Lec Flashcards
(162 cards)
1
Q
Is a condition of a female who has not experienced sexual intercourse and whose
genital organs have not been altered by carnal connection.
A
VIRGINITY
2
Q
A person is called a virgin, if he/she has never had sexual intercourse.
A
VIRGINITY
3
Q
Extra genital signs
A
Breast- hemispherical, firm, elastic
Niple-small, pointed, surrounded by pink
aerola
4
Q
Genital signs
A
Anatomy of female genitalia- interior commissure, labia major, labia minora, Clitoris, Vestibule, Fourchette, Fossa
navicularis, posterior commissure, Vagina, perineum
Hymen- intact
A single intercourse does not alter the anatomy of Genitalia APART FROM RUPTURE OF HYMEN,
5
Q
• It is a fold of mucous membrane
A
HYMEN
6
Q
Supplied by blood vessels that bleeds during Rupture.
A
HYMEN
7
Q
• About 1mm thick
• Annular or crescent shape
A
HYMEN
8
Q
Classification of Hymen
A
- Semilunar/ crescentic
- Annular
- Infantile
- Cribriform
- Vertical
- Imperforate
- Fimbriated/ Notched
- Septate
9
Q
Absence of HYMEN observed as a ___
A
congenital deformity
10
Q
it is usually ruptured at the time of first sexual intercourse
A
RUPTURE OF HYMEN
11
Q
after Rupture, segments gradually become thicker and
smaller in size, revealed as small fleshy projections
A
Caruncle Hymenalis
12
Q
-after childbirth or after repeated intercourse, remnants of
HYMEN appears as a egular thick margin.
A
Caruncle Myritiformis
13
Q
- raw, red, swollen and painful to touch.
A
Recent tears
14
Q
Bleds on touch usually within
A
1-2days
15
Q
heals in
A
5-6 days
16
Q
shrunken and looks like granular tags of tissue within
A
6-10 days
17
Q
usually reach upto the base (vaginal attachment) usually more than 2 tears are not found
A
Tears
18
Q
Causes for Rupture of HYMEN
A
• Accidental-fall on projecting object or slipping on furniture
• Vigorous exercise riding, dancing, jumping
• Masturbation
• Foreign body
• Interdiction of instruments-like in gynaecological surgeries
• Ulceration- diphtheria related fungal infections
• Scratching
• Sanitary tampons
19
Q
• Thick, fleshy type
• Loose, folded, elastic type
• Annular hymen (fringe like)
A
Unraptured HYMEN
20
Q
loss of VIRGINITY
A
Defloration
21
Q
Medicolegal importance of VIRGINITY
A
● Presence of unruptured HYMEN affords presumption of VIRGINITY but not an
absolute proof.
● Nullity of marriage
● Divorce
● Defamation
● Rape
22
Q
- Pertains to a woman whose body is pure and is she has
never had any sexual intercourse with another, though her mind and heart are impure.
A
VIRTOUS FEMALE
23
Q
- State of not knowing the nature of sexual life and not having experienced sexual relation.
A
Moral Virginity
24
Q
applies to children below puberty and whose sex organs and secondary sex characters are not yet developed.
A
Moral virginity
25
- A condition whereby a woman is conscious of the nature of the sexual life but has not experienced sexual intercourse.
Physical Virginity
26
The term applies to woman who have reached sexual maturity but not experienced sexual intercourse.
Physical Virginity
27
- A condition wherein the hymen is intact with the edges
distinct and regular and the opening small to barely admit the tip of the smallest finger of the examiner even if the thighs are separated.
True Physical Virginity
28
- A condition wherein the hymen is unruptured but the
orifice is wide and elastic to admit two or more fingers of the examiner with a lesser degree of resistance.
False Physical Virginity
29
The hymen maybe laxed and distensible and may
have previous sexual relation.
False Physical Virginity
30
In this particular instance the physician may not be
able to make a convincing conclusion that the subject is virgin.
False Physical Virginity
31
- Refers to a condition of a woman who permits any form of sexual liberties as long as they abstain from rupturing the hymen by sexual act.
Demi- Virginity
32
The woman maybe embraced, kissed, may allow her breast to be fondled, her private organ to held etc.
Demi- Virginity
33
the woman allows sexual intercourse but only "inter-femora or inter labia".
Demi- Virginity
34
- Literally the term refers to a Truly virgin woman;
Virgo Intacia
35
that are no structural; changes in her organ to infer previous sexual intercourse and that she is a virtuous woman.
