Female Genital System Flashcards
What is the most common sexually transmitted infection?
HPV
How is HPV transmitted?
Through sexual contact via vaginal, anal, or oral.
How many different types of HPV have been identified?
over 120 types
Which strain of HPV accounts for 90% of high risk oral HPV infections?
HPV 16
What tests are used to diagnose HPV if genital warts is not present?
Pap test
DNA test
Vinegar test
What is the most common sexually transmitted infection IN WOMEN IN THE U.S.?
Chlamydia Trachomatis
What is the incubation period of Chlamydia trachomatis?
7-14 days
What are the symptoms of Chlamydia trachomatis?
uncomfortable urination frequent urination vaginal spotting yellow discharge pelvic pain
What is the SECOND most common STI in women?
Neisseria Gonorrhea
What is the incubation period of Neisseria Gonorrhea? Symptoms?
3-5 days
Symptoms: same as Chlamydia
What are Candiasis’ acute lesions? Chronic?
Acute: Vaginal discharge (Leucorrhea)
Chronic: Grayish-White plaque (Leukoplakia)
How do you diagnose Candida Vaginitis?
History of discharge, vaginal soreness, urinary discomfort
Positive Whiff test - fishy odor
How do you diagnose Trichomonas Vaginalis
Extremely red cervix “Strawberry Cervix”
Which Herpes virus typically results in oral pharyngeal infection?
HSV-1
Which Herpes virus typically involves genital mucosa? and what is the order of frequency?
HSV-2
Cervix, vagina, vulva
What is Molluscum contagiosum?
poxvirus infection of the skin
What type of Molluscum contagiosum is most sexually transmitted?
MCV-2
What age are infections most common in Molluscum contagiosum?
between ages 2-12
How do you diagnose Molluscum contagiosum?
Identification of papules that contain inclusion bodies
What is known as an infection and inflammation involving the entire genital tract
Pelvic Inflammatory Disease
What 2 STI bacterias are commonly found with PID?
Gonococcii and Chlamydia enteric bacteria
What are some complications of PID?
Bartholin cysts and abscesses, peritonitis, bacteremia
How do you diagnose Lichen Sclerosis?
thin, white patches on the vulva and labia
What is Condylomata acuminata caused by?
HPV-6, 11
What other name is also used for Vulvar intraepithelial neoplasia (VIN)? What is it caused by?
- Bowen Disease
- HPV 16, 18
What is the second most common gynecological cancer in North America? What ages are most common?
- Cervical Cancer
- Ages 30-50 years
How is Cervical cancer diagnosed?
Pap test
Cervical exam
Tissue sample
What is the condition where there is a growth of the basal layer of the endometrium?
Adenomyosis
What are the symptoms of Adenomyosis?
- menorrhagia
- dysmenorrhea
- pelvic pain
What is characterized by the presence of endometrial glands and stroma in other locations (outside the endomyometrium)
Endometriosis
How do endometrial glands spread?
- By menstrual back flow through the Fallopian tubes
- By vascular/lymphatic dissemination
In Endometriosis, what color are the nodules? If Ovaries are infected, what are they known as?
- red-blue to yellow-brown
- Chocolate cysts
What is an excess of estrogen that will induce exaggerated endometrial proliferation?
Endometrial Hyperplasia
What are the 2 forms of endometrial Hyperplasia?
- Simple Hyperplasia (cystic hyperplasia)
- Complex Hyperplasia (adenomatous hyperplasia )
To whom are seen with endometrial polyps?
patients who are on Tamoxifen
What are fibroids that grow in the inner mucosa of the uterus?
Submucosa fibroids
What are some complications of submucosal fibroids?
- heavy menstrual bleeding
- may prevent implantation of embryo
Who are more likely to have fibroids? and what hormones promote the growth of fibroids?
- Black women
- estrogen and progesterone
What is the most common tumor in females and is another name for fibroids?
Leiomyoma
What are the most common locations of Leiomyoma?
- Intramural = wall of uterus
- Subserous = outside of uterus
- Submucous = inside the uterus
What is the most common invasive cancer in women? and when does it occur?
Carcinoma of Endometrium
-Ages 55-65, postmenopausal women
What is a clinical manifestation of Gestational Trophoblastic Disease?
Hydatidiform mole
What are the two types of gestational trophoblastic disease?
Complete = all villi are edematous Partial = some villi are edematous
What is the most common type of ovarian cyst? and when does it form?
functional cyst
during the menstrual cycle
What are the different types of functional cysts?
Follicle cyst = sac doesn’t break open to release egg
Corpus luteum cyst = fluid builds up after release of egg