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Zak, PCM 4 > Well Woman Exam > Flashcards

Well Woman Exam Flashcards

1
Q

What is Gravidity and Parity

A

G = # of times a woman has been pregnant P = # of pregnancies that led to a birth ≥ 20 wks or infant > 5 grams

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2
Q

What is TPAL in terms of Parity

A

T = term births (37-42 wks) P = preterm births (20-36+6 wks) A = abortions (< 20 wks) L = living (live births)

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3
Q

Def: Gravid

A

Woman who is or has been pregnant

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4
Q

Def: Primigravida

A

Woman who is in or has experienced her first pregnancy

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5
Q

Def: Multigravida

A

Woman who has been pregnant more than once

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6
Q

Def: Nulligravida

A

Never been pregnant

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7
Q

Def: Primipara

A

Has given birth to one child

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8
Q

Def: Multipara

A

Has given birth to > 1 child

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9
Q

Def: Nullipara

A

Has never given birth or never had a pregnancy > 20 wks

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10
Q

What is the avg age of menarche

A

12-13 yo

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11
Q

Def: Primary amenorrhea

A

No menarche by age 16 yo

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12
Q

What is the avg # of days of a cycle

A

21-35 days

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13
Q

If a pt has post-coital bleeding, what should the concern be

A

Cervical cancer

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14
Q

If a pt has post-menopausal bleeding, what should the concern be

A

Endometiral/Uterine cancer

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15
Q

If a pt has heavy bleeding or passes clots, what should the concern be

A

Structural abnormality

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16
Q

Def: Naegeles Rule

A

Establishes an estimated date of confinement (EDC) (LMP - 3 months) + 7 days = EDC (LMP + 9 months + 7 days = EDC

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17
Q

How often should women b/w 20-39 have a clinical breast exam

A

Every 1-3 years

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18
Q

What are the breast exam guidelines for a women > 40 yo

A

Annual clinical exam and mammogram

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19
Q

When should pts begin annual pelvic exams

A

21 yo

20
Q

What are the risk factors for bone mineral density exam earlier than required

A

Hx of Fx BW < 127 lbs Medical cause of bone loss

21
Q

What are the risk factors for mammography earlier than required

A

Hx of BC or FH of premenopausal BC or OC Positive for BRCA1/2 Hx of high risk breast biopsy

22
Q

What are risk factors for lipid profiles earlier than required

A

Hx of CAD BMI > 30

23
Q

What are risk factors for CRC screening earlier than required

A

FH of CRC FH of FAP or HNPCC Hx of CRC, adenomatous polyps, IBD, UC, CD

24
Q

What are risk factors for DM screening earlier than requried

A

BMI > 25 Native America, Latina Hx of GDM

25
Q

What are risk factors for TSH screening earlier than required

A

FH of thyroid disease

26
Q

What are risk factors for STI screening earlier than required

A

Hx of multiple sex partners Hx of STIs Sexually active adolescents

27
Q

Wha are the risk factors for meningococcal vaccination

A

Adults w/ asplenia 1st year college student living in dorm/military recruits Pts traveling to endemic/epidemic areas

28
Q

When/how often should pts be screened for BMD

A

65 yo q 2 years (if no risk factors)

29
Q

When/how often should pts be screened w/ mammography

A

40 yo q 1 year

30
Q

When/how often should pts be screened w/ a lipid profile

A

45 yo q 5 years

31
Q

When/how often should pts be screened for CRC

A

45 yo for AA q 10 years

50 yo for everyone else q 10 years

32
Q

When/how often should pts be screened for DM

A

45 yo q 3 years

33
Q

When/how often should pts be screened for TSH levels

A

50 yo q 5 years

34
Q

When/how often should pts be screened for STI’s

A

≤ 25 yo = if sexually active

≥ 26 yo = if at high risk

35
Q

When should the MMR vaccine be given if the pt is not previously immunized

A

B/w 40-54 yo

36
Q

When should a pt receive the Varicella Zoster vaccine

A

> 60 yo

37
Q

When should a pt receive the Pneumococcal vaccine

A

≥ 65 yo

38
Q

How often should the Tdap booster be given

A

q 10 years

39
Q

What are the recommendations for cervical cytology and HPV screening

A

21-29 yo = cytology alone q 3 years (unless risk factors)

> 30 yo = cytology alone q 3 years OR cytology + HPV q 5 years

40
Q

When should pts be given the HPV vaccine

A

B/w 9-26 yo

41
Q

Def: Chloasma

A

Pigmentation over bridge of the nose and under eyes that may be a sign of pregnancy

42
Q

What is a sign on linea nigra that could indicate pregnancy

A

Pigmentation of the linea nigra

43
Q

What is the difference b/w a spatula and a cytobrush

A

Spatula = scrapes ectocervic during PAP

Cytobrush = obtains specimen that is scrapped off during PAP

44
Q

What pathogen is a “strawberry cervix” associated w/

A

Trichomonas

45
Q

Which pathogen is the most common cause of vaginal infection

A

Bacterial Vaginosis

46
Q

How do you test a pt for gonorrhea/chlamydia if there is cervical discharge present

A

Swab inserted into cervical os for 45 seconds

Zak, PCM 4 (7 decks)

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