Virgo Intacia
36
On the ventral surface of each breast is a cylindrical projection called nipple
Breast
37
cylindrical projection called
nipple
38
its rounded tip are perforations which are the openings of the ducts draining the milk glands.
nipple
39
The nipple is surrounded by a pigmented area called
areola
40
is surrounded by a pigmented area called areola which become dark brown during pregnancy.
The nipple
41
- the breast is like hemisphere. The contour lines are not
straight but form part or half circle or half of a sphere.
Hemispherical Breast
42
The outline consist of two converging lines which meet at the region of the nipple.
Conical Breast
43
- the breast is only slightly elevated from the breast without
distinct boundary and showing no definite shape
Infantile of flat Breast
44
- The skin of the breast is loose making of capable of swinging in any direction.
Pendulous Breast
45
This commonly observe among parturient breast-feeding
mothers.
Pendulous Breast
46
- It has the shape of a hemisphere but with loose skin.
Hemispherical pendulous breast
47
- It has a shape of a cone and is capable of swinging
sidewise.
Conical Breast
48
As a general rule the ____ of a virgin is tight and those
rugosities are sharp and prominent.
vaginal canal
49
It forms a crescent shape, like a half moon, above or (as in this case) below the vaginal opening
This is a crescentic, or lunar, hymen
50
characterized by many small holes.
This is a rare cribriform hymen
51
This type of hymen lets menstrual and other fluids out with no problem, but sexual activity and the insertion of tampons can be problematic
This is a rare cribriform hymen
52
it looks like a set of teeth surrounding the vaginal opening.
This is a rare denticular hymen
53
with an irregular pattern around the vaginal opening
This is a rare fimbriated hymen
54
looks like a third set of vulvar lips
This rare labial hymen
55
the piece of hymen that makes a septum, or bridge, across the vaginal opening.
This rarity is called a septate hymen
56
not making a bridge all the way across
This is the rare subseptate hymen
similar to the septate hymen only
57
is the laceration or rupture of the hymen as a result of sexual intercourse.
DEFLORATION
58
-Normally the labia majora and minora are in close contact
with one another covering almost completely the external genitalia. After defloration, the labia may gape exposing the intritus vulvae.
Condition of the Vulva
59
- The Norman V-shape of the fourchette is lost on account of the previous stretching during insertion of the male organ.
Fourchette
60
after repeated sexual acts, there is diminution of the sharpness or obliteration of the vaginal rugosities.
There will be laxity of its wall so that insertion of a medium size tube during the medical examination can be done with slight resistance
Vaginal Canal
61
rupture or laceration of the hymen is considered incomplete when it does not involve the whole width or height of the hymen.
Incomplete Laceration
62
The laceration does not go beyond one half of the whole width of the hymen.
Superficial
63
the laceration involves more than one half of the width of the hymen but not reaching the base.
Deep
64
the hymenal laceration involves the whole width but not beyond the base of the hymen.
Complete Laceration
65
the laceration involves the hymen and also the surrounding tissues.
Compound or Complicated Laceration
66
the laceration if of resent origin. Within 24 hours.
Fresh Bleeding Laceration
67
The determination as to how long the laceration took place can be approximated by the changes observed in the____
laceration tissue
68
- usually after 24 hours or within five days.
Fresh healing with fibrin formation and with edema of the surrounding tissue
69
- 4 to 10 days.
Healed laceration with sharp coaptible borders without congestion (recently healed)
70
laceration took place long before the date of the examination which is probably more than a month's time.
Healed laceration with rounded non-coaptible borders without and retraction of the edges
71
Outline of Management
• Evaluate the patient for serious injuries (fractures, hemorrhage, etc.) which might
require immediate treatment.
• Obtain a brief history, explaining to the patient what will occur next. Obtain patient's
consent.
• Gather all necessary materials and notify legal and administrative authorities.
• Examine the patient, obtaining various specimens.
• Offer treatment for STDs, pregnancy.
• Arrange for follow-up care.
72
Betadine Douche
Once the pelvic examination is completed, a cleansing douche of Betadine mixed in water may be appreciated by the patient. 50 to 100 cc of solution can be used to rinse
the vagina, using a 30 or 50 cc syringe. Collect the rinse in the emesis basin and discard.
