CMN 572 - Unit 1 with correct answer 100%

CMN 572 - Unit 1 with correct answer 100% Order of patient history for OB/GYN exam - Correct Answer 1) Age 2) LNMP 3) Gravidity/parity: TPAL (Term pregnancies, premature deliveries, abortions, living children) 4) Chief complaint - Open-ended question (e.g. "How can I help you?" or "What kind of problem are you having?") 5) Present illness - For each problem mentioned, via questioning obtain: + Definition of problem + Location of problem + Date/time of onset of problem + Are symptoms abating or worsening? + Duration of symptoms when they do occur + How symptoms are related to and/or how they affect other events in her life 6) Past history, including + Contraception + Medications and habits + Medical + Surgical + Allergies + Bleeding/thrombotic diatheses + Obstetrics + Gynecologic + Sexual + Social (type of work, education, community activities) 7) Family history DeCherney p 556 On which specific diseases should history be taken in the STD history? - Correct Answer Exposure to or history of: + Gonorrhea + Syphilis + HIV + Herpesvirus + Hepatitis + Chlamydia + Papillomavirus Also ask about: hx of vaginitis and how/if it was treated, treatment or hospital admissions for treatment of salpingitis, enometritis or tubo-ovarian abcesses. DeCherney p 557 What specific diseases/illnesses are of great interest in taking the family history? - Correct Answer + Heart disease + DM + Hypertensive renal or vascular disease + Vascular accidents + Hematologic abnormalities + Hirsutism + Breast/ovarian/colon CA + Time of menopause for mother/grandmothers + Hx of osteoporosis in mother/grandmothers DeCherney p 557 What additional vital sign should be measured in post-menopausal patients? - Correct Answer Height, to document any loss of height r/t osteoporosis and vertebral fractures DeCherney p 558 Initial chest exam in OB/GYN patient - Correct Answer + Visual assessment for skin lesions and symmetry of movement