Womens Health Flashcards
(96 cards)
1
Q
Fever, lower abdominal pain, vaginal discharge are symptoms of what?
- Bacteria Vaginosis
- Trichomonas
- PID
- Fibroadenoma
A
- PID
2
Q
How do you treat PID?
A
A: Antibiotics
3
Q
Thick, white and odorless discharge is a symptom of what?
- Trichomonas vaginitis
2: Candida Vaginitis
A
2: Candida Vaginitis
4
Q
Profuse, malodorous, yellow green discharge is a symptom of what?
A
- Trichomonas vaginitis
5
Q
Metronidazole is tx of?
- PID (pelvic inflammatory disease)
- Trichomonas vaginitis
- Bacterial vaginosis
A
- Trichomonas vaginitis
6
Q
Gray, fishy smelling discharge?
- PID (pelvic inflammatory disease)
- Trichomonas vaginitis
- Bacterial vaginosis
A
- Bacterial vaginosis
7
Q
Which is NOT included in routine screening for breast cancer includes
- Breast self-examination (BSE)
- Clinical breast examination (CBE)
- MRI
- Mammography
A
- MRI
8
Q
True or False:
A breast self-examination (BSE) can be done with tips of fingers going from the nipple to the outer margins in a circular motion while lying down.
A
False
with pads of three middle fingers, self-palpation of the outer margins toward the nipple, BSE performed during a shower, lying down and while standing before a mirror
9
Q
How often an BSE is performed?
- Every week
- Every month
- Every other months
A
- Every month
10
Q
When is a BSE performed?
- One week before menses
- One week after menses
- During menses
A
- One week after menses
11
Q
A patient has discovered a lump in her breast. The doctor confirms that the lump is fixed, painless and irregular. What is the next step to confirm a diagnosis of brest cancer?
A
Biopsy
12
Q
Which is NOT a cancer treatment?
- Mastectomy
- Radiotherapy
- Chemotherapy
- Hormone therapy.
A
- Hormone therapy.
13
Q
Which is NOT a Fibroadenoma?
- Fine lump
- Tender lump
- Mobile lump
- Round lump
A
- Tender lump
A Fibroadenoma is a NON-TENDER lump
14
Q
Fibrocystic lesions in breast may become larger and more tender …
- Just prior to menstruation
- Just after menstruation
A
- Just prior to menstruation
15
Q
True or False:
A cyst is mobile?
A
True
16
Q
True or False:
A cyst is usually hard?
A
False: often tender
17
Q
True or False: Fibroids can cause heavy menstrual flow?
A
True
18
Q
- Pain
- Pelvic pain
- Pain during menses (dysmenorrhea)
- Pain during intercourse (Dyspareunia)
are all signs of:
1. PID
2. Endometriosis
A
- Endometriosis
19
Q
- Endometriosis can be confirmed by …?
A
Laparoscopy with biopsy
20
Q
A patient with high blood pressure wants to go on Hormone Replacement therapy. Is this a good idea?
A
No b/c side effects include: heart disease, blood clots, stroke, etc.
21
Q
True or False:
HRT decrease …
Osteoporosis
A
True
22
Q
Patient is pregnant, has high blood pressure and protein in her urine (proteinuria). What is the diagnosis?
A
Preeclampsia
23
Q
Pregnant patient has developed seizures. What is the diagnosis?
A
Eclampsia
24
Q
Patient has edema, new onset hypertension, and excess weight gain. She may be developing signs of what disease?
A
Preeclampsia
also check for protein in urine
25
True or False: A DRE: digital rectal exam can be used for a Prostrate cancer diagnosis?
True
26
Which is NOT used for a Prostate cancer diagnosis:
1. DRE: digital rectal exam
2. Increased PSA (prostate specific antigen) in blood
3. Urinalysis
4. Biopsy
3. Urinalysis
27
The release the oocyte at the end of this phase?
