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1

Condyloma accuminata (HPV 6/11)

-small macpap growthss that cluster

-clusters of soft, pink, skin colored lesions

2

Location of 

(a) vestible

(b) Bartholin glands

(a) Vestible = area btwn the labia minora

(b) Bartholin glands- open at 4 and 8 oclock of the vaginal orifice 

3

Differentiate simple vs. complex endometrial hyperplasia

In simple hyperplasia both the glands and the stroma are proliferating

-Comlpex: the glands proliferate much more => increased gland:stroma ratio 

4

34 yo w/ vulvar lesions x6 weeks

Multiple small, papular growths at the vestible of the vulva and over the labia major

-few lesiosn are fragile and bleed on manipulation 

Dx

Condylomata acuminata (genital warts from HPV 6 and 11) 

5

Location where an ectopic pregnancy would last the longest

Cornual/interestitial = part of the fallopian tube that is directly attached to the cervix and is even surrounded by myometrium

=> has the support/strength of the myometrium to allow for expansion

6

Molluscum contagiosum

-caused by poxvirus

-pearly (smooth, firm) painless nodules w/ central dimple or pit

7

What is a hysterosalpingogram

Inject die into uterine cavity to assess shape of the cavity and patency of the fallopian tubes

-involved in the workup for infertility (not pelvic pain- use US for pelvic pain)

-if don't get spillage then tube is blocked

8

'Pearl necklace' ultrasound appearance of PCO (polycystic ovary)

-follicle develops but never ovulates 

9

Maneuvers to delivery baby w/ shoulder dystocia

Shoulder dystocia = anterior shoulder stuck under mother's pubic symphysis 

1. apply suprapubic pressure 

2. McRobert's maneuver- hyperflex mother's hips to open up the maternal pelvis 

10

Lichen sclerosis- pruritic, white, thin, wrinkled skin over the labia

-perianal thickening w/ fissures

 

Unknown etiology: genetic, autoimmune, hormonal

11

Differentiate the shape btwn early, late, and variable decels 

Early and late are rather uniform

Early: gradual onset and offset

Late: nadir right after peak of contraction, recovers after contraction is over

Variable: very acute onset (onset to nadir under 30 sec), not timed w/ contractions, rapid onset and offset 

12

Lichen planus- pruritic, glassy, bright red erosions and ulcerations 

-cause unknown, thought to be immune (bummer)

-not contagious 

13

Differentiate condyloma accuminata vs. condyloma lata

Condyloma accuminata = genital warts from HSV 6/11

-macpap warts in clusters of soft, pink, skin colored lesions 

 

Condyloma lata = secondary syphilis

-flat, velvety lesions w/ a broader/flatter surface

14

Most common location of ectopic pregnancies 

95+% in the fallopian tubes 

-majority of which are in the ampulla 

15

Causes of the 3 types of decels 

Early- head compression

Late- uteroplacental insufficiency 

Variables- cord compression 

16

What kind of twins?

Dichoronic diamniotic- give away is the lambda sign