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Obstetrics & Gynecology

Specialty Courses for Medical Assistants

7007 College Boulevard, Suite 385 Overland Park, Kansas 66211 www.ncctinc.com t: 800.875.4404 f: 913.498.1243

OB/GYN Specialty Certificate Course for Medical Assistants

By Angela Elaine Klice, CMA (AAMA), MT (ASCP) Copyright 2008 by NCCT

NCCT is continually refining and creating professional development products for all certified allied health professionals. We are committed to their success. This mini course was designed to help healthcare professionals understand and provide superior service to children. The course is divided into three chapters that are then sub-divided into different sections. There is an open-book quiz at the end of every chapter to help you assess your understanding of that chapter's material. Upon completing the three chapters, you can access this mini course's final examination online at NCCT's website, www.ncctinc.com. Proceed to the Testing section, and choose the CE Test Login option, and log in. Choose the OB/GYN for Medical Assistants Final Exam. Seventy per cent or better is considered a passing grade for this course. Upon passing the course's final exam you will receive a Specialty Certificate and a sticker from NCCT signifying that you have successfully completed this course. This sticker should be placed in your NCCT Professional Development Log Book. You will also receive five clock hours of continuing education credit and the course title will be placed on your NCCT Continuing Education Transcript. Acquiring new skills and pursing additional knowledge in your career field has always been the hallmark of a true professional. Read, learn, and most importantly, enjoy your chosen profession more. Your new knowledge will not only increase your competence and importance to your team, but will also increase your own self-assurance in your ability and work.

OB/GYN COURSE OBJECTITVES This unit of study will allow the medical assistant to be informed on a variety of women health issues. The topics will also cover a wide age range. One of the goals of an allied health professional is to effectively communicate and provide an informative environment for ourselves and our patients. One may not have control of the symptoms and the health issues we face, but knowledge helps us deal with them. This information is not only for the benefit of our patients, but can also be passed on to our family and friends. Women are so busy, that they often miss preventive medical examinations and don't really know the questions that need to be asked. By being more informed on these issues, women can develop a sense of understanding as life changes. Women will form a stronger, more informative sisterhood that can pass this knowledge to their mothers, sisters, daughters, other family members, and friends.

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To provide a basic framework of information regarding women's health issues such as HPV, urinary incontinence, herpes, menopause and osteoporosis. To be familiar with the terminology associated with the various health issues. To be aware of the options of treatment, how to assist other Health Care Professionals, and obtain vital patient histories. To be aware of the myths and the facts regarding these health care issues. To be able to understand the basic information, so that questions can be asked during the patient visit. To understand the importance of preventive medicine and the screening tests that should be performed during the different stages of a woman's life. To identify the steps needed to live a healthy lifestyle and set an example for the patient, coworkers, family members, etc. To have a basic concept of the female anatomy as it relates to women's health issues.

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Disclaimer

The writers for NCCT Competence Certificate Courses attempt to provide factual information based on literature review and current professional practice. However, NCCT does not guarantee that the information contained in these educational courses is free from all errors or omissions.