1. Luteal
2. Follicular
Follicular
28
Atypical cycle is how many days?
1. 30
2. 28
2. 28
29
How many eggs are released each month?
One
30
the oocyte is what?
egg
31
What is released from the mature follicle?
The oocyte (egg)
32
All hormones peak mid-cycle except:
1. LH
2. Progesterone
3. FSH
4. Estrogen
2. Progesterone
33
True or False:
| Progesterone is released in the second phase?
True: The Luteal Phase
34
True or False:
| Progesterone is released in the Luteal phase?
True: The Luteal Phase (second phase)
35
In which phase is the Oocyte released?
End of Follicular
36
True or False:
LH and FSH are released from …
Anterior pituitary
True
37
True or False:
LH and FSH are released from …
Hypothalamus
False: Pituitary
38
True or False: Gonadotropin releasing hormone is secreted from …
Hypothalamus
True
39
What is the function of progesterone?
Increases thickness of endometrial lining
40
The follicle produces:
1. Progesterone
2. Estrogen
2. Estrogen
41
In the Follicular phase: release of FSH from …
1. Pituitary
2. Hypothalamus
1. Pituitary
42
True or false: at 14 days there is a spike in FSH?
False: LH
At mid-cycle, approx. day 14 there is a spike in LH levels, in response to the estrogen surge which stimulates ovulation.
43
True or False: Ovulation begins before the luteal phase?
False:
| After
44
The remnants of the follicle left behind in the ovary develop into the ______which is responsible for the secretion of ______.
- Into the corpus luteal
| - Secretion of progesterone
45
True or False:
If no fertilization
corpus luteum degenerates and progesterone levels decline, endometrial lining is sloughed off = menstruation.
True
46
True or False:
If no fertilization
corpus luteum degenerates and progesterone levels increase, endometrial lining is sloughed off = menstruation.
False: Progesterone Levels Increase
47
What day is there a spike in LH Levels?
Day 14
48
After _______ the luteal phase begins.
Ovulation
49
Remnants of the follicle left behind in the ovary develop into the _________which is responsible for the secretion of __________.
1. Into the corpus luteal
| 2. Secretion of progesterone
50
What maintains the endometrial lining in preparation for receiving the fertilized egg?
Progesterone
51
If no fertilization
| _________degenerates ________ levels decline ________ is sloughed off = menstruation.
- corpus luteum
- progesterone
- endometrial lining
52
Pregnancy has 3 trimesters:
| 2nd trimester last how long?
12-14, 24-28 weeks
53
Gravidity (G) is what?
- How long the period lasts
- number of times a woman is pregnant
- Amount of menstrual blood
- number of times a woman is pregnant
54
Parity (P) is what?
- # pregnancies that led to birth
- # of miscarriages
- # pregnancies that led to birth or 20 weeks of gestational age
55
A patient comes to clinic with symptoms including: unilateral abdominal pain, positive BHCG urine pregnancy test? What is the diagnosis??
Ectopic pregnancy
56
Two tests to screen pregnancy?
Amniocentesis, Chorionic-villus sampling
57
Amniocentesis vs Chorionic-villus sampling
Amniocentesis: the sample is from amniotic fluid
| Chorionic-villus sampling: the sample is from placenta
58
healthy ejaculation
a. 4-7ml of ejaculate
b. 3-6 ml of ejaculate
c. 8-10ml of ejaculate
b. 3-6 ml of ejaculate
59
True or False: 30-50 million sperm per mL is healthy?
True
| Need at least 30-60 million sperm for good probability of fertilization
60
True or False: In evaluating sperm you look at activity / motility, numbers, and health of sperm?
True
61
inside or outside body? In vitro fertilization = IVF
outside then implanted
62
PCOS there is a higher level of__________?
androgens
63
This is a common cause of why women don’t ovulate regularly?
PCOS, there are cysts forming but with no egg
64
What drug treats PCOS?
