Well Woman Exam I Moulton Flashcards

1
Q

23 yo delivered 39 week male infant and suffered 2 SAB at 10 and 12 weeks. She has one living childe. What are her G and P’s?

A

G3P1021

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2
Q

When do you start breast exams?

A

q1-3 years beginning at 20 yo

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3
Q

Immunizations in ages 19-39?

A

Tdap booster q 10 yrs

HPV vaccine (9-45yo)

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4
Q

Screening for ages 40-64?

A
  • Fhx
  • Tobacco EtOH use
  • Pelvic Prolapse sx
  • Menopausal sx
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5
Q

40-64 labs done?

A
  • Cervical cytology
  • Colorectal screening
  • HIV
  • Lipid profile assessment q 5 yrs at 45 yo
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6
Q

Vaccines for 40-64 yo?

A
  • Tdap
  • Flu
  • MMR if not already immunized
  • Varicella
  • HPV
    *
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7
Q

Most common causes of amenorrhea?

A

pregnancy and menopause

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8
Q

Naegeles rules of EDC?

A

Subtract 3 months from LMP and add 7 days

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9
Q

When does ACOG recommend the initial visit to OB/GYN for screening and provision of prevenative health care services?

A

13-15

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10
Q

When do you do breast exam?

A

20 yrs old every 1-3 years

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11
Q

When do you start lipid profile assessments?

A

q 5yrs at 45 yo

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12
Q

Mammography?

A

q 5 yrs after 40 yo

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13
Q

When do you do bone mineral density screening?

A

65 yrs and older, in the absense of new risk factors do NOT screen more frequently than q 2 yrs

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14
Q

When would you do a BMD screening before 65?

A
  • hx of fractures
  • body weight <127 lbs
  • meds or diseases that cause bone loss
    • current smoker, alcoholic, RA
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15
Q

yellowish green discharge and punctate hemorrhages on ectocervix is noticed with what infection?

A

Trichomonas

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16
Q

Foul smelling thin grey discharge?

A

Bacterial vaginosis