Chapter 1 HUMAN PAPILLOMAVIRUS

Section a Introduction A human papillomavirus (HPV) is a papillomavirus that infects the skin and mucous membranes of humans. There have been approximately 130 types of HPV that have been identified. Some HPV can cause warts or cancer, while others have no symptoms. About 30-40 HPV types enter the body through sexual contact. Some sexually transmitted HPV types cause warts in the genital area. Others do not provide any symptom of the infection. A cervical pap smear is used to find abnormal cells. This will identify the early stages of the virus, and surgery may be done to remove the lesions. This procedure can be done before it develops into cervical cancer. Although the use of a pap smear has reduced the number of cases, the disease still kills several hundred thousand women per year worldwide. Section b Stats in the United States HPV is the most common sexually transmitted disease in the United States. Women who do not have regular screenings are increasing their risk of developing cervical cancer. Most cases of the HPV infection, which become cancerous, are due to a failure to have regular cervical screenings. Genital HPV is the most common sexually transmitted infection. Most sexually active men and women will probably have genial HPV infection during a lifetime. According to the Center Of Disease Control, by the age of 50 more than 80% of American women will have a least one type of the genital HPV. Section c Diseases That Can Be Caused by HPV There are several diseases that can be linked to some types of HPV. Section c-1 Cervical Cancer About a dozen high-risk types of HPV can lead to cervical cancer. An infection with one or more of these high-risk types of HPV may be a developing factor for cervical cancer. However, most HPV infections are cleared up by the immune system and do not cause cervical cancer. Section c-2 Skin Warts Some HPV infections can cause skin growths that are not cancer. This infection causes a rapid growth of cells near the surface of the skin. Some types of skin warts are: Planters wart - usually found on the bottom of feet Common wart - usually found on hands, feet, elbows, knees Flat wart - usually found on arm, face, forehead These types of warts are not contagious, and are less likely to spread from person to person.

Section c-3 Genital Warts Genital warts are the easiest recognizable sign of a genital HPV infection. There are many types of HPV that can cause genital warts, but only one type is seen in 90% of the reported cases. Some women have this type of HPV infection with no symptoms or no warts appear. This virus can be transmitted to another person even if there are no warts to be seen. The HPV infection that causes genital warts is not the same type that causes cervical cancer. Section d Spreading of HPV HPV infects mainly skin cells. The human body has two types of skin cells, cutaneous and mucosal. Cutaneous skin is the normal skin found on the arms, legs and trunk of the body. This skin has a thick protective layer and usually is tough and smooth. Mucosal skin surface is moist areas that line the mouth, vagina and anus. These areas of skin are thinner and can be damaged easily. HPV can infect cutaneous and mucosal skin surfaces. In both cases, the virus is transmitted or spreads through direct contact of the skin. This means that one person's cells come in contact with another person's cells that are producing the virus. HPVs are species-specific. This means that human viruses only infect humans. The most common way for people to get warts are by touching other people's warts. The HPV strain that causes genital warts or cervical cancer infects the mucosal areas of the genital tract. The virus is still spread by direct contact, and because these viruses only live in the genital area, there must be direct genital-to-genital contact. HPV is one of the most common sexually transmitted diseases (STD), today with about 5 million new cases reported each year. Sexually transmitted disease, (STD), are infectious diseases that are spread through vaginal intercourse, anal intercourse, oral-genital or oral-anal contact. Any woman who is sexually active is at risk for HPV infection. The more sexual partners a woman has, the greater her chances are to become infected. Women who begin sexual activity at an early age seem to be at higher risk of contracting HPV. HPV infections that cause genital warts occur most frequently in the 15-30 year old age group, with males and female infected at the same rate. If there are no warts that can be seen, the risk of the infection is still present. Many people can be infected with HPV, without showing any symptoms. This means a person can pass this infection to another person without knowing it. Section d-1 Preventing the Spread of HPV Condoms are always important for preventing unwanted pregnancies, HIV, and other sexually transmitted diseases. They are not 100% effective in protecting against HPV infection. Condoms will greatly reduce the chances of spreading this infection, but there is still a possibility of infection even it they are used. This is because the virus may be present on areas of genital or anal skin that are not covered by the condom. Direct skin-to-skin contact with these areas can lead to infection. Some people think they can get genial warts or cervical cancer if they have a wart on their hand and scratch or touch their genitals, but this is not true. It is important to be aware that a person can be infected with more than one strain of HPV at the same time. Infection of multiple strains can occur at one time.

Building a Professional Culture of Excellence

As an independent certification agency, the National Center for Competency Testing is able to provide certification and continuing education products and services for individuals, schools, or programs irrespective of their allegiance to any specific professional organization or accreditor.

7007 College Boulevard, Suite 385 Overland Park, Kansas 66211 www.ncctinc.com t: 800.875.4404 f: 913.498.1243

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