Women's Health Exam #1 UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
menstrual cycle a. hypothalamus: GnRH prods anterior lobe (pituitary) cells to secrete FSH and LH
b. in ovary, FSH and LH promote follicle growth and oocyte maturation, estrogen
production, priming of endometrium
c. blood levels of estrogens rises will stimulate surge in LH seretion
d. midcycle surge of LH triggers ovulation, then formation of corpus luteum
e. progesterone, estrogen secreted by corpus luteum will maintain the
endometrium if pregnancy occurs
f. rises in progesterone, estrogen in blood will inhibit FSH, LH secretion during
last phase of cycle
days 0-28 days 0-10ish: FSH and LH slowly rising, causes follicle to begin to mature
follicle beings to release estrogen, then eventually progesterone
days 10-14 (ovulation): as estrogen levels rise, this causes a surge in LH (causes
ovulation) and FSH; corpus luteum stays behind and continues to release
estrogen and progesterone (day 20ish)
progesterone release mimics uterine lining (days 20-28); as progesterone levels
rise, so does the thickness of uterine lining!
days 21-23 most likely to implant (endometrium is thickest!)
mons pubis/mons veneris fatty tissue overlying the symphasis pubis
prepuce/clitoral hood thin fold of skin that covers the clitoris
vulva structure of the female genitalia that are visible externally in the perineal region
,skene's/paraurethral glands located on either side of the urethral opening
bartholin's glands pair of glands found at 5 and 7 o'clock responsible for lubrication during
intercourse
fourchette posterior junction of the labia minora
clitoris cylindrical erectile organ beneath the prepuce
frenulum of clitoris a fold formed by union of the labia minor with the clitoris
urethral orifice opening of the urethra within the vestibule, inferior to the clitoris
labia majora two longitudinal folds of adipose tissue extending from the mons to enclose the
labia minora and the structures of the vestibule
labia minora thin forms of skin, inside and parallel to the majora
vaginal orifice opening of the vagina
hymen thin membranous fold of tissue over the vaginal opening
may exist as tags of skin
vestibule internal area between the clitoris and the fourchette surrounded by the labia
minora
fossa navicularis found between the vaginal opening and the fourchette
perineal body area between the fourchette and the anus
anus opening of the rectum
, first well woman exam: 13-18 years history:
-reason
-health status
-family medical history
-dietary/nutritional assessment
-use of medications
-substance use
-emotional, physical, sexual abuse
-sexual practices: sexually active, orientation, contraceptive use
physical exam: height, weight, BMI, BP, abdomen inspection, external exam to
inspect for secondary sex characteristics, pelvic exam only if indicated
labs: chlamydia and gonorrhea testing if sexually active (may be done with a urine
sample); HIV testing if sexually active
eval and counseling:
sexuality development, high risk behaviors, prevention of pregnancy, STI
prevention (condom use), internet and phone safety
fitness and nutrition: physical activity, dietary and nutrition including obesity and
eating disorders, multivitamin with folic acid and calcium supplements, calcium
intake
psychosocial issues: suicide risk, sexual orientation, goal development, abuse
screening, school experience, peer relationships, acquaintance rape prevention
cardiovascular risk factors: family hx, htn, dyslipidemia, obesity, diabetes
hygiene, injury prevention, skin exposure to sun, tobacco alcohol substance use,
piercings/tattoos
immunizations: TDAP (age 11-18 who have not received Tdap, then every 10 years),
HPV (9-26), hep B, flu, meningococcal (age 13-18, booster if 1st dose before 15),
MMR if not previously immunized, varicella (without evidence of immunity)
ANSWERS
menstrual cycle a. hypothalamus: GnRH prods anterior lobe (pituitary) cells to secrete FSH and LH
b. in ovary, FSH and LH promote follicle growth and oocyte maturation, estrogen
production, priming of endometrium
c. blood levels of estrogens rises will stimulate surge in LH seretion
d. midcycle surge of LH triggers ovulation, then formation of corpus luteum
e. progesterone, estrogen secreted by corpus luteum will maintain the
endometrium if pregnancy occurs
f. rises in progesterone, estrogen in blood will inhibit FSH, LH secretion during
last phase of cycle
days 0-28 days 0-10ish: FSH and LH slowly rising, causes follicle to begin to mature
follicle beings to release estrogen, then eventually progesterone
days 10-14 (ovulation): as estrogen levels rise, this causes a surge in LH (causes
ovulation) and FSH; corpus luteum stays behind and continues to release
estrogen and progesterone (day 20ish)
progesterone release mimics uterine lining (days 20-28); as progesterone levels
rise, so does the thickness of uterine lining!
days 21-23 most likely to implant (endometrium is thickest!)
mons pubis/mons veneris fatty tissue overlying the symphasis pubis
prepuce/clitoral hood thin fold of skin that covers the clitoris
vulva structure of the female genitalia that are visible externally in the perineal region
,skene's/paraurethral glands located on either side of the urethral opening
bartholin's glands pair of glands found at 5 and 7 o'clock responsible for lubrication during
intercourse
fourchette posterior junction of the labia minora
clitoris cylindrical erectile organ beneath the prepuce
frenulum of clitoris a fold formed by union of the labia minor with the clitoris
urethral orifice opening of the urethra within the vestibule, inferior to the clitoris
labia majora two longitudinal folds of adipose tissue extending from the mons to enclose the
labia minora and the structures of the vestibule
labia minora thin forms of skin, inside and parallel to the majora
vaginal orifice opening of the vagina
hymen thin membranous fold of tissue over the vaginal opening
may exist as tags of skin
vestibule internal area between the clitoris and the fourchette surrounded by the labia
minora
fossa navicularis found between the vaginal opening and the fourchette
perineal body area between the fourchette and the anus
anus opening of the rectum
, first well woman exam: 13-18 years history:
-reason
-health status
-family medical history
-dietary/nutritional assessment
-use of medications
-substance use
-emotional, physical, sexual abuse
-sexual practices: sexually active, orientation, contraceptive use
physical exam: height, weight, BMI, BP, abdomen inspection, external exam to
inspect for secondary sex characteristics, pelvic exam only if indicated
labs: chlamydia and gonorrhea testing if sexually active (may be done with a urine
sample); HIV testing if sexually active
eval and counseling:
sexuality development, high risk behaviors, prevention of pregnancy, STI
prevention (condom use), internet and phone safety
fitness and nutrition: physical activity, dietary and nutrition including obesity and
eating disorders, multivitamin with folic acid and calcium supplements, calcium
intake
psychosocial issues: suicide risk, sexual orientation, goal development, abuse
screening, school experience, peer relationships, acquaintance rape prevention
cardiovascular risk factors: family hx, htn, dyslipidemia, obesity, diabetes
hygiene, injury prevention, skin exposure to sun, tobacco alcohol substance use,
piercings/tattoos
immunizations: TDAP (age 11-18 who have not received Tdap, then every 10 years),
HPV (9-26), hep B, flu, meningococcal (age 13-18, booster if 1st dose before 15),
MMR if not previously immunized, varicella (without evidence of immunity)
