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Clinical Assess 3 > Female > Flashcards

Female Flashcards

(80 cards)

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1
Q

Menarche=age of onset is usually

A

9-13

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2
Q

How often does the patient have menses?

A

21 to 35 days is normal

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3
Q

How long are the menses?

A

4 to 7 days is normal

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4
Q

To document menstrual history:

A

Age x Cycle frequency x duration.

Example: age 11, every 28 days, 5 day duration= 11 x 28 x 5

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5
Q

increased frequency of menses

A

polymenhorrhea

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6
Q

excessive amount of menses

A

menorrhagia

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7
Q

decrease frequency of menses

A

oligomenorrhea

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8
Q

interval between menses irregular

A

metrorrhagia

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9
Q

combination: irregular interval, excessive amount of menses

A

menometrorrhagia

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10
Q

absent menses

A

amenhorrhea

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11
Q

failure of menses to be initiated

A

Primary amenhorrhea

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12
Q

cessation of menses have it had previously existed

A

Secondary amenhorrhea

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13
Q

painful periods with cramping or aching in the lower pelvis/lower back

A

dysmenorrhea

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14
Q

Complex of symptoms occuring 4 to 5 days before onset. Psychological and physical (tension, irritability, depression, mood swings, weight gain, bloating, edema, headaches, breast tenderness)

A

Premenstrual syndrome (PMS)

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15
Q

Pregnancy history documentation

A 
G#P(TPAL)
G#=total # pregnancies
P=# deliveries
T=full term deliveries >37 wks
P=premature deliveries  <20-37 weeks
A=abortion/miscarriage
L=living children
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16
Q

Total number of pregnancies

A

gravity

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17
Q

Number of deliveries

A

parity

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18
Q

full term deliveries

A

> 37 wks

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19
Q

premature deliveries

A

<20-37 weeks

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20
Q

Document:

  • 5 living children
  • 4 children delivered full term
  • emergency surgery at 8 months
  • 2 abortions

G_P_ _ _ _

A

G7 P4125

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21
Q

pain with sex

A

dyspareunia

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22
Q

what causes menopause?

A

decline in ovarian production of estrogen

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23
Q

Average age of menopause

A

51 years

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24
Q

Women on contraception. Ask about?

A 
ACHES
Abdominal pain
Chest pain
Headaches
Eye problems
Sudden leg or calf pain
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25
abdominal pain-from IUD
dyspareunia
26
IUD came out
expulsion
27
5 P's model of sexual history
``` Partners Prevention of pregnancy Protection from STIs Practices Past history of STIs ```
28
Sequence of female exam
1) Inspect 2) Speculum 3) bimanual 4) rectovaginal 5) rectal
29
Blood supply for female genitalia
internal iliac artery
30
all structures visible externally from pubis to perineum
vulva
31
fat pad located over pubic bone
mons pubis
32
hair-covered folds of tissue that protect inner genitalia
labia majora
33
protects opening of vagina and urethra
labia minora
34
erectile tissue to provide sexual pleasure
clitoris
35
thin membrane that partially surrounds the opening of the vagina
hymen
36
clitoral hood, provides protection
prepuce
37
location of bartholin glands
4 and 8 o'clock
38
Skene's glands
function debatable; apply pressure on anterior vaginal wall
39
Before speculum exam... instructions for patient
NOTHING for 1 to 2 days (48-72 hours) | empty bladder before exam
40
What position is the speculum exam performed in?
lithotomy
41
Speculum is a _____ procedure, not a _____ procedure
clean, not sterile
42
Speculum insertion steps
1) insert index finger 2) locate the cervix 3) insert speculum at slight angle downward, slowly remove finger 4) apply posterior pressure to open/patient should inhale 5) slowly open, catch cervix in between blades and lock in place
43
elastic muscular tube extending upward; connects cervix to vulva
vagina | 8-10 cm in length
44
consists of fibrous tissue and small amount of smooth muscle; makes up lower 1/3 of uterus
cervix
45
ectocervix
squamous epithelium
46
endocervical canal
columnar epithelium
47
blood supply of cervix
uterine artery | 3 and 9 oclock
48
Cervical contains and external orifice and internal orifice. what is visible on exam?
external os
49
folds lining the vagina; allows expansion during sex and childbirth
rugae
50
small, oval cervix
nulliparous
51
linear, irregular cervix
parous
52
Mucus trapping
nabothian cyst
53
soft, friable mass protruding from cervix external os; most common benign cervical lesion
polyps
54
Specimen collection of PAP
1) obtain from endocervix AND ectocervix 2) place broom in, rotate 360 degrees 3) MUST INCLUDE CELLS FROM ENDOCERVIX (common site for cancer) If pregnant, use cotton tipped
55
Abnormal secretion
wet prep of saline and KOH
56
Removing the speculum
make sure blades are closed to avoid lacerations
57
bladder wall weakening
cystocele
58
rectal tear or defect cause bulging
rectocele
59
pelvic floor muscles and ligaments stretch and weaken causing uterus to descend into vagina
uterine prolapse
60
place two fingers inside labia and ask patient to bear down to see if vaginal walls bulge
check for prolapse
61
place 2 fingers against walls of vagina and have patient squeeze fingers
assess vaginal tone
62
Pain elecited during bimanual exam
chandelier sign
63
enlarged uterus causes
pregnancy, fibroids
64
adexal mass causes
ectopic pregnancy
65
ovarian mass causes
cysts
66
tenderness with bimanual exam causes
pelvic inflammatory disease (PID) Endometriosis Cystitis
67
Cervical cancer is primarily
>80% squamous cell carcinoma | >95% due to HPV
68
HPV types-cancer
16 and 18
69
HPV types-genital warts
6 and 11
70
Given to mothers to prevent miscarriage
diethylstilbestrol hormone (DES)
71
Cervical screening for women ages
21-65
72
Cytology guidelines
21-30 y
73
Cytology+HPV dna guidelines
30-65 y
74
Patient is <21: guideline?
do not screen
75
Patient is 21-30: guideline?
cytology every 3 years; no HPV
76
patient is 30-65: guideline?
cytology every 3 years OR cytology with HPV every 5 years
77
patient is >65 y: guideline?
do not screen
78
recommended vaccine for prevention of cervical, vulvar, vaginal, and anal, throat and penile cancers
Ages 9-26 | Guardasil 9
79
recommended vaccine for prevention of precancerous lesions due to HPV
Ages 9-26 | Guardasil HPV Quadrivalent
80
Speculum is ____ the bimanual exam
before

Clinical Assess 3 (8 decks)

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