9: Well Woman Exam

Question 1

23 y/o delivered a 39 week male infant and suffered 2 spontaneous complete abortions at 10 and 12 weeks and has one living child. G&P?

Answer 1

G3P1021

Question 2

27 y/o who has 1 living child and has given birth to twins at 30 weeks (baby B was stillborn) and had 2 abortions. G&P?

Answer 2

G3P0121

Question 3

32 y/o has had 3 deliveries at 37, 39, 32 weeks and had a ruptured ectopic with subsequent salpingectomy at 13 weeks. G&P?

Answer 3

G4P2113

Question 4

Major concern with post-coital bleeding?

Answer 4

Cervical cancer

Question 5

Major concern with post-menopausal bleeding?

Answer 5

Endometrial or uterine cancer

Question 6

Major concern with recent finding of inverted nipples?

Answer 6

Cancer

Question 7

Breast exam recommendations

Answer 7

Every 1-3 years for women 20-39

Every year with annual mammogram for women 40+

Question 8

When does ACOG recommend beginning annual pelvic exams?

Answer 8

21 y/o

Question 9

HPV vaccine

Answer 9

Optimal before sexually active; ages 9-26 yrs

Question 10

Cervical cytology

Answer 10

screen q3 years; co-test with HPV q5 yrs

Question 11

When should women begin getting mammograms

Answer 11

Annually after 40 yrs

Question 12

Lipid profile assessment

Answer 12

q5 years starting at 45 y/o

Question 13

Colonoscopy

Answer 13

q10 years beginning at 50 y/0 (or 45 in high risk groups)

Question 14

Varicella zoster vaccination

Answer 14

For those 60+ y/o

Question 15

What age is appropriate to begin asking about pelvic prolapse and menopause

Answer 15

40+

Question 16

When can you discontinue cervical cytology in women 65+ yrs

Answer 16

No history of CIN2+ OR 3 consecutive negative prior results OR 2 consecutive negative co-test within previous 10 years

Question 17

Pneumococcal vaccine

Answer 17

For those 65+ y/o