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Obstetrics and Gynaecology > Cervical Cancer and Vulval Complaints > Flashcards

Cervical Cancer and Vulval Complaints Flashcards

1
Q

risk factors for cervical cancer

A 
HPV16, 18
smoking
age of intercourse onset
OCP
multiple partners
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2
Q

presentation of cervical cancer

A

asymptomatic + screening

irregular bleeding

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3
Q

management of cervical cancer

A

LLETZ
Wertheim meigs
radio + chemo

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4
Q

what do granulosa cell tumours produce?

A

oestrogen

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5
Q

presentation fo granulosa cell tumours

A

precocious puberty

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6
Q

presentation of thecal cell tumours

A

virilsation

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7
Q

what do thecal cell tumours produce?

A

androgens

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8
Q

most common type of vulval cancer

A

SCC

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9
Q

what cancer do Bartholin’s glands get?

A

adenocarcinoma

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10
Q

presentation of vulval cancer

A

patchy hyperpigmentation
fissuring
keratinised warty plaque

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11
Q

diagnosis of vulval cancer

A

biopsy
USS if lymph nodes
MRI if close to anus

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12
Q

management of vulval cancer

A

excision

chemotherapy

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13
Q

management of genital warts

A

podophyllin (CI in pregnancy)or cryotherapy

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14
Q

causes of vulval itch

A

infection
VIN
menopause
skin conditions

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15
Q

what is lichen sclerosis?

A

inflammatory dermatosis of the ano-genital skin

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16
Q

peak incidence of lichen sclerosis

A

prepubertal girls

postmenopausal women

17
Q

presentation of lichen sclerosis

A 
itch
pain
dyspareuria
constipation
absence of red flags (weight loss, ulcer)
18
Q

examination findings in lichen sclerosis

A

white plaque in figure of 8 about anus
vagina not involved
erosions
fissures

19
Q

risk in lichen sclerosis?

A

SCC

20
Q

RF for lichen sclerosis

A

smoking

21
Q

management of lichen sclerosis

A

wash once daily
avoid tight clothing
emollients
topical steroids

22
Q

when is the peak age of lichen planus

A

50-60s

23
Q

associations with lichen planus

A 
AI
itch
pain
DISCHARGE
oral, nails, hair
inside vagina
24
Q

causes of vulval pain

A 
ulceration
traumatic
bartholin's cysts
dermatitis
vulvodynia
FGM
lichen sclerosis/planus
VIN/ cancer
25
Q

what is vulvodynia?

A

burning sensation with absence of pathology

26
Q

presentation of vulvodynia

A

burning

dyspareunia

27
Q

management of vulvodynia

A

skin care, emollients
lidocaine
tricyclics, gabapentin
psychosexual interventions

28
Q

what is FGM?

A

total or partial removal of external genitalia for non-medical reasons

29
Q

classification of FGM

A
  • Type 1= partial or total removal of the clitoris and/or prepuce
  • Type 2= clitoris or labia minora with/without labia majora
  • Type 3= narrowing of vaginal orifice by creating a seal (infibulation)
  • Type 4= all other harmful procedures e.g. pricking, piercing, scraping
30
Q

management of FGM

A

explain law
C/S
<18 report to police

Obstetrics and Gynaecology (31 decks)

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