Well Woman

Question 1

gravid

Answer 1

women who is or has been pregnant

Question 2

women who is in or who has experienced her first pregnancy

Answer 2

primagravida

Question 3

primapara

Answer 3

has given birth to one child

Question 4

multipara

Answer 4

given birth 2 or more times

Question 5

nullipara

Answer 5

never given birth or who has never had a pregnancy progress beyond the gestational age of an abortion

Question 6

in post coital bleeding be concerned for

Answer 6

cervical caner

Question 7

post menopausal bleed thing

Answer 7

endometrial or uterine ancer

Question 8

heavy bleeding, passing of clots

Answer 8

structural abnormality

Question 9

mittelschmerz syndrome

Answer 9

midcyle ovulatory pain

Question 10

is breast pain a common sign of cancer

Answer 10

no

Question 11

breast exam how often if 20-39

Answer 11

1-3 yrs

Question 12

annual mammogram for women age __ and older

Answer 12

40

Question 13

ACOG reccommends annual pelvic exams at age what

Answer 13

21

Question 14

what age for initial screening for Ob.GYN

Answer 14

13-15

Question 15

history at first screen

Answer 15

menstrual cycle
family medical history
tobacco, alcohol, and other drugs
sexual abuse

Question 16

PE first screen

Answer 16

tanner stage
pelvic exam
etc

Question 17

what periodic labs for 13-18 y/o if sexually active

Answer 17

chlamydia and gonorrhea

hiv

Question 18

immunizations at age 13-18

Answer 18

TDAP
hep B
hpv vaccine if aged 9-26

Question 19

cervical cytology age 21-29

Answer 19

screen q 3 yrs w cytology alone

Question 20

cervical cytology for 30 or older

Answer 20

screen q 3 yrs w cytology alone

co-test with cytology and hpv testing q 5 yrs

Question 21

eval and counseling 19-39

Answer 21

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

Question 22

age 40-64 screening

Answer 22

fam med history
T/A/D
pelvic prolapse
menopausal symptoms
bresast (yearly clinical exam)

Question 23

colorectal cancer screen

Answer 23

age 50
45 if black
then every 10 yr

Question 24

immunization 40-64 extra one to add

Answer 24

varicella zoster vaccination

-if over 60

Question 25

cervical cytology over 65 can discontinue what

Answer 25

in women with no history of CIN 2 or higher

3 consecutive neg prior cytology
2 consec neg co-test within prev 10 yrs

Question 26

ages 65 yrs and older lab test if has history of CIN2, or 3

Answer 26

need to continue pap x 20 yrs after even if it extends into over 65

Question 27

other lab tests over 65

Answer 27

bone mineral density screen every 2 yrs

lipid profile every 5 yrs at 45 begin

mammography yearly

Question 28

pneumococcal vaccine what age

Answer 28

65 and older

Question 29

screen for diabetes when

Answer 29

before 45 if high risk factors

Question 30

thyroid test

Answer 30

before 50 if high risk

Question 31

chloasma

Answer 31

pigmentation over bridge of nose and under eyes which may be a sign of pregnancy

Question 32

if speculum is in antgerior or posterior fornix region when you put it in what do you not do

Answer 32

pull it out inititally

Question 33

___ used to scrape ectocervix

___ used to obtain endocervical cells

Answer 33

spatula

cytobrush

Question 34

convrentional slide for

Answer 34

cytology