CMN 572 - UNIT 1 EXAM QUESTIONS
AND ANSWERS
Order of patient history for OB/GYN exam - Correct Answers -1) Age
2) LNMP
3) Gravidity/parity: TPAL (Term pregnancies, premature deliveries, abortions, living
children)
4) Chief complaint - Open-ended question (e.g. "How can I help you?" or "What kind of
problem are you having?")
5) Present illness - For each problem mentioned, via questioning obtain:
+ Definition of problem
+ Location of problem
+ Date/time of onset of problem
+ Are symptoms abating or worsening?
+ Duration of symptoms when they do occur
+ How symptoms are related to and/or how they affect other events in her life
6) Past history, including
+ Contraception
+ Medications and habits
+ Medical
+ Surgical
+ Allergies
+ Bleeding/thrombotic diatheses
+ Obstetrics
+ Gynecologic
+ Sexual
+ Social (type of work, education, community activities)
7) Family history
DeCherney p 556
On which specific diseases should history be taken in the STD history? - Correct
Answers -Exposure to or history of:
+ Gonorrhea
+ Syphilis
+ HIV
+ Herpesvirus
+ Hepatitis
+ Chlamydia
+ Papillomavirus
,Also ask about: hx of vaginitis and how/if it was treated, treatment or hospital
admissions for treatment of salpingitis, enometritis or tubo-ovarian abcesses.
DeCherney p 557
What specific diseases/illnesses are of great interest in taking the family history? -
Correct Answers -+ Heart disease
+ DM
+ Hypertensive renal or vascular disease
+ Vascular accidents
+ Hematologic abnormalities
+ Hirsutism
+ Breast/ovarian/colon CA
+ Time of menopause for mother/grandmothers
+ Hx of osteoporosis in mother/grandmothers
DeCherney p 557
What additional vital sign should be measured in post-menopausal patients? - Correct
Answers -Height, to document any loss of height r/t osteoporosis and vertebral fractures
DeCherney p 558
Initial chest exam in OB/GYN patient - Correct Answers -+ Visual assessment for skin
lesions and symmetry of movement
+ Auscultaiton and percussion of lungs (exclude pulm problems like asthma and
pneumonia)
+ Percussion of heart for size and auscultation for arrhythmias and murmurs
DeCherney p 558
Breast cancer will occur in 1 in _____ women in the US in her lifetime - Correct Answers
-EIGHT
DeCherney p 558
Scaly ecezmatous nipple can mean _____? - Correct Answers -Paget's Disease
DeCherney p 558
Suprapubic palpation is designed to detect _____? - Correct Answers -Uterine, bladder
or ovarian enlargements.
DeCherney p 558
The clitoris should be no more than ____ in length - Correct Answers -2.5 cm
, DeCherney p 561
How do you palpate vestibular glands? - Correct Answers -Index finger in the vagina,
and thumb outside gently feeling for enlargement or tenderness
DeCherney p 561
Components of the pelvic examination - Correct Answers -1) External genitalia
2) Hymen
3) Perineal support - Spread labia with 2 fingers and ask patient to bear down.
4) Urethra - "strip" to express discharge from gland
DeCherney p 562j
Different types of specula - Correct Answers -Pederson - Narrower blades. Good for
sexually active patient (comfort) and for patients with small introitus.
Graves -- Wider than Pederson for better visualization
Huffman -- Very small, for a child
Kelly air cystoscope - Can be used for a child.
DeCherney p 562-3
Components of vaginal exam - Correct Answers -1) Insert speculum and inspect vagina
for abnormalities
2) Inspect cervix for discharge, color, erosion and other lesions
3) Obtain Pap smear or other samples
4) Inspect walls of vagina again as speculum is withdrawn
5) Palpate vagina, unless introitus is small
DeCherney p 562
An extremely firm cervix may indicate _____? - Correct Answers -Tumor or cancer
DeCherney p 562
Corpus of the uterus? - Correct Answers -1/2 size of patient's fist and weighs approx 70-
90 g.
