Flashcards in Approach to GU Complaint Deck (64)
Developmental stage characterized by transition from sexual immaturity to sexual maturity
Activation of gonads by FSH and LH
Breast development due to Estrogen
1st menstrual cycle
When does menarche usually occur compared to puberty?
Occurs 2-3 years after puberty begins
1st sperm production
Pubic hair development
At what ages does puberty begin for females?
At what ages does puberty begin for males?
Besides the appearance of secondary sexual characteristics, what grows in size with puberty?
What is the first sign of puberty for females?
Between what breast development stages does menarche normally start?
Between stages 3 and 4
For females, breast development and pubic hair occur at what ages?
For males, pubic hair and male genitalia growth occur at what ages?
What 4 histories are important to obtain from a woman?
1. Menstrual history
2. Gynecologic history
3. Obstetrical history
4. Sexual history
Number of pregnancies
Number of viable births
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
ex. 4 pregnancies, 1 spontaneous abortion, 1 fetal demise at 28 weeks
ex. 5 pregnancies, 3 term deliveries, 1 spontaneous abortion at 12 weeks, 1 live delivery at 35 weeks
Between what ages is a well woman exam suggested?
How often should a well woman exam be performed for women with abnormal pap smears?
How often should a well woman exam be performed for women with consecutively normal pap smears?
Every 3 years
How often should a well woman exam be performed for women with consecutively normal pap smears and a negative HPV test?
Every 5 years
At what age should mammograms be performed?
After 50 years of age unless high risk, then before that
What does a pap smear screen for?
What mostly causes cervical cancer?
From where in the cervix should samples be taken with a pap smear and where do most cervical cancers occur?
2. Transitional zone
4. Squamous Columnar Junction (SCJ)
- Most cervical cancers occur at transition zone
Pap smears and pelvic exams both use?