Kinns Medical Assistant Study Guide Answers Chapter 41
Cervical cancer - caused by HPV, 1st stage - asymptomatic can be detected early with pap smear invasive stage - vaginal bleeding, persistent vaginal discharge b. Endometrial cancer - develops when the endometrial cells become abnormal & grow uncontrollably, most common in women 50 - 70 after menopause c.
Ovarian cancer - begins with ovaries, often goes undetected until it has spread with in the pelvis and abdomen. Most fatal of all gynecological cancers, CA125 blood test for early detection d. Breast cancer - 2nd leading cause of cancer deaths in women; American Cancer Society - 1 in every 8 women at risk for breast cancer. 1 of 28 risk of dying.
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First screening Pap smear at 21 unless there is a history of abnormal Pap smear. Should be performed every 2 years for women in 20's if prior Pap smears are normal. Women 30 and older (with 3 consecutive Pap smears) every 3 years. Women who have had hysterectomy for noncancerous reasons don't need Pap smear unless there is a cervix.
Follow guidelines whether or not the patient has received HPV vaccine or not. Women should have yearly physical examination, including breast, pelvic, and STD screening if indicated. Patients must have an annual exam to receive birth control 8.
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Patients with a history of an abnormal Pap smear should consult with physician regarding how often to schedule Pap smears. Know what to look for: multiple injuries at different sites (areas covered by clothing), patient may be frightened, anxious, passive, history of 'accidents' 2. Know what to ask when performing patient history: Even if no signs of abuse should be asked if ever been in abusive relationships; if verbal arguments ever become physical; if partner is over protective & jealous. Know what to say & do: A battered woman suffers physical and emotional abuse. She may believe she deserves to be mistreated, and she need unconditional and nonjudgmental emotional support from healthcare worker.
Needs to be treated with warmth, respect, encouragement to develop a plan of action before next violent episode. Suggestions: immediate access to important documents, keys, money, transportation, address of safe house, phone numbers of police and local domestic violence hotline if available.
National Domestic violence hotline: 1-100-799-SAFE (7233) 24 hour help for victims seeking shelter.
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Medical Assistant Study Guide
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