Female Lab Quiz Flashcards Preview

New York > Female Lab Quiz > Flashcards

Flashcards in Female Lab Quiz Deck (38):
1

Risk factors for Endometriosis

-Asian or Caucasian
-Younger
-Nuliparous
-Family History

2

Risk factors for Hemorrhoids

-Low fiber diet
-Low water intake
-Sedentary lifestyle
-Pregnancy

3

Risk factors for Uterine fibroids

-African American
-Older Women
-Nulliparous

4

Risk factors for cervical cancer

-Multiple sexual partners
-HPV
-History of anticontraceptives
-Smoking

5

Risk factors for uterine cancer

-Overweight
-Older
-Nuliparous
-History of fertility drugs

6

Risk factors for breast cancer

-Older
-Nuliparous
-History of using anticontraceptives
-Overweight
-Alcohol
-Sedentary
-Family history

7

Which STD has painful itchy vesicles that come and go?

Herpes

8

What are the potential complications of a chlamydia infection later in life?

Pelvic inflammatory disease (PID), infertility, complications of pregnancy, greater susceptibility to other STD's such as HIV

9

A patient discovers a lump in her breast... Are most lumps cancerous?

NO!

10

How often should a woman have a breast exam done by a health professional?

50? Yearly
25? Every 3 years

11

3 main parts of the female exam in order

1) Speculum
2) Bimanual
3) Recto-vaginal

12

How do you assess for urinary incontinence?

Look at the urethra while the patient bears down; note leakage of urine

13

Which should you palpate first: The Skene's or Bartholin glands? Why?

Skene's, so that you don't introduce perianal bacteria into the vagina or urethra

14

If the Bartholin glands have purulent foul yellowish discharge what would you suspect?

Either a staph infection or an STD (most likely gonorrhea)

15

If the cervical os looks like this >----

The woman is parous (has delivered a baby)

16

In which part of the exam might we visualize endometrial lesions?

Speculum exam

17

In which part of the exam might we visualize Nabothian cysts?

Speculum exam

18

What are we screening for when we take a sample from the cervix with a spatula, brush, or broom?

Abnormal cells; early detection of cervical cancer

19

If you move the cervix during the bimanual part of the exam and it hurts the patients or the cervix is fixed and won't move, you suspect what?

Pelvic Inflammatory Disease (PID) or Endometriosis

20

List the 4 required steps of the rectal-vaginal exam

1) Assess muscle tone (patient squeezes around the finger)
2) Palpate rectovaginal septum
3) Palpate the posterior aspect of the cervix and uterus
4) Palpate the rectal walls (done last to avoid contamination

21

When is the best time to discuss any findings or concerns you have about this exam?

After the patient is dressed

22

4 questions to ask prior to the exam

Any changes in urination, defecation, sexual function, or with the menstural cycle?

23

Number of layers of gloves on our dominant and nondominant hand

Dominant = 3
Nondominant = 1

24

The first thing we inspect on the genitalia

Urethral meatus

25

Varicosities of the vulva as seen on inspection

Kluge's sign

26

Increased vaginal discharge

Leukorrhea

27

Pulsation of blood vessels at the vaginal fornices

Osiander's sign
8 weeks

28

Softening of the cervix

Goodell's sign
4-6 weeks

29

A central soft spot at the utero-cervical junction

Ladin's sign

30

Softening of the uterine isthmus

Hegar's sign
6-8 weeks

31

Fundus flexes easily on the cervix

McDonald's sign
7-8 weeks

32

Fullness and softening of the fundus near the site of implantation

Braun von Fernwald sign
7-8 weeks

33

Palpable lateral bulge or soft prominence of one uterine cornu

Piskacek sign
7-8 weeks

34

Bluish color of the cervix, vagina, and vulva

Chadwick sign
8-12 weeks

35

How often should a women get a pelvic exam?

Beginning at age 21, women should have a pelvic exam and Pap smear every 2 years to check for cervical cancer. If you are over age 30 or your Pap smears have been negative for 3 times in a row, your doctor may tell you that you only need a Pap smear every 3 years.

36

Findings noted upon inspection related to pregnancy

-Kluge's sign

37

Findings noted during the speculum exam related to pregnancy

-Chadwicks sign
-Leukorrhea

38

Findings noted during the bimanual exam related to pregnancy

-Osiander's sign
-Goodell's sign
-Ladin's sign
-Hegar's sign
-McDonald's sign
-Braun VonFernwald's sign
-Piskacek's sign