CHA EXAM #3 ACTUAL Questions And
CORRECT Answers
COMMON GYNECOLOGIC CONCERNS - CORRECT ANSWERS Pain
Vaginal discharge
Bleeding
*during sex
endometriosis - CORRECT ANSWERS -endometrial tissue implantation outside of the uterine
cavity
-not in the uterus
-respond to hormonal cycle as it would even in the uterus
-will bleed every month (out of place, painful, can cause adhesions and infertility)
Endometriosis eitology - CORRECT ANSWERS -Pain is the most common symptom,
peaking just before menstrual flow
Treatment focuses on:
>Reduction of pain
>Restoration of sexual function
>Decrease in anxiety
>Education
>Prevention of self-concept disturbance
related to infertility (do they want to become pregnant?)
-hormonal control helps with menstrual cycle (contraceptives help avoid pain)
-pain with sex and defecation
,-lower back pain
-provider does an pelvic exam for people
-1st period, how often, how long goes it last
-may need a hysterectomy
Amenorrhea - CORRECT ANSWERS absence of menstruation
- no menses
-can be between 9-15 years of age
-pregnant, lactation, menarch
primary amenorrhea - CORRECT ANSWERS -Turner's Syndrome
-incomplete development
secondary amenorrhea - CORRECT ANSWERS no menses for 3 months
-ovarian tumors
-excessive exercise
-malnutrition
metorrhagia - CORRECT ANSWERS irregular bleeding, over 28 days
menorrhagia - CORRECT ANSWERS excessive bleeding during menstruation
dysfunctional uterine bleeding - CORRECT ANSWERS -excessive and frequent bleeding
-treatment focuses on:
>prevention or treatment of anemia
,>control of bleeding via nonsurgical (hormones, combined contraceptives) or surgical (hysterectomy,
endometrial ablasion, DNC) means
-ovary fails to ovulate and hormonal imbalance occurs
-overgrowth of the uterine lining
-education, TSH, LH, FSH, estradiol, TVUS, CT, Pregnancy test
uterine leiomyomas (fibroids) - CORRECT ANSWERS -benign neoplasms
-no pain, generally causes heavy bleeding
dx: abdominal/vaginal/rectal exam, biopsy, CBC, tvus
treatL myomaectomy, hormone therapy, MRGUS (pulse that heats tumor and destroys it)
Hysterectomy - CORRECT ANSWERS -May be performed abdominally, vaginally,
laparoscopically, or with robot assistance
-Is indicated for multiple gynecologic problems (leiomyoma)
-Psychosocial assessment is essential
-Postoperative care focuses on management of vaginal bleeding, incisional intactness,
urinary output, and pain management
*removal of uterus
*total removal, if leiomyoma is bigger than a fetus at 16 weeks
Pelvic Organ Prolapse (POP) - CORRECT ANSWERS -Uterine, cystocele, rectocele
, -Patients often report feeling of
"something falling out" (tendons weaken)
-Dyspareunia, backache,
heaviness or pressure in pelvis,
bowel or bladder problems
-Treatment focuses on the
degree of POP
-Conservative treatment is
preferred over surgical
treatment when possible
-Kegel exercises, pessaires,
intravaginal estrogen
therapy (TREATMENT)
submucosal leiomyoma - CORRECT ANSWERS type of leiomyoma found to deform the
endometrial cavity and cause heavy or irregular menses
-can interrupt pregnancies
subserosal leiomyoma - CORRECT ANSWERS type of leiomyoma that may become pedunculated
and appear as an extrauterine mass
-press on other organs
grade 1 uterine prolapse - CORRECT ANSWERS the uterus bulges into the vagina, but the cervix
does not protrude through the entrance to the vagina
CORRECT Answers
COMMON GYNECOLOGIC CONCERNS - CORRECT ANSWERS Pain
Vaginal discharge
Bleeding
*during sex
endometriosis - CORRECT ANSWERS -endometrial tissue implantation outside of the uterine
cavity
-not in the uterus
-respond to hormonal cycle as it would even in the uterus
-will bleed every month (out of place, painful, can cause adhesions and infertility)
Endometriosis eitology - CORRECT ANSWERS -Pain is the most common symptom,
peaking just before menstrual flow
Treatment focuses on:
>Reduction of pain
>Restoration of sexual function
>Decrease in anxiety
>Education
>Prevention of self-concept disturbance
related to infertility (do they want to become pregnant?)
-hormonal control helps with menstrual cycle (contraceptives help avoid pain)
-pain with sex and defecation
,-lower back pain
-provider does an pelvic exam for people
-1st period, how often, how long goes it last
-may need a hysterectomy
Amenorrhea - CORRECT ANSWERS absence of menstruation
- no menses
-can be between 9-15 years of age
-pregnant, lactation, menarch
primary amenorrhea - CORRECT ANSWERS -Turner's Syndrome
-incomplete development
secondary amenorrhea - CORRECT ANSWERS no menses for 3 months
-ovarian tumors
-excessive exercise
-malnutrition
metorrhagia - CORRECT ANSWERS irregular bleeding, over 28 days
menorrhagia - CORRECT ANSWERS excessive bleeding during menstruation
dysfunctional uterine bleeding - CORRECT ANSWERS -excessive and frequent bleeding
-treatment focuses on:
>prevention or treatment of anemia
,>control of bleeding via nonsurgical (hormones, combined contraceptives) or surgical (hysterectomy,
endometrial ablasion, DNC) means
-ovary fails to ovulate and hormonal imbalance occurs
-overgrowth of the uterine lining
-education, TSH, LH, FSH, estradiol, TVUS, CT, Pregnancy test
uterine leiomyomas (fibroids) - CORRECT ANSWERS -benign neoplasms
-no pain, generally causes heavy bleeding
dx: abdominal/vaginal/rectal exam, biopsy, CBC, tvus
treatL myomaectomy, hormone therapy, MRGUS (pulse that heats tumor and destroys it)
Hysterectomy - CORRECT ANSWERS -May be performed abdominally, vaginally,
laparoscopically, or with robot assistance
-Is indicated for multiple gynecologic problems (leiomyoma)
-Psychosocial assessment is essential
-Postoperative care focuses on management of vaginal bleeding, incisional intactness,
urinary output, and pain management
*removal of uterus
*total removal, if leiomyoma is bigger than a fetus at 16 weeks
Pelvic Organ Prolapse (POP) - CORRECT ANSWERS -Uterine, cystocele, rectocele
, -Patients often report feeling of
"something falling out" (tendons weaken)
-Dyspareunia, backache,
heaviness or pressure in pelvis,
bowel or bladder problems
-Treatment focuses on the
degree of POP
-Conservative treatment is
preferred over surgical
treatment when possible
-Kegel exercises, pessaires,
intravaginal estrogen
therapy (TREATMENT)
submucosal leiomyoma - CORRECT ANSWERS type of leiomyoma found to deform the
endometrial cavity and cause heavy or irregular menses
-can interrupt pregnancies
subserosal leiomyoma - CORRECT ANSWERS type of leiomyoma that may become pedunculated
and appear as an extrauterine mass
-press on other organs
grade 1 uterine prolapse - CORRECT ANSWERS the uterus bulges into the vagina, but the cervix
does not protrude through the entrance to the vagina
