Female Genital Pathology I Flashcards

1
Q

metrorrhagia

A

abnormal interval periods - MMR

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2
Q

menorrhagia

A

heavy bleeding

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3
Q

infertility

A

with PID and PCOD

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4
Q

mass effects

A

leiomyoma

ovarian neoplasms

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5
Q

red plaques of vulva

A

dermatitides

extramammary paget

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6
Q

ovary embryo

A

mesoderm germ cells

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7
Q

fallopian tube embryo

A

paired mullerian ducts
-aka paramesonephric

fuse to form fallopian tubes, uterus, upper vagina

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8
Q

fusion of mullerian ducts

A

at urogenital sinus

forms uterus

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9
Q

wolffian ducts

A

aka mesonephric

regress - they are male structure

rests may remain

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10
Q

all epithelial surfaces

A

lined with mesothelial (coelemic) origin

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11
Q

gartner duct cyst

A

remnant of wolffian duct

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12
Q

sexual abuse

A

need trauma and sperm
NOT hymen alone

also - culture for gonorrhea, herpes, etc.

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13
Q

ovarian serosa

A

invaginates into coelomic cavity - becomes covered with this during embryogenesis

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14
Q

epithelial inclusion cysts

A

serosa invaginates into ovary

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15
Q

didelphys

A

two cavities of uterus and double vagina

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16
Q

bicornuate

A

two uterus - failure of fusion of mullerian ducts

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17
Q

difficulty urinating

A

imperforate hymen

fills uterus with blood

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18
Q

spontaneous abortions

A

2nd and 3rd trimesters

occur with congenital anomalies of uterus and vagina

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19
Q

positions of uterus

A

anteverted
retroverted
anteflexed
retroflexed

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20
Q

covering of vagina and cervix

A

squamous mucosa

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21
Q

mucosa in endocervical canal

A

glandular

22
Q

maintains position of uterus

A

round ligament

23
Q

clue cells

A

gardnerella vaginalis

24
Q

donovan body

A

klebsiella granulomatous

granuloma inguinale

25
Q

spirochete

A

syphilis

trepnema pallidum

26
Q

PID

A

chlamydia trachomatis

27
Q

koilocyte change

A

HPV

28
Q

multinucleated giant cell with intracellular inclusion

A

herpes

tzanck test

29
Q

bulbous intranuclear inclusion body

A

CMV

30
Q

molluscum bodies

A

molluscum contagiosum

31
Q

trichomonad

A

trichomonas vaginalis

32
Q

sulphur granules

A

actinomyces israelii

also causes PID

33
Q

necrotizing granulomas

A

mycobacterium tuberculosis

34
Q

candida

A

candida albicans

35
Q

vaginal cuff

A

surrounding cervix

36
Q

goal of pap smear

A

get both squamous AND glandular cells

37
Q

location of herpes infection

A

vulva, vagina, cervix

38
Q

location of molluscum infection

A

vulva

39
Q

location of HPV infection

A

vulva, vagina, cervix

40
Q

location of chlamydia trachomatis

A

cervix, corpus, adnexa

41
Q

location of neisseria gonorrhea

A

vulva, vagina, cervix, corpus, adnexa

42
Q

location of candida

A

vulva, vagina, cervix

43
Q

genital herpes subtype

A

HHV-2

latency in neurons

44
Q

herpes

A

DNA virus - PCR test on sample - IgG serology

45
Q

phases of herpes

A

ulcer - active

latent - inactive

46
Q

pain, dysuria, vesicles that erupt

  • lasts 1-3 weeks
  • systemic symptoms
  • recurrence
A

herpes infection

vesicles - with neutrophils

47
Q

tx of herpes

A

suppression and some symptomatic tx.

48
Q

herpes complication

A

transmission to neonate at birth

this is most significant one

49
Q

tzanck test

A

herpes
-of vesicle fluid - smear onto glass side

is diagnostic

50
Q

multinuclear giant cell with ground glass intranuclear inclusions

A

herpesvirus

51
Q

neonatal herpes

A

50% born to asymptomatic mothers

skin, eyes, mouth - 70% progress
-to CNS or disseminated

CNS - 50% mortality
disseminated - 85% mortality

52
Q

tx for neonatal herpes

A

C section - if maternal infection present