Women's Health Lecture 2 Flashcards

Question

Autonomy

Answer 1

duty to respect ones right to their own thoughts and actions

Answer 2

1 year of unprotected frequent intercourse that has not resulted in contraception

Answer 3

maternal age, body weight, smoking, caffeine, alcohol, stress, environmental factors

Answer 4

reduced ovarian reserve, uterine factor, tubal factor, male factor

Answer 5

2 specimens, one month apart. Check to see that the lab accepts the specimen, Specimen arrival to lab within 30 minutes of ejaculation. Medical history.

Answer 6

volume > 1.5, pH 7.2-7.8, counter > 15 million per mL, motility > 32%, Forward progression > 2 on 0-4 scale, Morphology greater than 30 percent normal oval heads, midpiece and tail... check for bullets in the chamber after vasectomy

Answer 7

hx, BBT, LH

Answer 8

OOcytes in a women are determined 20 weeks gestation

Answer 9

in follicular phase to predict/assess response to medication to induce ovulation

Answer 10

Pill PO Stimulates ovulation, titrate up if needed, normal to have cysts when taking this medication

Answer 11

4-10% reproductive age women. Classic features: obese, oligomenorrheic (missing periods), hirsutism, acne, acanthosis nigricans from insulin resistance, polycystic ovaries on US, hyperndogenism, oligoovulation or anovulation, insulin resistance

Answer 12

Hx and PE, Labs: FSH, LH, FSH/LH ratio, testosterone free and total, DHEA-S, 17 hydroxyprogesterone, CBC, Chem 18, fasting insulin. Best to refer if possible to endocrine/GYN

Answer 13

Weight loss and ADA Diet, Metformin 50mg titrate to 1500mg a day x 5 weeks and assess for ovulation every 6 months, Clomid to induce ovulation, remember to have PNV on board

Answer 14

Intra Uterine Insemination. drugs are given to assist in ovulation, take sperm and wash it and insert through a tube through the top into the uterus, cutting out the issues with traveling through the vagina all together. 6 treatments.

Answer 15

In vitro fertilization injecting an egg with sperm to make an embryo then implant that into the female. NJ $13,000 per cycle.

Answer 16

Common benign gynecologic disorder characterized by endometrial glands and stroma outside the endometrial cavity. 3rd leading cause of endometrial hospitalization. ONLY diagnosed via laproscopy. Can affect fertility.

Answer 17

1-4, minimal, mild, moderate, severe

Answer 18

Hormones: OCP, Lupron. Meds to manage symptoms. Surgery

Answer 19

free fluid behind cul de sac of the uterus

Answer 20

Follicles get bigger as ovulation occurs, one becomes dominent and takes off toward the uterus those behind can enlarge and rupture. BC pills stop ovulation with combo of estrogen and progesterone. Progesterone only think youre always pregnant - depo provera shots.

Answer 21

Contain fluid but no other content

Answer 22

functional, resolves spontaneously

Answer 23

need follow up in 3-4 months

Answer 24

need refer to GYN

Answer 25

transvaginal and abdominal

Answer 26

more substance in the cyst like septum, blood. May not resolve spontaneously. Refer all of them

Answer 27

benign adnexal masses, benign cystic ovarian tumors, benign solid ovarian tumors, malignant ovarian tumors

Answer 28

Nonmalignant. Leiomylomas that grow in the smooth muscle lining and have more estrogen/progesterone receptors than other tissues in the area. Gets bigger and bleeds a lot. Most common reason for a hysterectomy.

Answer 29

NSAIDS, OCP, Lupron, ablation -- burn uterus, scar tissue wont bleed, surgery hysterectomy

Answer 30

duct gets clogged leading to swelling and possible infection of the labia. Needs OR I&D

Answer 31

ovarian, vulvar, vaginal, uterine, cervical.

