Female Abnormalities

Question 1

Genital herpes

Answer 1

burning pain with vesicular lesions

Question 2

Syphilitic Chancre

Answer 2

nontender ulceration present approx 21 days after exposure to syphilis

Question 3

Malignancies (vaginal CA)

Answer 3

itching, area of discoloration

Question 4

Venereal Warts (Condyloma Acuminatum

Answer 4

fleshy, single, or multiple

Question 5

Secondary syphilis (Condylots Latum)

Answer 5

flat, gray papules, are contagious

Question 6

Epidermoid cysts

Answer 6

thin walled, yellowish, cystic structure on labia

Question 7

Bacterial Vaginosis (BV)

Answer 7

Thin milky or grayish discharge secondary to normal flora overgrowth
Typically non-sexually transmitted
Fishy odor, especially if exposed to KOH
Whiff test
Wet mount microscopy reveals clue cells
Ph > 4.5

Question 8

Candidiasis ‘Yeast’ Infection

Answer 8

Not sexually transmitted
White/yellow, thick/curdy discharge
Classic symptom: pruritus
No odor noted
Swelling of labia or vaginal canal can be seen
KOH wet mount: hyphae or rods noted
Ph < 4.5

Question 9

Chlamydia

Answer 9

Usually asymptomatic (~30%)
Endocervial dischage
CMT
Inguinal node involvement
PID

Question 10

Gonorrhea

Answer 10

Often asymptomatic
Endocervical discharge
Dysuria
Bartholin gland abscess
PID may be seen

Question 11

Trichomonas

Answer 11

Primarily sexually transmitted
Foul smelling
Yellow-Greenish, frothy discharge
Dysuria
Painful intercourse
Vulvar/vaginal itching and irritation
Cervical microhemorrhages (~2%) “Strawberry cervix”

Question 12

Uterine fibroids (myomas)

Answer 12

intermittent bleeding vs. asymptomatic, fixed, enlargement diffuse vs. localized

Question 13

Ovarian cyst

Answer 13

asymptomatic vs tenderness, enlargement, typically unilateral, mobile

Question 14

Ovarian cancer:

Answer 14

asymptomatic early, bloating, unilateral enlargement or mass, fixed, firm

Question 15

Glandular Tissue

Answer 15

Secretory tubuloalveolar ducts and glands, forms 15-20 septated lobes radiating around nipple
Within each lobe are smaller lobules (20-40), drain into milk producing ducts that open into surface of the areola

Question 16

Fibrous connective tissue

Answer 16

Provides structural support – suspensory ligaments – connected to skin and underlying fascia

Question 17

Fibroadenoma

Answer 17

Commonly seen in ages 15-25, very mobile, round, firm, non-tender, benign tumor

Question 18

Breast Cysts

Answer 18

Ages 30-50, mobile, round, firm, tender

Question 19

Breast CA

Answer 19

Ages 30-90, fixed, irregular, hard, non tender, possible associated breast skin changes