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OCPM PD Female Genitalia 2
Questions
57
Medical
Professional
04/27/2009

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Term
Cervical intraepithelial neoplasia is the preinvasive pathologic precursor to what disorder?
Definition
Cervical Cancer
Term
The tissue between the introitus (vaginal opening) & anus is called?
Definition
Perineum
Term
The area where physiologic transformation from columnar endocervical epi to squamous (ectocervical) epithelium takes place, where dysplasia & cancer can arise is called?
Definition
Transformation zone of the cervix
Term
The area at risk for later dysplasia; site of pap smear?
Definition
Transformation zone of the cervix
Term
What are the 2 primary functions of the Ovaries?
Definition
Produce ova & Secrete Hormones
Term
What hormones does the ovary secrete?
Definition
Estrogen, progesterone, testosterone
Term
What is the term for increased vaginal secretions that conincide with ovulation?
Definition
Leukorrhea
Term
Normal menstrual discharge will be what color--as apposed to the color of excessive flow?
Definition
Dark red, bright red with clots
Term
Girls in the US begin to menstruate between what ages?
Definition
9 to 16 yrs (note: it takes up to 1 year to establish regular pattern)
Term
What is the interval between menstrual periods?
Definition
24 to 32 days; flow lasts 3 to 7 days
Term
The absence of menses for 12 consecutive months (between ages of 48 to 55) is termed?
Definition
Menopause
Term
Post menopausal bleeding raises the question of what cancer?
Definition
Endometrial cancer
Term
The absence of periods is termed?
Definition
Amenorrhea
Term
The failure to start periods is called?
Definition
Primary amenorrhea
Term
The cessation of periods after they have been established is called?
Definition
Secondary amenorrhea
Term
Pregnancy, lactation, menopause, stress, & malnutrition are physiologic forms of what type of amenorrhea?
Definition
Secondary amenorrhea
Term
Pain associated with menstruation is termed?
Definition
Dysmenorrhea
Term
Infrequent, irregular periods is termed?
Definition
Oligomenorrhea
Term
Postcoital bleeding suggests?
Definition
Cervical Disease (polyps/cancer) or atrophic vaginitis (in older woman)
Term
Amenorrhea, associated with nausea, vomiting, increased size of breasts, & fatigue suggest?
Definition
Pregnancy
Term
Amenorrhea followed by heavy bleeding suggests what in relation to lack of ovulation?
Definition
Threatened abortion or dysfunctional uterine bleeding
Term
What are the most common vulvovaginal symptoms?
Definition
Vaginal discharge & local itching
Term
Discomfort or pain during intercourse is termed?
Definition
Dyspareunia
Term
Superficial pain during intercourse suggests what symptoms?
Definition
Local inflamation, atrophic vaginitis or inadequate lubrication
Term
Deep pain during intercourse suggests what problems?
Definition
Pelvic disorders or pressure on a normal ovary
Term
Women should receive their FIRST pap smear by when?
Definition
3 years after 1st intercourse or by age 21, whichever is 1st.
Term
(T/F) Women up to the age of 30 should have their pap smear test done anually?
Definition
1
Term
(T/F) Women age 30 or older should have their pap smear test every 2 to 3 years.
Definition
True (if woman is at low risk for HPV)
Term
(T/F) Women with a hysterectomy should discontinue to receive pap smears?
Definition
True (if cervix was removed for benign reasons)
Term
What specula is best suited for inspecting parous women with vaginal prolapse?
Definition
The graves specula
Term
Delayed puberty is often found in women with what types of conditions?
Definition
chronic illness, abnormalities of hypothalamus, anterior pituitary gland, or ovaries
Term
Chronic illness, abnormalities in hypothalamus, ant. Pituitary, or ovaries may interfere with what developmental stage?
Definition
Delay Puberty
Term
Excoriations or itchy, small, red maculopapules in female external genitalia suggest?
Definition
Pediculosis pubis (lice or "crabs") -- Look for nits or lice at base of pubic hairs
Term
What type of specula is best suited for inspecting a small introitus?
Definition
Small pedersen speculum
Term
During cerivical examination, a yellowish discharge on the endocervical swab suggests what?
Definition
Mucopurulent cervicitis, caused by Chlamydia, N. Gonorrhoeae, Herpes simplex
Term
Raised, friable, or lobed wartlike lesions are found in what conditions?
Definition
Condylomata or cervical cancer
Term
When taking a pap smear, you should plan to culure the cervix routinely for what bacteria?
Definition
Chlamydia trachomatis
Term
Risk factors for _____ include age younger than 25, multiple partners, STD's; its also linked to urethritis, infertility, and ectopic pregnancy.
Definition
Chlamydial infection
Term
Pain on movement of the cervix together with adnexal tenderness suggests?
Definition
Plevic inflammatory disease
Term
Enlargement of the uterus suggests what conditions?
Definition
Benign or malignant tumors & Pregnancy (of course..)
Term
The ovaries hav usually atrophied and are no longer palpable how long after menopause?
Definition
3 to 5 years
Term
(T/F) Hernias of the groin are much less common in women than men.
Definition
1
Term
A ____ hernia is the most common hernia that occurs in the female groin… What ranks 2nd?
Definition
(1) Indirect inguinal hernia, (2) Femoral hernina
Term
A small, firm, round cystic nodule in the labia suggests?
Definition
Epidermoid cyst
Term
What color are epidermoid cysts?
Definition
Yellowish
Term
A dark punctum marks the blocked opening of a gland in what condition?
Definition
Epidermoid cyst
Term
Another name for condyloma acuminatum?
Definition
Venereal Wart
Term
Warty lesions on the labia, within the vestibule suggest?
Definition
Venereal Wart
Term
These are the result of HPV infection…
Definition
Venereal Wart
Term
A firm, painless ulcer suggests what type of infection?
Definition
Chancre of primary syphilis
Term
Most syphilitic chancres in women develop (internally/externally)?
Definition
Internally, (therefore they go undetected…)
Term
Another name for Condyloma Latum?
Definition
Secondary Syphilis
Term
Slightly raised, round or oval, flat-topped papules covered by a gray exudate suggest?
Definition
Condylomata lata (Secondary Syphilis)
Term
(T/F) Raised, round flat-topped papules covered in gray exudate are contagious.
Definition
TRUE! (Secondary syphilis)
Term
Shallow, small, painful ulcers on red bases suggest?
Definition
Genital Herpes
Term
Initial infection of genital herpes will be (more/less) extensive than recurrent infections?
Definition
More extensive (recurrent infections are confined to small local patches)
Term
An ulcerated or raised red vulvar lesion in an elderly woman may indicate what?
Definition
Carinoma of the vulva
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