73
are women who, for money or profit, habitually indulge in sexual intercourse or lascivious conduct ( Art.202, No. 5, Revised Penal Code)
Prostitutes
74
receives telephone calls from selected group of customers and makes arrangements to meet them at a particular place
Call Girl
75
frequent places where liquor is sold, sometimes with the knowledge of the management
Bar or tavern"pick-up"
76
she finds her customers in various places and contacts them by herself, but she may walk with taxicab drivers
Street walker
77
- a newcomer in the field of prostitution, frequently in small hotels or furnished rooms; roams in the hall room of these places
Door Knocker
78
- works in regular house of prostitution, accepts all comers and has nothing to do with the selection and solicitation of customers
Factory Girl
79
she is under the direct supervision of a "madam" or "mama-san"
Factory Girl
80
- the general manager of the prostitution den; handles cash, meets customers and transacts all business for the house
"Madam" or "mama-san"
81
person who is in charge to keep the girls working as prostitutes
Procurer
82
the one who takes prostitutes from town to another
Transporter
83
one who gets customers, he earns by percentage basis (he maybe a taxicab driver, bartender, or a girl's own husband)
Pimp or "Bugao"
84
- employs only 4 to 8 girls but it is gradually disappearing for this are the easy targets against prostitution
Disorder House
85
it is being operated by experienced madams
Furnished Room House
86
it has 2 to 3 girls and also rooms for rent to maintain the appearance of respectability
Furnished Room House
87
- it is a house where telephone is maintained by a madam, the madam receives the call and sends the girl out to meet the customer
Call House
88
are not only a deviation to the normal course of nature but
also uncommonly observed manifestation of sexual perversion.
Unnatural sexual offenses
89
Sexual desire to the opposite sex.
Heterosexual
90
This is a normal sexual behavior, socially and medically acceptable.
Heterosexual
91
Sexual desire towards the same sex.
Homosexual - (Michaelangelo, Shakespeare, Oscar Wilde, Waltz Whiteman),
92
Persons who are conscious of their homosexual cravings, and make no attempts to disguise their intention.
Overt
93
They make advances towards members of their own
sex
Overt
94
Persons who may or may not be aware of the tendency in the direction but are inclined to repress the urge to give way to their homosexual yearning
Latent
95
- A special name for female homosexuals wherein a woman
has the desire to have sexual intercourse with another woman.
Tribadism (Lesbianism)
96
The "masculine" woman may be the active subject during the sexual act. Most lesbians have antipathy towards
men.
Tribadism (Lesbianism)
97
Sexual desire towards an immature person
Infantosexual
98
A form of sexual perversion wherein a person has the compulsive desire to have sexual intercourse with a child of either sex.
Pedophilia
99
Children of various ages participate in sexual activities, like fellatio, cunnilingus, fondling with sex organs or anal sexual
intercourse.
Pedophilia
100
Usually committed by a homosexual, between a man and a boy the latter being a passive partner.
Pedophilia
101
may attempt either oral or anal intercourse with his victim.
Homosexual Pedophile
102
may attempt either oral, vaginal, anal, intracrural intercourse as well as cunnilingus, but attempts at vaginal penetration are most common
Heterosexual Pedophile
103
Sexual desire towards animals.
Bestosexual
104
Sexual gratification is attained by having sexual intercourse with animals
Bestiality (Zoophilia)
105
It is a form of "self-abuse" or "solitary vice" carried without the cooperation of other person.
Autosexual (self-gratification or masturbation)
106
Relation of Masturbation to Health and Sex Crime:
- It serves as a sedative for a variety of neurotic disposition.
Many persons who suppress the urge to masturbate and give up the habit often develop an anxiety neurosis.
- It serves as an adequate form of sexual gratification.
- It presents the development of homosexuality.
- It prevents the development of suicidal tendency on account of the absence of sexual
gratification.
- It protects certain persons from committing sex crimes.
107
- The person deliberated resorts to some mechanical means of producing sexual excitement with or without orgasm:
Conscious Type
108
(1) In Male:
(a) By manual manipulation to the point of emission.
(b) Ejaculation produced by rubbing his sex organ against some part of the Female
109
(2) In Female:
(a) Manual manipulation of the clitoris.
(b) Introduction of the penis-substitute.
110
The release of sexual tension may come about via the mechanism of nocturnal stimulation with or without emission, which may also be considered as “masturbation equivalent".
Unconscious type
111
The explanation is that the conscious urge to masturbate is
repressed during the sleep when we are less apt. to censor our thoughts and desires.
Unconscious type
112
Sexual desire with elder person
Gerontophilia
113
A sexual perversion characterized by erotic desire or actual sexual Intercourse with a corpse
Necrophilia
114
Sexual relations between persons who, by reason of blood relationship cannot legally marry.
Incest
115
- Excessive sexual desire of men to intercourse
Satyriasis
116
- Strong sexual feeling of women.
Nymphomania
117
They are commonly called "hot" or “fighter".
Nymphomania
118
Both satyriasis and nymphomania are general expression of
compulsive Neurosis
119
- absence of sexual desire or arousal during sexual act in women
Sexual anesthesia
120
- Painful sexual act for women.
