GUIDE 2026 CARE MANAGEMENT AND
ADVANCED CLINICAL DECISION MAKING
◉ What is important about gynecologic exams?
Answer: they are individualized and patient-controlled
◉ Key components of obtaining a health history?
Answer: comfort, privacy, open-ended questions, active listening
◉ What is included in general health hx?
Answer: demographics, HPI, PMH, meds, family/social hx, habits
◉ What is included in gynecologic hx?
Answer: menstrual hx, pregnancy hx, STIs, sexual hx, contraception
◉ What does a general PE include?
Answer: head to toe including breasts, abdomen, pelvic exam
◉ What are components of breast exam?
Answer: inspection, palpation, lymph node assessment
,◉ Key principles during pelvic exam?
Answer: explain everything, maintain professionalism, ensure
comfort
◉ Steps before pelvic exam?
Answer: bathroom, draping, positioning, proper lighting
◉ What structures are examined externally?
Answer: mons pubis, labia, clitoris, urethra, glands
◉ Purpose of speculum exam?
Answer: visualize cervix and collect samples
◉ What is assessed in bimanual exam?
Answer: uterus size/position, ovaries, CMT
◉ What is the purpose of secondary prevention?
Answer: early detection of disease in asymptomatic patients
◉ Whats does USPSTF do?
Answer: evaluates and recommends preventive services
,◉ What does Grade A recommendation mean?
Answer: high certainty of substantial benefit
◉ What screenings are recommended for all women?
Answer: HTN, cervical cancer, HIV, depression, IPV, tobacco use
◉ Cervical cancer screening: 21-29?
Answer: pap every 3 years
◉ Cervical cancer screening: 30-65?
Answer: Pap Q3 OR pap+HPV Q5 years OR HPV alone q5 years
◉ When to not screen for cervical cancer?
Answer: <21 or post hysterectomy (no cervix)
◉ Who gets chlamydia/gonorrhea screening?
Answer: <24 or older women at risk
◉ What test is used for GC testing?
Answer: NAAT
, ◉ Who gets HIV screening?
Answer: 15-65
◉ Depresion screening tools?
Answer: PHQ, PHQ-2, edinburgh scale
◉ IPV screening tools?
Answer: HITS, HARK, PVS
◉ Tobacco cessation method?
Answer: 5 A's
◉ Breast cancer screening recommendation?
Answer: mammogram every 2 years (50-74)
◉ Colon cancer screening options?
Answer: FIT, colonoscopy q10 years, sigmoidoscopy, cologaurd q5
◉ Osteoporosis screening?
Answer: women >65 or younger with risk
◉ Hep C screening?