Women's Health Quiz: Reproductive Topics

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Questions and Answers

What is the recommended frequency for cervical cytology (Pap Smear) in women between the ages of 19 and 39 years?

  • Every 6 months
  • Every year
  • Every 3 years (correct)
  • Every 5 years

Which of the following is NOT a type of intimate partner violence (IPV) as defined in the content?

  • Financial (correct)
  • Psychological
  • Stalking
  • Sexual

According to the PLISSIT model, what does the 'I' stand for?

  • Intervention
  • Intensive therapy (correct)
  • Information
  • Intimate

What is the most appropriate term to use when discussing female genital mutilation (FGM)?

<p>Cutting (A)</p> Signup and view all the answers

Which of the following is NOT assessed during a pelvic examination?

<p>Function of the ovaries (A)</p> Signup and view all the answers

What is the typical duration of perimenopause before the final menstrual period?

<p>4 years (A)</p> Signup and view all the answers

Which factor is the primary defining characteristic of menopause?

<p>A period of 12 months without bleeding (A)</p> Signup and view all the answers

Which of the following hormonal changes is associated with menopause?

<p>Decreased estrogen levels (C)</p> Signup and view all the answers

What is the primary reason for investigating postmenopausal bleeding?

<p>To rule out malignancy (D)</p> Signup and view all the answers

What is a primary contraindication for an endometrial biopsy?

<p>Viable pregnancy (A)</p> Signup and view all the answers

For what duration is Hormone Replacement Therapy (HRT) usually prescribed?

<p>For the shortest duration possible (A)</p> Signup and view all the answers

Which procedure involves the insertion of a 10mm tube through a 2cm incision?

<p>Laparoscopy (C)</p> Signup and view all the answers

When is the ideal time to perform a hysteroscopy in relation to the menstrual cycle?

<p>5 days after menstruation ends (D)</p> Signup and view all the answers

What is a potential risk associated with endometrial ablation?

<p>Hemorrhage or perforation (B)</p> Signup and view all the answers

Which of the following is NOT typically a combination procedure during laparoscopy?

<p>Endometrial biopsy (C)</p> Signup and view all the answers

A couple who has conceived a child before, but is now unable to conceive again, would be classified as having what type of infertility?

<p>Secondary infertility (A)</p> Signup and view all the answers

Which diagnostic procedure involves the injection of a contrast agent into the uterus to visualize the uterine cavity and fallopian tubes?

<p>HSG (A)</p> Signup and view all the answers

A male patient has been diagnosed with varicose veins around the testicles. Which male factor infertility issue does this describe?

<p>Varicocele (B)</p> Signup and view all the answers

Which medication is used to interfere with DNA synthesis for the pharmaceutical management of an ectopic pregnancy?

<p>Methotrexate (C)</p> Signup and view all the answers

A treatment option that involves the direct deposit of semen into the female genital tract is known as what?

<p>Artificial insemination (C)</p> Signup and view all the answers

Which of the following is a method categorized as a Long-Acting Reversible Contraception (LARC)?

<p>Single rod implant (C)</p> Signup and view all the answers

A nonhormonal intrauterine device (IUD) is typically effective for how long?

<p>10 years (C)</p> Signup and view all the answers

What is the primary mechanism by which oral hormonal contraception prevents pregnancy?

<p>By blocking the release of FSH (A)</p> Signup and view all the answers

Which of the following is a risk associated with the use of transdermal contraceptive patches?

<p>Increased risk of thromboembolism (A)</p> Signup and view all the answers

Where is the implant typically placed?

<p>Upper arm (B)</p> Signup and view all the answers

The injectable form of contraception is administered via what route?

<p>Intramuscular injection (D)</p> Signup and view all the answers

Which of the following is correct regarding the use of contraceptive implants and lactating women?

<p>Lactating women can use implants (A)</p> Signup and view all the answers

If a woman becomes pregnant while using an IUD, what should be done with the device?

<p>The device should be removed immediately (B)</p> Signup and view all the answers

Which contraceptive method requires a spermicidal jelly or cream to be applied before use?

<p>Diaphragm (C)</p> Signup and view all the answers

How long can a cervical cap be left in place after intercourse?

<p>2 days (D)</p> Signup and view all the answers

What is the primary function of a male condom?

<p>To prevent sperm from reaching the uterus (A)</p> Signup and view all the answers

Emergency contraception pills must be taken within what timeframe of unprotected intercourse?

<p>5 days (A)</p> Signup and view all the answers

Which method of abortion occurs spontaneously and can happen in the 2nd or 3rd month of gestation?

<p>Spontaneous abortion (D)</p> Signup and view all the answers

What is a characteristic feature of bacterial vaginosis?

<p>Fishy odor, especially after intercourse (C)</p> Signup and view all the answers

Which type of vaginal discharge is associated with candidiasis?

<p>Thick, curdlike and white (A)</p> Signup and view all the answers

What action should NOT be performed when conducting a PAP smear?

<p>Perform the test during menses (C)</p> Signup and view all the answers

Which of the following statements about cone biopsy is true?

