Womens Health Flashcards

1
Q

When you start seeing signs of stroke in a woman such as numbness, weakness, of face arm and/or leg
Trouble seeing out of one or both eyes
Trouble walking dizziness , loss of balance or coordination. It is important to call 911 and catch what is known as the golden hour. Why?

A

In the golden hour we administer tissue plasminogen activator as soon as possible. (TPA)

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2
Q

Complex social problems

A

When they have one more more issues going on ( kids, abusive relationship , poor paying jobs) and how do we council them out of them?

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3
Q

What are ways we can teach women how to get vit d and calcium?

A

Dairy, green leafy vegetables ad sunlight

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4
Q

What immunization is it important to teach to prevent a certain infection from sex

A

HPV

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5
Q

Treatment for benign breast disorders

A

Supportive bra
Avoid caffeine - irritates ffibrocystic disease
Danazol

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6
Q

Purpose of danazole for benign breast disorders

A

Suppresses estrogen which decreases the pain

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7
Q

Hormone therapy

A

HRT & ERT

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8
Q

HRT

A

Hormonal replacement therapy
Estrogen and progesterone

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9
Q

ERT

A

Estrogen replacement therapy

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10
Q

Amenorrhea

A

Primary and secondary

Absence of menses

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11
Q

Primary. Amenorrhea

A

No secondary sex characteristics by age 14
No menses with secondary sex characteristics by age 16

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12
Q

Secondary amenorrhea

A

No menses 3-6 mo following normal cycles
Underlying cause ( pregnancy for example)

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13
Q

Medication therapy for PMS

A

Ibuprofen
Antidepressants
Diuretics
Oral contraceptives

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14
Q

What are diuretics used for PMS

A

For bloating

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15
Q

What are oral contraceptives used for - for PMS

A

Regulating hormones

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16
Q

Life style changes that would help treat PMS

A

Low salt diet
Decrease caffeine
Decrease animal fat
Refined sugars
Less alcohol

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17
Q

What type of hormone therapy if you have uterus in body and no hysterectomy

A

HRT - estrogen and progesterone cancel eachother out and decrease the risk of cancer

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18
Q

Hormone therapy if you dont have uterus

A

ERT - estrogen only

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19
Q

Menopause teachings for hot flashes

A

Avoid alcohol, cafffeine , hot drinks, spicy food, smoking , layer clothing

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20
Q

Teachings for night sweats with menopause

A

Cool shower before bed , cotton night wear , cool room , black coash , castle berry

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21
Q

Vaginal dryness treatment for menopause

A

Vaginal lubricants or estrogen cream

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22
Q

Complementary / alternative therapy menopause

A

Acupuncture
Biofeedback
Hypnosis

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23
Q

Mittenschmerz

A

Pelvic pain which occurs midway between menstrual periods at the time of ovulation (lower right or pelvic area)
Last for few hours to 2 days
Slight vag bleeding after discomfort

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24
Q

Primary dysmenorrhea

A

Painful cramping 12-24 hours before menses ( last that long)

