Well Woman Exam Flashcards
When should the initial visit to OBGYN for screening and prevention take place?
ages 13-18
What are four key elements of a history for screening between ages 13-18?
menstruation, family medical history, tobacco alcohol and other drugs, sexual abuse
What labs do you order for ages 13-18 if sexually active?
chlamydia and gonorrhea, HIV
What immunizations do you order for ages 13-18?
Tdap, HPV, HBV, MMR, varicella, flu
What are key elements of a history for screening between ages 19-39?
family medical history, tobacco alcohol and drugs, vaginal, anal and oral sex.
When do you start and how often do you perform a breast exam?
start at age 20 and perform it every 1-3 years.
What is the recommended cervical cytology between ages 19-39?
Ages 21-29: every 3 years with cytology alone
Ages 30+: every 3 years with cytology or co test with cytology and HPV every 5 years
Between ages 19-39, what are some elements of evaluation and counseling?
Discussion of a reproductive health plan
preconception and genetic counseling
sexually transmitted disease prevention - barrier protec
intimate partner violence
acquaintance rape prevention
breast self awareness
tobacco, alcohol and drugs
What immunizations between ages 19-39?
Tdap, HPV,, flu, MMR, varicella
What elements of a history are important in screening between the ages of 40-64?
family medical history, tobacco, alcohol, drugs, pelvic prolapse, menopausal symptoms
What labs are important in women ages 40-64?
cervical cytology with HPV every 5 years, colorectal cancer screening, HIV, lipid profile, mammography, TSH, diabetes
When do we begin colorectal cancer screening?
age 45
when do we begin lipid profile assessment?
age 45, every 5 years.
When do we begin mammography?
yearly after age 40
What immunizations between ages 40-64?
Tdap booster, varicella zoster vaccination at 60+
Elements of history of screening after age 65?
FMH, drugs alcohol, pelvic prolapse, menopause
When can you discontinue cervical cytology in women?
after age 65, with no history of CIN2 or higher
3 negative prior cytology results
2 consecutive negative co tests within previous 10 years
What immunization do you order after age 65?
Tdap, pneumococcal vaccine!
