Womans Health

Question 1

what are the 3 layers of the vaginal wall?

Answer 1

Adventicia
Muscularis
Mucosa

Question 2

what is the definition of rugae?

Answer 2

raised ridges of the mucosal layer, which stimulates the penis during intercourse

Question 3

what are vaginal secretions composed of?

Answer 3

mucus from the cervix
moisture from the endometrial fluid
exudates from the bartholin  \and skene glands
vaginal transudate
squamous cells shed from the vagina

Question 4

what is the vaginal fornix?

Answer 4

recess around the cervix

Question 5

what structures make up the vulva?

Answer 5

stratified squamous epithelium
associated hair follicles
apocrine glands
sebacious glands
"womb or covering"

Question 6

what structures make up the vagina?

Answer 6

non-keritinized squamous cells
no associated hair follicles
no sebaceous or apocrine glands
“sheath or scabbard”

Question 7

what is the definition of the vestibule?

Answer 7

opening of the urethra and vagina

Question 8

what is another name for the vaginal orifice?

Answer 8

introits

Question 9

what are the skenes glands homologous to?

Answer 9

the male prostate

Question 10

what are the bartholins glands homologous to?

Answer 10

bulbarurethral glands

Question 11

what are the clinical presentations of papulosquamous lichen planus?

Answer 11

typical papules and plaques with white lacy pattern in the vulvar trigone and periclitoral pattern

• may be part of generalized LP
• may be purtitic
• tends to respond to topical steriods

Question 12

what are the clinical presentations of hypertrophic LP?

Answer 12

least common with extensive white scaring and destruction (looks like LS)

• intensly puritic
• treatment tends to be resistant

Question 13

what are the presentations of erosive LP?

Answer 13

aka vulvovaginal gingival syndrome

• destructive erosion with atropy
• usually pain with burning and iritation rather than pruritis
• skin of vulva is erythematous
• treatment tends to be resistant

Question 14

what % of women with LP also have vaginal involvement?

Answer 14

70%

Question 15

what is the definition of birth rate?

Answer 15

number of live births in a given year for every 1000 persons

Question 16

what is the fertility rate?

Answer 16

number of live births per 1000 women ages 15-44 per year (1.9 kids per mother)

Question 17

what is the definition of neonatal?

Answer 17

birth until 28 days of life

Question 18

what is the definition of perinatal?

Answer 18

28 weeks gestation to first 7 days of life

Question 19

corrected age?

Answer 19

chronological age (weeks)-# of weeks born prematurely

Question 20

Gravid means

Answer 20

pregnant (# of times pregnant)

Question 21

Parity means

Answer 21

of births premature and full term

Question 22

TPAL?

Answer 22

T-full-term births b/w 37 and 40 weeks
P-premature (born alive/deceased)- 20-37 completed gestational weeks
A-Abortions-pregnancies ending before 20 weeks (induced or spontaneous)
L-living children

Question 23

what is Chadwick’s sign?

Answer 23

bluish discoloration of vagina and cervix caused by increased vascularity

Question 24

What is hegar’s sign?

Answer 24

widening and softening of the ishmus of the uterus while the cervix is still firm

Question 25

what is goodell sign?

Answer 25

softening of the cervix happen in the 2nd month

Question 26

what is leucorrhea?

Answer 26

thin white discharge due to estrogen stimulation

Question 27

when does the embryo have a human appreance?

Answer 27

end of embryonic stage | 10 W after LMP

Question 28

how do you determine gestational age on US?

Answer 28

crown rump length b/w 6-13 weeks gestation

Question 29

what is the definition of gestational age?

Answer 29

time elapsed since the first day of LNMP | expressed in completed weeks

Question 30

EDD=?

Answer 30

1st LMP + 1year - 3 M + 7 D | expected delivery date

Question 31

what can using marijuana during pregnancy cause?

Answer 31

low birth weight, intracranial bleeding, jitteriness, hypoglycemia, hypocalcemia poor feeding, irritability and tachypnea in a neonate

Question 32

what can using amphetamines during pregnancy cause?

Answer 32

premature birth, low birth weight, intracranial bleeding

Question 33

what can using opioids (heroine/methadone) during pregnancy cause?

Answer 33

fetal growth restriction, premature birth and low birth weight

Question 34

what can using cocaine during pregnancy cause?

Answer 34

miscarriage, fetal growth restriction, developmental disorders of urinary system or genital tract microcephaly, neurobehavioral problems placental abruption increased startling, jitteriness, excessive suckling at neonate

Question 35

what is neonatal abstinence?

Answer 35

child born with etoh, nicotene, or any drug withdrawal