The Gynecologic Examination 2023 with correct answers :(Chapter 23)

Gynecology the branch of medicine dealing with disorders and treatment of the reproductive system in women To reduce apprehension or embarrassment, the MA should: fully explain the procedure to the pt and offer to answer any questions The provider usually begins the gynecologic exam with a breast examination For breast exam the MA is responsible for assisting the pt into a supine position The purpose of the pelvic exam are to assess the size, shape, and location of the reproductive organs to detect the presence of disease Gynecologic examination: frequently performed in the medical office Prenatal care: series of scheduled visits Responsibilities of MA for gynecologic examination and prenatal care 1. Explain purpose of procedures to patient: Makes examinations proceed more smoothly Makes patient more comfortable 2. Assist with examinations and treatments What is the purpose of prenatal care? to promote health of the mother and fetus during pregnancy Gynecologic examination includes breast examination and pelvic examination Purpose of a gynecologic examination 1. Assess health of reproductive organs To detect early signs of disease - leads to early diagnosis and treatment 2. To reduce apprehension or embarrassment during examination: Fully explain procedure to patient Offer to answer questions Breast and axillary lymph nodes palpated for Lumps, hard knots, and thickening Women 45-54 should get mammograms every year Women 55 and older should switch to a mammogram every other year, or they can choose to continue yearly mammograms Pelvic examination consists of *Inspection of the external genital, vagina, and cervix *collection of a specimen for cervical cancer screening *bimanual pelvic examination *rectal-vaginal examination For pelvic examination the pt is positioned in the lithotomy position The provider begins the pelvic examination with inspection of the external genitalia The vulva is inspected for swelling, ulceration, and redness Plastic specula are used commonly in the medical office; are disposable and are designed to be used only once Metal specula are reusable and must be sanitized and sterilized after each use What is the purpose of the speculum to hold the walls of the vagina apart to allow visual inspection of the vagina and cervix