Exam 3

Question 1

How frequent should Clinical Breast exams be done for people who are 20-39 years old

Answer 1

Every 3 years

Question 2

How frequent should Clinical Breast exams be done for people who are 40 plus years old

Answer 2

Yearly

Question 3

Women ages 21 and 29 should have a Pap test how frequent?

Answer 3

Every 3 years

Question 4

Women of the age of 30-65 should have a Pap test how frequent?

Answer 4

Every 5 years

Question 5

Women of the age 30-65 should have what with a Pap test?

Answer 5

HPV test

Question 6

What is a Colposcopy

Answer 6

Exam of cervix with microscope that magnifies the view

Question 7

Treatment after abnormal Pap test

Answer 7

Colposcopy, Cryotherapy, and Laser cutting

Question 8

what is the recommended gynecologic screening method

Answer 8

LEEP (Loop Electosurgical Excision Procedure)

Question 9

What is Menopause

Answer 9

the time when menses ceases; ovaries stop responding to hormone levels

Question 10

what happens during Menopause

Answer 10

Increase FSH, Decrease in estrogen, menses ceases, and ovaries stop responding to hormones

Question 11

When is Menopause diagnosed

Answer 11

12 months of amenorrhea

Question 12

What is amenorrhea

Answer 12

The absence of menstruation

Question 13

what is Perimenopause

Answer 13

the period preceding menopause and one year after cessation of menses

Question 14

how long can Perimenopause last and average age of onset

Answer 14

Can last 2-7 years and happens usually around 45-50 years old

Question 15

Symptoms of Menopause

Answer 15

Changes in menstrual cycle
Atrophic changes in vagina, vulva, urethra and bladder
Hot flashes
insomnia

Question 16

How to manage symptoms of Menopause

Answer 16

Hormone replacement therapy

Complimentary and alternative therapies

Diet and Nutrition: high fiber, low fat, Vit. D and calcium, Phytoestrogens (found in soy products) some herbs

Wt. Bearing and low impact aerobics (prevention of osteoporosis)

Question 17

What is bacterial Vaginosis

Answer 17

Excessive amount of thin watery, yellow-gray discharge with foul odor

Question 18

what is the Treatment of vaginosis

Answer 18

Non-pregnant woman: metronidazole or clindamycin

Pregnant: metronidazole (Flagyl) or clindamycin in 2nd trimester

Question 19

what is the bacteria usually responsible for yeast infections

Answer 19

Candida Albicans

Question 20

what is the most common form of vaginitis

Answer 20

Yeast Infection

Question 21

symptoms of yeast infection

Answer 21

Thick, curdy vaginal discharge, severe itching, dysuria, and dyspareunia

Question 22

of the 15 million new STI cases each year how many are teenagers

Answer 22

roughly 25%

Question 23

Symptoms of Trichomoniasis

Answer 23

Yellow-green, frothy odorous discharge
Inflammation of vagina & cervix
Dysuria and dyspareunia

Question 24

What is the most common STI in the US

Answer 24

Chlamydia

Question 25

symptoms of Chlamydia

Answer 25

Thin or purulent discharge, burning and frequency or urination Lower abd. pain

Question 26

treatment for Chlamydia

Answer 26

azithromycin, doxycycline, or levofloxacin.

Question 27

symptoms of Gonorrhea

Answer 27

Purulent, greenish yellow discharge Dysuria and urinary frequency No treatment can lead to infertility

