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44 Cards in this Set
- Front
- Back
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POLYMENORRHEA
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LESS THAN 21 DAY INTERVALS BETWEEN MENSES
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OLIGOMENORRHEA
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INFREQUENT BLEEDING
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MENORRHAGIA
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EXCESSIVE FLOW
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METRORRHAGIA
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INTERMENSTRUAL BLEEDING
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POSTCOIDAL BLEEDING
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BLEEDING AFTER INTERCOURSE
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WHAT DO YOU INSPECT THE URETHRAL MEATUS FOR?
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IRRITATION, INFLAMMATION, DILATATION, OR DISCHARGE
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WHAT DO YOU INPECT THE INTROITUS FOR?
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SHOULD BE SOFT AND MOIST; INTACT HYMEN?; LOOK FOR PROLAPSE, SWELLING, DISCOLORATIONS, DISCHARGE, LESIONS, FISTULAS, FISSURES
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WHAT DO YOU INPECT THE INTROITUS FOR?
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SHOULD BE SOFT AND MOIST; INTACT HYMEN?; LOOK FOR PROLAPSE, SWELLING, DISCOLORATIONS, DISCHARGE, LESIONS, FISTULAS, FISSURES
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WHAT DO YOU INSPECT SKENE'S DUCTS AND BATHONLIN'S GLANDS FOR?
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SWELLING, DISCOLORATION, HEAT, AND TENDERNESS; MILK FOR DISCHARGE IF THEY LOOK ABNORMAL; CULTURE ANY DISCHARGE EXPRESSED FROM DUCTS
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WHAT DO YOU INSPECT THE PERINEUM AND ANUS FOR?
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EXCORIATIONS, LESIONS, TAGS, HEMORRHOIDS, OR FISSURES
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WHAT DO YOU INSPECT THE PERINEUM AND ANUS FOR?
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EXCORIATIONS, LESIONS, TAGS, HEMORRHOIDS, OR FISSURES
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WHAT DO YOU INSPECT THE CERVIX FOR?
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COLOR, POSITION, SURFACE CHARACTERISTICS, LESIONS, NODULES, AND MASSES; DISCHARGE OR BLEEDING
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WHAT SPECIMEN DO YOU COLLECT FIRST IN INTERNAL EXAM?
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SCRAPE WITH SPATULA- THE TRANSFORMATION ZONE AND THE SCJ
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WHAT SPECIMEN DO YOU COLLECT SECOND IN THE INTERNAL EXAM?
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ROLL THE ENDOCERVICAL BRUSH IN THE OS
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WHAT SPECIMEN DO YOU COLLECT THIRD IN THE EXAM?
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GC/CHLAM SWAB
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WHAT SPECIMEN DO YOU COLLECT LAST IN THE EXAM?
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OTHER SWABS FOR WET MOUNT AND KOH PREP
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WHAT DIFFERENCE IS THERE ON A INTERNAL PELVIC EXAM WHEN THE PATIENT IS PREGNANT (PROCEDURE WISE)?
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USE CTA MOISTENED WITH SLAINE IN PLACE OF ENDOCERVICAL BRUSH AND SHOULD BE STERILE
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NABOTHIAN CYST
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MUCOUS FILLED LUMP ON THE SURFACE OF THE CERVIX- SMALL WHITE AND RAISED
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WHAT ARE YOU CHECKING ON THE BIMANUAL EXAM?
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POSITION AND MOBILITY OF THE CERVIX; OBSERVE FOR CERVICAL MOTION TENDERNESS (CMT); POSITION, SHAPE, SIZE, AND CONTOUR OF UTERUS
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POSITION OF UTERUS AT 12 WEEKS PREGNANT
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PALPABLE AT SYMPHYSIS PUBIS
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POSITION OF UTERUS AT 16 WEEKS PREGNANT
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MIDWAY BETWEEN PUBIS AND UMBILICUS
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POSITION OF UTERUS AT 20 WEEKS PREGNANT
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AT UMBILICUS
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POSITION OF UTERUS AT MORE THAN 20 WEEKS
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1 CM FOR EVERY WEEK OF GESTATION
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WHAT EXAM IS REQUIRED IF THE UTERUS IS NOT PALPABLE?
