaccine what age
65 and older
screen for diabetes when
before 45 if high risk factors
thyroid test
before 50 if high risk
chloasma
pigmentation over bridge of nose and under eyes which may be a sign of pregnancy
if speculum is in antgerior or posterior fornix region when you put it in what do you not do
pull it out inititally
___ used to scrape ectocervix
___ used to obtain endocervical cells
spatula
cytobrush
convrentional slide for
cytology