Dyspareunia
121
- painful spasm of the vagina during sexual act.
Vaginisimus
122
- Weakening of sexual feeling in the elderly.
Old age
123
There may be the desire but there is difficulty in accomplishment.
Old age
124
It may be accompanied by aberrant behavior, like
exhibitionism, incest, or homosexuality.
Old age
125
- the use of the mouth as a way of sexual gratification.
Oralism
126
- the female agent receive the penis of a man into her mouth and by friction with the lips and tongue coupled with the act of sucking initiates orgasm.
Fellatio (Irrumation)
127
- sexual gratification is attained by licking or suking the external female genitalia.
Cunnilingus
128
A form of sexual perversion wherein a person derives excitement by licking the anus of another person or either sex.
Anilism
129
- Pain or cruel act as a factor for gratification.
Sado-masochism (Algolagnia)
130
- A sexual deviation associated specifically with the act of whipping or being whipped.
Flagellation
131
A form of sexual perversion in which the infliction of pain
on another is necessary or sometimes the sole factor of sexual enjoyment.
Sadism (Active Algolagnia) -
132
- Sexual gratification attained by biting without flesh eating but with presumed unconscious wish to consume.
Cannibalism
133
- These are superficial punctuate contusions seen most frequently at the sides of the neck, overlying or anterior to the sternomostoid muscle, breast and other parts of the body.
Love bites
134
The bitten tissue must be loose and the mark is caused by forcible sucking applied to tissue seized by the mouth
Love bites
135
- The pain and humiliation from the opposite sex is
the sexual factor for sexual gratification.
Masochism (Passive algolagnia)
136
- A form of deviation wherein a male individual derives pleasure from wearing the female apparel.
Transvestism
("Sexo-esthetic inversion", "Psychical hermaphroditism" or "Metamorphosis sexualis
paranoica")
137
This condition is found sometimes in fémales who desire to dress themselves in male attire.
Transvestism
138
has a psychic identification with the opposite sex.
The transvestite
Transvestism
139
may imagine that she possesses a penis.
A female transvestite
Transvestism
140
It is quite difficult to detect a ______, since it is quite common for women to wear slacks or dress in masculine tailored ways.
female transvestite
141
• Discard anatomical sex.
TRANSEXUALISM
142
• They hate their genitalia
TRANSEXUALISM
143
• Genetic defect wherein an individual will show intermingling, in varying degrees, of characteristics including physical form, reproductive organs and sexual behavior.
Intersexuality
144
The sex organs have not developed (ovary/testes)
GONADAL AGENESIS
145
• The external structures are present but at puberty, the testes or ovaries fail to develop
GONADAL DYSGENESIS
146
, 47,XXY or XXY syndrome is a condition caused by a
chromosome aneuploidy, Affected males have an extra X sex chromosome.
Klinefelter's syndrome
147
The principal effects are development of small testicles and reduced fertility.
Klinefelter's syndrome
148
A variety of other physical and behavioral differences and problems are common, though severity varies and many boys and men with the condition have few detectable symptoms.
Klinefelter's syndrome
149
Klinefelter's syndrome
150
The second most common extra chromosome condition, it is named after Dr. Harry Klinefelter, an endocrinologist at Massachusetts General Hospital, Boston, Massachusetts, who first described it in 1942.
Klinefelter's syndrome
151
The condition exists in roughly 1 out of every 500 males.[2]
Klinefelter's syndrome
152
Because of the extra chromosome, individuals with the condition are usually referred to as "XXY Males", or "47, XXY Males".
Klinefelter's syndrome
153
encompasses several conditions, of which monosomy X is the most common.
Turner syndrome or Ullrich-Turner syndrome
154
It occurs in about 1 out of every 2500 female births.
Turner syndrome or Ullrich-Turner syndrome
155
Instead of the normal XX sex chromosomes for a female, only one X chromosome is present and fully functional; in rarer cases a second X chromosome is present but abnormal, while others with the condition have some cells with a second X and other cells without it (mosaicism).
Turner syndrome
156
A normal female karyotype is labeled 46,XX; individuals with Turner syndrome are 45,X.
Turner syndrome
157
, female sexual characteristics are present but generally underdeveloped.
Turner syndrome
158
Turner Syndrome
Two twin brothers. The shorter has a normal XY chromosome complement. The taller one has an XYY complement.
159
• A state of bisexuality having both ovaries and testicles.
TRUE HERMAPHRODISM
160
This infant was born with female and male genitalia
TRUE HERMAPHRODISM
161
highlight recent trauma
toluidine blue dye
162
retained by metabolically active cells
toluidine blue dye
