Term
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Definition
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Term
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Definition
| is in or has had first pregnancy |
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Term
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Definition
| has been pregnant more than once |
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Term
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Definition
| nevver been and inst pregnant |
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Term
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Definition
| has delivered at least on baby (non abortion) |
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Term
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Definition
| has delivered 2+ babies (non abortion) |
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Term
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Definition
| haver had a pregnancy progress to delivery |
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Term
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Definition
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Term
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Definition
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Term
| what are some general tips on approach to the female patient |
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Definition
listen
you may be providing primary care
adress her by title and name
use ordinary language
open ended questions help uncover sensitive issues
therapy decisions are mutual agreement
alsways give as much kowledge as you can
encourage note taking
always tell your patients to call with concerns
always ask if there is anything you forgot to address |
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Term
| what is included in the evaluation portion of the exam |
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Definition
weitten data form: medical history, list of problems wanted to be discussed
allow pt to give history iin own words, ask for more when story is done |
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Term
| what are the questions for the identifying information portion of the exam (10) |
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Definition
age
martial status
occupation
gravidity and parity (G0P0000(TPAL))
FDLMP
last pap
last mammogram
self breast exam history
current contraceptive |
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Term
| what are the questions for menstural history (11) |
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Definition
pubertal sequence
menarche
menopause
peridocity
regularity
FDLMP
duration
amount of flow
associated pain
abnormal bleeding
perimenstural symptoms (PMS) |
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Term
| what are the questions for menstural history (7) |
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Definition
pregnancies
outcomes: gender, weight, abortions, early loss
complications: perinatal, postpartum |
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Term
| what are the questions for gyencological history (14) |
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Definition
sexually active
number of partners
monogamous relationships
contraceptive history (current, past, problems)
abnormal paps
mammograms
infections
surgeries
pelvic pain
discharge
drainage
sexual dysfunctions: dysparenuia (location, position), bleeding (during or after), satisfaction (orgasm, masturbation) |
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Term
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Definition
| illnesses, surgeries, hospitalizations |
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Term
| questions in social history (5) |
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Definition
| smoking, alcohol, drugs, exercise, weight |
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Term
| questions on medications (5) |
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Definition
| dose, frequency, RX, OTC, herbal |
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Term
| questions on allergies (4) |
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Definition
| meds, foods, latex, adhesives |
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Term
| questions on family history (4) |
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Definition
| diabetes, CV, HTN, malignancies |
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Term
| what familial malignancies are associated with female GU malignancies (6) |
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Definition
| GU, ovarian, tubal, uterina, colorectal, prostate |
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Term
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Definition
GU
GI
bleeding disorders
psych problems
MSK
endocrine |
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Term
| when should you do a patient exam |
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Definition
| new patient, annually, new pregnancies |
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Term
| what are the steps in the general exam (3) |
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Definition
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Term
| what are the steps of breast exam (2) what should you note (4) |
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Definition
seated and laying
asymmetry, supraclavicular and axillary notes, nipples |
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Term
| what should you note on an abdomen exam (9) |
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Definition
| tenderness, masses, organomeagly, pain, bowel sounds, gaurding, rebound tenderness, have patient point to localize |
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Term
| explain how to do a self breast exam |
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Definition
lay with pillow under shoulder and arm behind head
use three middle fingers and move in circle, line, or wedge (just be consistant)
learn how the breast feels so you know when it changes
squeeze nipple to check for discharge
look for symmetry in mittor with arms at side and over head |
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Term
| what should you do in prep for a pelvic exam |
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Definition
patient in lithotomy position
patient shoud empty bladder
tell patient step by step what you are doing
always have chaperone for minor
always offer towel after |
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Term
| what should you look for on external genitalia inspection of pelvic exam (8) |
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Definition
| moles, discoloration, lesions, discharge, hair distribution, clitoral size, bartholian glands |
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Term
| what should you palpate on external genitalia palpation of pelvic exam (4) |
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Definition
labia minora
labia majora
posterior forchette
introitus |
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Term
| what are the 5 steps to an internal genitalia exam and brief description |
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Definition
cervix: inspect, sweel 360deg
endocervix: use brom to get sample
pap smear: use thin prep
vagina: inspect walls when withdrawing speculum
bimanual exam |
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Term
| what are the parts of the bimanual exam |
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Definition
bear down to assess pelvic integrity
note size, shape, position, mobility of uterus and ovaries
consistancy and direction of cervic and uterus
motion and pain |
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Term
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Definition
help tell uterus position
anteflexed: anterior
retroflexed: posterior |
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Term
| what is a papanicolau smear |
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Definition
| sample of cervix tissue from the squamocellular junction at the endocervical canal used to detect cervical cancer |
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Term
| how is a papsmear evaluated |
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Definition
bethesda system
adequacy of sample: satisfactor, satisfactory but limited, unsatisfactory |
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Term
| what are 3 classifications of diagnosis on a pap smear |
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Definition
normal
benign cell abnormalities
glandular cell abnormalities |
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Term
| what are 3 benign cell abnormalities on a papsmear |
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Definition
atypical swuamous cells of undertermined significance
low grade squamous intrapithelial lesions
high grade squamous intraepithelial lesions |
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Term
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Definition
| binocular magnifying instrument used to detect epithelial change not visible by gross detection |
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Term
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Definition
| gonorrhea, chalmydia, HSV, HPV, trich, BV |
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Term
| what should be on a pt problem list (8) |
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Definition
patient history
CC
abnormal findings
date of diagnosis
date of resolution
medications
allergies
risk factors |
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Term
| when should a woman get tetanus vaccine |
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Definition
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Term
| when should a woman get hep B vaccine |
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Definition
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Term
| when should a woman get meningococcal vaccine |
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Definition
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Term
| when should a woman get HPV vaccine |
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Definition
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Term
| when should a woman get mammogram yearly |
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Definition
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Term
| when should a woman get cholesterol check and fasting glucose |
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Definition
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Term
| when should a woman get colonoscopy, stool occlut for blood, TSH, flexible sigmoidoscopu |
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Definition
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Term
| when should a woman begin yearly influenza vaccine |
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Definition
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Term
| when should a woman get pneumococcal, U/A, DEXA |
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Definition
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Term
| what is the leading cause of death in women 13-18yo |
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Definition
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Term
| what is the leading cause of death in women 19-39yo |
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Definition
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Term
| what is the leading cause of death in women 40-64yo |
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Definition
| malignancy, heart disease |
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Term
| what is the leading cause of death in women 65yo+ |
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Definition
| heart disease, malignancy |
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Term
| what are the 5 stages of secondary sex characteristics |
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Definition
thelarche: growth spurt just before breast bud
pubarche: pubic hair
adrenarche: axillary hair
max growth spurt
menarge: avg 12.8yo |
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Term
| what are the 5 tanner stages for hair development |
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Definition
1. preadolescent
2. soft sparse hair long labia
3. dark, more coarse hair, on pubes
4. increase in quantity
5. spread to thighs |
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Term
| what are the 5 tanner stages of breast development |
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Definition
1. preadolescent: elevated papilla
2. breast budding: small mounds
3. enlargement of breast and aerola
4. elevation of aerola and papillae, secondary mound
5. mature female breast |
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Term
| what are the 5 tanner stages of male genital development |
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Definition
1. preadolescent
2. enlargement of scrotum and testis, reddened scrotal skin
3. penis growth (length), increased testis and scrotal growth
4. penis growth (circumference), glans penis development, scrotal darkening
5. adult size and shape |
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