<p>Patients should refrain from vaginal packing until tissue is removed (B)</p> Signup and view all the answers

What should be reported if experienced after a procedure involving cryotherapy?

<p>Feelings of faintness and cramping (D)</p> Signup and view all the answers

What is considered the absence of menstrual flow?

<p>Amenorrhea (A)</p> Signup and view all the answers

What is a common treatment for dysmenorrhea?

<p>NSAIDs (A)</p> Signup and view all the answers

Which condition is characterized by prolonged or excessive menstrual flow?

<p>Menorrhagia (B)</p> Signup and view all the answers

What is the primary cause of abnormal uterine bleeding in teens and menopausal women?

<p>Anovulation (D)</p> Signup and view all the answers

What is a common symptom of premenstrual syndrome (PMS)?

<p>Mood swings (B)</p> Signup and view all the answers

What is the primary role of the mons pubis?

<p>Cushioning during intercourse (A)</p> Signup and view all the answers

During which phase does ovulation occur?

<p>Follicular phase (D)</p> Signup and view all the answers

Which hormone is primarily responsible for preparing the uterus for implantation?

<p>Progesterone (D)</p> Signup and view all the answers

What happens to estrogen levels if the ovum is not fertilized?

<p>Estrogen levels decrease due to a lack of maturation (C)</p> Signup and view all the answers

What is the function of FSH in the female reproductive system?

<p>Stimulates estrogen production (C)</p> Signup and view all the answers

What is a characteristic finding in nulliparous women during a pelvic examination?

<p>Labia minora come together at the opening of the vagina. (D)</p> Signup and view all the answers

Which condition is indicated by bulging resulting from bladder protrusion into the submucosa of the anterior vaginal wall?

<p>Cystocele (A)</p> Signup and view all the answers

What is the typical appearance of a Nabothian cyst on the cervical surface?

<p>Bluish or white (C)</p> Signup and view all the answers

What technique is used to collect a Pap smear sample?

<p>With a cytobrush rotated in the cervix (B)</p> Signup and view all the answers

How should a speculum be inserted during a pelvic examination?

<p>Gently inserted in the posterior portion and then advanced (A)</p> Signup and view all the answers

Flashcards

Endometrial Biopsy

Procedure taken to remove a small sample of tissue from the lining of the uterus. It helps diagnose any abnormal cell changes.

Dilation and Curettage (D&C)

A procedure that widens the cervix using a dilator and then uses a curette to scrape the uterine lining. Used for diagnosis or treatment of uterine conditions.

Laparoscopy

Minimally invasive surgery that uses a small camera to visualize the pelvic organs. Performed through a small incision near the belly button.

Hysteroscopy

Examines the lining of the uterus using a thin, flexible instrument with a camera. Performed at the end of menstruation.

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Endometrial Ablation

Procedure that destroys the lining of the uterus using a hysteroscope and special tools. Reduces heavy menstrual bleeding.

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Primary Infertility

A couple who has never conceived a child.

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Secondary Infertility

A couple who has conceived at least once but is unable to achieve another pregnancy.

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Hysterosalpingogram (HSG)

A procedure where a contrast agent is injected into the uterus to visualize the shape of the uterine cavity and patency of the fallopian tubes.

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Ovarian Hyperstimulation Syndrome (OHSS)

A condition characterized by enlarged, multicystic ovaries, often associated with fertility treatments and involving a fluid shift from the intravascular space.

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What is perimenopause?

The time period before menopause, characterized by irregular cycles and hormonal fluctuations, starting around 4 years before the last menstrual period.

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What is menopause?

The permanent cessation of menstruation, marked by 12 consecutive months without a period. It typically occurs between ages 41 and 59.

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What happens to estrogen levels during menopause?

A decline in estrogen levels during menopause leads to various changes, including breast tissue shrinkage, bone density loss, and modifications in the blood vessels of the genitals.

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Explain postmenopausal bleeding.

Any bleeding that occurs a year after menopause requires medical investigation to rule out potential malignancy.

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What is hormone therapy (HRT)?

A treatment option for moderate to severe menopausal symptoms, containing estrogen or a combination of estrogen and progestin, used for the shortest duration possible.

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Cystocele

A protrusion caused by the bladder pushing into the vaginal wall.

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Rectocele

A protrusion caused by the rectal cavity pushing into the vaginal wall.

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Uterine Prolapse

When the cervix and uterus descend through the vaginal canal due to pressure.

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Plastic speculum

A type of speculum used for first-time patients.

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Nabothian cysts

Small, benign cysts that can appear on the surface of the cervix.

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What is a LARC method?

A type of contraception that is highly effective and can be reversed, with a failure rate of less than 1%. Examples include intrauterine devices (IUDs) and single-rod implants.

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What is an IUD?

A small, T-shaped device inserted into the uterus to prevent pregnancy. It comes in two types: hormonal, which releases progestin, and nonhormonal, which can be effective for up to 10 years.

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What is a contraceptive implant?

A thin, flexible rod placed under the skin of the upper arm to release progestin hormones. It is a long-acting and effective form of contraception.

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What is tubal ligation?

