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Systems Path Exam II > Chapter 18 Part I > Flashcards

Chapter 18 Part I Flashcards

1
Q

MC cause of vulvitis

A

inflammation

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2
Q 
pruritus
allergic contact dermatitis
infection
BARTHOLIN CYST
are associated with
A

vulvitis

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3
Q

(2) epithelial disorders of vulva

A

lichen sclerosus

lichen simplex chronicus

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4
Q

epidermal THINNING with WHITE lesions near labia minor that is MC in elderly and has MINIMAL inflammation

A

lichen sclerosus

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5
Q

epithelial hyperplasia & hyperkeratosis that is associated with chronic irritation; has dermal INFLAMMATION

A

lichen simplex chronicus

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6
Q

epithelial disorder that has a small CA risk (1-5% –> SCC)

A

lichen sclerosus

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7
Q

(2) types of neoplasia associated with neoplasia of vulva

A

condyloma

vulvar carcinoma

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8
Q

neoplasia with post infix, warty lesions

A

condyloma

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9
Q

secondary to syphillus, flat, moist, painless

A

condylomata lata

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10
Q

rare neoplasm, usually > 60 y.o.; late metastasis

90% SCC

A

vulvar carcinoma

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11
Q

vulvar intraepithelial neoplasia often leads to _____ type of vulvar carcinoma

A

HPV-related SCC

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12
Q

type of vulvar carcinoma that is more rare, associated with HPV-16 and 18 (HIGH RISK strains) and in middle aged females

A

HPV-related SCC

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13
Q

type of vulvar carcinoma that is MC and occurs in older women, lichen sclerosis. no VIN

A

non-HPV related SCC

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14
Q

discharge (leukorrhea), pain and pruritus is often associated with ________; may also be caused by an infection

A

vaginitis

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15
Q

trichomonoas vaginalis produces a _____ colored discharge, while C. albicans produces a ______ colored discharge

A

green

white

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16
Q

vaginal cancer that is MC > 60 y.o.
risk is HPV
precancerous VIN lead to this cancer

A

squamous cell carcinoma

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17
Q

vaginal cancer that was discovered in mothers who took diethylstilbestrol (DES) to prevent threatened abortions – very rare now

A

clear cell adenocarcinoma

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18
Q

vaginal cancer that occurs in girls under 5 y.o. and starts as soft polypod “raspberry-like projections”

A

sarcoma botyoides

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19
Q

MC cause of infectious cervicitis

A

chlamydia trachomatis

20
Q

MC type of non-infectious cervicitis

A

chronic (due to estrogen fluctuations

21
Q

risks of neoplasia of cervix (4)

A

early 1st intercourse
multiple sex partners
male partner w/ many partners
persistent infxn w/ high risk HPV

22
Q

type of HPV that is high risk for neoplasia of cervix (2)

A

HPV 16

HPV 18

23
Q

most HPV infxns are transient for _____; the few that persist –> ________, which is precursor for invasive carcinoma

A

months

cervical intraepithelial neoplasia

24
Q

in cervical neoplasia, there is a ______ zone from ______ epithelium to _____ epithelium – this occurs during ______

A

transformation
columnar
squamous
puberty

25
Q

HPV that leads to dysplasia of cervix is called _______; the MC diagnosis is at 30 y.o.

A

cervical intraepithelial neoplasia (CIN)

26
Q

________ CIN is usually observed to ensure that it doesn’t progress because about 60% will regress

A

low-grade CIN

27
Q

______ CIN that has to be removed because 10% lead to cancer

A

high-grade CIN

28
Q

term for the progressive change from normal to abnormal cells associated with CIN, usually have large nucleus, anaplasia, irregular borders, and hyperchromasis

A

koliocytosis

29
Q

CIN is usually ________, so pap smears are used for screening; abnormal pap smears require ______

A

asymptomatic

colposcopy

30
Q

75% of invasive carcinoma of cervix is _____ type of cancer and is MC diagnosed in mid 40’s

A

SCC

31
Q

invasive carcinoma occurs in _______ and has variable size, when it gets over ____ mm it is considered aggressive

A 
transition zone
3 mm (10% metastasize to this size)
32
Q

Tumors encircling the cervix and penetrating into the underlying stroma are called

A

barrel cervix

33
Q

_____ is MC secondary to pelvic inflammatory disease

A

endometritis

34
Q

when endometrial tissue is everywhere in tissue except in endometrium (where is should be) is called_______; cyclic bleeding –> fibrosis and adhesions

A

extrauterine endometrial tissue

35
Q

50% of female infertility is caused by

A

extrauterine endometrial tissue

36
Q

chocolate cyst is associated with

A

endometriosis

37
Q

profuse/prolonged menstruation

A

menorrhagia

38
Q

irregular bleeding btwn periods (spotting)

A

metrorrhagia

39
Q

abnormal breakdown of endometrium b/c of inadequate luteal phase – MC at extremes of reproductive life

A

anovulatory cycle

40
Q

increase in estrogen, failed ovulation that is precursor to endometrial carcinoma

A

endometrial hyperplasia

41
Q

MC female genital tract CA, occurs 55-65 y.o., endometroid = 80%

A

endometrial carcinoma

42
Q

polyps tha are .5- 3 cm sessile mass that is MC around menopause

A

endometrial polyp

43
Q

smooth muscle tumor in MYOMETRIUM that is benign, MC during reproductive age, NUMEROUS polyps

A

leiomyoma (aka fibroids)

44
Q

malignant polyp in MYOMETRIUM that usually occurs postmenopausal, MC metastasis –> lungs SOLITARY polyp

A

leiomyosarcoma

45
Q

MC inflammation of fallopian tube is called

A

salpingitis

46
Q

MC type of fallopian tube carcinoma is ______ and MC located on the ______

A

adenocarcinoma

fimbriae

Systems Path Exam II (12 decks)

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