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Flashcards in GYN- Lower GU Deck (20)
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1
Q

cause of labial fusion

A
excess androgens (Tx is d/c andogrens)
can be due to 21-hydroxylase def (Tx is cortisol in this condition) 

** can get reconstructive surgery

2
Q

How to diagnose imperforate hymen vs transverse vaginal septum

A

imperforate hymen = presents as primary amenorrhea + cyclical abd pain with mucocolpos/hematocolpos

TVS = presents as primary amenorrhea + cyclical abd pain + short vagina that ends in blind pouch
**presence of hymenal ring indicates TVS

3
Q

vaginal atresia vs vaginal agenesis

A

atresia = failure of lower vaginal to develop

agenesis = absence of vagina w/partial uterus and tubes (aka MRKH syndrome)

4
Q

vaginal thinning and atrophy in postmenopausal women + Tx?

A

lichen sclerosis = topical steroids

**10% assc with cancer

5
Q

chronic vulvar/vaginal irritation –> puritis –> hyperkeratotic changes + Tx?

A

atopic eczema = topical steroids

6
Q

chronic vulvar/vaginal irritation –> puritis –> reactive changes + Tx?

A

lichen simplex chronicus = topical steroids

7
Q

shiny purple papules +/- vaginal adhesions + Tx?

A

lichen planus = steroid suppository + surgery for adhesions

8
Q

silver scaly plaques + auspitz sign (bleeding when plaqes are removed) + Tx

A

vulvar psoriasis = topical steroids + UV light

9
Q

red spots/patches in upper 1/3 vagina due to DES exposure in utero + Tx

A

vaginal adenosis = close f/u bc is precursor to clear cell adenocarcinoma

10
Q

vaginal dryness +/- bleeding in postmenopausal women + Tx?

A

atrophic vaginitis = topical estrogen

11
Q

MC vulvar cyst

A

epidermal inclusion cyst = 2/2 to blocked hair follicle | Tx = I&D or excsion if infected

12
Q

multiple asymptomatic vuvlar cysts is most likely

A

sebacous cyst

13
Q

cysts that are only found in the groin and axillary region

A

apocrine cysts

14
Q

cyst that appears at 12 o’clock position in vulva

A

skene cyst

15
Q

cyst that appears at 4 and 8 o’clock position in vulva + management

A

bartholin cyst/abcess

usually self resolve but if > 40 need to Bx to r/o cancer
if large or symptomatic, Bx to r/o cancer

16
Q

cysts located in the anterolateral wall of the proximal (superior) portion of the vagina

A

Gartner duct cyst which are remnants of mesonephric (Wolffian ducts)

Tx is excision

17
Q

DES associated anomalies

A

vaginal adenosis
clear cell carcinoma
other cervival and uterine anomalies(?)

18
Q

occurs when ectocervix (SSC) overgrows endocervix (SCC)

A

Nabothian cyst (benign)

19
Q

treatment for cervical polyps

A

remove if symptomatic

20
Q

treatment for cervical fibroids

A

remove is symptomatic