1. Discuss the 4 Principles of Practice - answer-a. Safety is paramount
b. Adhere to ethical practices
c. Value base system health care delivery
d. Prevention and early migration of disease
1. Identify the appropriate age and interval of recommended health screening for women. - answer-a. Wom...
d120 exam with 100% correct solutions 2024
1. Discuss the 4 Principles of Practice - answer-a. Safety is paramount
b. Adhere to ethical practices
c. Value base system health care delivery
d. Prevention and early migration of disease
1. Identify the appropriate age and interval of recommended health screening for women. - answer-a. Woman 19-49 MMR, hep b, and varicella for those non immune.
b. Girls 11-26 HPV vaccine
c. Tdap 19-64 replace Td
d. Women 50> influenza annually
i. 19-49 annually for health care workers
ii. Chronic diseases, HD, DM
iii. Pregnant women
e. Pneumococcal 65 >or chronic disease, alcohol, immunocompromised
f. Contraindicated in pregnant women
i. MMR
ii. Varicella
iii. HPV d120 exam with 100% correct solutions 2024
1. Outline the elements of the Well Woman Physical (refer to your women's health SOAP note from D117) - answer-a. History
b. Physical Exam
i. (1) inspection of the external genitalia, vagina, and cervix; (2) collection of cytologic specimens from the exocervix (or ectocervix) and superficial endocervical canal; and (3) palpation of the cervix, uterus, and adnexa.
1. Outline the elements of the Well Woman Physical (refer to your women's health SOAP note from D117)
e cervix, uterus, and adnexa. - answer-a. History
b. Physical Exam
i. (1) inspection of the external genitalia, vagina, and cervix; (2) collection of cytologic specimens from the exocervix (or ectocervix) and superficial endocervical canal; and (3) palpation of th
1. Differentiate the signs of pregnancy
a. Presumptive Skin and mucus membrane changes - answer-i. Chadwick sign dark discoloration of vulva vaginal walls
ii. Abdominal stria
iii. Linea nigra midline of lower abdomen
iv. Chloasma pigmentation under eyes (hormonal contraceptives)
b. Probable physical changes d120 exam with 100% correct solutions 2024
i. Uterine enlargement Piskacek Sign
ii. Hagar Sign softer cervix
iii. Pregnancy test
c. Positive
i. Fetal heartbeat endo ultrasound (6 weeks)
ii. Fetal movements (7-8 weeks)
1. Identify the benign conditions of the vulva. - answer-a. White lesions
i. Vitiligo
1. Loss of pigment / observation
ii. Lichen sclerosis
1. Intense itching and dyspareunia/topical steroids, carcinoma
iii. Lichen planus
1. Auto immune Wickham striae, classic fernlike or lacy patterns./ topical steroids
iv. Lichen simples chronicus
1. Mimics psoriasa biosy needed/ immediate potency topical steroids d120 exam with 100% correct solutions 2024
v. Vulvovaginal atrophy
1. Postmenamaual decreased fat / estrogen creams/ moisturizers/ lubricants
a. Red Lesions - answer-i. Eczema
1. Allergic contact mc, itching swelling and crusting /discontinue use of allergen
ii. Seborrheic dermatitis
1. Red glazed shiney appreace on skin folds, greasy scalp areas/topical steroids
iii. Psoriasis
1. Auto immune, red plaques with clear borders, biopsy, itscing is common, pustular form confused with candidia/ topical steroids
a. Pigmented lesions - answer-i. Genital melanosis
1. Dark pigment on muscus menbranes/ expectant management
ii. Acanthosis nigricans
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