NURS 5333 Family 1 Women's Health Study
Guide + Questions with Accurate Solutions
HGSIL moderate is?
high-grade squamous intraepithelial lesion
(~CIN II) moderate dysplasia
CIN 3 (severe dysplasia) this is ?
HGSIL(high-grade squamous intraepithelial
lesion (~CIN III)
carcinoma in situ (CIS)
a malignant tumor in its original position that has not yet disturbed or invaded
the surrounding tissues
squamous cell carcinoma (SCC)
skin cancer that begins in the epidermis but may grow into deeper tissue; does
not generally metastasize to other areas of the body
vulvovaginitis
inflammation of the vulva and vagina
vulvovaginitis s/s
Vulvovaginitis causes
yeast infections (Candida albicans)
bacterial vaginosis
STDs trichomonas
postmenopausal atrophy
,Vulvovaginitis treatment
• Treatment depends on the cause
o What is the treatment for BV, Candida, Trich?
Terazole (BRAND NAME )or Gynazole for yeast( candida)
150mg Diflucan BID for 1 day unless at risk for recurrent infection the 7 days more
Treatment with azoles results in relief of symptoms and negative cultures in 80%-90% of
patients who complete therapy.
Vulvovaginitis prevention
Treat the source/s of what is causing the vulva to be inflamed.
Vulvovaginitis refer pt out when? Follow up when?
Do a punch biopsy if you are unsure of the etiology and send to patho for clarification.
dysmenorrhea
painful menstruation
primary dysmenorrhea
painful menstruation associated with prostaglandin release in ovulatory cycles.
Use pelvic ultra sound to r/o other secondary causes.
secondary dysmenorrhea
Painful menstruation-related to pelvic pathology
Can occur any time in the menstrual cycle. Use ultrasound or laparoscopy to
define anatomy or MRI if ultrasound is not providing a diagnosis.
, Dysmenorrhea symptoms
Diffuse pelvic pain at the onset of menses in the lower abdomen, suprapubic or
pelvic areas, with the onset of menses. May radiate to the lower back and legs. Pain
is often intermittent and associated with headache, nausea, and vomiting.
Primary dysmenorrhea treatment
NSAIDs:
-Ibuprofen 400-800 mg q6h for first 24-48 hours
Fenamate
-Mefenamic acid (500 mg loading dose, 250 mg every six hours for three
days) OCPs trial of 3-4 months, effective 90%
Application of heat, exercise, reassurance of NL pelvic/pap Progestin-only
contraceptives, including subcutaneous and subdermal preparations, appear to
decrease primary dysmenorrhea
secondary dysmenorrhea treatment
(Estrogen-containing contraceptives are recommended first-line for secondary
dysmenorrhea)
heating pad, hot bath, exercise, pelvic exercises, relaxation therapy, and
laparoscopic nerve ablation.
ibuprofen, naproxen, celecoxib, and mefenamic acid.
Hormonal contraceptives are recommended for primary and secondary and continuous
dosing.
PALM COEIN for abnormal uterine bleeding
Polyps: presence of endometrial-type glands and stroma within the
myometriumPresentation: intermenstrual and post-coital spottingoAdenomyosis:
Guide + Questions with Accurate Solutions
HGSIL moderate is?
high-grade squamous intraepithelial lesion
(~CIN II) moderate dysplasia
CIN 3 (severe dysplasia) this is ?
HGSIL(high-grade squamous intraepithelial
lesion (~CIN III)
carcinoma in situ (CIS)
a malignant tumor in its original position that has not yet disturbed or invaded
the surrounding tissues
squamous cell carcinoma (SCC)
skin cancer that begins in the epidermis but may grow into deeper tissue; does
not generally metastasize to other areas of the body
vulvovaginitis
inflammation of the vulva and vagina
vulvovaginitis s/s
Vulvovaginitis causes
yeast infections (Candida albicans)
bacterial vaginosis
STDs trichomonas
postmenopausal atrophy
,Vulvovaginitis treatment
• Treatment depends on the cause
o What is the treatment for BV, Candida, Trich?
Terazole (BRAND NAME )or Gynazole for yeast( candida)
150mg Diflucan BID for 1 day unless at risk for recurrent infection the 7 days more
Treatment with azoles results in relief of symptoms and negative cultures in 80%-90% of
patients who complete therapy.
Vulvovaginitis prevention
Treat the source/s of what is causing the vulva to be inflamed.
Vulvovaginitis refer pt out when? Follow up when?
Do a punch biopsy if you are unsure of the etiology and send to patho for clarification.
dysmenorrhea
painful menstruation
primary dysmenorrhea
painful menstruation associated with prostaglandin release in ovulatory cycles.
Use pelvic ultra sound to r/o other secondary causes.
secondary dysmenorrhea
Painful menstruation-related to pelvic pathology
Can occur any time in the menstrual cycle. Use ultrasound or laparoscopy to
define anatomy or MRI if ultrasound is not providing a diagnosis.
, Dysmenorrhea symptoms
Diffuse pelvic pain at the onset of menses in the lower abdomen, suprapubic or
pelvic areas, with the onset of menses. May radiate to the lower back and legs. Pain
is often intermittent and associated with headache, nausea, and vomiting.
Primary dysmenorrhea treatment
NSAIDs:
-Ibuprofen 400-800 mg q6h for first 24-48 hours
Fenamate
-Mefenamic acid (500 mg loading dose, 250 mg every six hours for three
days) OCPs trial of 3-4 months, effective 90%
Application of heat, exercise, reassurance of NL pelvic/pap Progestin-only
contraceptives, including subcutaneous and subdermal preparations, appear to
decrease primary dysmenorrhea
secondary dysmenorrhea treatment
(Estrogen-containing contraceptives are recommended first-line for secondary
dysmenorrhea)
heating pad, hot bath, exercise, pelvic exercises, relaxation therapy, and
laparoscopic nerve ablation.
ibuprofen, naproxen, celecoxib, and mefenamic acid.
Hormonal contraceptives are recommended for primary and secondary and continuous
dosing.
PALM COEIN for abnormal uterine bleeding
Polyps: presence of endometrial-type glands and stroma within the
myometriumPresentation: intermenstrual and post-coital spottingoAdenomyosis:
