Flashcards in Female Exam Part 2 Deck (33)
Who should have a pelvic exam?
Annually for all women who are sexually active, or baseline at age 21
New guidelines for pelvic exam
With negative results from HPV and Pap Smear, every 3-5 years
What should you ALWAYS have present in the exam room during a female gentalia examination
4 parts of Pelvic Exam
Recto-vaginal (includes DRE)
Pubic hair should be in which geometrical pattern?
Internal exam: aka___
Speculum exam should be performed before or after the bimanual exam?
Before (as to not disturb the tissues/samples)
Internal Exam should be performed WITH or WITHOUT lubicrant
At which angle and direction is the speculum inserted?
45 degrees posteriorly
term meaning "no pregnancies"
size and shape of nulliparous os
small and round
term mean "has had a child"
columnar mucosal cells, usually found in endocervical canal, have extended out into surface of cervix, creating a CIRCULAR RAISED ERYTHEMATOUS APPEARANCE
T/F An Everted cervix is a normal variant
T/F An Everted cervix has an increased risk for HPV and dysplasia
Retention cysts - aka ___ ___
Nabothian Cysts (fuild-filled and insignifacant)
The 1st sample for a "pap smear" evaluates which type of cells?
Pap smear screens for which type of cancer
The Pap Smear has decreased the death rate due to Cervical CA by what %
The 2nd sample for a pap smear evaluates what?
What are the 3 MC STIs among women?
HPV, Herpes, Chlamydia
T/F Iowa City has the highest incidence of STIs in Iowa (no offense to the Iowa fans)
False: The Quad Cities
A Papanicolaou smear collects samples from which 2 locations?
Ectocervix and Endocervical canal
T/F A Gonococcal culture specimen is used MORE commonly than the combined DNA probe
False - LESS commonly
2 microscopic procedures used to diagnose vaginal discharge
Wet Mount and Potassium Hydroxide
General description for anything that causes symptomatic discharge
Which exam follows the speculum exam?
T/F The Bimanual exam IS NOT important if the patient is not sexually active
False - is very important even if not sexually active
The final part of the female pelvic exam
Recto-Vaginal Exam, DRE