DeCherney p 562
Terms used to chart description of uterus - Correct Answers -Size, shape, position,
consistency and mobility
DeCherney p 562
AND ANSWERS
Order of patient history for OB/GYN exam - Correct Answers -1) Age
2) LNMP
3) Gravidity/parity: TPAL (Term pregnancies, premature deliveries, abortions, living
children)
4) Chief complaint - Open-ended question (e.g. "How can I help you?" or "What kind of
problem are you having?")
5) Present illness - For each problem mentioned, via questioning obtain:
+ Definition of problem
+ Location of problem
+ Date/time of onset of problem
+ Are symptoms abating or worsening?
+ Duration of symptoms when they do occur
+ How symptoms are related to and/or how they affect other events in her life
6) Past history, including
+ Contraception
+ Medications and habits
+ Medical
+ Surgical
+ Allergies
+ Bleeding/thrombotic diatheses
+ Obstetrics
+ Gynecologic
+ Sexual
+ Social (type of work, education, community activities)
7) Family history
DeCherney p 556
On which specific diseases should history be taken in the STD history? - Correct
Answers -Exposure to or history of:
+ Gonorrhea
+ Syphilis
+ HIV
+ Herpesvirus
+ Hepatitis
+ Chlamydia
+ Papillomavirus
,Also ask about: hx of vaginitis and how/if it was treated, treatment or hospital
admissions for treatment of salpingitis, enometritis or tubo-ovarian abcesses.
DeCherney p 557
What specific diseases/illnesses are of great interest in taking the family history? -
Correct Answers -+ Heart disease
+ DM
+ Hypertensive renal or vascular disease
+ Vascular accidents
+ Hematologic abnormalities
+ Hirsutism
+ Breast/ovarian/colon CA
+ Time of menopause for mother/grandmothers
+ Hx of osteoporosis in mother/grandmothers
DeCherney p 557
What additional vital sign should be measured in post-menopausal patients? - Correct
Answers -Height, to document any loss of height r/t osteoporosis and vertebral fractures
DeCherney p 558
Initial chest exam in OB/GYN patient - Correct Answers -+ Visual assessment for skin
lesions and symmetry of movement
+ Auscultaiton and percussion of lungs (exclude pulm problems like asthma and
pneumonia)
+ Percussion of heart for size and auscultation for arrhythmias and murmurs
DeCherney p 558
Breast cancer will occur in 1 in _____ women in the US in her lifetime - Correct Answers
-EIGHT
DeCherney p 558
Scaly ecezmatous nipple can mean _____? - Correct Answers -Paget's Disease
DeCherney p 558
Suprapubic palpation is designed to detect _____? - Correct Answers -Uterine, bladder
or ovarian enlargements.
DeCherney p 558
The clitoris should be no more than ____ in length - Correct Answers -2.5 cm
, DeCherney p 561
How do you palpate vestibular glands? - Correct Answers -Index finger in the vagina,
and thumb outside gently feeling for enlargement or tenderness
DeCherney p 561
Components of the pelvic examination - Correct Answers -1) External genitalia
2) Hymen
3) Perineal support - Spread labia with 2 fingers and ask patient to bear down.
4) Urethra - "strip" to express discharge from gland
DeCherney p 562j
Different types of specula - Correct Answers -Pederson - Narrower blades. Good for
sexually active patient (comfort) and for patients with small introitus.
Graves -- Wider than Pederson for better visualization
Huffman -- Very small, for a child
Kelly air cystoscope - Can be used for a child.
DeCherney p 562-3
Components of vaginal exam - Correct Answers -1) Insert speculum and inspect vagina
for abnormalities
2) Inspect cervix for discharge, color, erosion and other lesions
3) Obtain Pap smear or other samples
4) Inspect walls of vagina again as speculum is withdrawn
5) Palpate vagina, unless introitus is small
DeCherney p 562
An extremely firm cervix may indicate _____? - Correct Answers -Tumor or cancer
DeCherney p 562
Corpus of the uterus? - Correct Answers -1/2 size of patient's fist and weighs approx 70-
90 g.
DeCherney p 562
Terms used to chart description of uterus - Correct Answers -Size, shape, position,
consistency and mobility
DeCherney p 562
