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ClinMed3/4 > Women's Health Well Woman, PE, DX, Imaging > Flashcards

Women's Health Well Woman, PE, DX, Imaging Flashcards

1
Q

WPSI/ACOG screening guidelines SKIN

A

annual skin exam

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2
Q

WPSI/ACOG screening guidelines BREAST

A

start mammograms between 40-50, continue 1-2 years (risk dependent), until at least 74

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3
Q

WPSI/ACOG screening guidelines COLORECTAL CANCER

A

colonoscopy q10yrs at age 50

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4
Q

WPSI/ACOG screening guidelines CERVICAL CA/PAP

A

cytology (pap) 21-30 q3 yrs

cytology w HPV co-test 30-64 q5 yrs, or cytology alone q3yrs

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5
Q

women’s health immunizations

A 
influenza annually
HPV <26
hepatitis (high risk)
tetanus (tdap q10yrs)
pneumococcal/shingles (>60)
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6
Q

gravida (OB hx)

A

of pregnancies

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7
Q

para (OB hx)

A

T= term (>37 weeks)
P = premature (20-36 weeks)
A= abortions (<20 weeks)
L=living

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8
Q

primigravida

A

first pregnancy

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9
Q

nulligravida

A

never been pregnant, not now

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10
Q

multigravida

A

2 or more pregnancies

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11
Q

nullipara

A

no births

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12
Q

primipara

A

giving birth for 1st time

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13
Q

multipara

A

delivered 2 or more pregnancies

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14
Q

uterus positioning “-Version”

A

position of entire uterus relative to axis of the vagina

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15
Q

uterus positioning “-flexion”

A

position of the entire fundus relative to the axis of the cervix

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16
Q

Flat films in OB/GYN

A

KUB, abdominal series

limited utility - stones, IUDs

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17
Q

CT in OB/GYN

A

cross-sectional 2D pictures, +/- contrast

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18
Q

MRI in OB/GYN

A

Superior to CT for soft tissue

but $$

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19
Q

ultrasound in OB/GYN

A

cheap, easy, good for pts with challenging pelvic exam

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20
Q

transabdominal ultrasound

A

less invasive

21
Q

transvaginal ultrasound

A

early pregnancies, assessment of cervix in pregnancy, improved visualization of fetal parts low in pelvis

22
Q

hysterosalpingogram (HSG) in OB/GYNG

A

instillation of contrast followed by fluoroscopic images
eval of uterine cavity and fallopian tubes
contrast spill, outline of lumen, shape of uterine cavity, width/length of cervix

23
Q

indications for hysterosalpingogram

A

infertility, suspected congenital uterine anomalies, pre-procedure planning for hysterectomy, post-procedure assessment following tubal ligation

24
Q

contraindications for hysterosalpinogram

A

pregnancy, active undiagnosed uterine bleeding, acute PID, allergy with severe reaction to contrast

25
Q

sonohysterography in OB/GYN

A

instillation of saline followed by transvaginal ultrasound

evaluation of uterine cavity

26
Q

indications for sonohysterography

A

dysfunctional uterine bleeding, infertility, suspected uterine cavity abnormalities based on transvag US, recurrent pregnancy loss

27
Q

contraindications for sonohysterography

A

same as for HSG - pregnancy, acute PID, acute bleeding

28
Q

imaging of the cervix, uterus

A

KUB, abd series, pelvic US, sonohystergram or HSG, MRI, CT

29
Q

imaging of the endometrium

A

pelvis US

30
Q

imaging of the ovaries

A

KUB, US (transvaginal»), CT, MRI

31
Q

imaging of fallopian tubes

A

HSG

32
Q

pap smear purpose

A

detection of cytologic abnormalities

33
Q

colposcopy purpose

A

identify normal landmarks or changes suggestive of underlying abnormality

34
Q

colposcope

A

binocular microscope used for direct visualization of the cervix

35
Q

indications for colposcopy

A

follow-up to evaluate cervical lesions (suspected on visualization), abnormal HPV test
acetic acid can detect abnormal/dysplastic cells

36
Q

endocervical curettage (ECC)

A

sampling of endocervical canal

usually done with colposcopy

37
Q

indications for endocervical curettage

A

women undergoing colposcopy or based on pap smear result - further evaluates concerning findings

38
Q

contraindications for ECC

A

pregnancy

39
Q

cervical conization

A

method of biopsy - excision of cone-shaped portion of cervix surrounding endocervical canal including transformation zone

40
Q

indications for cervical conization

A

advanced epithelial atypia

41
Q

loop electrosurgical excision procedure (LEEP)

A

type of cervical conization - cone shaped specimen removed from uterine cervix with wire-loop cautery

42
Q

hysteroscopy

A

examine of uterine cavity via hysteroscope

43
Q

indications for hysteroscopy

A

dysfunctional uterine bleeding, endometrial ablation, endometrial thickening or polyps, submucosal fibroids and other uterine abnormalities…

44
Q

Dilation & curettage (D&C)

A

cervix dilated allowing instrument to pass into uterus, portion of uterine lining or uterine contents removed
cervical Dilation, endometrial Curettage

45
Q

indications for D&C

A

abnormal bleeding, management of abortion, diagnosis of uterine cancer

46
Q

laparoscopy procedure

A

multiple small incisions in abdominal wall –> passage of camera and instruments
abdomen inflated with CO2
allows for diagnostic and therapeutic procedures
faster recovery than laparotomy

47
Q

hysterectomy

A

complete surgical removal of the uterus

48
Q

indications for hysterectomy

A

treatment of gynecologic CA, benign gynecologic conditions, obstetric complications

ClinMed3/4 (4 decks)

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