Download OBGYN Chapter 1 Exam Questions & Answers (Grade A+) and more Exams Obstetrics in PDF only on Docsity!
Answers (Grade A+)
Obstetrics - correct answer ✅Originally separate from gynecology, and dealt with pregnancy and childbirth Gynecology - correct answer ✅Initially a division of surgery, nonmalignant disorders of the reproductive tract and associated organ systems and family planning Subspecialties of OBGYN - correct answer ✅Maternal-fetal medicine, gynecologic oncology, reproductive endocrinology-infertility, female pelvic medicine and reconstructive surgery (urogynecology) Maternal fetal medicine - correct answer ✅High risk pregnancies and prenatal diagnoses Gynecologic oncology - correct answer ✅treatment of malignancy of the reproductive tract and associated organ systems
Answers (Grade A+)
Reproductive Endocrinology -infertility - correct answer ✅Addresses problems with conception and gynecologic endocrine dysfunction Female pelvic medicine and reconstructive surgery - correct answer ✅Advanced pelvic surgery and urologic problems involving the female urogenital system How much of a woman's lifetime will be spent in menopause? - correct answer ✅1/3 of her lifetime What is the average age of menopause? - correct answer ✅51- What area of gynecology is becoming increasingly important? - correct answer ✅Menopause What types of greetings are good for an initial encounter? - correct answer ✅"How may I help you today?" or "what brought you to the office today?"
Answers (Grade A+)
Past history - correct answer ✅ask about medical, surgical or emotional diseases and/or treatments the patient has had, including the diagnosis, medical and surgical treatment and the results Past Surgical History - correct answer ✅Name, indication, when, where and by whom History of STIs - correct answer ✅Chlamydia, gonorrhea, herpes, , genital warts, hepatitis, acquired immune deficiency syndrome, herpes, syphilis as well as about vaginitis and vaginal discomfort Differentiating vulvitis and vaginitis - correct answer ✅from pelvic inflammatory disease, this can avoid delay in appropriate eval and treatment, which can have a long term impact on a woman's reproductive help Immunization history - correct answer ✅Important as it may become more
Answers (Grade A+)
important because it may contain important information as world wide travel becomes more common Menarche - correct answer ✅Age at which menses began Basic Menstrual history - correct answer ✅Last menstrual period, length of periods, number of days between periods, any recent changes in periods Light vaginal bleeding - correct answer ✅Makes determining the last menstural period difficult, specific questioning may be helpuf in understanding whether a woman's last menstrual cycle was normal or abnormal Irregular bleeding - correct answer ✅No set pattern or duration Intermenstrual bleeding - correct answer ✅bleeding between menses
Answers (Grade A+)
nonmenstrual life when ovarian function begins to wane, often lasting 1 to 2 years Disruptive perimenopausal symptoms - correct answer ✅very disturbing and require focused attn when identified, include hot flashes, nervousness, mood changes, decreased vaginal lubrication with sexual activity, decreased libido What is necessary for surgical history - correct answer ✅surgical dictations or operative reports which can provide diagnostic information Sexual history - correct answer ✅taking a sexual history is facilitated by behaviors attitudes, and direct statements by the physician that project a nonjudgmental manner of acceptance and respect for the patients lifestyle Please tell me about your sexual partner or partners Contraceptive history - correct answer ✅method currently used, when it was
Answers (Grade A+)
begun, problems and complications, and patient's satisfaction with the method Previous methods and reasons they were discontinued may also be relevant Sexually risky behaviors should also be explored Gravida - correct answer ✅A woman who is or has been pregnant Primigravida - correct answer ✅a woman who is in, or who has experienced her first pregnancy Multigravida - correct answer ✅A woman who has been been pregnant more than once Nulligravida - correct answer ✅A woman who has never been pregnant and is not now pregnant
Answers (Grade A+)
diabetes, hypertension, and preeclampsia, and whether she has a history of depression either before or after a pregnancy Infertility - correct answer ✅failure to conceive for one year with sufficiently frequent sexual encounters Both partners should cover previous diseases or surgery that may affect fertility, pregnancy history- previous children with the same or other partners, In older women, infertility is often initiated prior to a couples inability to conceive for a full year Family history - correct answer ✅List diseases in first degree relatives, could uncover a genetic predisposition for a hereditary disease Preconception counseling and care - correct answer ✅Identify and manage illnesses before conception, reduces ill effects of prexisting illness on the mother and the fetus
Answers (Grade A+)
Patients should be asked about behaviors and lifestyle issues that may potentially affect their health and increase their risk - correct answer ✅This may provide a basis for counseling and interventions Social history - correct answer ✅Tobacco use, alcohol use, use of illegal drugs and misuse of prescription drugs, intimate partner violence, bullying, sexual abuse, health hazards at work and at home, seatbelt use, Nutrition, diet, exercise, including folic acid and calcium intake, caffeine intake ROS - correct answer ✅pertinent negatives are often as important as positive responses in the ROS Physical Exam - correct answer ✅Serves to detect abnormalities suggested by the medical, surgical, or gynecologic history as well as unsexpected problems
