Vaginal Path II

Question 1

What can cause yeast infections

Answer 1

DM
antibiotics
pregnancy
immunosuppression

Question 2

Sx yeast infection

Answer 2

leukorrhea
pruritis
erythema

Question 3

Sx trichomonas vaginalis

Answer 3

yellow frothy discharge pruritis, dysuria, dysparenuia

Question 4

strawberry cervix

Answer 4

trichomonas vaginalis

Question 5

patient has gray green malodorous discharge that smells fishy
what is this and what will histo show?

Answer 5

gardnerella vaginalis with “clue cells” on pap smear

Question 6

what culture (agar) do you use to Dx garderella

Answer 6

chocolate

Question 7

pseudohyphae

Answer 7

candida

Question 8

when do you see mycoplasma hominis vaginitis or cervicitis

Answer 8

spontaneous abortion and chorioamnionitis

Question 9

gram - bacillus that causes vaginitis with fishy odor

Answer 9

gardnerella

Question 10

see a bunch of gram - sticking to squamous epthelial cells

Answer 10

gardnerella

Question 11

thayer martin media

Answer 11

gonorrhea

Question 12

pH of candidiasis secretions

Answer 12

<4.5

Question 13

pH of trich or gardnerella

Answer 13

> 4.5

Question 14

what type of pox virus is most commonly sexually transmited

Answer 14

type 2 molluscum contagiosum

Question 15

raised lesions with central pitting all over buttocks

Answer 15

molluscum contagiosum

Question 16

definition of PID

Answer 16

infection of pelvic organs beyond the uterine corpus

Question 17

Sx PID

Answer 17

lower abdominal pain, tender to cervical manipulation

+/- fever

Question 18

complications of PID

Answer 18

rupture of tuboovarian abscess
infertility from scarring of tubes
ectopic pregnancy
intestinal obstruction from fibrous bands and adhesions

Question 19

where do most ectopic pregnancies take place

Answer 19

in fallopian tubes

Question 20

where does fertilizaiton take place

Answer 20

in ampulla of fallopian tube

Question 21

what are the primary infections of endometrium in PID can occur how

Answer 21

postpartum endometritis
IUD
curettage (abortion)

Question 22

what pathogens are introduced via sexual intercourse that can contribute to PID

Answer 22

gonococcus
chlamydia
mycoplasma
ureaplasma

Question 23

all patients Dx with acute PID should be tested for what infection

Answer 23

HIV

Question 24

what cells present in acute inflammation

what cells present in chronic inflammation

Answer 24

acute- neutros

chronic- plasma

Question 25

role of bartholin gland cyst/abscess

Answer 25

secrete mucous to lubricate the vagina (mostly outside

Question 26

where are bartholin glands located

Answer 26

4 and 8 o clock

Question 27

what cause bartholin abscesses

Answer 27

infections that may be polymicrobial (microbiome) or gonorrhea/chlamydia

Question 28

Tx methods for bartholin abscess

Answer 28

word catheter | marsupialization( cyst wall everted and sewed to vesticular mucosa)

Question 29

what is lichen planus

Answer 29

autoimmune disorder, T cell regulated

Question 30

signs lichen planus

Answer 30

planar, pruritic, purple, papular | wickham's striae in mucosa

Question 31

tx lichen planus

Answer 31

topical corticosteroids

Question 32

prognosis lichen planus

Answer 32

usually goes away in year or 2

Question 33

what is LS&A

Answer 33

lichen sclerosis and atrophy

Question 34

lichen sclerosis occurs in what age gorup and what does it look like

Answer 34

elderly and post menopausal females usually affected atrophic changes white "parchment-like" areas

Question 35

what will you see on histo of lichen sclerosis

Answer 35

hyalinization atrophy of squamous epithelium chronic inflammation below

Question 36

Sx of lichen simplex chronicus

Answer 36

rubbing scratching and clinically leukoplakia

Question 37

what occurs in lichen simplex chronicus

Answer 37

squamous hyperplasia hyperkeratosis no cytologic atypia!!

Question 38

what HPV strands are associated with condyloma acuminatum

Answer 38

6 and 11

Question 39

what venereal warts should you monitor

Answer 39

ones caused by HPV high risk 16 18 33 because can go on to VIN 2-3 and carcinoma

Question 40

micro of condyloma acuminatum

Answer 40

koilocytosis, mitoses | frequently regress

Question 41

Tx for condyloma acuminatum

Answer 41

cryo, chemical, laser or excisional

Question 42

condylomata types

Answer 42

warty- looks like cauliflower multifocal papules | coalescing papules- "bowenoid papulosis"

Question 43

what is koilocytosis

Answer 43

little nuclei with lots of cleared area

Question 44

what causes vulvar intraepithelial Neoplasm

Answer 44

multistep progression from dysplasia to invasive SCC

Question 45

What is bowden disease

Answer 45

VIN3/CIS | need surgery

Question 46

how can you tell stages of VIN

Answer 46

Bx | VIN3 full thickeness enlarged nuclei

Question 47

what stages of VIN do you treat as high grade

Answer 47

VIN 2, 3