Terms used in gynaecology, history taking, examination and investigation in gynaecology | Mock Test | Staff Nurse | Guides Academy
What is the medical term for painful menstruation?
[a] Amenorrhea.
[b] Menorrhagia.
[c] Dysmenorrhea.
[d] Oligomenorrhea.
The term "menorrhagia" is used to describe:
[a] The absence of menstruation.
[b] Infrequent menstrual cycles.
[c] Abnormally heavy or prolonged menstrual bleeding.
[d] Bleeding between menstrual periods.
What is the first and most crucial component of a gynaecological assessment?
[a] A bimanual examination.
[b] A transvaginal ultrasound.
[c] A thorough and detailed history.
[d] A Pap smear.
The primary purpose of a Papanicolaou (Pap) smear is to:
[a] Diagnose ovarian cancer.
[b] Detect sexually transmitted infections.
[c] Screen for cervical cancer and pre-cancerous changes.
[d] Confirm a pregnancy.
During a gynaecological history, the term "gravida" refers to the total number of:
[a] Live births.
[b] Pregnancies, regardless of outcome.
[c] Deliveries after 20 weeks gestation.
[d] Living children.
A speculum is inserted into the vagina during a pelvic examination to:
[a] Palpate the size and position of the uterus.
[b] Obtain a urine sample.
[c] Measure the depth of the vagina.
[d] Visualize the cervix and vaginal walls.
The term "dyspareunia" specifically means:
[a] Painful urination.
[b] Painful sexual intercourse.
[c] Painful bowel movements.
[d] Painful ovulation.
A bimanual pelvic examination allows the clinician to assess the:
[a] Appearance of the cervical os.
[b] Presence of vaginal discharge.
[c] Size, shape, and mobility of the uterus and ovaries.
[d] Strength of the pelvic floor muscles.
What does the term "menarche" signify?
[a] The cessation of menstruation for 12 months.
[b] The phase of the menstrual cycle when ovulation occurs.
[c] The onset of the first menstrual period.
[d] The period of time between menstrual cycles.
A colposcopy is a diagnostic procedure that is typically performed:
[a] As a routine part of every annual gynaecological exam.
[b] To further evaluate an abnormal Pap smear result.
[c] To diagnose the cause of uterine fibroids.
[d] To check for tubal patency in cases of infertility.
When taking a menstrual history, what does "LMP" stand for?
[a] Longest Menstrual Period.
[b] Last Medical Procedure.
[c] First day of the Last Menstrual Period.
[d] Last Measured Progesterone.
A transvaginal ultrasound is often preferred over a transabdominal ultrasound for early pregnancy or gynaecological issues because it:
[a] Is less expensive to perform.
[b] Does not require a trained technician.
[c] Can be performed on a patient with a full bladder.
[d] Provides a clearer, more detailed image of the pelvic organs.
The term "oligomenorrhea" refers to menstrual cycles that are:
[a] Abnormally heavy.
[b] Infrequent (cycle interval > 35 days).
[c] Excessively frequent (cycle interval < 21 days).
[d] Completely absent.
In the obstetric history acronym GTPAL, the "A" stands for:
[a] Amenorrhea.
[b] Apgar score.
[c] Abdominal girth.
[d] Abortions (spontaneous or therapeutic).
A hysteroscopy is a procedure that allows for direct visualization of the:
[a] External genitalia.
[b] Ovaries and fallopian tubes.
[c] Bladder.
[d] Uterine cavity (endometrium).
A whitish, non-infectious vaginal discharge is known as:
[a] Hematochezia.
[b] Leukorrhea.
[c] Dysuria.
[d] Menorrhagia.
A key part of a comprehensive gynaecological history is the contraceptive history, which is important for assessing:
[a] The patient's marital status.
[b] The risk of unintended pregnancy and potential side effects.
[c] The patient's financial stability.
[d] The likelihood of future fertility.
A wet mount, which involves a microscopic examination of vaginal secretions on a slide, is used to help diagnose:
[a] Uterine fibroids.
[b] Cervical cancer.
[c] Infections like bacterial vaginosis, trichomoniasis, or candidiasis.
[d] Endometriosis.
The term "amenorrhea" means:
[a] Painful menstruation.
[b] Infrequent menstruation.
[c] Absence of menstruation.
[d] Heavy menstruation.
A hysterosalpingogram (HSG) is an X-ray procedure primarily used to investigate:
[a] Ovarian cysts.
[b] Abnormal cervical cells.
[c] The shape of the uterus and the patency of the fallopian tubes.
[d] Pelvic floor muscle strength.
What is the most important instruction for a nurse to give a patient scheduled for a transabdominal pelvic ultrasound?
[a] "You must fast for 8 hours before the procedure."
[b] "Please empty your bladder completely just before the test."
[c] "You will need someone to drive you home afterwards."
[d] "You need to have a full bladder for the examination."
"Para" in an obstetric history refers to the number of:
[a] Total pregnancies.
[b] Births after 20 weeks gestation, whether live or stillborn.
[c] Living children the woman has.
[d] Spontaneous and therapeutic abortions.
A diagnostic laparoscopy in gynaecology is a minimally invasive procedure used to:
[a] Scrape the lining of the uterus.
[b] Obtain a sample of cervical tissue.
[c] Visualize and potentially treat conditions in the pelvic and abdominal cavity.
[d] Examine the vaginal walls under magnification.
The permanent cessation of menstruation is known as:
[a] Menarche.
[b] Amenorrhea.
[c] Dysmenorrhea.
[d] Menopause.
When documenting a patient's chief complaint, the nurse should:
[a] Use precise medical terminology.
[b] Record it in the patient's own words using quotation marks.
[c] Write down the suspected diagnosis.
[d] Summarize the entire gynaecological history.
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