Question 28

treatment for Gonorrhea

Answer 28

Ceftriaxone IM

Question 29

Symptoms of PID

Answer 29

``` Bilateral sharp, cramping pain in lower quadrants Fever Chill purulent vaginal discharge Irregular bleeding May also be asymptomatic ```

Question 30

Treatment for PID

Answer 30

Inpatient: IV fluids, pain medications and IV antibiotics Outpatient antibiotics: Ofloxacin (Floxin)

Question 31

when is Infertility diagnosed

Answer 31

lack of conception despite unprotected sexual intercourse for at least 12 months

Question 32

types of Infertility

Answer 32

Sterility and Subfertility

Question 33

What is sterility

Answer 33

Term applied when there is an absolute factor preventing reproduction

Question 34

what is Subfertility

Answer 34

Term used to describe a couple that has difficulty conceiving because both partners have reduced fertility

Question 35

what hormone surges 24-36 hours after ovulation

Answer 35

LH

Question 36

Assessment for ovulatory factors

Answer 36

Surge of LH, Basal body temp, Ovulation Predictor kits

Question 37

what is Endometrial Biopsy

Answer 37

Gives info about effects of progesterone produced by the corpus luteum after ovulation and endometrial receptivity

Question 38

What are the evaluations for cervical factors

Answer 38

Spinnbarkeit | Ferning Capacity

Question 39

what test evaluates cervical mucus, sperm motility, sperm-mucus interaction

Answer 39

Postcoital/Huhner test

Question 40

how many hours do couples have intercourse before Postcoital/Huhner test

Answer 40

6-12 hours

Question 41

what is the first and least expensive test done for Male infertility

Answer 41

sperm analysis

Question 42

what is a pharmacological method to treat infertility?

Answer 42

Clomid

Question 43

what does Clomid do

Answer 43

induces ovulation

Question 44

how many women usually become pregnant using Clomid

Answer 44

40%

Question 45

What benchmarks do women need to meet to use Clomid

Answer 45

normal ovaries, normal prolactin level and in intact pituitary gland

Question 46

side effects of Clomid

Answer 46

visual disturbances | Hot flashes

Question 47

when is Vitro Fertilization used

Answer 47

Used when infertility is due to tubal factors, mucus abnormalities, male infertility

Question 48

what is Vitro fertilization

Answer 48

Ova removed, fertilized, returned to uterus after normal embryo development has begun

Question 49

what does GIFT stand for

Answer 49

gamete introfallopian transfer

Question 50

what does ZIFT stand for

Answer 50

Zygote introfallopian transfer

Question 51

what is ZIFT

Answer 51

Ova fertilized outside the body Fertilized ova placed in distal fallopian tube It enter uterus naturally

Question 52

what does TET stand for

Answer 52

tubal embryo transfer

Question 53

what is TET

Answer 53

Eggs retrieved and incubated with sperm Retuned back at much earlier stage of cell division than IVF Placed in fallopian tubes

Question 54

what is syphilis treated with

Answer 54

Penicillin G

Question 55

does Herpes Genitalis have a cure

Answer 55

No Known Cure

Question 56

symptoms of Syphilis

Answer 56

slight fever, loss of weight and malaise | Chancre persists for about 4 weeks

Question 57

What are the 4 Parenting styles and their definitions

Answer 57

Authoritative parents—Warm but firm Authoritarian Parents –little warmth & highly controlling Permissive Parents—Warm & undemanding Uninvolved Parents—not warm or involved

Question 58

What are the 6 family assessments

Answer 58

``` Family structure Roles within the family Physical Health status Interactions patterns Family values Coping Resources ```

Question 59

what are the 6 indicators of stress in the family?

Answer 59

Inability by the family or a member to act on recommended treatments Various somatic complaints among family members High Anxiety Depression Problems in school Drug use

Question 60

What is a Nuclear Family

Answer 60

Children live in the household with both biological parents and no one else

Question 61

What is Extended family

Answer 61

couples shares household and childbearing responsibilities with parents, siblings, or other relatives

Question 62

What is Blended family

Answer 62

two families living together

Question 63

What is communal family

Answer 63

Living together as extended families

Question 64

What are the 3 Learning Domains and their definitions

Answer 64

Cognitive Learning “Thinking or understanding” Affective Learning “Feeling or attitude” Psychomotor Learning “Skill”

Question 65

What pattern of basal body temp indicates ovulation

Answer 65

Her temperature dips then rises

Question 66

Should a patient with a IUD check for the string after each menses

Answer 66

Yes

Question 67

what is used with a diaphragm

Answer 67

Spermicide

Question 68

When should a Cervical cap be used

Answer 68

Before intercourse and 6 hours after