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33 Cards in this Set

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  • Back
the last menstrual period is dated from when?
First day of last normal period
Definition:

Postmenopausal bleeding
bleeding beginning 6 months after cessation of menses
what does each number mean in:
G[1]P[2][3][4][5]
Florida Power And Light:

1: Pregnancies
2: Full-term pregnancies
3: Preterm pregnancies
4: Abortions
5: Living children
Peau d'orange change in the breast is assoc w/ what?
Edema of the lymphatic glands
Which speculum is often most suitable for exam of the nulliparous patient?
Pederson
Which speculum is often most suitable for exam of the multiparous patient?
Graves
which uterine configuration is most difficult to assess for size, shape, configuration and mobility?
Retroverted, retroflexed
Pap smears using slide technology should be fixed no more then how many seconds after preparation?
10 sec
when should a rectovaginal exam be performed?
at initial patient visit and all annual visits
the TSH screening test for thyroid dz should be performed at what interval?
every 3 - 5 years after age 65
the Pap smear for cervical dysplasia should be performed at what interval?
every year with onset of sexual activity or at age 21;

every 2 - 3 years after age 30 if 3 consecutive tests are negative
a cholesterol/lipid profile should be performed at what interval?
every 5 years from age 19, then 3 - 4 years at age 65
a mammmography to detect breast cancer should be performed at what interval?
every other year from age 40, then every year after age 50
a sigmoidoscopy to detect bowel cancer should be performed at what interval?
every 3 - 5 years after age 40
what is the appropriate interval for the influenza vaccine?
every 10 years b/t ages 19-64 when at risk; then yearly after age 65
what is the appropriate interval for the pneumococcal vaccine?
every 10 years from age 19-64 when at risk
what is a significant cause of morbidity for women who are 19-39?
acute coronary conditions
what is a significant cause of morbidity for women who are 40-64?
upper respiratory conditions
what is a significant cause of morbidity for women who are over age of 65?
accidental injury
what is the most significant cause of mortality for women b/t 35-54 years of age?
cancer
what is the most significant cause of mortality for women b/t 55-74 years of age?
CVA
why is the head of the exam table elevated 30 degrees?
to observe the patient's responses
which breast cancer has Mobile cysts?
Fibroadneoma
Definition:

patient should be given what is "due"
Justice
Definition:

respect for the patient's right of self-determination
Autonomy
Definition:

duty not to inflict harm on patient
Nonmalificence
Definition:

duty to promote the good of the patient
Beneficence
32 you patient delivered at 25 weeks, 3 days after premature rupture of membranes. She wants no attempts at recussitation. At delivery there are rare gasping, breathing movements. Who has the clearest primary decision for th outcome?
mother
a 62-yo woman has been dx w/ stage III ovarian cancer and refuses chemo. She wants to "go home and die"

what is the next step?
Assess the patient's comprehension and look for evidence of depression
a 90-yo woman is found to have a 20-cm pelvic mass. Her CA-125 is 90. Your recommendation for care should be based on what principle?
beneficence-nonmaleficence
a 28-yo woman w/ metastatic cancer wants to try a bone marrow transplant supported treatment. Her insurance company refuses.

what ethical principle is involved?
Justice
what ethical principle best relates to issue of medical indications?
Beneficence
what ethical principle best relates to the issue of quality of life?
Nonmaleficience