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RECTOVAGINAL EXAM---MAY BE RETROFLEXED
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WHEN DO YOU DO A DRE WITH FECAL OCCULT BLOOD TESTING?
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ALL PATIENTS OVER 50 AND IF THE PATIENT HAS RECTAL COMPLAINTS
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PHYSICAL CHANGES ASSOCIATED WITH MENOPAUSE
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PUBIC HAIR IS SPARSE/GREY, LABIA IS SMALLER/FLATTER/DRIER, INTROITUS IS GAPING, VAGINA IS NARROWER/ATROPHIC/LESS RUGATED, UTERUS IS SMALLER, OVARIES ARE NON PALPABLE, RECTAL TONE IS WEAKER
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WHAT IS USED TO DO CERVICAL CANCER SCREENING?
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PAP SMEAR- SAMPLING OF AREA WHERE DYSPLASIA AND CANCER ARISE (TRANSFORMATION ZONE)
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WHAT TYPE OF CERVICAL CANCER IS MOST COMMON?
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SQUAMOUS CELL
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RISK FACTORS FOR CERVICAL CANCR
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HPV, EARLY SEXUAL ACTIVITY, MULTIPLE PARTNERS, HISTORY OF STDS, NO PAP SMEAR, AGE, SMOKING, POOR HEALTH AND NUTRITION
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WHAT ARE THE HIGH RISK HPV STRAINS (RF FOR CANCER)?
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HPV 16 AND 18
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WHICH STRAINS OF HPV CAUSE GENITAL WARTS?
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HPV 6 AND 11
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PERCENT OF PEOPLE WHO CONTRACT HPV OVER A LIFETIME
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OVER 50%
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RECOMMENDATION FOR INITIAL PAP
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3 YEARS AFTER FIRST SEXUAL INTERCOURSE OR BY AGE 21
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HOW OFTEN SHOULD WOMEN UP TO 30 HAVE PAP?
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EVERY 2 YEARS WITH LIQUID BASED TEST
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HOW OFTEN SHOULD WOMEN OVER 30 GET PAP?
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EVERY 3 YEARS IF 3 CONSECUTIVE NORMAL PAPS AND NO HISTORY OF CERVICAL CANCER
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WHAT FACTORS WOULD BE CAUSE TO TEST A WOMEN WITH PAP MORE OFTEN?
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POSITIVE FOR HIGH RISK HPV, HIV, IMMUNOSUPPRESSION, HISTORY OF CERVICAL CANCER, DES EXPOSURE IN UTERO
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HPV VACCINE REDUCES THE RISK OF WHAT?
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OF ANOGENITAL WARTS, INTRAEPITHELIAL NEOPLASIA, AND INVASIVE CANCERS
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HPV VACCINE IS ALMOST 100% EFFECTIVE IN PREVENTING WHAT?
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HPV 16 AND 18 RELATED CIN AND ADENOCARCINOMA IN SITU
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WHAT AGE GROUP SHOULD BE GIVEN HPV VACCINE?
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GIRLS AGE 11 TO 26; EARLIER THE BETTER AND BEFORE SEXUAL ACTIVITY/EXPOSURE
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MOST COMMON STD IN WOMEN
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CHLAMYDIA TRACHOMATIC
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IF UNTREATED, CHLAMYDIA CAN LEAD TO WHAT?
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PID AND INFERTILITY
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WHEN SHOULD ROUTINE SCREENING FOR CHLAMYDIA, GONORRHEA, AND SYPHILIS BE DONE?
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IN WOMEN UNDER 24 WHO ARE SEXUALLY ACTIVE OR PREGNANT; OLDER AT RISK WOMEN
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WHAT ARE THE CDC GUIDELINES FOR HIV TESTING?
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EVERYONE 13 TO 64 REGARDLESS OF RISK FACTORS
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WHAT ARE THE USPSTF GUIDELINES FOR HIV TESTING?
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SCREEN THOSE AT HIGH RISK
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