Well Woman Exam Flashcards

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1
Q

What do you include on surgical history?

A

procedures chronologically, dates, hospital, surgeon, and any complications

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2
Q

What is gravidity and parity?

A

Gravidity: # of times a woman has been pregnant

Parity: Term, Preterm, Abortion, Living

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3
Q

What are the most common causes of abnormal bleeding?

A

pregnancy and menopause

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4
Q

How old should a woman be at her first OB/GYN visit?

A

13-15

generally no pelvic exam

chlamydia and gonorrhea testing if sexually active (urine sample); HIV

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5
Q

What vaccines are give under 18?

A

Tdap vaccine booster (once b/t 11-18)

Hep B

HPV

Influenza

MMR (if not previously immunized)

Varicella

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6
Q

What PE is added in the 19-39 age group?

A

breast exam q 1-3 years starting at 20

pelvic exam (19-21 when indicated by hx, 21+)

pap smear

chlamydia and gonorrhea testing (if sexually active)

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7
Q

How often do 40-64 y/os get breast exams?

A

yearly clinical exams

*colorectal cancer screening begins 45-50 y/o

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8
Q

What lab tests are done for 40-64 y/os?

A

HIV

Lipid profile assessment (q5 after 45)

Mammography (yearly after 40)

TSH (q5 after 5)

Diabetes testing (q 3 years after 45)

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9
Q

What vaccine is added for 60+?

A

varicella zoster

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10
Q

When do we discontinue pap smears?

A

no history of CIN 2 or higher, and 3 consecutive negative prior cytology results

*if hx of CIN 2 or 3, need to continue pap for 20 ys (even after 65)

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11
Q

What lab tests are done for 65+?

A

bone mineral density screening (q2 yrs)

Lipid profile assessment

Mammography

TSH

Diabetes

Urinalysis

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12
Q

What vaccine is added 65+?

A

pneumococcal vaccine

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13
Q

Who gets meningococcal vaccination?

A

adults with anatomic or functional asplenia

freshman college students in dorms

military recruits

pts traveling to hyperendemic or epidemic areas

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14
Q

If you notice darkening of linea nigra in the midline of the abd can be a sign of?

A

pregnancy

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15
Q

What are the various types of speculums?

A

grave’s is also good for obese pts

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16
Q

At what angle do you insert the tip of the speculum?

A

45o

may need to adjust angle depending on prolopase (cystocele, rectocele…)

17
Q

If the cervix is not in view, you should…

A

NOT pull speculum out intially

If you cannot find the cervic after readjustment, remove speculum and perform bimanual exam + review surgical hx

18
Q

What is Chadwicks sign?

A

blueish coloring seen in a pregnant cervix

19
Q

What are the benefits of liquid based prep over conventional slide?

A

both can do cytology

liquid: cytology + HPV, evaluate ASCUS cytology, gonorrhea/chlamydia testing

20
Q

What is the cervical consistency of a pregnant pt? non pregnant?

A

pregnant: softer
non: firm (like tip of the nose)

21
Q

What are the positions of the uterus?

A
22
Q

How big should ovaries feel?

A

3 x 2 x 1 cm