Common Female Questions Flashcards
(22 cards)
Risk factors for endometriosis?
Asian or Caucasian
Younger
Nulliparous
Family History
Risk factors for Hemorrhoids?
Low fiber diet
Low water intake
Sedentary lifestyle
Pregnancy
Risk Factors for Uterine Fibroids?
African American
Older woman
Nuliparous
Risk factors for Cervical cancer?
Multiple sex partners
HPV
History of using the “pill”
smoking
Risk factors for uterine cancer?
Overweight
Older
Nulliparous
Diabetes
Risk factors for Ovarian Cancer?
Older women
Nulliparous
History of fertility drugs
Risk factors for breast cancer?
Older Nulliparous History of using the "pill" Overweight Alcohol Sedentary Family history
Which STD has painful itchy vehicles that come and go?
herpes
What are the potential complications of Chlamydia infection later in life?
Pelvic Inflammatory Disease (PID), infertility, complications of pregnancy, greater susceptibility to other STDs such as HIV
A patient discovers a lump in her breast…. Are most lumps cancerous?
NO
How often should a woman have a breast exam done by a health professional at 50 years, at 25 years?
50 - yearly
25 - every 3 years
What are the three main parts of the female exam in order?
- Speculum
- Biannual
- Recto-vaginal
How do you look for urinary incontinence?
Look at the urethra while the patient bears down; note leakage of urine.
Which should you palpate first, Skene’s or Bartholin glands? Why?
Skene’s, so that you don’t introduce perineal bacteria into the vagina or urethra.
If the Bartholin glands have purulent foul yellowish discharge what would you suspect?
Either a staph infection or an STD (most likely gonorrhea)
If the cervical os looks like this >——-
The woman is porous (has delivered a baby)
In which part of the exam might we visualize endometrial lesions?
Speculum exam
In which part of the exam might we visualize Nabothian cysts?
Speculum exam
What are we screening for when we take a sample from the cervix with a spatula or broom?
Abnormal cells; early detection of cervical cancer
If you move the cervix during the biannual part of the exam and it hurts the patient or the cervix is fixed and won’t move, you suspect what?
Pelvic Inflammatory disease (PID)
Endometriosis
List the 4 required steps of the rectal-vaginal exam:
1) Assess muscle tone (patient squeezes your finger)
2) palpate rectovaginal septum
3) palpate the posterior aspect of the cervix and uterus
4) palpate the rectal walls (done LAST to avoid contamination)
When is the best time to discuss any findings or concerns you have about this exam?
After the patient is dressed.
