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ECOS 2 Pre-Midterm > Approach to GU Complaint > Flashcards

Flashcards in Approach to GU Complaint Deck (64)
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1

Developmental stage characterized by transition from sexual immaturity to sexual maturity

Puberty

2

Gonadarche

Activation of gonads by FSH and LH

3

Thelarche

Breast development due to Estrogen

4

Menarche

1st menstrual cycle

5

When does menarche usually occur compared to puberty?

Occurs 2-3 years after puberty begins

6

Spermarche

1st sperm production

7

Pubarche

Pubic hair development

8

At what ages does puberty begin for females?

10-14

9

At what ages does puberty begin for males?

11-16

10

Besides the appearance of secondary sexual characteristics, what grows in size with puberty?

Thyroid gland

11

What is the first sign of puberty for females?

Breast development

12

Between what breast development stages does menarche normally start?

Between stages 3 and 4

13

For females, breast development and pubic hair occur at what ages?

8-13

14

For males, pubic hair and male genitalia growth occur at what ages?

9-13.5

15

What 4 histories are important to obtain from a woman?

1. Menstrual history
2. Gynecologic history
3. Obstetrical history
4. Sexual history

16

Gravida

Number of pregnancies

17

Para

Number of viable births

18

Para can be broken down into?

T - term births > 37 weeks
P - preterm births between 20-37 weeks
A - abortions before 20 weeks
L - live births no matter the age of gestation

19

ex. 4 pregnancies, 1 spontaneous abortion, 1 fetal demise at 28 weeks

G4P2112

20

ex. 5 pregnancies, 3 term deliveries, 1 spontaneous abortion at 12 weeks, 1 live delivery at 35 weeks

G5P3114

21

Between what ages is a well woman exam suggested?

21-65

22

How often should a well woman exam be performed for women with abnormal pap smears?

Every year

23

How often should a well woman exam be performed for women with consecutively normal pap smears?

Every 3 years

24

How often should a well woman exam be performed for women with consecutively normal pap smears and a negative HPV test?

Every 5 years

25

At what age should mammograms be performed?

After 50 years of age unless high risk, then before that

26

What does a pap smear screen for?

Cervical cancer

27

What mostly causes cervical cancer?

HPV strains

28

From where in the cervix should samples be taken with a pap smear and where do most cervical cancers occur?

1. Ectocervix
2. Transitional zone
3. Endocervix
4. Squamous Columnar Junction (SCJ)
- Most cervical cancers occur at transition zone

29

Pap smears and pelvic exams both use?

Speculums

30

What is performed with a pelvic exam?

1. Inspection of internal and external genitalia
2. Bimanual exam
3. Check for cervical motion tenderness with Bimanual exam
4. Obtain swabs if necessary