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Women's Health, External Genitalia, Vaginal and Cervical Patho Flashcards

(23 cards)

1
Q

Where is neoplasia most likely in the cervix?

A

Squamocolumnar junction (due to cell arrangement have more gaps making it susceptible to infection)

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2
Q

How much leukorrhea (normal vaginal discharge) daily?

A

1-4mL per day

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3
Q

What is the normal pH of vaginal discharge?

A

4-4.5

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4
Q

What organism makes up the bulk of normal vaginal flora?

A

Lactobacillus (99%)

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5
Q

What are the etiologies of vulvovaginitis?

A

STI, abx, hormonal imbalance, douching, sexual activity

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6
Q

Vulvovaginitis can lead to this complication?

A

Vaginal and/or cervical friability

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7
Q

The inflammation of vulvovaginitis can lead to what other presenting sympotms?

A

Erythema
Puritis
Burning
Dyspareunia

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8
Q

What is the most common pathogen in vulvovaginitis?

A

Candidiasis

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9
Q

What autoimmune disorders are associated with non-infectious vulvovaginitis?

A

SLE, RA

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10
Q

What is cervicitis?

A

Inflammation of the cervix

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11
Q

What is the most common infection causing acute cervicitis?

A

Gonorrhea

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12
Q

What are the symptoms associated with cervicitis?

A

Spotting, dyspareunia, pruritis, vaginal discharge

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13
Q

What infection is associated with strawberry cervix?

A

Trichomonias

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14
Q

How does HPV infect the host?

A

Infects through entry in basal layer of epidermis

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15
Q

What strands of HPV most commonly cause cervical cancer?

A

16 and 18

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16
Q

What area is the most commonly infected with HPV?

A

Squamocolumner junction, transition from intravaginal to intracervical

17
Q

How are spirochete infections evaluated with for diagnosis?

A

Darkfield microscopy

18
Q

How does primary syphilis present?

A

Presents with a painless chancre 3-6 weeks after exposure at site of inoculation. Localized lymphadenopathy.

19
Q

What is pelvic organ prolapse?

A

Herniation of pelvic organs into or beyond vaginal walls, pelvic floor muscles (levator ani) looses supportive functioning and becomes weak

20
Q

What is a bartholin cyst?

A

lubricating Bartholin gland becomes blocked so that fluid accumulates (blockage)

21
Q

Are Bartholin cysts usually infectious?

A

No, usually sterile

22
Q

What is an anovaginal fistula?

A

Tract that forms between the vagina and rectum or anus…the vagina and rectum become friends

23
Q

How does an anovaginal fistula present?

A

Fecal discharge through the vaginal orifice