  • only at the beginning
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25
Secondary dysmenorrhea
Painful menses with know anatimonic factor ( endometriosis , adhesions, cervical stenosis , fibroids)
26
Medical management for endometriosis
Pain management - NSAIDs analgesia Hormone therapy ( BC , assisted reproduction) Endometrial biopsy Surgical treatment
27
Medical management PCOS
Lifestyle mod Low dose oral contraceptives Fertility therapy Metform (diabetes)
28
Ovarian cyst treatment
Wait and examine after the next menstrual cycle Oral contraceptive Surgical removal
29
Non surgical treatment for pelvic floor dysfunction
Kegals Vaginal pessary Hormone therapy - intravaginal estrogen
30
Purpose of hormone therapy intravaginal estrogen for pelvic floor dysfunction
Tighten up vag wall
31
Medical management for urinary continence
Kegal , bladder training Estrogen cream / anticholinergic drugs Surgery Med devices
32
Treatment for benign disorder such as leiomyomas , fibroids, Mayomas
Cryosurgery Myoemectomy or hysterectomy GnRH hormone Uterine artery embolization of the blood vessel supplying
33
What is dsGnRH hormone used for
To shrink tumor
34
Cryosurgery
Used to shrink tumor
35
Myomectomy
Cutting off the eternal layer of the uterus so she can go ahead and have babies After she is done with babies …. Hysterectomy
36
What should we Becareful and watch for when a physician goes in with the removal of fibroids
Uterine scarring So before labor we want to assess where the scar is before we decide if we are delivering vaginally At risk for rupture
37
Uterine artery embolization purpose For leiomyomas, fibroids, Mayo as , fibromomas, fibromas
Help fibroids shrink by not allowing the fibroid or tumors to grow by not feeding them
38
When it comes to tumors and taking GnRH.. what is important to teach about to the patient?
If discontinued expect regrowth of tumors , amenorrhea may occur
39
Pre op education for tumors
No alcohol , aspirin or anticoagulants 24 hours prior to surgery
40
What should the patient expect during procedure of removal or shrinking of tumors ?
Cramping during procedure as polyvinyl alcohol pellets are injected
41
Post op care for removal of tumors regarding which procedures
Cryosurgery Myoectomy Hysterectomy Uterine artery embolization
42
Discharge info regarding tumors
Take meds as direction Report bleeding, pain , swelling at puncture site, fever , urinary retention, abnormal vag discharge No tampons or douching for 4 weeks
43
Types of tumors
Leiomyomas , fibroid, myomas , fibromyomas, fibromas
44
Treatment for chlamydia
Azithromycin 1 gym orally
45
Treatment for chlamydia if allergic to azithromycin
Doxycycline/ erythromycin
46
Treatment for Gonorrhea
Ceftriaxone IM 250 mg With azithromycin 1 go orally
47
Treatment for trichomonas
Metronidazole 2 gm orally single dose
48
Teaching for metronidazole 2 gm orally for treatment of trichomonas
No alcohol for 24 hours and take with foo d Flushing, nausea, vomittting , headache , abd cramping
49
Since genital herpes has no cute what can we use as antivirals and comfort measures
Acyclovir , valacyclovir , famciclovir Comfort measures - viscous lidocaine to lesions , peppermint oil
50
Treatment for HPV
Podophyllin- topical app by pt Provider- trichloroacetic acid application or surgical removal using laser or cryotherapy
51
Prevention against HPV
Giardiasis immunization
52
Since HIV or AIDS do not have a cure what is the treatment
HAART ( highly active antiretroviral therapy) Maintain health Reduce perinatal transmission
53
Treatment for syphilis
Penicillin G regimen
54
IPV or DV
Pattern of coercive behaviors used to gain control over another individuals in an adult intimate relationship
55
Total hysterectomy
Take from the cervix to the top of the fundus , leave the fallopian tube and ovaries
56
Sub total or supracervical hysterectomy
Take above the cervix, leave the cervix
57
Hysterectomy with Salpingo-oophorectomy
Take out from the cervix up to the fundus as well as the ovaries and tubes
58
Radical hysterectomy
Take it all out including vagina
59
Treatment for benign breast disorder (cystic fibrosis)
Supportive bra Avoid caffeine Danazol
60
Danazol
Androgenic medication, which suppresses estrogen used for treatment of benign breast disorder, fibrocystic breast
61
Bone density
Over 65 every 2 yr
62
Cholesterol test
After 20 unless risk factors sooner
63
Colonoscopy
After 50 q 10 yrs
64
Eyes
After 40 q 2-4 years After 65- q 1-2 years
65
Fasting glucose
45 q 3 yrs
66
Mammogram
40 q 1-2 years
67
Rubella vaccine
After child bearing age
68
Clinical breast exam 19-39
Every 3 years
69
Clinical breast exam over 40
Yearly
70
21-29 Pap smear
Q 3 rs
71
Pap smear 30-65
Every 5 years
72
Over 65 Pap smears
Stop no previous pre cancerous pa in 20 years