Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

HAPE > female gu exam 3 > Flashcards

female gu exam 3 Flashcards

(67 cards)

Start Studying
1
Q

what is included in the vulva?

A

mons pubis, labia majora, labia minora, clitoris, vestibule, skenes glands, bartholins glands, urethral meatus, vaginal introitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

fourchette

A

formed by inferior union of labia minora at posterior commissure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

perineum

A

located between fourchette and anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hymen

A

circular fold of tissue that may partially or completely occlude vaginal introitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

labia majora

A

rounded folds of adipose and connective tissue

extends from the mons to just pass the posterior commissures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

labia minora

A

thinner, medial, pink red flods that extend anteriorly to form prepuce and clitoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

prepuce

A

female foreskin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

innervation of the clitoris

A

dorsal nerve branches off the pudendal nerve to innervate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

average length and width of clitoris and adult female

A

width= ~1 cm
length= 1.5-2 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does the vestibule contain?

A

the urethral meatus and opening to the skene’s glands bilaterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

vaginal introitus

A

opening to the vagina, contains the hymen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

site of episiotomy or tears during childbirth

A

perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if skenes glands are edematous or tender you should consider

A

infection- chlamydia or ghonorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

bartholins gland function

A

secrete watery fluid that serves as lubricant during intercours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

cystocele

A

when the wall between the bladder and the vagina weakens

bladder falls through vaginal introitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

retrocele

A

wall between rectum and vagina weakens

rectum falls through vaginal introitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

uterine prolapse

A

Prolapse of the uterus results from weakness of the supporting structures of the pelvic floor and is often associated with a cystocele and rectocele. In progressive stages, the uterus becomes retroverted and descends down the vaginal canal to the outsid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

vulva nerve innervation

A

pudendal nerve
-innervates majority of vulva
-responsible for proper functioning and control of urination defecation and orgasm

ilioinguinal and genitofemoral nerve
-innervate anterior to urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

blood supply of vulva

A

predominately from internal pudendal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

where does the cervix turn into the uterus?

A

at the isthmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is the lining of the uterus called?

A

endometrium

*endometrial lining 2-10 cm thick depending on stage of menstrual cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

length of vagina

A

~7-10 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

length of cervix

A

~3 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

muscle layers of the vagina

A

-inner circular muscle layer
-outer logitudinal smooth muscle layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
vaginal cells responsible for resistance to infection
superficial cells of vagina that contain glycogen which produce lactic acid with normal vaginal flora
26
what tissue lines the vagina?
stratified squamous epithelium
27
describe the fornices of the vagina
anterior fornix -shallow -posterior to bladder posterior fornix -deep -anterior to pouch of douglas lateral fornices -contain broad ligaments -may palpate fallopian tubes and ovaries here
28
corpus/ fundus= upper portion of uterus
-interlacing smooth msucle fibers -freely mobile -peritoneum covers fundus anteriorly
29
what is the fundus of the uterus supported by?
-broad ligament -uterosacral ligaments -pelvic floor
30
skin/tissue cells of the cervix
exocervix= squamous epithelium endocervix=simple columnar epithelium come together at squamocolumnar junction/transition zone
31
adnexa
region that houses the female reproductive organs while lie close to the uterus *ovaries, fallopian tubes, ligaments that hold uterus in place
32
primary function of fallopian tubes
provide a conduit for and convey egg from ovary to uterus
33
what is the most common site of ectopic pregnancies?
ampulla of fallopian tubes
34
function of fimbriae
direct egg into fallopian tube
35
primary funcitons of ovaries
-oogenesis -hormone production
36
innervation of the pelvic floor
-pelvic diaphragm= sacral nerve root s3-s5 -perineal membrane= pudendal nerve
37
menarche
onset of menses
38
menopause
absence of menses for 12 consecutive months usually occuring between 48 and 55 years
39
amenorrhea
absence of menses; most common cause is pregnancy
40
dysmenorrhea
pain with menses, often when bearing down, aching, or cramping sensation in the lower abdomen or pelvis
41
premenstrual syndrome (PMS)
atleast one symptom associated with "economic or social dysfunction" that occurs during the 5 days before the onset of menses and is present atleast 3 consecutive menstrual cycles
42
premenstrual dysphoric disorder (PMDD)
43
primary vs secondary dysmenorrhea
Primary dysmenorrhea results from increased prostaglandin production during the luteal phase of the menstrual cycle, when estrogen and progesterone levels decline. Causes of secondary dysmenorrhea include endometriosis, adenomyosis (endometriosis in the muscular layers of the uterus), pelvic inflammatory disease (PID), and endometrial polyps
44
patterns of abnormal bleeding
-Polymenorrhea, or less than 21-day intervals between menses -Oligomenorrhea, or infrequent bleeding -Menorrhagia, or excessive flow -Metrorrhagia, or intermenstrual bleeding -Postcoital bleeding- CANCER UNTIL PROVEN OTHERWISE
45
premature ovarian failure
"early menopause" before 40 years old
46
Chronic pelvic pain is a red flag for
hx of sexual abuse
47
gynecological history
-date of last pelvic exam -last pap smear and results -hx of an abnormal PAP -stis -gyn procedures -personal or fam hx of diabetes of cancer of the reproductive organs
48
GTPAL
G= # of pregnancies T=term births P=preterm births A=abortions L=living children
49
contraceptive hx
current method (type, length of time used, compliance, side effects, satisfaction) previous methods and why discontinued patient education about barrier methods
50
sexual hx
-number sexual partners -gender of partners -sexual preferences -high risk behavior -prior stds
51
genitourinary ros
urinary urgency urinary incontinence hematuria painful urination night time urination
52
genital ros
vaginal odor, vaginal discomfort, vaginal discharge, itching, postcoital bleeding, painful intercourse
53
components of female gu exam
-inspection external genitalia -palpation external genatlia -examination with speculum *bimanual palpation -rectovaginal palpation -rectal exam
54
list speculums largest to smallest
graves, peterson, huffman
55
position of patient during pelvic exam
dorsal lithotomy
56
steps of internal exam
speculum insertion inspection of cervix inspection of cervical os culture collection pap smear collection internal exam of vaginal mucosa
57
choose speculum size based on
patients: age sexual experience introital size
58
nabothian cysts
cysts on cervix
59
the wet prep
-vaginal discharge samples collected -normal saline on one slide -KOH on another slide -take a whiff a fishy odor indicative of bv
60
what is a normal vaginal ph
4-4.5
61
what does a vaginal Ph of over 4.5 suggest in premenopausal women?
suggests infections such as bv or trichomoniasis helps to exclude candida vulvovaginitis
62
what do you have to do to feel a retroverted uterus?
you need to do a rectovaginal exam
63
what HPV subtypes are associated with genital warts?
subtypes 6 and 11
64
what are the 14 high risk types of HPV?
16,18,31,33,35,39,45,51,52,56,58,59,66,68
65
health promotion and counseling
Cervical cancer Menopause and hormone replacement therapy Ovarian cancer
66
The ACIP recommends routine vaccination for females and males beginning at age 11 or 12 years, though vaccinations can be first given at age 9 For persons first being vaccinated at ages 15 through 26 and immunocompromised persons ages 9 through 26, the recommendation is for three doses of HPV vaccine
67
which age to end cervical cancer screening
Age >65 yrs, assuming three consecutive negative results on cytology or two consecutive negative results on cytology plus HPV testing within 10 yrs before cessation of screening, with the most recent test performed within 5 yrs

HAPE (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions