Female Exam Part 2

Question 1

Who should have a pelvic exam?

Answer 1

Annually for all women who are sexually active, or baseline at age 21

Question 2

New guidelines for pelvic exam

Answer 2

With negative results from HPV and Pap Smear, every 3-5 years

Question 3

What should you ALWAYS have present in the exam room during a female gentalia examination

Answer 3

another person

Question 4

4 parts of Pelvic Exam

Answer 4

External
Internal
Bimanual
Recto-vaginal (includes DRE)

Question 5

Pubic hair should be in which geometrical pattern?

Answer 5

Triangular

Question 6

Internal exam: aka___

Answer 6

Speculum exam

Question 7

Speculum exam should be performed before or after the bimanual exam?

Answer 7

Before (as to not disturb the tissues/samples)

Question 8

Internal Exam should be performed WITH or WITHOUT lubicrant

Answer 8

WITHOUT

Question 9

At which angle and direction is the speculum inserted?

Answer 9

45 degrees posteriorly

Question 10

term meaning “no pregnancies”

Answer 10

Nulliparous

Question 11

size and shape of nulliparous os

Answer 11

small and round

Question 12

term mean “has had a child”

Answer 12

parous

Question 13

columnar mucosal cells, usually found in endocervical canal, have extended out into surface of cervix, creating a CIRCULAR RAISED ERYTHEMATOUS APPEARANCE

Answer 13

Everted Cervix

Question 14

T/F An Everted cervix is a normal variant

Answer 14

True

Question 15

T/F An Everted cervix has an increased risk for HPV and dysplasia

Answer 15

True

Question 16

Retention cysts - aka ___ ___

Answer 16

Nabothian Cysts (fuild-filled and insignifacant)

Question 17

The 1st sample for a “pap smear” evaluates which type of cells?

Answer 17

Cervical cells

Question 18

Pap smear screens for which type of cancer

Answer 18

Cervical cancer

Question 19

The Pap Smear has decreased the death rate due to Cervical CA by what %

Answer 19

75%

Question 20

The 2nd sample for a pap smear evaluates what?

Answer 20

Vaginal secretions

Question 21

What are the 3 MC STIs among women?

Answer 21

HPV, Herpes, Chlamydia

Question 22

T/F Iowa City has the highest incidence of STIs in Iowa (no offense to the Iowa fans)

Answer 22

False: The Quad Cities

Question 23

A Papanicolaou smear collects samples from which 2 locations?

Answer 23

Ectocervix and Endocervical canal

Question 24

T/F A Gonococcal culture specimen is used MORE commonly than the combined DNA probe

Answer 24

False - LESS commonly

Question 25

2 microscopic procedures used to diagnose vaginal discharge

Answer 25

Wet Mount and Potassium Hydroxide

Question 26

General description for anything that causes symptomatic discharge

Answer 26

Vulvovaginitis

Question 27

Which exam follows the speculum exam?

Answer 27

Bimanual

Question 28

T/F The Bimanual exam IS NOT important if the patient is not sexually active

Answer 28

False - is very important even if not sexually active

Question 29

The final part of the female pelvic exam

Answer 29

Recto-Vaginal Exam, DRE

Question 30

In an infant, are adhesions between the labia minora common?

Answer 30

Yes - often seen during first few month or even years later

Question 31

T/F during a “well-child” exam, inspection and palpation of only the external genitalia is necessary

Answer 31

True - internal exam only when a specific problem is present, like bleeding, discharge, trauma, and suspected sexual abuse

Question 32

Scale used to classify female pubic hair

Answer 32

Tanner Stages

Question 33

Review slides 58-63

Answer 33

Variations