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Female Genitourinary System Exam with Questions and Answers

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Female Genitourinary System Exam with Questions and Answers Development considerations: aging female ANSWER -Hormones decrease rapidly -Menopause -Ovaries atrophy and stop producing progesterone and estrogen -Uterus decreases in size and droops -Mons pubis looks smaller because fat pad atrophies -Pubic hair becomes thin and sparse Menopause ANSWER Cessation of menstruation Cervical cancer ANSWER Malignant tumor of the cervix -Can be caused by HPV S: Bleeding between menstrual periods, after sex, after menopause; unusual vaginal discharge O: Chronic ulcer and induration are early signs of carcinoma Risk factors: early age at first intercourse, multiple sex partners, cigarette smoking, undetected HPV Current recommendations: -No PAP tests for women under the age of 21, regardless of sexual activity -PAP test interval of 3 years for women 21-30 years -HPV and PAP "co-testing" every 5 years for women ages 30-65 years -HPV vaccination for girls and boys at age 11 or 12 years or up to age 45 What has caused a decrease in cervical cancer? ANSWER Introduction of PAP testing and HPV vaccination


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