Vaginal Path I

Question 1

find white plaques on vulva what is ddx

Answer 1

LSC
Ls&A
VIN VaIN
SCC

Question 2

find red plaques on vulva

ddx?

Answer 2

deramtitides

extramammary paget

Question 3

find brown lesions on vulva

ddx?

Answer 3

melanoma

Question 4

masses in vagina

ddx?

Answer 4

bartholin cycst, hidradenoma, condyloma,

SCC, clear cell CA, embryonal rhabdomyosarcoma

Question 5

find discahrge and complaints of pruritis of vagina

ddx?

Answer 5

thrichomonas
gonorrhea
chlamydia
candida

Question 6

what type of germ cell forms ovary

Answer 6

endodermal cells that migrate to urogenital ride(mesodermal)

lined with coelemic epithelium

Question 7

what forms tubes, uterus and upper vagina

Answer 7

paired mullerian ducts

paramesonpehric ducts

Question 8

what impairs growth of female genitalia

Answer 8

mullerian inhibitory factor

Question 9

what ducts regress but may still be present as rests

Answer 9

the wolffian

“mesonephric”

Question 10

what are gartner duct cysts

Answer 10

remnants of the mesonephric ducts

Question 11

what is a bicornuate vagina

Answer 11

2 uterus, 1 vaginas

Question 12

what can occur with imperforate hymen

Answer 12

build up after first menses, bad

Question 13

what is unicornate

Answer 13

one uterus but only connects to one fallopian tube

Question 14

what is didelphys

Answer 14

2 vaginas

2 uterus

Question 15

what are complications with abnormal uterus

Answer 15

mid late term spontaneous abortions more likely

Question 16

where does fertilization usually occur

Answer 16

ampulla

Question 17

where is the infundibulum

Answer 17

the most distal part of fallopian tube after fimbrae

Question 18

where is the isthmus

Answer 18

the proximal part of the fallopian tube

Question 19

what type of epithelium covers external os

Answer 19

squamous

Question 20

what type of epithelium is in internal os

Answer 20

glandular

Question 21

STD with donovan bodies

Answer 21

klebsiella granulomatous

Question 22

STD with clue cells

Answer 22

gardnerella vaginalis

Question 23

spirochete STD

Answer 23

syphilis

Question 24

STD with koilocytosis

Answer 24

HPV

Question 25

what are the main high risk strains HPV

Answer 25

16 18

Question 26

what are the main low risk strains HPV

Answer 26

6 11

Question 27

where will you see ulcers from genital herpes

Answer 27

vulva, vagina, cervix

Question 28

where will you see HPV manifestations

Answer 28

vulva, vagina and cervix

Question 29

where and how does chlamydia tachomatis present

Answer 29

follicular cervicitis endometriosis salpingo-oophoritis cervix, corpus and adnexa

Question 30

how does gonorrhea present in uterus

Answer 30

acute endometritis and salpingitis

Question 31

how does candida trichomonas present

Answer 31

vulvovaginitis and cervicovaginitis

Question 32

can HSV be Dx on pap smear

Answer 32

yes but if negative does not rule it out

Question 33

lesion on ectocervix and in vagina, could be what infeciton?

Answer 33

trich candida HPV

Question 34

cervical sample with direct testing of liquid for DNA can be used to Dx what infections

Answer 34

HPB, Gonorrhea, chlamydia, trich, candida, garnerella

Question 35

pap smear is used to Dx what infections

Answer 35

``` HPV trich candida gardnerella HSV ```

Question 36

type of virus is HSV

Answer 36

DNA virus

Question 37

how do you differentiate HSV1 and HSV2

Answer 37

IgG

Question 38

what are the clinical Sx of HSV-2

Answer 38

pain, dysuria, vesicular-- ulcer eruptions last 1-3 weeks systemic Sx 2/3 or more have recurrences

Question 39

sequelae of HSV-2 infections

Answer 39

neonatal infections | spontaneous abortions

Question 40

most significant complication for genital herpes

Answer 40

transmission to neonate at birth

Question 41

Tzanck test

Answer 41

herpes

Question 42

what will herpes look like histo

Answer 42

multinucleated cells with intra-nuclear, "ground glass" viral inclusions

Question 43

mother delivering baby has HSV-2 but no current ulcers, can she transmit it

Answer 43

yes | 50%

Question 44

When do you see Sx from herpes in neonate

Answer 44

2-12 days post delivery

Question 45

disseminated herpes in neonate has what prognosis

Answer 45

85% mortality

Question 46

what is recommended for pregnant HSV + mother with active infection

Answer 46

C section delivery