Benign/Malignant Conditions of Vulva/Vagina - Moulton

Question 1

Clitoromegaly, hypospadic urethral meatus, malpositioned vaginal orifice, normal internal genitalia…Dx?

Causes?

Answer 1

Female pseudohermaphroditism

• CAH
• Exogenous hormones
• Androgen tumor of adrenal or ovaries

Question 2

Tiny red dots in vestibule, very tender, severe pain on intercourse, vulvar pain

Answer 2

Adenitis (vestibulitis)

Question 3

Most common benign tumor of vulva

Answer 3

Fibroma

Question 4

Purplish, polygonal papules that may appear in erosive form on vulva/vagina/gingiva, burning and dyspareunia

Answer 4

Lichen planus

Question 5

Treating atrophic vaginitis

Answer 5

Topical estrogen (oral to prevent recurrence)

Question 6

Treating squamous cell hyperplasia of vulva

Answer 6

Steroid ointment w/ anti-pruritic agent

Question 7

Treating lichen sclerosis

Answer 7

Clobetasol

Question 8

Treating lichen planus

Answer 8

Topical and systemic steroids

Question 9

Which type of vulvar cancer is associated w/ smoking: HPV (warty/basaloid) or non-HPV (keratinized SCC)?

Answer 9

HPV (warty/basaloid)

Question 10

Most common vaginal infection (vaginitis)

Treatment?
STI?

Answer 10

Bacterial vaginosis (Gardnerella, others)

Metronidazole
NO

Question 11

Second most common vaginal infection

pH?

Treatment?

Answer 11

Candidiasis

Low pH (less than 4.5)

Fluconazole, Miconazole (topical)

Question 12

Treatment for trichomonas

pH?

STI?

Answer 12

Metronidazole

High (>4.5)

YES