Questions and Answers A+ Graded
Key .components .of .a .GYN .history: .- .CORRECT .ANSWER .--Sexual .history .(any
.STIs)
-Gravida/para
-LMP .and .hx .about .periods
-Sexual .orientation
-Previous .abortions? .
-Treated .for .previous .GYN .infections?
When .do .you .need .to .do .a .GYN .physical .exam? .- .CORRECT .ANSWER .--Annual
.visits .
-Pap .smear .visit .
-New .sex .partner .
-STI .screening/GYN .complaints .
-IPV .violence
the .5 ."P's" .of .women's .sexual .health .- .CORRECT .ANSWER .-1.) .Partner(s)
2.) .Practices
3.) .Prevention .of .pregnancy
4.) .Prevention- .STIs
5.) .Previous .hx .of .STIs
2 .main .components .of .the .GYN .physical .exam .- .CORRECT .ANSWER .-1.)
.Inspection
2.) .Palpation .(bimanual) .
.--> .insert .2 .fingers .into .the .vagina .and .palpate .the .uterus .and .ovaries
Is .a .bimanual .exam .always .needed .with .a .GYN .physical .exam? .- .CORRECT
.ANSWER .-*NO.*
-Young .women .or .women .w/ .no .GYN .complaints .do .NOT .need .a .bimanual
.exam .
-The .only .time .that .we .do .one .w/ .no .GYN .complaints .is .if .she .needs .a .Pap
.smear .
, -Woman .needs .birth .control: .getting .the .Pill .or .injections...she .does .NOT .need
.a .bimanual .exam. .Only .w/ .getting .an .IUD. .
-Note: .this .is .a .big .change .b/c .they .used .to .do .it .on .everyone!!!
How .do .we .assess .puberty? .- .CORRECT .ANSWER .-*Tanner .staging*
.
--> .breast .development .
--> .pubic .hair
What .time .frame .do .we .expect .a .woman's .menstrual .period .to .start .after .breast
.development? .- .CORRECT .ANSWER .-Generally, .within .*2-3 .years* .after .breast
.development .begins
Note .about .psychosocial .adjustments .with .breast .development .in .young .girls .-
.CORRECT .ANSWER .--May .get .a .10 .yr .old .w/ .fully .developed .breasts- .people
.start .to .make .comments .about .how ."mature" .she .is- .she's .typically .not
.psychosocially .ready .for .that .kind .of .attention .just .yet... .
-Older .14-15 .yr .old .girls .that .are ."late .bloomers" .are .at .an .*increased .risk .for
.depression, .anxiety* .about .not .developing ."normally"
Ovarian .Cycle .in .a .Nutshell: .the .3 .phases .- .CORRECT .ANSWER .-*Follicular*
.(Estrogen) .→ .Days .1-17 .(variable)
*Ovulatory* .(LH .surge) .→ .Days .14-15 .(but .variable) .
*Luteal* .(Progesterone) .→ .Days .14-28 .(2 .wk .duration; .non-variable)
Endometrial/Uterine .Cycle .in .a .Nutshell: .the .3 .phases .- .CORRECT .ANSWER .-
Menstrual .(shedding) .→ .Days .1-5
Proliferative .(regrowth) .→ .Days .5-14
Secretory .(nutrition) .→ .Days .14-28
Menstrual .cycle .again...
Which .STIs .are .we .doing .universal .screening .for .(sexually .asymptomatic
.people)? .- .CORRECT .ANSWER .--Gonorrhea
-Chlamydia
-Trichomonas
Diagnosis: .with .a .urine .sample .or .a .cervical .swab