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Practice questions for this set
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pregnancy, uterine abnormalities, risk for PID, endometrial infection,
uterine/breast/cervical ca, undiagnosed vag bleeding, acute cercivitis
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1 50 yo screening 2 Primary Syphillis
3 Mirena IUD (progestin only) C/I 4 Cervical Cancer info
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Terms in this set (65)
50 yo screening rectal, occult blood, sigmoidoscopy, colonoscopy
(until 75 yo)
>40 yo screening lipids, pelvic U/S, mammography
mammogram screenings 40-44 = option to start yearly
45-54 = yearly mammogram
55+ = every other year
, pap/hpv screenings 21-29 = cytology q3 years
30-65 = cytology q 3 years OR HPV q 5 years OR
combo q 5 years
>65 = no screening if not at high risk, adequate prior
screenings
Cervical Cancer info slow growing, usually in 40-44 yo
TPAL # of term pregnancies, preterm deliveries, abortions,
and living children
W/ bimanual exam Cervix should be round, firm, mobile
External os round and closed
Adnexal structures non tender or enlarged
Saline wet mount for trichomonas organisms, Candida albicans
Potassium hydroxide for vaginal fungus
Colposcopy beneficial for abnormal pap patients, DES-esposed daughters who
may have cervical dysplasia
Most frequently reported infectious Chlamydia
disease in U.S. -tx = doxy BID x 7 days
-retest 3 mo after tx if not pregnant
-reportable in all states
Gonorrhea -men = urethritis & epididymitis sympt
-women = intermenstrual bleeding, lower AP, easily
induced cervical bleeding
-tx = Ceftriaxone 500mg IM + Azithromycin 1g PO
-retest 3 mo after tx if not pregnant
-must do culture if sexual abuse suspected
-reportable in all states
Primary Syphillis -highly infectious
-painless chancre
-bilateral regional lymphadenopathy
-tx = Pen G IM x 1