A surgical procedure that permanently prevents a woman from becoming pregnant. It involves blocking the fallopian tubes.

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What is vasectomy?

A surgical procedure that prevents a man from fathering children. It involves cutting and sealing the vas deferens.

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How does oral hormonal sterilization work?

A type of hormonal contraception that works by blocking the release of follicle-stimulating hormone (FSH) from the pituitary gland, preventing ovulation.

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What is a transdermal contraceptive patch?

A contraceptive patch that releases estrogen and progestin continuously. It is changed every three weeks, and no patch is applied during the fourth week.

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What is a vaginal ring?

A flexible ring inserted into the vagina that releases estrogen and progestin. It is a form of hormonal contraception that is effective for three weeks.

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Bacterial Vaginosis

A common vaginal discharge characterized by a fishy odor, often appearing thin and gray or yellow, especially after intercourse.

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Trichomonas

A vaginal discharge associated with irritation and a malodorous, frothy, yellow-green appearance.

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Soft Cervix

A cervical exam finding indicating a soft, yielding texture, commonly associated with early pregnancy.

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Firm but not hard

A cervical exam finding indicating a firm, but not hard, texture, also often found in early pregnancy.

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Acetic Acid Application

The use of acetic acid during a pelvic exam, which highlights abnormal cells.

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PLISSIT Model

A model for approaching sexual health concerns, focusing on four levels: Permission (encouraging discussion), Limited Information (providing basic facts), Specific Suggestions (offering practical advice), and Intensive Therapy (referring for professional help).

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Female Genital Mutilation (FGM)

Procedures involving partial or complete removal of external female genitalia. It's considered a violation of human rights and is often referred to as 'cutting'.

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Intimate Partner Violence (IPV)

Involves a variety of behaviors aimed at controlling or harming a partner. It includes four types: physical, sexual, psychological, and stalking.

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Pelvic Examination

A type of pelvic exam that visually assesses the external genitalia, vagina, cervix, and the uterus. It utilizes a narrow, warmed speculum for better visualization.

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Pap Smear

A type of screening test that looks for abnormal cells in the cervix, which can be a sign of cervical cancer. Usually performed every 3 years for women aged 19-39 and every 3-5 years for women aged 40-64.

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Diaphragm

A flexible cup inserted into the vagina, covering the cervix. It prevents sperm from entering the uterus, offering protection against pregnancy.

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Male condom

A tight-fitting cover worn on the penis during intercourse. It physically prevents sperm from entering the vagina, providing protection against both pregnancy and sexually transmitted infections.

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Withdrawal

A method where the penis is withdrawn from the vagina before ejaculation. It requires significant self-control and isn't considered highly effective.

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Emergency IUD

A type of emergency contraception that involves inserting a copper-bearing IUD within 5 days of unprotected intercourse. It prevents fertilization by disrupting sperm and egg.

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Postmenopausal bleeding

Any bleeding occurring one year or more after menopause, requiring medical attention to rule out underlying issues.

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What is ovulation?

The process by which a mature egg (ovum) is released from an ovary.

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What is a Graafian follicle?

A structure inside the ovary that holds a developing egg.

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What is FSH?

The hormone that stimulates the ovaries to produce estrogen.

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What is LH?

The hormone that stimulates the ovaries to produce progesterone.

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What is menarche?

The onset of menstruation, usually around the age of 10-16.

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What is Premenstrual Syndrome (PMS)?

A cluster of symptoms that occur in the luteal phase of the menstrual cycle, including mood swings, headache, breast pain, and bloating.

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What is dysmenorrhea?

Painful menstruation, often severe and lasting 48-72 hours. It can be caused by excessive prostaglandin production or underlying conditions like endometriosis.

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What is amenorrhea?

Absence of menstrual flow in a woman of reproductive age. It can be a symptom of various disorders and requires medical investigation.

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What is metrorrhagia?

Bleeding between periods, which can be a sign of a serious medical condition.

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Study Notes

Endometrial Biopsy

  • Indicated in midlife irregular bleeding
  • While doing hormone therapy or tamoxifen
  • Sample permits diagnosis of cellular changes
  • Contraindication: presence of pregnancy

Dilation & Curettage

  • Cervical canal widened with curette
  • Patient in lithotomy position
  • Dilator is used and curette is placed after
  • Recommend no tampons or sex for 2 weeks
  • Contraindication: discomfort
  • Mild analgesics

Laparoscopy

  • Minimal minimally invasive surgery
  • Insert 10mm tube below umbilicus
  • Visualize pelvic structures
  • Action can be closed with sutures or clip
  • Adhesion bandage
  • Combo = ex:
    • Tubal ligation
    • Ovarian biopsy
    • Myomectomy
    • Hysterectomy
    • Insufflation

Hysteroscopy

  • Visualization of full uterine cavity
  • About 5 days after menstruation ceases.
  • Normal saline or dextrose 5%
  • Dilate visible
  • Can be adjunct w/ pts w/ carcinoma or acute pelvic inflammatory condition
  • Endometrial ablation: destruction of uterine lining & performed w/ hysteroscope & resection
  • Hemorrhage/perforation can occur

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