Gynecologic Assessment

Question 1

female anatomy anterior to posterior

Answer 1

pubic bone, bladder, uterus, bowel

Question 2

which day is the first day of cycle

Answer 2

1st day of period

Question 3

G-Gravida

Answer 3

total number of pregnancies

Question 4

T-Term births

Answer 4

when the birth happens between 37-42 weeks of gestation

Question 5

P-Preterm births:
Extreme:___weeks
Very:__ weeks
Moderate to late:__weeks

Answer 5

Extreme: <28 weeks
Very preterm: 28-32 weeks
moderate to late: 32<37 weeks

Question 6

A-Abortions

Answer 6

loss of baby spontaneously or elective in utero to 20 weeks gestation

Question 7

first gynecological visit for screening and preventative services should occur at which age

Answer 7

13-15

Question 8

what should a first gynecological visit consist of

Answer 8

patient education

Question 9

a pap is a patient choice under which circumstances?

Answer 9

total hysterectomy, no hx of vulvar neoplasia, not HIV positive, not exposed to diethylstilbestrol in utero

Question 10

if a patient does not want a pap what should still continue?

Answer 10

external genitalia

Question 11

adnexa

Answer 11

ovaries

Question 12

bimanual exam is better for evaluating the uterus or adnexa (ovaries)

Answer 12

uterus

Question 13

what age is a pap/cervical screening recommended regardless of sexual activity

Answer 13

21

Question 14

do you have to have a pelvic exam/cervical cancer screening in order to get oral contraceptives?

Answer 14

no

Question 15

how often should cervical screenings take place for 20-29 yr olds

Answer 15

q3 yrs

Question 16

how often should cervical screenings take place for 30-65 yr olds?

Answer 16

q5 years

Question 17

how often should cervical screenings take place for >65 yr olds?

Answer 17

as long as they have regular screening for last 10 years and everything normal for past 20 years, may discontinue pap if requested, if they have had precancerous findings then continue pap for 20 years

Question 18

condylomata acuminatum

Answer 18

HPV lesions, white dry, painless growth

Question 19

chancroid

Answer 19

painful ulcer with rough floor and purulent yellow exudate, it heals leaving a scar

Question 20

cystocele

Answer 20

bulge of upper 2/3 of vaginal wall with bladder above (fingers go underneath) it

Question 21

rectocele

Answer 21

herniation of rectum into the posterior wall of vagina (fingers go above)

Question 22

what are you checking for when palpating the external genitalia?

Answer 22

checking for lymphadenopathy, bartholin’s glands, masses, nodules, discharge

Question 23

are Nabothian cysts normal on a cervix?

Answer 23

yes

Question 24

stellate cervix

Answer 24

tearing of the cervix

Question 25

what does a squamous epithelium cervix tissue look like and where does it extend to?

Answer 25

shiny, smooth and pink, extends to vaginal lining

Question 26

what does a columnar epithelium cervix tissue look like and where does it extend to?

Answer 26

deep red and granular, extends into the lining of the endo-cervical canal

Question 27

how many layers does a squamous epithelium cervix tissue have?

Answer 27

4 layers

Question 28

what does columnar epithelium cervix tissue secrete?

Answer 28

mucus

Question 29

hormonal response or presence of inflammation or infections are noted in which cervix tissues?

Answer 29

squamous epithelium

Question 30

squamous metaplasia cervix tissue

Answer 30

originally squamous epithelium which turns to columnar epithelium

Question 31

what zone do you sample when doing a pap

Answer 31

transformation zone

Question 32

when does cloudy, sticky or slightly yellow vaginal discharge appear normally?

Answer 32

several days before ovulation

Question 33

when do you have a little vaginal discharge?

Answer 33

right after menses

Question 34

when does heavy-egg white consistency vaginal discharge occur?

Answer 34

1-3 days after ovulation

Question 35

when does clear, watery vaginal discharge occur?

Answer 35

before menses

Question 36

frothy vaginal discharge is indicative of?

Answer 36

trichomoniasis

Question 37

abnormal watery vaginal discharge is indicative of?

Answer 37

BV

Question 38

curdy vaginal discharge is indicative of?

Answer 38

yeast

Question 39

where do you collect a sample from if you think patient has chlamydia/trichomoniasis?

Answer 39

endocervical

Question 40

where do you collect sample from if you think patient has yeast infection?

Answer 40

lateral walls of vagina

Question 41

what are you palpating for when doing a bimanual exam

Answer 41

vagina, vaginal fornix, cervix, uterus, adnexa, vaginal walls

Question 42

uterine position: anteverted (location of cervix and how you palpate it)

Answer 42

cervical os posterior, uterus palpated with vaginal hand in anterior fornix

Question 43

uterine position: anteflexed (location of cervix and how you palpate it)

Answer 43

cervical os posterior, uterus palpated in anterior fornix

Question 44

uterine position: midline (location of cervix and how you palpate it)

Answer 44

cervical os midline, uterus palpated between 2 hands deep in abdomen

Question 45

uterine position: retroverted (location of cervix and how you palpate it)

Answer 45

cervical os anterior, uterus palpated posterior fornix of rectum

Question 46

uterine position: retroflexed (location of cervix and how you palpate it)

Answer 46

cervical os anterior, uterus palpated posterior fornix or rectum

Question 47

#1 misdiagnosed reproductive cancer

Answer 47

ovarian cancer

Question 48

s/s ovarian cancer

Answer 48

bloating, fullness, bowel changes

Question 49

what do cysts feel like when palpating?

Answer 49

smooth and compressible

Question 50

what do tumors feel like when palpating?

Answer 50

solid and nodular

Question 51

hydrosalpinx

Answer 51

distention of the fallopian tube by clear fluid

Question 52

when do you screen for colorectal cancer?

Answer 52

>50 years old

Question 53

exam findings in post-menopausal woman?

Answer 53

stinotic cervix( its pale), dry, vagina shortness

Question 54

#1 cause of cancer worldwide

Answer 54

breast cancer

Question 55

concerning s/s of breast

Answer 55

change in skin texture, bloody nipple discharge, change in nipple position, hard immovable mass

Question 56

which 3 positions do you inspect the breast?

Answer 56

- upright with hands relaxed in lap - arms in air - hands on hips or pushing each other

Question 57

breast lymph node locations

Answer 57

supra/infra clavicular nodes, axillary nodes

Question 58

fibroadenoma and cystic breast changes are what?

Answer 58

common benign causes of breast lumps

Question 59

when should you do self exam?

Answer 59

after period is over