Diseases of the vulva,vagina and cervix

Question 1

Tzanc prep

Answer 1

used to visualize Herpes microscopically

Question 2

molluscum contagiosum

Answer 2

transmitted by pox virus

umbilicated lesions because they are caved in middle

Question 3

granuloma inguinale

donovanosis

Answer 3

caused by G- encapsulated coccobacilli called calymmatobacterium granulomatis

produces large ulcerated lesions that reveal inflammatory granulation tissue and MQ. bacteria found in cytoplasm of neutrophils,plasma and histiocytes as Donovan bodies

bodies resemble safety pins

Question 4

lymphgranuloma venerum

chlamydia trachomatis

Answer 4

transient vesicle in vagina or penis that goes unnoticed

2-6 weeks later, inguinal lymphadenopathy–> bubos

bubos must be aspirated

in women see bubos in perirectal glands–> proctitis or rectal fistula

treat with drainage and tetracycline

Question 5

cervix infected with trichomonas

Answer 5

strawberry cervix

Question 6

endocervical polyps (benign)

Answer 6

seen in 4th or 6th decades

contains endocervical glands

Question 7

microglandular endocervical hyperplasia

Answer 7

seen in pregnant or post-partum pts and with with hx of OCP

Question 8

condyloma accuminata

Answer 8

also called veneral warts

Question 9

management of ASCUS

atypical squamous cell of undetermined significance

Answer 9

repeat cervical sytology at 6 and 12 months

if ASCUS or severe–>colposcopy

HPV DNA testing

Question 10

stain of keratanized cell

Answer 10

a pap stain called orange G

Question 11

sequence of cervical tests

Answer 11

PAP

colposcopy if abnormal with acetic acid

punch biopsy if found abnormal on colp

electro-loop excision procedure to remove abnormal tissue

endocervical curettage to evaluate lesion destribution

Question 12

verrucous carcinoma

Answer 12

variant of squamous cell CA

well differentiated

can get very large but won’t mets

basically is a wart