Well Woman I & II

Question 1

Why is it important to get a list of current medications the patient is on?

Answer 1

identify potential teratogens if patient considering pregnancy

Question 2

Why is it important to get a PSH on your patient?

Answer 2

prior surgical history may contribute to an non-optimal vaginal delivery and instead a C-section; myomectomies or pelvis injuries

Question 3

Gravity

Answer 3

the number of times a women has been pregnant

Question 4

Parity

Answer 4

number of pregnancies that led to a birth or beyond 20 weeks; remember FPAL

Question 5

23 yr old who has delivered a 39 week male infant, suffered two spontaneous complete abortions at 10 and 12 weeks and has one living child. What are her G&Ps?

Answer 5

G3P1021

Question 6

27 yr old who has one living child and has given birth to twins at 30 weeks (baby b was stillborn) and had 2 abortions. What are her G&Ps?

Answer 6

G3P0121

Question 7

32 yr old who has had 3 deliveries at 37, 39 and 32 weeks and had a ruptured ectopic w/ subsequent salpingectomy at 13 weeks. What are her G&Ps?

Answer 7

G4P2113

Question 8

Primagravida definition

Answer 8

women who is in or who has experienced her first pregnancy

Question 9

Multigravida definiton

Answer 9

women who has been regnant more then once

Question 10

Nulligravida definition

Answer 10

never been pregnant

Question 11

Primapara

Answer 11

has given birth to one child

Question 12

Multipara definiton

Answer 12

has given birth two or more times

Question 13

Nullipara definition

Answer 13

has never given birth or who has never had a pregnancy progress beyond gestational age of abortion

Question 14

Average age for female to start menarche

Answer 14

12 to 13 yrs

Question 15

Primary amenorrhea

Answer 15

patient has not cycled at 16 yrs old

Question 16

Average interval cycles

Answer 16

21 to 35 days (28 +/- 7)

Question 17

Average amount of days of menses?

Answer 17

5 to 7 days

Question 18

Mittelschmerz syndrome

Answer 18

midcycle ovulatory pain/cramps

Question 19

Naegeles Rule

Answer 19

establishes estimated date of confinement (EDC); subtract 3 months and add 7 days from the last menstrual period (LMP)

Question 20

If a patients last menstrual period (LMP) was 7/20/2016, when is their estimate date of confinement (EDC) using Naegeles rule?

Answer 20

4/27/2017; subtract 3 months and add 7 days

Question 21

What is the name of the screening questionnaire utilized if a patient is suspected to be struggling with alcohol dependency?

Answer 21

CAGE

Question 22

CAGE questions?

Answer 22

Have you ever tried to CUT down?
Have you ever been ANNOYED with your drinking?
Have you ever felt GUILTY about your drinking?
Do you have an “EYE opener” drink in the morning?

Question 23

Dyspareunia definiton

Answer 23

pain with intercourse

Question 24

How often does ACOG recommends clinical breast exams for women aged 20-39?

Answer 24

1-3 yrs

Question 25

How often does ACOG recommends clinical breast exams for women 40+?

Answer 25

Every year with annual mammograms

Question 26

When does the ACOG recommend beginning annual pelvic exams

Answer 26

21 yrs old

Question 27

4 important things to include in the history in patients aged 13-18 yrs?

Answer 27

Menstrual history
Family medical history
Tobacco, alcohol and other drug use
Sexual abuse

Question 28

If a patient aged 13-18 yrs comes in repeatedly for vague complaints with an unremarkable PE, what should you suspect/inquire about?

Answer 28

Sexual abuse

Question 29

3 important things to include in the history in patients aged 19-39 yrs?

Answer 29

Family medical history
Tobacco, alcohol and other drug use
Sexual practices - vaginal, anal & oral

Question 30

When is cervical cytology recommended for ages 21-29?

Answer 30

every 3 years

Question 31

Important evaluation and counseling points for ages 19-39 yrs?

Answer 31

Reproductive health plan
STI prevention
Intimate partner violence
Rape Prevention

Question 32

4 important screening for patients aged 40-64 yrs

Answer 32

Family medical history
Tobacco, alcohol and other drug use
Pelvic prolapse**
Menopausal symptoms**
Breast exams** (yearly)

Question 33

ACOG recommendation for colorectal cancer screenings?

Answer 33

beginning 45-50 yrs and every 10 yrs

Question 34

Varicella Zoster vaccination recommendation?

Answer 34

50 yrs or older

Question 35

Vaccination recommended for 65 yr + patients

Answer 35

Pneumococcal vaccine; once at 65 yr or older

Question 36

When is the pneumococcal vaccine recommended?

Answer 36

once at 65 yrs or older

Question 37

Chloasma

Answer 37

pigmentation over bridge of the nose and under eyes may be a sign of pregnancy

Question 38

Most common anatomical location for breast cancer to form?

Answer 38

upper outer quadrant

Question 39

What position should the patient be in when doing a pelvic exam?

Answer 39

Dorsal lithotomy position

Question 40

Answer 40

nulliparous cervix

Question 41

Answer 41

multiparous cervix

Question 42

Answer 42

cervical polyp

Question 43

Answer 43

Chadwicks sign; pregnant cervix

Question 44

Answer 44

“strawberry cervix” seen in trichomonas; caused by Trichomonas vaginalis

Question 45

What is the use of the spatula in a pelvic exam?

Answer 45

used to gently scrap the ectocervix

Question 46

What is the use of a cytobrush in a pelvic exam?

Answer 46

used to obtain endocervical cells

Question 47

a positive chandeliers sign is an indication of what?

Answer 47

PID