Well Woman Exam Flashcards

1
Q

Why is it important to gather thorough history in well woman exams

A

pre-existing conditions can affect the outcome of gyno conditions

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2
Q

how should surgical history be documented

A

Year, Organization, Doc, illness, complications (i.e. blood transfusion)

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3
Q

If someone has one living child, and has given birth to twin at 30 weeks and had 2 abortions, what is the G&P

A

G3P0121

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4
Q

What is mittelschmerz syndrome

A

midcycle ovulatory pain

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5
Q

what does the naegeles rule do and how is it done

A

establishes date of confinement

Subtract 3 months and add 7 days -or-
Add 9 months and 7 days

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6
Q

At what age does ACOG recommend women begin annual pelvic exams

A

21

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7
Q

what potential labs should be drawn on a pt 13-18 y/o

A

UA for STI

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8
Q

Which HPV vaccine covers the most genotypes

A

Gardasil-9

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9
Q

At what age should clinical breast exams begin

A

20

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10
Q

What cervical cytology practice changes when someone is 30 or older compared to 21-29

A

21-29 screen q 3 yrs w/ cytology alone

30+ years co-test with HPV q 5 years

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11
Q

when can you discontinue cervical cytology

A

in pts 65 years or older with no history or CIN 2 or higher

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12
Q

What age do you get pneumococcal vaccine

A

once at 65 y/o

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13
Q

What is a woman’s lifetime risk of developing breast cancer

A

1:8 or 12.5%

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14
Q

what is the angle of insertion for a speculum into the Vagana

A

45 degree

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15
Q

what finding of the cervix is associated with trichomonas

A

strawberry cervix

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16
Q

What region must your blade cover in a pap smear

A

transitional zone

17
Q

What must you be mindful of during a bimanual exam

A

language (dont use succulent words like GOOD)

and thumb placement (dont ring satan’s doorbell/clit)

18
Q

What is it called during pregnancy when the uterus becomes softer and you can palpate between cervix and fundus

A

Hegar’s sign

19
Q

what are the normal dimensions of the ovary

A

3X2X1