CPD Lab: Female genitalia, CBE, PVE Flashcards Preview

Ashly Benson: CPD > CPD Lab: Female genitalia, CBE, PVE > Flashcards

Flashcards in CPD Lab: Female genitalia, CBE, PVE Deck (69)
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1

Location of Bartholin's glands

5-7 o'clock of vaginal introitus. Palpate using thumb and index finger (if indicated)

2

Ddx of swelling of Barthloin's glands

Bartholin's gland cyst, abscess, adenocarcinoma

3

When is vaginal discharge heaviest and stringy?

Ovulation

4

Wet prep: location of sample

Posterior fornix

5

Order of sample taking

1. Wet prep (check pH)
2. Cervical culture
3. Pap smear (a: V shaped brush 5x 360 rotations at squamocolumnar junction b: cytobrush into the os the depth of the brush, rotate once)

6

What do wet preps test for?

Candida albican, trichomonas, bacterial vaginosis (sample must be warm)

7

What do cervical cultures test for?

Uterine infection (streptococcus, gonorrhea, chlamydia)

8

Where is a cervical culture sample taken from?

Sterile swab inserted into the os one rotation holding swab in os up to level of the cotton for 30 seconds.

9

During the bi-manual exam, the internal hand _______ while the abdominal hand _________ __________.

Internal hand: palpates
Abdominal hand: maneuvers organs

10

Where should abdominal hand be placed during uterine palpation?

Midway between the umbilicus and the symphysis pubis

11

Where should the abdominal hand be placed during adnexal palpation?

Just medial to the iliac crest

12

What parameters should you assess if a mass is noted?

Bilateral/unilateral
Cystic/solid
Smooth/irregular
Fixed/movable
Tender/non-tender

13

When is a recto-vaginal exam indicated?

1) Retrovertoed or retroflexed uteri
2)Suspected masses in rectovaginal septum (endometriosis)
3) Women over age 40: screen for colorectal CA

14

Tanner Stages of sexual maturation rating (SMR)
Stage 1 (breast)

Preadolescent: elevation of nipple only

15

SMR Stage 2 (breast)

Breast bud stage: elevation of breast and nipple as a small mound; enlargement of areolar diameter

16

SMR Stage 3 (breast)

Further enlargement of elevation of breast and areola with no separation of their contours

17

SMR Stage 4 (breast)

Projection of areola and nipple to form a secondary mound above the level of the breast

18

SMR Stage 5 (breast)

Mature stage: projection of nipple only. Areola has receded to general contour of breast

19

SMR Stage 1 (pubic hair)

Preadolescent: no pubic hair except for fine body hair (vellus hair) similar to that of abdomen

20

SMR Stage 2 (pubic hair)

Sparse growth of long, slightly pigmented downy hair, straight or only slightly curly, chiefly along the labia

21

SMR Stage 3 (pubic hair)

Darker, coarser, curlier hair, spreading sparsely over the pubic symphysis

22

SMR Stage 4 (pubic hair)

Coarse and curly hair as in adults; area covered greater than in stage 3 but not as great as in the adult and not yet including the thighs

23

SMR Stage 5 (pubic hair)

Hair adult in quantity and quality, spread on the medial surfaces of the thighs but not up over the abdomen

24

Skene's glands location

Posterior to the urethral meatus bilaterally

25

Condyloma Acuminata from HPV

Epidermal manifestation of HPV [commonly HPV 6 or 11 (genital warts)]

26

HPV and cervical dysplasia

HPV strains 16 and 18 cause 70% of cervical dysplasia

27

Pederson vs Graves and indications for each

Pederson: flat and narrow (younger, virginal, nulliparious women, menopausal/post menopausal women)
Graves: wider blade with curved sides (parous women)

28

What is it termed when the squamocolumnar junction is visible as a darker pink circle around the os?

Ectropion

29

What does CMT indicate?

Infection, endometriosis, PID, ovarian cysts, adhesions, adnexal torsion

30

Normal size, shape and configuration of the uterus?

Anteverted (most common position), anteflexed, retroflexed, retroverted
Normal size: 6cm x 4cm
Mobile, smooth and NT