Female Genital

Question 1

absence of menstruation

Answer 1

amenorrhea

Question 2

shortened interval between periods—less than 19 to 21 day

Answer 2

oligomenorrhea

Question 3

lengthened interval between periods—more than 35 days

Answer 3

polymenorrhea

Question 4

excessive flow during normal duration of regular periods

Answer 4

Hypermenorrhea

Question 5

d flow during normal duration of regular periods

Answer 5

Hypomenorrhea

Question 6

regular and normal interval between periods, excessive flow and duration

Answer 6

menorrhagia

Question 7

irregular interval between periods, excessive flow and duration

Answer 7

metrorrhagia

Question 8

irregular or excessive bleeding during periods and between periods

Answer 8

menometrorrhagia

Question 9

What is time btw menstrual cycle?

Answer 9

mittelschmerz

Question 10

What is GTPAL?

Answer 10

gravidity
term preg
preterm preg
abortions
Living

Question 11

What is the purpose of the genital self exam?

Answer 11

to find STI or malignant changes

Question 12

What are symptoms of female genitalia that are related to aging?

Answer 12

itching, urinary symptoms, dyspareunia

Question 13

Who can discontinue cervical cancer screening?

Answer 13

those post hysterectomy that have had it removed for non cancerous reasons

Question 14

What are pap smear and pelvic recommendations for healthy low risk asymptomatic pts?

Answer 14

3-5 yrs

Question 15

What is pap/pelvic recommendation for high risk disease, symptomatic?

Answer 15

yearly

Question 16

When should cervical ca screenings start?

Answer 16

age 21

Question 17

How often should cervical CA be screened in 21-29yo?

Answer 17

every 3 yrs, NO HPV testing

Question 18

How often should women 30-65 be screen for cervical CA?

Answer 18

pap + HPV every 5 years
OR
pap every 3

Question 19

What is the screening requirement for women over 65 for cervical canceR?

Answer 19

if had normal results than NONE

hx of cervical precancer - test for 20 years after yearly

Question 20

What is the recommendation for cervical screening for pt with uterus and cervix removed?

Answer 20

none – if not removed for cancer reasons

Question 21

What are risk factors for cervical cancer?

Answer 21

HPV infection
HPV vaccination is + protect
Lack of pap smears
high parity
young age at parity
smoking
HIV infection
Diet - if shitty/overwt
DES exposure
OCP use for 5+ years
low socioeconomic status

Question 22

What are risk factors for ovarian cancer?

Answer 22

age - increases
BRCA 1 and BRCA 2 
Family hx - colon ca, ashkenazi jew
obesity
Nulliparity
use fertility drugs
personal hx of ca
hormone replacement therapy
diet - high fat
OCP - + protective

Question 23

What is a protective factor for cervical CA?

Answer 23

HPV caccination

Question 24

What is protective factor for ovarian?

Answer 24

OCP use

Question 25

What are the risk factors for endometrial CA?

Answer 25

``` early menarch 50 total menstration years infertility or nulliparity obesity tamoxifen ERT ovarian disease diet - high fat DM age - increase >40 yo family hx - endo, breast, ovrain, colorectal personal ca hx pelvic radiation ```

Question 26

What position do you do the pelvic in?

Answer 26

lithotomy

Question 27

What do you palpate the cervix for?

Answer 27

size, shape, position, length, mobility

Question 28

What do you have pt do before pelvic?

Answer 28

empty bladder

Question 29

How big is the clitoris?

Answer 29

2 cm long and .5cm wide

Question 30

What gland do you milk?

Answer 30

skene, move finger up and outward

Question 31

What is an anterior pointing cervix?

Answer 31

retroverted uterus

Question 32

What is posterior pointing cervix?

Answer 32

anteverted

Question 33

What is a horizontal cerix?

Answer 33

midposition

Question 34

What does the os look like in nulliparitious?

Answer 34

small round or oval

Question 35

How does the os look like in multiparious women?

Answer 35

horizontal slit or irregualar shape

Question 36

What can present on cervix?

Answer 36

nab cyst

Question 37

hold a cotton swab in the cervical os for 10 to 30 seconds. Then spread the specimen in a Z pattern over the culture medium

Answer 37

gonococcal culture specimen

Question 38

rotate a Dacron swab in the endocervical canal for 30 seconds. Then place the swab in the reagent tube.

Answer 38

DNA probe fro clamydia and gonorrhea

Question 39

obtain a vaginal discharge specimen with a swab. Smear the specimen on a glass slide and add a drop of normal saline

Answer 39

wet mount

Question 40

What does a wet mount detect?

Answer 40

trichomonads or clue cells

Question 41

What does a fishy odor mean?

Answer 41

bacterial vaginosis

Question 42

obtain a vaginal discharge specimen with a swab. Place the specimen on a glass slide and add a drop of 10% potassium hydroxide.

Answer 42

KOH test

Question 43

what does KOH test for?

Answer 43

candidiasis

Question 44

What do you want to check the vaginal walls for?

Answer 44

color, surface, secretion, hernial protrusions

Question 45

What is protrusion through anterior vagina?

Answer 45

cystocele

Question 46

What is protrusion through posterior vaginal wall?

Answer 46

rectocele

Question 47

What part of the pap stick should you use for post hysterectomy?

Answer 47

blunt end around suture

Question 48

What do you have to label pap for post hysterectomy?

Answer 48

vaginal cells

Question 49

What do you look for with the uterus?

Answer 49

location, position, size, shape, contour, mobility

Question 50

How does the vaginal mucosa appear?

Answer 50

transverse rugated, loses rugation after menopause

Question 51

What is chadwick sign?

Answer 51

blue vagina mucosa

Question 52

What can cervical motion tenderness mean?

Answer 52

PID

Question 53

Are nabothian cysts malignant?

Answer 53

no, normal variant

Question 54

What are clue cells seen in?

Answer 54

bacterial vaginosus

Question 55

What does a fixed uterus mean?

Answer 55

adhesions

Question 56

What do cervical polyps look like?

Answer 56

bright red