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Reproductive > Big Robbins - Female Genital Tract (22) > Flashcards

Big Robbins - Female Genital Tract (22) Flashcards

1
Q

Origin of epithelium and stroma of ovary

A

Mesodermal Epithelium from wall of yolk sac (Mesonephric, Wolffian ducts)

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2
Q

The UG sinus develops when

A

the cloaca is subdivided by the urorectal septum

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3
Q

The UT sinus eventually forms

A

lower part of vagina and vestibule of external genitalia

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4
Q

Gartner Duct Cysts

A

Rests of residual mesonephric ducts in cervix and vagina

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5
Q

The epithelial lining of the female genital tract and the __ share a common origin from coelomic epithelium (mesothelium), which may explain

A

Ovarian Surface; Morphologically similar lesions arise in various sites w/in female genital tract and adjacent periotoneal surfaces

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6
Q

Neisseria gonorrhoeae and Chlamydia are major causes of

A

Female infertility

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7
Q

Candida, Trichomonas, and Gardnerella

A

May cause significant discomfort, but w/out serious sequelae

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8
Q

What develops into Fallopian Tube

A

Mullerian Duct

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9
Q

HSV1 vs HSV2

A

HSV1 usually oropharyngeal, 2 usually genital mucosa and skin

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10
Q

Presentation of HSV infection

A

Lesions 3-7 days after transmission; Often systemic sx

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11
Q

What is this?

A

Characteristic cytopathic changes in HSV - Intranuclear vira inclusions

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12
Q

Having HSV1 before 2 and vice versa

A

Having HSV1 reduces HSV2 infection; But having HSV2 enhances HSV1 transmission

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13
Q

Individuals w/ primary, acute-phase HSV do not have

A

Anti-HSV serum Ab’s yet

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14
Q

Pearly, dome-shaped papules with a dimpled center

A

Molluscum Contagiosum

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15
Q

What is this?

A

Molluscum: Dome-shaped papule with dimpled center + Intracytoplasmic viral inclusions

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16
Q

MCV1 vs 2

A

MCV1 is most prevalent; MCV2 is most often sexually transmitted

17
Q

Pathogenesis of vaginal Candida infection

A

DM, Abx, Pregnancy, other conditions yielding compromised neutrophil or Th17 function

18
Q

Dx of Vaginal Candidiasis

A

Pseudospores or filamentous fungal hyphae in wet KOH mounts of Pap smear

19
Q

Pseudospores or filamentous fungal hyphae on wet KOH mount of Pap smear

A

Candidiasis

20
Q

Strawberry Cervix

A

Trichomonas Vaginalis - Mucosa has fiery-red appearance, w/ marked dilation of the cervical mucosal vessels

21
Q

Manifestations of Trichomonas Vaginalis

A

Strawberry Cervix - Vaginal, Cervical mucosa has fiery red appearance w/ marked dilatation of cervical mucosa vessels

22
Q

Main causes of Bacterial Vaginosis

A

Gardnerella Vaginalis

23
Q

Presentation of Gardnerella Vaginalis (BV)

A

Thin, green-gray, fishy vaginal discharge

24
Q

Pap smear in Gardnerella Vaginalis

A

Superficial and intermediate squamous cells covered with a shaggy coating coccobacilli

25
Q

Superficial and intermediate squamous cells covered with a shaggy coating coccobacilli on Pap Smear

A

Gardnerella Vaginalis (BV)

26
Q

Gardnerella Vaginalis in pregnancy

A

Can cause preterm labor

27
Q

Ureaplasma urealyticum and Mycoplasma hominis have been implicated in

A

Chorioamnionitis and Premature Delivery

28
Q

Chlamydia trachomatis causes

A

Usually cervicitis, but occasionally ascends to uterus and fallopian tubes

29
Q

Most serious complication of gonorrhea in women

A

Pelvic Inflammatory Disease

30
Q

2 common causes of Pelvic Inflammatory Disease

A

Neisseria gon and Chlamydia

31
Q

PID after abortions or deliveries

A

Usually polymicrobial, including staph, strep, coliforms, and C perf

32
Q

Why do post-surgical PID infections involve deeper layers than gonorrhea infections

A

Thought to spread upwards via lymphatics or venous channels, rather than on mucosal surfaces

33
Q

What is this?

A

Acute Salpingitis - Dilated tube lumen and edematous tubal plicae + Pus filling center of fallopian tube

34
Q

What is this?

A

Chronic Salpingitis - Scarring and fusion of plicae

35
Q
A

Reproductive (2 decks)

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