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
Q

Secondary dysmenorrhea

A

Painful menses with know anatimonic factor

( endometriosis , adhesions, cervical stenosis , fibroids)

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26
Q

Medical management for endometriosis

A

Pain management - NSAIDs analgesia
Hormone therapy ( BC , assisted reproduction)
Endometrial biopsy
Surgical treatment

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27
Q

Medical management PCOS

A

Lifestyle mod
Low dose oral contraceptives
Fertility therapy
Metform (diabetes)

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28
Q

Ovarian cyst treatment

A

Wait and examine after the next menstrual cycle
Oral contraceptive
Surgical removal

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29
Q

Non surgical treatment for pelvic floor dysfunction

A

Kegals
Vaginal pessary
Hormone therapy - intravaginal estrogen

30
Q

Purpose of hormone therapy intravaginal estrogen for pelvic floor dysfunction

A

Tighten up vag wall

31
Q

Medical management for urinary continence

A

Kegal , bladder training
Estrogen cream / anticholinergic drugs
Surgery
Med devices

32
Q

Treatment for benign disorder such as leiomyomas , fibroids, Mayomas

A

Cryosurgery
Myoemectomy or hysterectomy
GnRH hormone
Uterine artery embolization of the blood vessel supplying

33
Q

What is dsGnRH hormone used for

A

To shrink tumor

34
Q

Cryosurgery

A

Used to shrink tumor

35
Q

Myomectomy

A

Cutting off the eternal layer of the uterus so she can go ahead and have babies

After she is done with babies …. Hysterectomy

36
Q

What should we Becareful and watch for when a physician goes in with the removal of fibroids

A

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
Q

Uterine artery embolization purpose

For leiomyomas, fibroids, Mayo as , fibromomas, fibromas

A

Help fibroids shrink by not allowing the fibroid or tumors to grow by not feeding them

38
Q

When it comes to tumors and taking GnRH.. what is important to teach about to the patient?

A

If discontinued expect regrowth of tumors , amenorrhea may occur

39
Q

Pre op education for tumors

A

No alcohol , aspirin or anticoagulants 24 hours prior to surgery

40
Q

What should the patient expect during procedure of removal or shrinking of tumors ?

A

Cramping during procedure as polyvinyl alcohol pellets are injected

41
Q

Post op care for removal of tumors regarding which procedures

A

Cryosurgery
Myoectomy
Hysterectomy
Uterine artery embolization

42
Q

Discharge info regarding tumors

A

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
Q

Types of tumors

A

Leiomyomas , fibroid, myomas , fibromyomas, fibromas

44
Q

Treatment for chlamydia

A

Azithromycin 1 gym orally

45
Q

Treatment for chlamydia if allergic to azithromycin

A

Doxycycline/ erythromycin

46
Q

Treatment for Gonorrhea

A

Ceftriaxone IM 250 mg
With azithromycin 1 go orally

47
Q

Treatment for trichomonas

A

Metronidazole 2 gm orally single dose

48
Q

Teaching for metronidazole 2 gm orally for treatment of trichomonas

A

No alcohol for 24 hours and take with foo d

Flushing, nausea, vomittting , headache , abd cramping

49
Q

Since genital herpes has no cute what can we use as antivirals and comfort measures

A

Acyclovir , valacyclovir , famciclovir

Comfort measures - viscous lidocaine to lesions , peppermint oil

50
Q

Treatment for HPV

A

Podophyllin- topical app by pt

Provider- trichloroacetic acid application or surgical removal using laser or cryotherapy

51
Q

Prevention against HPV

A

Giardiasis immunization

52
Q

Since HIV or AIDS do not have a cure what is the treatment

A

HAART ( highly active antiretroviral therapy)
Maintain health
Reduce perinatal transmission

53
Q

Treatment for syphilis

A

Penicillin G regimen

54
Q

IPV or DV

A

Pattern of coercive behaviors used to gain control over another individuals in an adult intimate relationship

55
Q

Total hysterectomy

A

Take from the cervix to the top of the fundus , leave the fallopian tube and ovaries

56
Q

Sub total or supracervical hysterectomy

A

Take above the cervix, leave the cervix

57
Q

Hysterectomy with Salpingo-oophorectomy

A

Take out from the cervix up to the fundus as well as the ovaries and tubes

58
Q

Radical hysterectomy

A

Take it all out including vagina

59
Q

Treatment for benign breast disorder (cystic fibrosis)

A

Supportive bra
Avoid caffeine
Danazol

60
Q

Danazol

A

Androgenic medication, which suppresses estrogen used for treatment of benign breast disorder, fibrocystic breast

61
Q

Bone density

A

Over 65 every 2 yr

62
Q

Cholesterol test

A

After 20 unless risk factors sooner

63
Q

Colonoscopy

A

After 50 q 10 yrs

64
Q

Eyes

A

After 40 q 2-4 years
After 65- q 1-2 years

65
Q

Fasting glucose

A

45 q 3 yrs

66
Q

Mammogram

A

40 q 1-2 years

67
Q

Rubella vaccine

A

After child bearing age

68
Q

Clinical breast exam 19-39

A

Every 3 years

69
Q

Clinical breast exam over 40

A

Yearly

70
Q

21-29 Pap smear

A

Q 3 rs

71
Q

Pap smear 30-65

A

Every 5 years

72
Q

Over 65 Pap smears

A

Stop no previous pre cancerous pa in 20 years