Female GU Exam 15?

Question 1

causes of bartholin glands abscess

Answer 1

gonococcus and chlamydia

Question 2

third degree uterine prolapse

Answer 2

entire uterus prolpase

procidentia

Question 3

where is P applied with speculum

Answer 3

posterior wall

Question 4

inspect os for

Answer 4

shape
polyps
pus
cancer
cysts

Question 5

labs for discharge from cervix

Answer 5

wet prep
KOH
culture

Question 6

nabothian cyst

Answer 6

inclusion cyst of endocervical glands

Question 7

transformation zone

Answer 7

squamocolumnar junction moves dependent on age and hormonal status

Question 8

what hormone causes the metaplasia of columnar to squamous

Answer 8

Estrogen

Question 9

causes of infecitous cervicitis

Answer 9

chlamydia trachomatis, N gonorrhea, trichomonals, Herpes, HPV

Question 10

when do you insepct vagina

Answer 10

when removing speculum

Question 11

what lesions can be in vagina

Answer 11

epidermal cysts
venereal warts
genital herpes
chancre (syphillis)
carcinoma

Question 12

bimanual exam you are feeling for

Answer 12

cervical tenderness or enlargment and mobility
uterus size shape consistency
ovaries size shap mobility, tenderness

Question 13

what is uteral version

Answer 13

releationship between fundus of uterus and vagina

Question 14

what is flexion of uterus

Answer 14

relationship between fundus uterus and cervix

Question 15

rectovaginal exam

Answer 15

posterior wall of vagina
rectovaginal pouch
rv rf uterus
rectum

Question 16

most common type hernia in women

Answer 16

indirect

Question 17

femoral hernia more common in

Answer 17

women

Question 18

how many lobes in breast

Answer 18

15-20

Question 19

what are the fibrous bands in breast

Answer 19

suspensory ligaments of cooper

Question 20

coopers ligaments attach to dermis how

Answer 20

perpendicularly

Question 21

what is lactiferous sinus

Answer 21

dilated portion of major ducts

lined with stratified squamous

Question 22

major ducts lined with what

Answer 22

2 layers cuboidal cells

minor ducts have one layer of columnar or cuboidal

Question 23

extend of femal breast

Answer 23

2nd or 3rd rip to inframammary fold at 6th or 7th rib

lateral border sternum to anterior axillary line

Question 24

deep surface breast rests on what

Answer 24

pectoralis major, serratus anterior and external oblique and upper part rectus sheath

Question 25

tail of spence extends wehre

Answer 25

laterally across the anterior axillary fold

Question 26

arterial supply to breast

Answer 26

internal mammary artery lateral form posterior intercostal artheries branches from axillary (thoracic, lateral thoracic and pectoral branches)

Question 27

what are the medial mammary arteries

Answer 27

2-4 anterior intercostal perforators and branches from internal mammary

Question 28

what gives rise to lateral mammary branches

Answer 28

lateral thoracic a

Question 29

optimal time to examine breast in regards to LMP

Answer 29

5-7 days after

Question 30

erythema of breast

Answer 30

mastitis, inflammatory carcinoma

Question 31

masses in breast

Answer 31

cysts, fibroadenomas, carcinoma

Question 32

nipple discharge of breast

Answer 32

bloody- papilloma, CA | non-bloody: endocrine

Question 33

nipple ulceration

Answer 33

pagets | mechanical

Question 34

4 positions to examine breast

Answer 34

arms at sides arms over head hands on hips leaning forward

Question 35

risk Factors breast cancer

Answer 35

``` Hx breast cancer FMH breast cancer age nulliparous first child after age 30 early menarche E and HRT radiotherapy to chest smoking ```

Question 36

majoirty breast ca present with

Answer 36

lump

Question 37

stage 1 breast cancer

Answer 37

tumor <2 cm diamtere no nodal spread no mets 5 yr survival 98%

Question 38

stage II breast cancer

Answer 38

``` 2-5 cm may have spread to axillary lymph >5 cm no spread <2cm has spread no mets 5 yr 76-88% ```

Question 39

stage III breast cancer

Answer 39

spread to lymph ndoes near breast >5cm with spread <5 m but spread above collarbone

Question 40

inflammatory breast cancer

Answer 40

spread to skin causing redness and swelling can be stage II 5 yr 49-56% with Tx

Question 41

stage IV breast cancer

Answer 41

distant mets Tx won't cure Sx relief is priority