OB-GYN HISTORY AND PHYSICAL
QUESTIONS WITH ANSWERS
GYN History - - Correct Answer - CC: Chief Complaint (in patient's words)
- HPI: History of present illness
-- Age, Gravid, Parity, FDLMP, details of chief complaint
- Allergies
- Medications
- PMH: Past Medical History
- PSH: Past Surgical History
-- Abortion
-- D&E
- Past OB Hex
- Past GYN Hex
- FH: Family History
- SH: Social History
GYN H&P - - Correct Answer - Review of systems (ROS)
- Physical Exam (PE)
- Assessment
- Plan
"G's & P's"
Gravidity Parity - - Correct Answer - G = Gravida = number of pregnancies
- P = Para = number of births
Parity = FPAL
-- F = full term 37+ weeks
-- P = pre term 20 to less than 37 weeks
-- A = abortion
-- L = living
Egg: G4P1122
Obstetrical History - - Correct Answer - Date - when did you have your baby
- Gestational Age - full term/ pre term
- Mode of delivery - how long in labor
-- (NSVD, VAVD, FAVD, C-section)
- Sex
- Birth Weight
- Labor
- Complications
-- (Maternal & Fetal)
, GYNECOLOGIC HISTORY - - Correct Answer - It is essential that providers maintain
a sensitive and nonjudgmental approach during this encounter.
- The history should be obtained in a relaxed and private setting, before the patient is
asked to disrobe. She should be interviewed alone under most circumstances, unless
there is a hearing or language barrier. Questioning should proceed from very
straightforward, objective information to more delicate issues. The provider should
evaluate and respond to the patient's comfort level and make every effort to remain
supportive.
- Do history before they are gowned - while they are comfortable
- It is particularly important to avoid making assumptions about a woman's background;
as an example, that she is sexually active or is heterosexual.
- One should begin the history with an open-ended question that will elicit the woman's
gynecologic concerns. She should be encouraged to describe the situation in her own
words and without frequent interruptions. Maintaining eye contact, nodding, and brief
clarification of important points convey the provider's attention to the woman's issues.
The provider can then ask questions to proceed with the evaluation.
- Got to make sure the patient thinks you’re listening
Basic History - - Correct Answer - Basic history — The basic components of the
gynecologic history are the following:
- Menstrual history - the shorthand for menstrual history is age at menarche (onset of
menses) x cycle length x number of days of bleeding (egg, 13x28x5)
-- Menstrual dysfunction (DUB, AUB, BTB, Menometrorrhagia, post- coital bleeding)
-- PMS/PMDD, dysmenorrhea
-- Peril vs postmenopausal and associated symptoms (vasomotor, vaginal dryness,
dyspareunia, PMB, etc.)
- Contraceptive history -
-- Type of contraception, past and current (if appropriate), satisfaction with method,
condom use.
-- HRT/ERT current and past use
Cervical Screening - - Correct Answer date and result of last testing (pap + HPV High
risk types 16, 18, etc.), date and treatment of any abnormal testing; HPV immunization
status (Gardasil)
Other Screening tests - - Correct Answer Mammograms, DEXA Scan, pelvic US,
Colonoscopy, date of last screening and any Hex of abnormal results
History of other gynecologic problems - - Correct Answer such as ovarian cysts,
uterine fibroids, polyps, endometriosis, adenomyosis, polycystic ovarian syndrome, DES
exposure, infertility/ART
-- mode of diagnosis and treatment
- Symptoms of pelvic organ prolapse or urinary or anal incontinence
- History of gynecologic procedures (egg, endometrial biopsy, D&C, D&E, laparoscopy,
hysterectomy) - date, indication, complications
QUESTIONS WITH ANSWERS
GYN History - - Correct Answer - CC: Chief Complaint (in patient's words)
- HPI: History of present illness
-- Age, Gravid, Parity, FDLMP, details of chief complaint
- Allergies
- Medications
- PMH: Past Medical History
- PSH: Past Surgical History
-- Abortion
-- D&E
- Past OB Hex
- Past GYN Hex
- FH: Family History
- SH: Social History
GYN H&P - - Correct Answer - Review of systems (ROS)
- Physical Exam (PE)
- Assessment
- Plan
"G's & P's"
Gravidity Parity - - Correct Answer - G = Gravida = number of pregnancies
- P = Para = number of births
Parity = FPAL
-- F = full term 37+ weeks
-- P = pre term 20 to less than 37 weeks
-- A = abortion
-- L = living
Egg: G4P1122
Obstetrical History - - Correct Answer - Date - when did you have your baby
- Gestational Age - full term/ pre term
- Mode of delivery - how long in labor
-- (NSVD, VAVD, FAVD, C-section)
- Sex
- Birth Weight
- Labor
- Complications
-- (Maternal & Fetal)
, GYNECOLOGIC HISTORY - - Correct Answer - It is essential that providers maintain
a sensitive and nonjudgmental approach during this encounter.
- The history should be obtained in a relaxed and private setting, before the patient is
asked to disrobe. She should be interviewed alone under most circumstances, unless
there is a hearing or language barrier. Questioning should proceed from very
straightforward, objective information to more delicate issues. The provider should
evaluate and respond to the patient's comfort level and make every effort to remain
supportive.
- Do history before they are gowned - while they are comfortable
- It is particularly important to avoid making assumptions about a woman's background;
as an example, that she is sexually active or is heterosexual.
- One should begin the history with an open-ended question that will elicit the woman's
gynecologic concerns. She should be encouraged to describe the situation in her own
words and without frequent interruptions. Maintaining eye contact, nodding, and brief
clarification of important points convey the provider's attention to the woman's issues.
The provider can then ask questions to proceed with the evaluation.
- Got to make sure the patient thinks you’re listening
Basic History - - Correct Answer - Basic history — The basic components of the
gynecologic history are the following:
- Menstrual history - the shorthand for menstrual history is age at menarche (onset of
menses) x cycle length x number of days of bleeding (egg, 13x28x5)
-- Menstrual dysfunction (DUB, AUB, BTB, Menometrorrhagia, post- coital bleeding)
-- PMS/PMDD, dysmenorrhea
-- Peril vs postmenopausal and associated symptoms (vasomotor, vaginal dryness,
dyspareunia, PMB, etc.)
- Contraceptive history -
-- Type of contraception, past and current (if appropriate), satisfaction with method,
condom use.
-- HRT/ERT current and past use
Cervical Screening - - Correct Answer date and result of last testing (pap + HPV High
risk types 16, 18, etc.), date and treatment of any abnormal testing; HPV immunization
status (Gardasil)
Other Screening tests - - Correct Answer Mammograms, DEXA Scan, pelvic US,
Colonoscopy, date of last screening and any Hex of abnormal results
History of other gynecologic problems - - Correct Answer such as ovarian cysts,
uterine fibroids, polyps, endometriosis, adenomyosis, polycystic ovarian syndrome, DES
exposure, infertility/ART
-- mode of diagnosis and treatment
- Symptoms of pelvic organ prolapse or urinary or anal incontinence
- History of gynecologic procedures (egg, endometrial biopsy, D&C, D&E, laparoscopy,
hysterectomy) - date, indication, complications
