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Nurp 500: Health Assessment > Week 13-GU > Flashcards

Flashcards in Week 13-GU Deck (47)
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1

Benign breast development in men.

Gynecomastia

2

Accumulation of subareolar fat

Psuedogynecomastia

3

What nodes are most likely to be felt in a breast exam?

Central nodes

4

Malignant cells from breast cancer may spread directly to the:

Infraclavicular nodes or into the internal mammary chain of LN within the chest

5

Usually bilateral, multi ductal, promoted by stim and ranges in color from white to yellow to green

Physiologic discharge

6

Usually unilateral, bloody or serous and associated with a mass in women over 40.

Pathologic discharge

7

Mass over 50:

Consider cancer first until proven otherwise

8

Irregular, firm, mobile, or fixed to surrounding tissue:

Cancer

9

Mass age 15-25 consider:

Fibroadenoma - smooth, rubbery, round, mobile, nontender

10

Mass 25-50 consider:

Cysts: soft firm, round, mobile, often nontender

11

How to assess lateral portion breast.

Hand on forehead with shoulders against bed (flattens tissue)

12

How to assess medial portion of breast:

Hand on neck with shoulders against bed.

13

Spontaneous, unilateral, bloody discharge from 1-2 ducts consider:

Papilloma, DCIS, or Paget’s disease of the breast

14

Vaginal surface of the cervix, what is seen with speculum.

Ectocervix

15

Opening of the cervix, marks the opening into the endocervical canal.

Cervical os

16

Continuation with the vaginal lining.

Squamous epithelium

17

During puberty, the broad band of columnar epithelium encircling the os is gradually replaced with squamous epithelium.

Ectropion

18

Forms the boundary between squamous epithelium and columnar epithelium. This migrates toward the os and creates the transformational zone.

Squamocolumnar junction

19

Area at risk for later dysplasia and is the area sampled with Pap smear

Transformation zone

20

Defined as cessation of bleeding for 12 months

Menopause

21

Causes of post-menopausal bleeding:

Endometrial cancer, HRT, and uterine and cervical polyps

22

Painful intercourse

Dyspareunia

23

Most common cause of acute GU pain?

PID May also be ruptured ovarian cysts or appendicitis

24

Chronic GU pain associated with;

Endometriosis, uterine fibroids, PID, consider sexual abuse

25

When to stop cervical cancer screening?

65 and has had 3 consecutive negative cytology tests

26

3 major symptoms of ovarian cancer:

Abdominal distention
Abdominal bloating
Urinary frequency (usually reported within 3 months of dx)

27

Sti screening in sexually active females over 25:

Annual GC/chlamydia

28

STI testing in pregnancy:

Chlamydia, hepatitis B, syphilis, hiv

29

STI testing in gay, bisexual, MSM, multiple or anonymous partners:

Chlamydia, GC, and syphilis annually of 3-6 months based on risk

30

HIV testing recommendation:

At least once btwn 13-64; once a year for unsafe sex practices or IVDU, gay, and bisexual men (q3-6 months)