Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ECOS Spring > Reproductive Complaint > Flashcards

Reproductive Complaint Flashcards

1
Q

What is one of the first signs of puberty in females?

A

Elevation of the nipple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when does menarche start in regards to breast maturation?

A

Stage 3 or 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What age do breast development and pubic hair occur?

A

8-13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pubic hair and size of male genitalia start growth from ages ____.

A

9-13.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is taken in a thorough OB/GYN history?

A
  • Menstrual history
  • Gynecologic history: brest history, mammogram, surgeries,infertility, pap
  • Gravida and Para
    • TPAL
  • Mode of delivery
  • Gestational age
  • Maternal complications and fetal complications
  • Delivery/Operative complications
  • Contraceptive/Sexual history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does this mean: G5P3114

A
  • 5 pregnancies
  • 3 term deliveries
  • 1 live delivery preterm
  • 1 spontaneous abortion at 12 wks
  • 4 live delivery at 35 weeks

P is split up into TPAL

  • Term delilvery
  • Preterm
  • Abortion
  • Live delivery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a well woman exam?

A
  • Pap smear for sexually active women 21-65
    • yearly for women with abnormal pap
    • Every 3 years with normal pap
    • Every 5 with normal pap and negative HPV
  • Mammogram at 50 or earlier for women at risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where do you get a cervical sample from for a pap?

A
  • Endo and ecto cervix
  • Transitional zone
    • area btw original SCJ and new SCJ
  • Squamocolumnar junction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the difference btw a pelvic exam and a pap smear?

A

Pelvic exam:

  • visual inspection
  • Bimanual exam: insert index and middle finger into vagina lifting up and using other hand to push down to exam vagina uterus and ovary
  • Check for cervical motion and tenderness
  • Obtain swabs for infections

Pap smear:

  • obtains samples of cervix to look for cervical cell transformation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does ectopic pregnancy present?

A
  • Abdominal or pelvic pain with vaginal bleeding
  • Could have other pregnancy symptoms, nausea breast tenderness etc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do you workup suspected ectopic pregnancy test?

A
  • pregnancy test
  • speculum exam
  • transvaginal US
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does UTI present and whats most common cause

A
  • Dysuria, urinary freuency and urgency, suprapubic pain
  • Hematuria possible
  • E. Coli most common cause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What would be some PE findings for a UTI and the workup and treatement?

A
  • Perform abdominal exam
  • Check CVA tenderness Lloyd’s punch
  • Urinalysis
  • Antibiotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a well male exam?

A
  • Prostate and testicular exam and PSA is NOT recommended routinely
    • PSA recommended with Fhx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Male genital exam?

A
  • Inspection of scrotum, shaft, glans, and inguinal region
  • Palpate penile shaft and scrotum with thumb and first two fingers
  • Retract foreskin
  • Palpate inguinal region exam for hernias
  • Examine prostate by DRE
  • Testicular cancer most common in younger males, important for them to perform self exam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How would inguinal hernia present and what would PE look like? workup?

A
  • Pain with increased intraab pressure
  • May have palpable buldge
  • Invaginating scrotal skin with index finger into inguinal canal and have patient cough, may help feel hernial
  • US
17
Q

Direct hernia?

A
  • above inguinal ligament close to the pubic tubercle doesn’t go to scrotal area
  • Less common than indirect, usually men >40 yrs, rare in women
18
Q

Indirect hernia?

A
  • Most common, affects all ages and both sexes, often in kids
  • above inguinal ligament near midpoint
  • Often goes into scrotum
19
Q

what are the 5 P’s?

A
  • Partners
  • Practices
  • Prevent pregnancy
  • Protection STI and HIV
  • Past STI hx
20
Q

How do you detect STI’s?

A
  • Microscopy
  • Wet mount
  • Nucleic acid amplification testing
  • Serologic testing
21
Q

What are complications of untreated STI’s?

A
  • PID
  • upper Genital tract infections
  • Infertility
  • Chronic pelvic pain
  • Cervical cancer (HPV)
  • Chronic infections with herpes, hep, and HIV
22
Q

How does Gonorrhea present?

A

Males:

  • Penile discharge or asymptomatic

Females:

  • Pelvic pain, mucopurulent vaginal discharge

Can cause infection of urogenital, anorectal, or pharyngeal infections

23
Q

Complications of gonorrhea?

A
  • PID if untreated
  • Scarring of fallopian tube
24
Q

Chlamydia presentation?

A

gram negative bacteria, chalymdia trachomatis

  • Men present with penile discharge,puritus,dysuria
  • Women present with vaginal discharge, bleeding, or pain with intercourse, dysuria
  • Can cause infection of urogenital, anorectal, conjunctival (neonates), or pharyngeal infections
25
Q

Complications with Chlamydia?

A

PID and fertility issues due to scarring of fallopian tubes

26
Q

Syphilis presentation?

A

Spirochete, Treponema pallidum

  • Primary: chancre (painless genital ulcer)
  • Secondary: joint pain, lymphadenopathy, mucopapular rash
  • Latent phase: may be asymptomatic
  • Tertiary: neurosyphilis
27
Q

Genital herpes presentation?

A

Herpes Simplex Virus 2

  • Single or clusters of vesicles on genitals
  • May have burning, tingling, and pain prior to vesicle appearance
28
Q

Genital herpes complications and workup?

A
  • Meningitis
  • PID
  • Hepatitis
  • Increase risk of HIV
  • Serilogic test and run PCR from lesion
29
Q

How does herpes persist for life?

A

Viral DNA travels by axon to spinal cord sensory ganglia

30
Q

What is Trichomonasis?

A

Protozoa with flagella

  • can be asymptomatic
  • Men: mostly asymptomatic but small percent have penile discharge
  • Female: foul smelling thin or purulent vaginal discharge, vaginal pruritis, dysruia
31
Q

How do you workup Trichomonasis?

A

Wet mount or nucleic acid amplification teests on vaginal fluid or penile fluid

32
Q

How does HPV present, complications, workup, and prevention?

A
  • Classic presentation is Genital warts
  • Complications:
    • Most lesions are self limited and high risk strains can lead to cancer of orpopharyngeal region or lower genital tract
  • Routine pap smear
  • Prevent with Gardasil vaccine

ECOS Spring (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions