AHN 568 Test 1with correct Answers
#1 Goal of GYN exam? - Answers -Put the patient at ease
Speculum for short-nonsexually active teens - Answers -Huffman virginal narrow and
short
Speculum for fat, mulitparas? - Answers -Graves extra long
5 Ds of nipple exam? - Answers -Discharge, depression, discoloration, derm changes,
deviation
What age should mammograms begin? - Answers -40. Annually after.
Who should get a pelvic exam? - Answers -Sexually active females, mature with vag or
abd complaints, all menopausal females.
When should teens have a pelvic exam? - Answers -Positive pregnancy, abd pain,
hemorrhagic shock.
What age for first pap? - Answers -21 or within 3 years of sex.
How often should pap be done? - Answers -Annually, until 30 then every 2-3 years.
Abnormal pap? - Answers -Repeat annually until 3 normal
Does a woman older than 65 need a pap? - Answers -Not if history of normal paps or
total hysterectomy.
What position for pelvic exam? - Answers -Lithotomy.
Vaginal wall inspection during pelvic exam? - Answers -Color, secretions, surface
characteristics.
Cervix exam during the pelvic? - Answers -Color, size, position, surface characteristics,
discharge, size & shape.
Pap smear order? - Answers -Wet mount/prep, pap smear, gen probe
Where do you swab during pap smear? - Answers -Transformation zone, epithelium
transition.
, Insert index and middle fingers of one hand with palm of the other on abdominal
midline. - Answers -Bimanual exam
Index finger into vagina and middle finger in the anus? - Answers -Rectovaginal exam.
Patients that will not benefit from a Swan? - Answers -Sick ICU, ARDS, ACS, chronic
heart failure.
What patients benefit from Swan? - Answers -Cardiogenic shock, pulmonary artery
hypertension, severe chronic heart failure, heart lung transplant.
CVP - Answers -pressure in right atrium or right vena cava.
What does CVP tell you? - Answers -Blood volume, pump effectiveness, vascular tone
Normal CVP? - Answers -2-8 mm Hg
CVP greater than 20? - Answers -Fluid overload. Peripheral edema. JVD. Hepatojugular
reflux.
Hepatojugular reflux techinque? - Answers -HOB 30 degrees, pressure on the liver and
look for JVD. High CVP.
Allen test returns in 7-15 seconds? - Answers -Impaired ulnar artery flow. Can still use
that arm, but be aware.
Allen test takes longer than 15 seconds? - Answers -Inadequate ulnar flow. Do not use
that hand/radial artery.
Allen test? - Answers -Before radial art line. Patient clench fist until blanched. Occlude
radial and ulnar arteries, release ulnar artery. Blood flow under 15 seconds.
MAP calculation? - Answers -SBP + (DBP x 2) / 3.
Normal MAP? - Answers -70-105 mm Hg.
CVP less than 2? - Answers -Dehydration, hypovolemia, dry. Vasodilation, sepsis,
anaphylaxis. Low venous return.
Most important part of CVP? - Answers -Trend. Do not treat one number.
Common causes of CVP greater than 20? - Answers -CHF, tamponade,
vasoconstriction, overhydration.
What causes low CVP? - Answers -Hypovolemic. Drug induced vasodilation.
#1 Goal of GYN exam? - Answers -Put the patient at ease
Speculum for short-nonsexually active teens - Answers -Huffman virginal narrow and
short
Speculum for fat, mulitparas? - Answers -Graves extra long
5 Ds of nipple exam? - Answers -Discharge, depression, discoloration, derm changes,
deviation
What age should mammograms begin? - Answers -40. Annually after.
Who should get a pelvic exam? - Answers -Sexually active females, mature with vag or
abd complaints, all menopausal females.
When should teens have a pelvic exam? - Answers -Positive pregnancy, abd pain,
hemorrhagic shock.
What age for first pap? - Answers -21 or within 3 years of sex.
How often should pap be done? - Answers -Annually, until 30 then every 2-3 years.
Abnormal pap? - Answers -Repeat annually until 3 normal
Does a woman older than 65 need a pap? - Answers -Not if history of normal paps or
total hysterectomy.
What position for pelvic exam? - Answers -Lithotomy.
Vaginal wall inspection during pelvic exam? - Answers -Color, secretions, surface
characteristics.
Cervix exam during the pelvic? - Answers -Color, size, position, surface characteristics,
discharge, size & shape.
Pap smear order? - Answers -Wet mount/prep, pap smear, gen probe
Where do you swab during pap smear? - Answers -Transformation zone, epithelium
transition.
, Insert index and middle fingers of one hand with palm of the other on abdominal
midline. - Answers -Bimanual exam
Index finger into vagina and middle finger in the anus? - Answers -Rectovaginal exam.
Patients that will not benefit from a Swan? - Answers -Sick ICU, ARDS, ACS, chronic
heart failure.
What patients benefit from Swan? - Answers -Cardiogenic shock, pulmonary artery
hypertension, severe chronic heart failure, heart lung transplant.
CVP - Answers -pressure in right atrium or right vena cava.
What does CVP tell you? - Answers -Blood volume, pump effectiveness, vascular tone
Normal CVP? - Answers -2-8 mm Hg
CVP greater than 20? - Answers -Fluid overload. Peripheral edema. JVD. Hepatojugular
reflux.
Hepatojugular reflux techinque? - Answers -HOB 30 degrees, pressure on the liver and
look for JVD. High CVP.
Allen test returns in 7-15 seconds? - Answers -Impaired ulnar artery flow. Can still use
that arm, but be aware.
Allen test takes longer than 15 seconds? - Answers -Inadequate ulnar flow. Do not use
that hand/radial artery.
Allen test? - Answers -Before radial art line. Patient clench fist until blanched. Occlude
radial and ulnar arteries, release ulnar artery. Blood flow under 15 seconds.
MAP calculation? - Answers -SBP + (DBP x 2) / 3.
Normal MAP? - Answers -70-105 mm Hg.
CVP less than 2? - Answers -Dehydration, hypovolemia, dry. Vasodilation, sepsis,
anaphylaxis. Low venous return.
Most important part of CVP? - Answers -Trend. Do not treat one number.
Common causes of CVP greater than 20? - Answers -CHF, tamponade,
vasoconstriction, overhydration.
What causes low CVP? - Answers -Hypovolemic. Drug induced vasodilation.
