external genitalia Flashcards

1
Q

Which vertebrae does the uterosacral ligaments attach

A

Sacral

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2
Q

What type of secretions does estrogen produce

A

watery

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3
Q

What type of secretions does progesterone secrete

A

thick

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4
Q

What are the difference in cells between the cervical Os and portio vaginalis

A

Portio vaginalis is made of squamous epithelium

Os/canal contained glandular cells

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5
Q

What do the glandular cells in the cervix secrete

A

stringy mucus in response to hormonal changes

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6
Q

What is leukorrhea

A

normal monthly vaginal discharge

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7
Q

How much vaginal discharge is secreted a day

A

1-4mL

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8
Q

What is the pH of vaginal discharge

A

4-4.5

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9
Q

Where is neoplasia of the cervix most likely

A

squamocolumnar junction

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10
Q

Why is vaginal discharge acidic

A

lactobacilli in vaginal flora causing conversion of glycogen to lactic acid

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11
Q

If estrogen wasn’t present, what would the pH of the vagina be

A

7

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12
Q

What is the purpose of the vagina being acidic

A

keeps majority of pathologic bacteria colonization down

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13
Q

What is the most common bacteria within the vagina

A

lactobacillus

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14
Q

What is vulvovaginitis

A

inflammatory reaction of the vulva and vagina

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15
Q

What are the causes of vulvovaginitis

A

STI
abx
hormonal imbalance
douching
sexual activity

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16
Q

What occurs with vulvovaginitis

A

inflammation causing erythema, pruritic, burning, dyspareunia

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17
Q

What are the causes of infectious vulvovaginitis

A

candidiasis
bacterial vaginosis
trichomoniasis

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18
Q

What is cervicitis commonly associated with

A

gonorrhea
chlamydia

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19
Q

What is the most common cause of non-infectious vulvovaginitis

A

menopause

20
Q

What are some common causes of non-infectious vulvovaginitis

A

atrophy (menopause)
topical irritants
systemic disorders (SLE/RA)

21
Q

Where is cervicitis most common

A

columnar cells

22
Q

What is acute cervicitis most commonly due to

A

STI
*consider PID

23
Q

What are non infectious sources of cervicitis

A

inserted FB (tampons, condoms etc)

24
Q

What symptoms do patients have with cervicitis

A

Spotting
dyspareunia
pruritis
vaginal discharge

25
Q

If someone has a strawberry cervix, what is their likely diagnosis

A

trichomoniasis

26
Q

If the cervix has ulcerative lesions on it, what is the likely cause

A

HSV

27
Q

What is the most common STI

A

anogenital warts associated with HPV

28
Q

What are the most common subtypes of HPV that leads to genital warts

A

6 and 11

29
Q

What is condylomata acuminata

A

Genital warts

30
Q

What is the latent period after inoculation for HPV

A

3wk - 9months

31
Q

When will HPV generally clear

A

within 1-2 years

32
Q

What subtype of HPV is particularly carcinogenic

A

16

33
Q

What is the most common cause of cervical cancer

A

HPV (16 & 18)

34
Q

What is an indicator of cellular changes concerning for early cancer

A

dysplasia

35
Q

Where is the most common area of infection with cervical dysplasia

A

squamocolumnar junction

36
Q

Where is the most common area of infection with cervical dysplasia

A

squamocolumnar junction

37
Q

What is associated with cervical dysplasia

A

HPV

38
Q

What is condylomata lata

A

Form of secondary syphilis with painless anogenital warts

39
Q

What is contained within the warts of condylomata lata

A

Spirochetes
making them very infectious

40
Q

What equipment do you need to use to be able to see spirochetes

A

dark field microscopy

41
Q

What is the sign of primary syphilis

A

painless chancre

42
Q

What is secondary syphilis and when does it occur

A

6wks after resolution of primary

Widespread rash
bacteremia

resolves in 6 weeks

43
Q

What nerve dysfunction can lead to pelvic organ prolapse

A

pudendal

44
Q

What can cause a
Bartholin cyst

A

vulvar edema

*Gland becomes blocked

45
Q

What is a small (<3cm) tear drop shaped lump on the cervix called

A

Endocervical polyp

*cause unknown

46
Q

What are the most common causes of anovaginal fistulas

A

trauma from childbirth

*prolonged labor leading to necrosis from pressure on the vaginal wall

*3rd or 4th degree tearing

47
Q

How will you diagnose an anovaginal fistula

A

fecal discharge from the vaginal orifice