Answer 32

BRACA. Feel for enlargement of ovary. Family hx is a red flag. Abnormal bleeding, pelvic pain or pressure, abd pain, bloating

Answer 33

just abnormal bleeding

Answer 34

abnormal bleeding, pelvic pain and pressureq

Answer 35

change in bathroom habits, abnormal bleeding

Answer 36

pelvic pain, itching or burning, changes in vulva color or skin such as rash, sores, or warts

Answer 37

smallest dose for the shortest amount of time possible

Answer 38

cannot have unopposed estrogen, need estrogen PLUS progesterone. (Primpro) Estrogen only is Primerin

Answer 39

Girls - no pubic hair, no breast growth | Boys - preadolescent testes and penis

Answer 40

Girls - breast budding, areolar hyperplasia with a small amount of breast tissue, pubic hair long, downy near the labia Boys - enlargement of the testes, pigmented scrotal sac, Sparse growth of pigmented hair usually slightly curly mainly at the base of the penis

Answer 41

Girls - enlargement of beast and areola with no separation of the contours, the hair is darker, coarser and curlier and spreads over the junction of the pubes Boys - Testis and scrotum enlarge further, the penis grows mainly in length but also in breadth. The hair is darker, coarser and curlier and spreads over the junction of the pubes

Answer 42

projection of areola and papilla to form a secondary mound above the level of the breast, the hair spreads covering the pubes Boys - Scrotum, testis and penis grow further with development of the glans and further darkening of the scrotal skin. The hair spreads covering the pubes

Answer 43

Girls - recession of the areola to the general contour of the breast with projection of the papilla only. the hair extends to the medial surface of the thighs and is distributed as an inverse triangle Boys - adult stage with spreading of the hair to the medial surface of the thighs.

Answer 44

decreases estrogen, so to increase estrogen the body fires LH to increase FSH to increase Estrogen

Answer 45

just before ovulation, the temperature lowers then spikes

Answer 46

amenorrhea, nausea, vomiting, frequent urination, breast changes, vaginal changes, fatigue and skin changes, are not that conclusive enough because these are just physical symptoms which can also be felt by regular women

Answer 47

A positive pregnancy test is not 100% reliable since there are some factors that may contribute to a positive test like the urine being too diluted during the test or when the instructions are not carefully followed. Enlarged abdomen could be probable signs of pregnancy but for some cases there are medical conditions involving enlargement of the abdomen without them getting pregnant

Answer 48

fetal heart tones, XRay of fetus, US Fetus, Birth

Answer 49

10-12 weeks

Answer 50

lemon -- mobile, firm, nontender

Answer 51

tennis ball (hegar, chadwick, goodell all +)

Answer 52

baseball (fht 10-12 weeks)

Answer 53

softball & above symphysis pubis

Answer 54

halfway to naval + quickening

Answer 55

one cm per week until term concordant with gestational age plus or minus 1 no more than 3cm

Answer 56

headengaged, ballotment

Answer 57

> 12 weeks

Answer 58

ginger 500mg/day, peppermint, saltines, Zofran

Answer 59

abnormal number of chromosomes

Answer 60

10-12 weeks in the first trimester for chromosomal abnormalities through maternal blood sample to look at DNA from mom and baby

Answer 61

triple screen, quad screen

Answer 62

fail 2 out of 3. fasting > 95, 1 hr > 180, 2 hr > 155, 3 hour > 140

Answer 63

1) normal pap 2) atypical undetermined significance 3) CIN 3 4) CIN 2 5) CIN 1 6) Cancer

Answer 64

any CIN 3, 2, 1 , Cancer, HPV. The test puts vinegar on cervix and tests for abnormal cells which turn white then get biopsied -- biopsy is the definitive diagosis

Answer 65

if on a supplement, stop the supplement take progesterone for ten days and then stop, should have a bleed. Good if no period for 1 year to shed excess.

Answer 66

need GYN referal. Never normal. Can be from too thick of a lining in the uterus, do the challenge to shed lining, If too thin then ned local endometrium to get estrogen for the tisue. Biopsy to dx with cancer.

Women's Health Lecture 2 Flashcards

(96 cards)