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H and P HY Flashcards

(51 cards)

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1
Q

reduced BC risk

A

first birth before 30

breast feeding

avoidance or limited HRT

avoidance of radiation

healthy lifestyle

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2
Q

mastalgia

A

pain in breast

is it temporal sequence (gradual, sudden, duration, constant/intermittent), related to menses

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3
Q

medications that might cause nipple discharge

A

decrease dopamine/dopaminergic effects

antipsychotics, TCAs, SSRIs, verapamil, methadone

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4
Q

cause of milky nipple edischarge

A

pregnancy/lactation

HoThyroid

renal disease

cirrhosis

pituitary prolactinoma

endocrine d/o

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5
Q

cause of spontaneous bloody nipple discharge

A

intraductal papilloma

ductal carcinoma

Paget’s dz of Brest

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6
Q

uni-ductal nipple discharge

A

clear, serous, green, black and non bloody discharge

can be CA

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7
Q

menopause

A

cessation of menses ?1 yr

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8
Q

perimenopause

A

transition from menstrual to non menstrual life

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9
Q

gravid

A

total number of PREGNANCIES (twins count as 1)

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10
Q

parity

A

number births given (twins count as 1)

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11
Q

4 digits of P

A

T (number of pregnancies)
P (preterm deliveries)
A (abortions)
L (living children)

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12
Q

nulligravida

A

never been pregnant, not now pregnant

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13
Q

primigravida

A

first pregnancy

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14
Q

multigravida

A

pregnant more than once

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15
Q

nullipara

A

never given birth, never had pregnancy past 20 weeks

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16
Q

woman who has given brith 3+ times

A

grandmultipara

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17
Q

complications included in OB hx

A

pregnancy
childbirth
postpartum period

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18
Q

increased risk of cervical CA

A 
CIN 2, CIN 3 or cervical cancer 
hx of HPV 
smoking
immunosuppresion  
HIV 
DES exposure
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19
Q

cervical CA screening starts at what age?

A

regardless of sexual activity

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20
Q

who gets screening for cervical CA

A

21-65 y.o

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21
Q

cervical CA screening q 3 yrs for

Study These Flashcards
A

21-29

avg risk women
no co testin

22
Q

30-65 year cervical ca

Study These Flashcards
A
  1. Pap smear every 3 years

2. pap smear and HPV test q 5 years

23
Q

65+ w. prior screening

Study These Flashcards
A

no need to further test

24
Q

65+w.o prior screening

Study These Flashcards
A

screen until 70=75

25
HIV + and cervical CA screen
screening starts when diagnosed <30 = cytology annually >30 = co testing or cytology if nml = q3 yrs (5 if dual)
26
consensus for annual mammogram is strong for:
50-69
27
consensus for annual mammogram is NOT strong for:
40-49 , >70 clinical breast exam breast self exam
28
risk increased for breast ca
1. previous breast CA 2. increased age 3. estrogen exposure 4. race (Caucasian) 5. increased BMI 6. breast bx/radiation 7. absence of Brestfeeding 8. nulliparity or older age of first pregnancy
29
recommendations of breast screening
clinical breast exam annually mammogram 1-2 yrs for 40-49, annually 50+ self exam = "breast awareness"
30
MRI and U/s
good for evaluation of palpable masses not good for average risk
31
chlamydia and gonorrhea screening
annually <25 all pregnant women <25 and increased risk >25
32
HIV screen
annually for all sexually active
33
gardasil
6, 11, 16, 18 males and female
34
cervarix
16, 18 female only
35
gardasil 9
9 different strains 6, 11, 16, 18 + others male and female
36
what strains of cervical CA increased risk
16 and 18
37
CI of HPV vax
yeast allergy
38
3 breast palpitation techniques
radial spiral vertical strip + attempt to elicit nipple discharge
39
common breast masses tumors
fibroadenoma cysts cancer
40
fibroadenoma breast
benign brest tumor common in puberty/young adults
41
cysts breast
30-50 round, soft firm, mobile
42
cancer breast
after 50 fixed to underlying tissue not clearly deliniated
43
abnormal lymph findings
nodes >1 cm, firm, fixed or matted to underlying tissue malignancy
44
Skenes glands location
surround urethral meatus
45
bartholin gland location
surrounds vaginal oriface
46
fourchette
small skin fold at base of vluva
47
pouch of Douglas
rectouterine pouch space between uterus and rectum
48
prepubescent child anatomy
narrow vagina | cervix compromises most of uterus
49
menopause
decreased size of genitalia loss of elasticity/tone narrowing of vagina, decreased lubrication decresed libido
50
possible etiologies of bludge
cystocele rectocele uterine prolapse
51
purpose of rectovaginal exam
palpate retroverted uterus, uteroscaral ligaments, ouch of Douglas ,adnexa screen for colon CA (50+) pelvic pathology

WH1 (6 decks)

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