Female Genitalia Flashcards Preview

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Flashcards in Female Genitalia Deck (31):
1

what are important hx questions to ask with female exam?

***LMP***
frequency/pain a/w periods
heavy or light (# of pads per day)

age at menarche
previous delivery information
OCP hx/past STI

2

what puts a woman more at risk for endometriosis?

abdominal surgery

3

smoking increases risk for which virus?

HPV

4

what is a sign of endometrial cancer?

bleeding in between periods

5

what classifies stage 1 sexual development?

no pubic hair

6

what classifies stage 2 sexual development?

few straight hair along labia

7

what classifies stage 3 sexual development?

curly pigmented hair along labia

8

what classifies stage 4 sexual development?

curly pigmented hair that has not spread to thighs

9

what classifies stage 5 sexual development?

adult hair configuration

10

what is the introitus?

vaginal opening

11

what are skene's glands?

paraurethral glands
function as lubricator during sex

12

where are bartholin's glands located?

on posterior aspect of vaginal opening
-prone to blockage
-function as lubricator during sex

13

what is the perineum?

area of skin between anus and vulva

14

what is the transformation zone?

combination of squamous cells (on exocervix) and columnar cells (on endocervix)

15

what might cause blockage of a bartholin's cyst?

STD

16

what is a nabothian cyst?

cyst present on the surface of cervix
painless, sometimes indurated
normal and don't require treatment

17

what is a contraindication during pregnancy?

pap smear

18

what type of lubricant should be used during a pap smear/

saline (preservatives may influence test results)

19

which direction should you present the speculum at?

obliquely (not transverse)
-angle it downward
-once presented start opening speculum
-may need bigger speculum in obese patients

20

what are the Pap screening recommendations?

-w/in 3 yrs of the first sexual intercourse (or by age 21 yo)
-annually up to the age of 30 yo
- >30yo if 3 consecutive negative paps screen every 2-3 years

21

what does ASC-US mean?

atypical squamous cells of undetermined significance
-when combined with risky sexual behaviors you should perform and HPV exam

22

what does LGSIL or LSIL mean?

low grade squamous intraepithelial lesion (mild dysplasia)
CIN 1 (cervical intraepithelial neoplasia)
-most common cause is HPV
-usually resolves on its own w/in two years

23

what does HGSIL or HSIL mean?

high grade squamous intraepithelial lesion (moderate dysplasia = CIN 2)
(severe dysplasia = CIN 3)
(carcinoma in situ = CIN 3)

24

what does AGC mean?

atypical glandular cells of undetermined significance
-adenocarcinoma test
-indicates something going on higher up
-would get an endometrial biopsy

25

which are the more virulent strains of HPV?

6 + 11 (a/w genital warts), 16, 18 (most commonly leads to CA)

26

what should you note when mobilizing the cervix?

tenderness

27

what should you note when palpating the ovaries?

tenderness
size, shape
position
-normal fallopian tube will not be palpable

28

what is bacterial vaginosis?

imbalance of bacterial flora
-look for clue cells on slide (bacteria stuck to them)
-greyish, thin discharge
-fishy or musty odor (wiff test)
-will have alkaline pH (elevated)- normal is 3.8-4.2

29

what is trichomonal vaginitis?

caused by protozoal parasite
irritation, burning, itching of urethra (dyspurunia)
-will do a saline wetmount which will show the parasite (elevated pH)
-do a STI panal
-strawberry cervix (petechiae)
-greenish/white discharge

30

what is candidiasis?

caused by yeast overgrowth
-will show hyphea on KOH wetmount
-will have lower pH
-previous abx use

31

what is a "punch"?

cervical biopsy

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