Vaginal Path II Flashcards Preview

Year2 Repro exam I > Vaginal Path II > Flashcards

Flashcards in Vaginal Path II Deck (47):
1

What can cause yeast infections

DM
antibiotics
pregnancy
immunosuppression

2

Sx yeast infection

leukorrhea
pruritis
erythema

3

Sx trichomonas vaginalis

yellow frothy discharge pruritis, dysuria, dysparenuia

4

strawberry cervix

trichomonas vaginalis

5

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

gardnerella vaginalis with "clue cells" on pap smear

6

what culture (agar) do you use to Dx garderella

chocolate

7

pseudohyphae

candida

8

when do you see mycoplasma hominis vaginitis or cervicitis

spontaneous abortion and chorioamnionitis

9

gram - bacillus that causes vaginitis with fishy odor

gardnerella

10

see a bunch of gram - sticking to squamous epthelial cells

gardnerella

11

thayer martin media

gonorrhea

12

pH of candidiasis secretions

<4.5

13

pH of trich or gardnerella

>4.5

14

what type of pox virus is most commonly sexually transmited

type 2 molluscum contagiosum

15

raised lesions with central pitting all over buttocks

molluscum contagiosum

16

definition of PID

infection of pelvic organs beyond the uterine corpus

17

Sx PID

lower abdominal pain, tender to cervical manipulation
+/- fever

18

complications of PID

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

19

where do most ectopic pregnancies take place

in fallopian tubes

20

where does fertilizaiton take place

in ampulla of fallopian tube

21

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

postpartum endometritis
IUD
curettage (abortion)

22

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

gonococcus
chlamydia
mycoplasma
ureaplasma

23

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

HIV

24

what cells present in acute inflammation
what cells present in chronic inflammation

acute- neutros
chronic- plasma

25

role of bartholin gland cyst/abscess

secrete mucous to lubricate the vagina (mostly outside

26

where are bartholin glands located

4 and 8 o clock

27

what cause bartholin abscesses

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

28

Tx methods for bartholin abscess

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

29

what is lichen planus

autoimmune disorder, T cell regulated

30

signs lichen planus

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

31

tx lichen planus

topical corticosteroids

32

prognosis lichen planus

usually goes away in year or 2

33

what is LS&A

lichen sclerosis and atrophy

34

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

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

35

what will you see on histo of lichen sclerosis

hyalinization
atrophy of squamous epithelium
chronic inflammation below

36

Sx of lichen simplex chronicus

rubbing scratching and clinically leukoplakia

37

what occurs in lichen simplex chronicus

squamous hyperplasia
hyperkeratosis
no cytologic atypia!!

38

what HPV strands are associated with condyloma acuminatum

6 and 11

39

what venereal warts should you monitor

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

40

micro of condyloma acuminatum

koilocytosis, mitoses
frequently regress

41

Tx for condyloma acuminatum

cryo, chemical, laser or excisional

42

condylomata types

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

43

what is koilocytosis

little nuclei with lots of cleared area

44

what causes vulvar intraepithelial Neoplasm

multistep progression from dysplasia to invasive SCC

45

What is bowden disease

VIN3/CIS
need surgery

46

how can you tell stages of VIN

Bx
VIN3 full thickeness enlarged nuclei

47

what stages of VIN do you treat as high grade

VIN 2, 3