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REPRO II Exam 1 > Female Genital Pathology II > Flashcards

Female Genital Pathology II Flashcards

(54 cards)

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1
Q

leukorrhea curd like in vagina
pruritis
erythema

A

candida albicans

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2
Q

flagella protozoan

A

trichomonas vaginalis

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3
Q

strawberry cervix

A

trichomonas vaginalis

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4
Q

trichomonas vaginalis

A

STD - 4 days to 4 weeks

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5
Q

yellow frothy discharge, pruritis, dysuria, dyspareunia, red vaginal/cervical mucosa

A

trichomonas vaginalis

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6
Q

clue cells

A

gardnerella vaginalis

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7
Q

fishy vagina smell

A

gardnerella vaginalis

gray-green discharge

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8
Q

culture of gardnerella

A

chocolate agar

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9
Q

vaginitis

A

candida albicans
trichomonas vaginalis
mycoplasma
gardnerella

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10
Q

diagnosis of candida

A

KOH prep

pap smear

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11
Q

KOH yeast pseudohyphae

A

candida

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12
Q

flagellated protozoa on wet mount

A

trichomoniasis

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13
Q

vaginal atrophy

A

atrophic vaginalis

tx - topical estrogen

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14
Q

gram negative, intracellular, diplococci

A

gonococcus

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15
Q

skin lesion with umbilication

-can be itchy

A

molluscum contagiosum
-central pit - not blister

adults sex transmission
kids share towels

pox virus - type 2 is STD

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16
Q

PID organisms

A

neisseria gonorrhea
chlamydia

most common

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17
Q

PID

A

infection between uterine corpus

most infections - polymicrobial

typically due to endometrial infections

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18
Q

cervical motion tenderness

A

PID

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19
Q

complication of PID

A

rupture of tuboovarian abscess
infertility - scarring of tubes
ectopic pregnancy
intestinal obstruction

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20
Q

sex

A

can introduce organisms to PID

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21
Q

all patients diagnosed with acute PID

A

should be tested for HIV infection

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22
Q

salpingitis

Study These Flashcards
A

inflammation of fallopian tubes

23
Q

acute salpingitis

24
Q

chronic salpingitis

25
skene ducts
paraurethal ducts
26
squamous atrophy
lichen sclerosis et atrophicus
27
squamous hyperplasia - with itching and scratching
lichen simplex chronicus
28
condyloma acuminatum
HPV
29
infibulation
sew labia to cover lumen of vagina
30
bartholin gland cyst
4 and 8 oclock of vagina obstruction of duct -common all ages can become infected > abscess
31
tx bartholin gland cyst
incise and drain - high recurrence word catheter - induces fistula formation marsupialization - purse - cyst sewn inside out
32
planar, pruritic, purple, papular
4 Ps of lichen planus inflammatory dermatoses of the vulva
33
lichen planus
squamous epithelium normal thickness | -chronic inflammation at derm/epiderm junction
34
increased risk of cancer development of vulva
lichen sclerosus
35
lichen sclerosus et atrophicus
elderly and post-menopausal women atrophic changes white/tense skin** - parchment like areas tx - corticosteroids
36
hyalinzation in vulva lesion
lichen sclerosis - collagen
37
lichen simplex chronicus
squamous hyperplasia pink lesion** layer of keratin with thick epidermis NO atypia
38
chronic scratching
lichen simplex chronicus
39
veneral warts
condyloma acuminatum HPV 6 and 11 - low risk - 90% high risk 10% - can go to VIN 2-3 and carcinoma see koilocytosis
40
high risk HPV
16, 18, 33
41
tx of veneral warts
cryo chemical laser excise frequently regress
42
biopsy of condyloma acuminatum
hyperkeratosis
43
bowenoid papulosis
condylomata
44
nuclear enlargement
high grade HPV viral DNA incorporated into host
45
koilocytosis
nuclei in a clear space raisinoid nuclei low grade HPV infection
46
VIN
vulvar intraepithelial neoplasm -pre-malignant progression from dysplasia to invasive SCC
47
VIN 1
low risk HPV 6, 11 mild dysplasia see condyloma acuminatum
48
VIN 2
moderate dysplasia | HPV 16,18
49
VIN 3
severe dysplasia/CIS HPV 16,18 - high risk warty and basaloid
50
bowenoid papulosis
multi discrete warty papules that coalesce into plaques | -reflects early HPV infection and may spontaneously resolve
51
bowen disease
VIN 3 - CIS -requires surgery
52
risk of invasive SCC
age, extent of vulvar growth, smoking, immunocompromised, LS and A
53
height of nuclear enlargement and VIN
full - high grade - VIN 3 half - moderate - VIN 2 low - low grade - VIN 1
54
tx of VIN 1 and 2
conservative removal | -goal is negative margins

REPRO II Exam 1 (14 decks)

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