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SOPN female repro
Question | Answer |
---|---|
site where the fertilized ovum is implanted and fetal development takes place | Uterus |
Where is the usual site of fertilization | Fallopian Tube |
When does your "CYCLE" begin | 1st day of mensturation |
What phase are you in when a single ovum is released in a sac called the Graafian follicle or Primary follicle | Follicular Phase |
What stimulates the Graafian follicle to grow | FSH |
The ovaries secrete ...what... that causes the endometrium to become vascular | estrogen |
What occurs when the Graafian follicle ruptures | ovum is released |
When the follipian tubes pick up the ovum it is now called | Corpus Luteum |
What secretes Luteinizing Hormone | anterior pituitary |
the Corpus Luteum secretes | Progesterone |
What causes the lining of the uterus to become thick? | Progesterone |
If fertizilation does not occur, the corpus luteum regresses and what phase begins | Ischemic phase |
the absence of menstruation | amenorrhea |
cyclic phenomenon characterized by an individualized yet basically consistent pattern of symptoms that occur between oculation and menses and regress or disappear during menstruation | PMS |
scallops, macherel, peanut butter, sunflower seeds, spinach, and okra are sources of | Magnesium |
How would you decrease fluid retention during your period | decrease salt intake nad increase calcium |
cyclic pain associated with menses | DYSMENORRHEA |
form of dysmenorrhea with no pathology | Primary |
form of dysmenorrhea with demonstrated pelvic disease | Secondary |
Side effects of what drug include dyspepsia, heart burn, indigestion, and epi-gastric pain | MOTRIN |
What surgery would interrupt the sensory nerves tot he uterus and is used in the treatment of DYSMENORRHEA | prescaral neurectomy |
Painful intercourse in women usually occurs in the 12-24 hours before the onset of menses | Dyspareunia |
absence of menstrual flow | amenorrhea |
for of amenorrhea where you NEVER GOT YOUR PERIOD | Primary amenorrhea |
form of amenorrhea where you GOT YOUR PERIOD BUT NOW NO EVIDENCE FOR 6-12 MONTHS | Secondary amenorrhea |
excessive bleeding at the time of regular onset of flow, excessive amount and duration. Can be increased amount greater that 80 mls or longer than 7 days | MENORRHAGIA |
how would you measure menorrhagia | count pads |
Abnormal spotting (bleeding) between periods (break through) or after menopause........ALWAYS A SIGN OF SOME DISEASE AND NEEDS EARLY DIAGNOSIS | METRORRHAGIA |
period in a womans life marked by the cessation of ovulation or that ovulation no longer takes place....... A PHYSICAL TERMINATION OF THE REPRODUCTIVE PHASE | CLIMACTERIC OR MENOPAUSE |
what are 3 symtoms of menopause | insomnia, increased risk for CAD, and osteoporosis due to bone loss density |
When discussing Birth control what must you check for when speaking to your patient | Hx of smoking or heart disease |
What medication can cause teratogenic effects = deformed fetus | accutane |
Oral contraceptives - DON'T USE WITH what conditions | cholecystits, hepatitis, and COPD |
What must patient due before pelvic exam | VOID |
Pelvic exam position | lithotomy |
4 parts of the pelvic exam | inspection of the external genital. Vaginal speculum exam examines the cervix and vagina. Bi-manual exan looks at ovaries and adjacent structures. Rectal exam |
What instructions must you provide to your patient prior to their pelvic exam | Do not douche before the exam Do not bathe in the tubDo not have intercourse 48 hours before the test |
PAP test class one | negative, absence of atypical abnormal cells |
PAP test class two | negative, atypical cells but no evidence of malignancy |
PAP test class three | atypical cells but not conclusive |
PAP test class four | DOUBTFUL |
PAP test class five | Positive, defininte tumor cells |
what test detects cancer insitu (confined to the epithelium) | Schiller iodine test |
What is the removal of a small piece of tissue to be examined | Biopsy |
What is used to perform tubal ligation | culdoscope |
What is an x-ray of the fallopian tubes , to study sterility, and to evaulate tubal patency | Hysterosalpingogram |
what is performed to visualize and examine the internal organs of the pelvis | Laparoscopy |
What process occurs when the cervix is dilated and the entire uterine (wall) endometrium is SCRAPPED OUT | Dilatation and curettage (D&C) |
How much blood does it take to saturate a pad | 60mls |
what is the study of smears | cytology |
what dectects cervical neoplasms | cervical smears |
what screens for STD's | vaginal smear |
discharge from what is used to detect breast cancer | nipples / mammary gland |
CYTOLOGY results can be obtained in minutes to confirm cancer of not | frozen section cytology |
non-invasive test that produces an image of the pelvic organs | ultrasound |
hysterectomy where the uterus and the cervix are removed but the leaves the ovaries in place to provide hormone secretion | TAH |
hysterectomy though the vagina | vaginal hysterectomy |
Total hysterectomy where removal of the ENTIRE UTERUS, CERVIX, FALLOPIAN TUBES, & OVARIES is performed | Panhyst |
the ENTIRE UTERUS & NEARBY SUPPORTING TISSUES & UPPERMOST PART OF THE VAGINA ARE REMOVED | radical hysterectomy |
removal of an ovary | oophorectomy |
removal or fallopian tube | salpingectomy |
removal of the fallopian tubes and ovaries | salpingoopherectomy |
removal of the uterus and ovaries | oophorohysterectomy |
removal of an ovarian cyst | oophorocystectomy |
an interior and posterior repair. Treatment for a rectocele. Pulling up the sagging vaginal walls between the rectum and the urinary system | anterior and posterior colporrhaphy |
corrects cystocele | anterior colporrahy |
corrects rectocele | posterior colporrhaphy |
when both cystocele nad rectocele are corrected | A&P repair |
the inability to procreate after adequate exposure for 12 months without the use of contraception or the inability to amintain ta viable pregnancy | Inferility |
Male causes for infertility | ETOH, HYDROCELE, VARICOCELE, excessive heat around the testes, STD's, Mumps, or drugs |
with male infertility the Doctor will look for | volume, mortility, cell count, and cell morphology |
surgical procedure to check the male machanism | testicular biopsy |
what test is done to determine ovulation | BBT Basal Body Temperature |
what level of progesterone indicated ovulation | greater than 5mg/ml |
during ovulation the cervical mucous becomes | stretchy, clear salive, and has the ability to fern |
what drug is given to make you ovulate and can result in multiple births | CLOMID |
what test is done to check out the tubes to check for patency | tubal factor tests |
common cause for infertility in the female | pelvic inflammatory disease |
test performed 1 week after the patients period, a cannula is inserted into the cervix, CO2 is injected through the cannula and if the tubes are patent the gas will travel through the cervix to the uterus | Rubin Test |
determines if the tubes are patent and if there is disease present | Hysterosalpingogram |
Done in the OR under anthesia provides visualization of the fallopian tubes and ovaries | Culdoscopy |
if hysterosalpingogram is contraindicated or pelvic pathology likely | lararoscopy |
post coital exam. Test done to see if the cervix is killing off the sperm before it can penetrate into the uterus to the fallopian tube for fertilization. Looks for 5 live sperm | simms - hahner test |
when is the best time to get pregnant | one day before ovulation |
artificial insemination by the husbands sperm | AIH |
artificial insemination by a donor's sperm | AID |
donor is artificially inseminated with husbands sperm | surrogate mom |