Female Exam Part 2 Flashcards Preview

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Flashcards in Female Exam Part 2 Deck (33)
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1

Who should have a pelvic exam?

Annually for all women who are sexually active, or baseline at age 21

2

New guidelines for pelvic exam

With negative results from HPV and Pap Smear, every 3-5 years

3

What should you ALWAYS have present in the exam room during a female gentalia examination

another person

4

4 parts of Pelvic Exam

External
Internal
Bimanual
Recto-vaginal (includes DRE)

5

Pubic hair should be in which geometrical pattern?

Triangular

6

Internal exam: aka___

Speculum exam

7

Speculum exam should be performed before or after the bimanual exam?

Before (as to not disturb the tissues/samples)

8

Internal Exam should be performed WITH or WITHOUT lubicrant

WITHOUT

9

At which angle and direction is the speculum inserted?

45 degrees posteriorly

10

term meaning "no pregnancies"

Nulliparous

11

size and shape of nulliparous os

small and round

12

term mean "has had a child"

parous

13

columnar mucosal cells, usually found in endocervical canal, have extended out into surface of cervix, creating a CIRCULAR RAISED ERYTHEMATOUS APPEARANCE

Everted Cervix

14

T/F An Everted cervix is a normal variant

True

15

T/F An Everted cervix has an increased risk for HPV and dysplasia

True

16

Retention cysts - aka ___ ___

Nabothian Cysts (fuild-filled and insignifacant)

17

The 1st sample for a "pap smear" evaluates which type of cells?

Cervical cells

18

Pap smear screens for which type of cancer

Cervical cancer

19

The Pap Smear has decreased the death rate due to Cervical CA by what %

75%

20

The 2nd sample for a pap smear evaluates what?

Vaginal secretions

21

What are the 3 MC STIs among women?

HPV, Herpes, Chlamydia

22

T/F Iowa City has the highest incidence of STIs in Iowa (no offense to the Iowa fans)

False: The Quad Cities

23

A Papanicolaou smear collects samples from which 2 locations?

Ectocervix and Endocervical canal

24

T/F A Gonococcal culture specimen is used MORE commonly than the combined DNA probe

False - LESS commonly

25

2 microscopic procedures used to diagnose vaginal discharge

Wet Mount and Potassium Hydroxide

26

General description for anything that causes symptomatic discharge

Vulvovaginitis

27

Which exam follows the speculum exam?

Bimanual

28

T/F The Bimanual exam IS NOT important if the patient is not sexually active

False - is very important even if not sexually active

29

The final part of the female pelvic exam

Recto-Vaginal Exam, DRE

30

In an infant, are adhesions between the labia minora common?

Yes - often seen during first few month or even years later