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Repro 2 Final AH > Conditions Of Vulva And Vagina - Moulton > Flashcards

Conditions Of Vulva And Vagina - Moulton Flashcards

1
Q

What contains a cheesy material and causes a mass on inner surface of labia minora/majora?

A

Sebaceous cyst

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2
Q

What FIGO stage is carcinoma has extended beyond the true pelvis or mucosa of the bladder/rectum?

A

IV

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5
Q

Psoriasis inheritance?

Vulva appears how?

A

AD

Velvety

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6
Q

SCC of vagina presents how?

Physical exam?

Dx?

A

Abnormal vaginal discharge/bleeding
Hematuria

Ulcerative, exophyitc growth

Punch biopsy

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7
Q

What is described by extremely tender lesions w/severe introital dyspareunia and occasional vulvar pain?

A

Vulvar vestibulitis

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8
Q

What involves ulcerations in the genital, oral areas w/uveitis?

A

Bechet’s syndrome

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10
Q

What presents as a pruritic, raised, ulcerated, warty appearing lesion on labia majora?

A

SCC of vulva

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11
Q

What is an autoimmune blistering disease involving the vulvovaginal and conjunctival areas?

A

Pemphigus

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12
Q

What creates a double vagina?and may create a blind vaginal pouch?

A

Middle longitudinal septum

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14
Q

Most common vulvar tumor?

Mean age?

A

SCC

65

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15
Q

Normal pH of vagina?

What thrives there?

A

3.8-4.2

Lactic acid, H2O2, lactobacilli

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18
Q

What VIN has cofactors of vulvar atypia?

Low association w/cervical neoplasia?

A

Both Type 2 (Differentiated)

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20
Q

What has cauliflower-like lesions and is a condition in which radiation is contraindicated bc it may induce anaplastic transformation?

A

Verrucous carcinoma

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23
Q

Eccrine gland tumor?

A

Syringoma

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24
Q

What is common after a bike injury, birth trauma or sexual assault?

A

Vulvar hematoma

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25
Q

VIN usual type is associated with what?

A

HPV16
Smoking
Immunocompromised

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26
Q

Differentiated VIN associated w/what?

A

Not HPV or smoking

Lichen sclerosis

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27
Q

What is located in the posterior/lateral wall in the lower third of the vagina and is freq assoc w/gynecological surgery or lacerations from childbirth?

A

Inclusion cyst

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28
Q

What is the 2nd most common vulvar cancer?

Survival rate?

A

Malignant melanoma

30%

29
Q

What is a severe pruritic raised yellow retention cyst in the axilla and labia major/minora resulting from keratin-plugged inflammation of apocrine glands?

A

Fox-Fordyce disease

31
Q

On exam, what shows purplish, polygonal papules that may appear in an erosive form and causes burning and severe insertional dyspareunia?

A

Lichen planus

32
Q

What FIGO stage is carcinoma has spread to the bladder/rectum?

A

IVa

34
Q

Most common cause of vaginitis is what?

Due to what?

A

Bacterial vaginosis

G. Vaginalis

36
Q

What FIGO stage is carcinoma has involved the subvaginal tissue but not extended onto the pelvic side wall?

A

II

39
Q

Prognosis of malignant melanoma?

A

Poor

41
Q

What results from blockage and accumulation of purulent material and is a very painful inflammatory mass?

A

Bartholin gland abscess

42
Q

VIN III known as what?

Linked to what?

A

SCC in situ

Vulvar cancer

44
Q

What VIN has a strong association w/condylomata and STD?

A

Type I usual

46
Q

What laundry list can alter microflora of vagina?

A

Abs
Douching
Sex
Foreign body

47
Q

After menopause, what happens to the pH of the vagina?

Causes what?

A

rises

Bacterial vaginosis

48
Q

What has a hyaline zone in the superficial dermis?

Acanthosis w/elongation of rete ridges?

A

Lichen sclerosis

Lichen simplex chronicus (squamous cell hyperplasia)

51
Q

Most common symptom of VIN?

Have what appearance?

A

Pruritus

20% - warty appearance

52
Q

What is the most common type of genital cyst?

Features?

A

Epidermal Inclusion cyst

Mobile, nontender, slow growing

53
Q

What arises from Von Recklinghausen’s disease?

A

Neurofibroma

56
Q

What causes androgen insensitivity disorder?

Karyotype?

Inheritance?

A

Androgen receptor defect

46 XY

X-linked recessive

59
Q

What is the most common vulvovaginal tumor and usually causes unilateral swelling?

Women over 40 may get what?

A

Bartholin’s cyst

Bartholin carcinoma

60
Q

What causes labial agglutination?

How is labial agglutination treated?

A

Lack of estrogen

Estrogen cream and massage

64
Q

Androgen insensitivity syndrome has what clinical features?

A

Undescended testes
Absent uterus/fallopian tubes
Ambiguous genitalia

67
Q

What is the most common b9 solid tumor of the vulva?

A

Fibroma

69
Q

Sequelae of lichen sclerosis?

A

Loss of labia minora/majora

Clit can become inverted and trapped

70
Q

Key hole?

A

Lichen sclerosis

71
Q

What appears as a benign, small, fleshy red outgrowth at the distal edge of the urethra?

A

Urethral caruncles

73
Q

What rare lesion arises from sweat gland of the vulva?

A

Hidradenoma

74
Q

What causes intense pruritis, dyspareunia, and burning pain and is most frequently found on the vulva of menopausal women?

Tx?

A

Lichen sclerosis

Clobetasol

75
Q

What appears as multiple 2-3 mm red lesions usually in 4th and 5th decade?

A

Angioma

77
Q

Biopsy with hyperkeratosis of the keratin layer and elongated rete ridges indicates what?

A

Lichen simplex chronicus

Squamous cell hyperplasia

Repro 2 Final AH (9 decks)

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