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Flashcards in Female genitalia Deck (37):
1

Define menarche

The first menstruation and initiation of cyclic menstrual function

2

Define menopause

Absence of menses for 12 consecutive months, usually occurring between 48 and 55 years

3

Define postmenopausal bleeding

Bleeding occurring 6 months or more after cessation of menses

4

Define amenorrhea

Absence of menses

5

Define dysmenorrhea

Painful or difficult menstruation

6

Define premenstrual syndrome (PMS)

a cluster of emotional, behavioral, and physical symptoms occurring 5 days before menses for 3 consecutive cycles

7

Define abnormal uterine bleeding

Bleeding between meses; includes infrequent, excessive, prolonged, or postmenopausal bleeding

8

What is the age range for the onset of menses?

9-16

9

How long does it take to before menses become regular once it starts?

Full year

10

What is the interval for menstruation, and how many flow days?

24-32 days, with 3-7 flow days

11

When is an appropriate age to ask if menses has ceased?

40-60

12

What are the three questions that are appropriate to ask for a female of reproductive age?

Age of onset of menses
LMP
Cycle description

13

What are the three questions appropriate to ask for women who may have had menopause?

When stopped
Associated symptoms
Bleeding?

14

When is HPV most common?

In teens and 20 year olds

15

How long does it take for severe dysplasia from HPV to become invasive?

3-7 years

16

True or false: HPV usually clears in 1-2 years in those under 21 years old

True

17

When do pap smears begin?

Age 21

18

True or false: Pap smears should begin at 21, regardless of risk, behavior, and age of first sex

True

19

For females 21-29 years old, what, and how often should pap smears be done? Should HPV testing be done?

Cytology only, every three years, no HPV testing

20

When does cytology AND HPV testing start? How often?

30-65 years
Both every 5, OR cytology every 3

21

True or false: It is alright to perform an HPV test alone for 30-65 year olds

False--should be done in conjunction with cytology

22

After 65 years, how many negative pap smears does a person need to be considered safe for no further testing?

3 consecutive negatives or 2 conseutive co-tests

23

When should you continue to have pap smears for adults over 65 years?

h/o cervical CA

24

If a patient has had a hysterectomy, do they need further pap smears?

Only if the hysterectomy was done to remove CA

25

When do the guidelines for pap smears not apply? (4)

1. HIV infecions
2. imunosuppression
3. Exposure to DES in utero
4. h/o cervical CA

26

What are the ACOG guidelines for chlamydia screening?

All females 25 and younger

27

An anteverted uterus points in which direction?

Points posteriorly

28

A retroverted uterus points in which direction?

Anteriorly

29

A mid position uterus points in which direction?

Horizontal

30

How far does the cervix usually protrude into the vagina?

1-3 cm

31

What are the targets for HPV vaccine? (2 most common types)

16 and 18

32

What is the level of protection for women who receive the HPV vaccine and are exposed to the virus?

100%

33

The HPV vaccine does not protect against what percent of cervical CA caused by HPV types other that 16 and 18?

30%

34

What is the average number of pads women go through per day during menses?

3-4

35

What is a cystocele?

A hernial protrusion of the urinary bladder through the anterior wall of the vagina

36

What is a rectocele?

A hernial protrusion of part of the rectum through the posterior vaginal wall

37

What is the discharge associated with physiological vaginitis?

Clear to mucoid