Flashcards in Repro Deck (119)
What is meant by gravidity?
The number of times a woman has been pregnant, regardless of the outcome
What is meant by parity?
The total number of pregnancies carried over the threshold of viability (24 weeks)
How are multiple pregnancies counted in terms of parity?
They are counted as one pregnancy
What specific symptoms should you ask about in a gynae history?
Abdominal/pelvic pain or swellling, vaginal discharge, abnormal vaginal bleeding, pain during sex, itching/skin changes
What extra things should be asked about in a gynae history?
Menstrual history, contraception/HRT use, smears, previous gynae/obstetric history
When taking an obstetric history, what points should you clarify in the first instance?
Gestation, single or multiple pregnancy, first pregnancy or not
What specific symptoms should you ask about in an obstetric history?
Abdominal/pelvic pain, vaginal discharge, vaginal bleeding, nausea/vomiting, headaches/visual changes, swelling
What are the two most important things to ask about in an obstetric history?
Foetal movements and mental health
What extra things should be asked about in an obstetric history?
Current pregnancy (is antenatal care up to date, have they had any problems) and previous pregnancies (any complications, type of delivery etc)
What specific symptoms should you ask about in a male sexual history?
Abdominal/pelvic pain, testicular pain/swelling, urethral discharge or bleeding, skin changes, dysuria
What extra things must you remember to ask females in a sexual history?
Is there any chance they could be pregnant? When was their last period? Have they ever been pregnant before? Are they on any contraception? Are they up to date on their smears?
What questions must you ask about each sexual encounter in a sexual history?
Was it a male or female partner? Was it a regular partner? Was the sex consensual? What type of sex was it? Did they use a condom?
What questions should you ask in a sexual history to establish an individual's risk of BBVs?
Have they ever had sex with someone from overseas? Have they ever had sex with someone who they knew had HIV/hepatitis? Have they ever injected drugs or had sex with someone who did? Have they had any non-professional tattoos or piercings? Have they ever paid for sex or been paid for sex?
What should you always warn patients at the end of a sexual history if they are undergoing STI testing?
To abstain from sex until the results come back or make sure they use a condom
What conditions should you always ask about a personal/family history of when discussing contraceptive options?
Migraines with aura, VTE, breast/cervical cancer
What should you always warn patients about at the end of a contraceptive history?
To continue using condoms in order to prevent STIs
It is important to warn patients that they might experience what symptom after a speculum examination?
How many times should you rotate the brush in a smear? How many times should you dunk it against the base of the pot?
5 / 10
At what age would women receive a smear every 3 years?
25 - 49
At what age would women receive a smear every 5 years?
50 - 64
Results of a smear test will usually be in the post in what timeframe? Patients should contact their GP if they haven't received them by when?
2 weeks / 4 weeks
What is the action of a smear result saying 'we found no HPV'?
Return for routine smear in 3/5 years
What is the action of a smear result saying 'we found HPV but no cell changes'?
Return for a smear in 1 year
What is the action of a smear result saying 'we found HPV with cell changes'?
Refer for colposcopy
What is the action of a smear result saying 'unclear result'?
Return for another smear
After you have placed a urine sample on a pregnancy test, how long should you wait before reading the results?
On a urinary pregnancy test, what do each of the following results imply: 1) 2 lines? 2) 1 line on 'C'? 3) 1 line on 'T'?
1) Positive 2) Negative 3) Invalid
Testing for each of the following sexually transmitted infections should take place how long after potential exposure: 1) Chlamydia/Gonorrhoea? 2) HIV? 3) Syphilis/Hepatitis?
1) 2 weeks 2) 4 weeks 3) 3 months
Sexual health serology (HIV, hepatitis, syphilis) is taken as a single blood test in what vacutainer?