- Provera
- Clomiphene
- Acyclovir
Drug clomiphene treats what condition?
65
1. Most common of STDs is :
- Genital Warts
- HPV human papilloma virus
- HSV-1, HSV-2
- HPV human papilloma virus
66
Screening - test for cervical dysplasia?
- Ultrasound
- PAP smear
- Biopsy
PAP smear
67
Mirena releases ...?
- Estrogen
- Progestin
- Progesterone
- Progestin
68
The # of years IUD Mirena is good for?
- 2
- 3
- 5
- 5 years
69
True or False: Mirena can cause increase in flow?
False: after time may reduce periods to scant flow
70
The # of years Copper-T is good for?
- 3
- 5
- 10
10 years after insertion
71
Associated with heavier cramping and heavier flow.?
- Mirena
- Copper-T
- Copper-T
72
Hormonal?
- Mirena
- Copper-T
Mirena is hormonal, but copper doesn’t have any hormone
73
If a patient has dysmenorrhea, which is better?
- Mirena
- Copper-T
mirena is better. Because, copper IUD increase cramping
74
Injectable progesterone only formulation that suppresses ovulation?
- Depot – Provera
- Clomiphene
- Depot – Provera
75
True or False:
| OCPs can affect mood, can also cause decreases in libido.
True
76
True or False: OCPs are 90% effective at preventing pregnancy.
False: 99%
77
Condoms have a _____ failure rate.
- 20%
- 15%
- 10%
- 15% failure rate
| Condoms with spermicide have a 98% success rate.
78
Diaphragm with spermicide is _____effective.
- 90%
- 99%
- 95%
95% ...But, has to stay some hours after the act.
79
Nuva ring gets changed:
- once a week
- once a month
- once every 3 months
- once a month, releases hormones, reduced number of dosing times, increases compliance, therefore increases success rate.
80
Tubal ligation and vasectomy has_____effectiveness for preventing pregnancy.
- 90%
- 95%
- 100%
100%
81
In a regular cycle the monthly spike in ______ increase cramping and contractions?
prostaglandins
82
Premature ovarian failure can cause:
- dysmenorrhea
- amenorrhea
- amenorrhea
83
Increased _______increased breast milk production, also will shut down period.
- estrogen
- progesterone
- prolactin
prolactin
84
Pituitary adenomas (prolactin producing tumors) can cause?
- dysmenorrhea
- amenorrhea
- amenorrhea
85
Patient comes in with unusual menstrual bleeding. You suspect?
Fibroid (benign tumor of the uterus)
86
Common cause of dyspareunia?
Menopause
| dyspareunia (painful sex)
87
Bisphosphonates (Fosamax) can help with symptoms of:
- Dysmenorrhea
- Osteoporosis d/t Menopause
- Osteoporosis d/t Menopause
88
True or False:
| For ovarian cancer the early warning signs are not there as with endometrial or cervical cancer?
True:
Usually by the time signs and symptoms appear the cancer is already serious. Therefore, mortality rate for ovarian cancer is quite high.
89
What test to diagnose ovarian cancer?
Ultrasound
90
CA-125 is a blood marker for was disease?
Ultra sound diagnostics can reveal enlarged ovaries – that can help screen for ovarian cancer.
91
Cervical dysplasia most often caused by
- HIV
- HPV
- Hep C
- HPV
| ...main screening are PAP smears which are good screening for cancer.
92
(HPVs 16, 18) are most associated with what disease?
cancer
93
True or False:
| Syphilis / STD can affect joints, also can affect CNS and cause dementia and etc.
True
94
Herpes simplex treatment?
Tx: acyclovir
HSV-1, HSV-2 are most common types associated with “cold sores” (HSV-1) and genital herpes (HSV-2).
There may be many small fluid filled papules, that then can burst
95
… is more common in post-menopausal women
Uterine Cancer
96
Post-menopausal bleeding is a common presentation of …
Uterine cancer
