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+
