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Zak, Endo/Repro 2 > Benign and Malignant Conditions of Vulva and Vagina > Flashcards

Benign and Malignant Conditions of Vulva and Vagina Flashcards

1
Q

What is the Tx for Labial Agglutination

A

E cream massage

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2
Q

Sx’s = pruritic, raised yellow cyst in axilla and labia

A

Fox-Fordyce Disease

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3
Q

Sx’s = Painless mass in lower outer region of labia majora

A

Bartholin cyst

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4
Q

Sx’s = painful mass in lower outer region of labia majora

A

Bartholin abscess

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5
Q

Sx’s = mobile, non-tender, spherical mass from obstructed hair follicle

A

Inclusion cyst

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6
Q

Lentigo and Nevi

A

Freckles and Moles

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7
Q

Sx’s = small, red outgrowth at distal edge of urethra

A

Urethral caruncle

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8
Q

Sx’s = tender, erythematous dots causing severe introital dyspareunia

A

Vulvar vestibulitis

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9
Q

Sx’s = smooth, small, nodular masses on inner surface of labia containing cheese-like material

A

Sebaceous cyst

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10
Q

What is the most common genital cyst

A

Inclusion cyst

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11
Q

What is the most common benign solid tumor of the vulva

A

Fibroma

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12
Q

Sx’s = slow growing mass of adipose cells

A

Lipoma

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13
Q

Sx’s = atrophy of external genitalia d/t loss of E

A

Atrophic vaginitis

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14
Q

Sx’s = thickened, leathery, raised surfaces from prolonged itching

A

Lichen chronicus

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15
Q

Biopsy of Lichen chronicus =

A

Elongated rete ridges

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16
Q

Sx’s = pruritic, onion-skin, cigarette paper, parchment-like patches on vulva of postmenopausal women

A

Lichen sclerosis

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17
Q

Biopsy of Lichen sclerosis =

A

Loss of rete ridges

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18
Q

Sx’s = purple, polygonal papules that may appear in erosive form with vulvar burning and severe insertional dyspareunia

A

Lichen planus

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19
Q

Sx’s = velvety appearance on vulva

A

Psoriasis

20
Q

Sx’s = erythematous presentation

A

Eczema

21
Q

Sx’s = autoimmune blistering disease

A

Pemphigus

22
Q

Sx’s = ulcerations in genital and oral areas with uveitis

A

Bechet’s syndrome

23
Q

Sx’s = ulcers d/t chronic pressure or tissue being moist from urinary incontinence

A

Decubitus ulcer

24
Q

Sx’s = sac-like projections in anterior vagina along posterior urethra

A

Urethral diverticula

25
Q

What are some recurring issues that urethral diverticula can cause

A

UTI
Dysuria
Urinary leaking

26
Q

Sx’s = infolding of vaginal epithelium along post/lat wall of lower 1/3 of vagina

A

Inclusion cyst

27
Q

What is the most common vulvovaginal tumor and is usually u/l

A

Bartholin cyst

28
Q

What is the most common Sx of vulvar neoplasms

A

Long-standing Hx of vulvar pruritis

29
Q

Sx’s = pruritus, elevated lesions with “warty” appearance

A

Vulvar Intraepithelial Neoplasia

30
Q

What is the difference between “usual” and “differentiated” types of VIN

A 
Usual = assc with HPV 16, smoking, immunosuppressed
Differentiated = not assc with HPV 16 or smoking
31
Q

Sx’s = itching, tenderness, and eczematoid red appearance with white plaque lesions that may also appear around nipples

A

Paget’s disease

32
Q

Sx’s = lesions on labia minor and clitoris in postmenopausal white women

A

Malignant melanoma

33
Q

Sx’s = cauliflower-like lesions

A

Verrucous carcinoma

34
Q

What is contraindicated in the Tx of Verucous carcinoma

A

Radiation

35
Q

Sx’s = painless mass with no Hx of bartholin disease

A

Bartholin gland carcinoma

36
Q

In what population of women would you most likely see Vaginal Intraepithelial Neoplasia

A

Women w/ abnormal pap, hysterectomy, or no cervical lesions

37
Q

Sx’s = abnormal vaginal discharge/bleeding, hematuria in women around 60 yo

A

Carcinoma of the vagina

38
Q

Sx’s = vaginal discharge, fishy odor that gets worse after sex, clue cells

A

Bacterial Vaginosis

39
Q

Which organism causes Bacterial vaginosis

A

Gardnerella Vaginalis

40
Q

Sx’s = pruritus, burning, irritation, and cottage-cheese like discharge with hyphae and budding yeast

A

Vaginal Candidiasis

41
Q

Which organism causes Vaginal candidiasis

A

Candida Albicans

42
Q

Sx’s = dyspareunia, dysuria, vulvar pruritus, strawberry cervix, green/yellow frothy discharge and motile organisms

A

Trichomoniasis

43
Q

Which organism causes Trichomoniasis

A

Trichomona Vaginalis

44
Q

What are the risk factors for Bacterial vaginosis

A

New/multiple sex partners
Smoking
IUD
Douching

45
Q

What are the risk factors for Vaginal candidiasis

A

Increased E levels
DM
ABX, steroids
Immunosuppressed

46
Q

What are the risk factors for Trichomoniasis

A

Unprotected sex

Zak, Endo/Repro 2 (33 decks)

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