Gynecology- Vulva, Vagina, & Cervix

Question 1

Presentation of desquamative inflammatory vaginitis

Answer 1

Copious watery discharge
Erythematous vagina
Predominant leukocytes on wet mount

Question 2

Tx desquamative inflammatory vaginitis

Answer 2

Topical corticosteroids

Question 3

Presentation of atrophic vaginitis

Answer 3

Vaginal bleeding
Malodorous discharge
dyspareunia

Question 4

Tx atrophic vaginitis

Answer 4

Vaginal estrogen therapy

Question 5

When is HPV co-testing appropriate?

Answer 5

Co-testing is performed to triage lo-grade abnormalities, including atypical squamous cells or undetermined significance and low-grade squamous intraepithelial lesions

Question 6

Bartholin duct cyst

Answer 6

Blockage of the Bartholin gland duct. Located bilaterally at the posterior vaginal Introits. Glands drain into the vulvar vestibule to provide lubrication.

Question 7

Exam findings od bartholin duct cyst

Answer 7

soft , mobile, non tender cystic mass palpable behind the posterior labium magus with possible extension into vagina

Question 8

Management of bartholin duct cyst

Answer 8

Asymptomatic- observation

Symptomatic- incision and drainage