Female Genital System

Question 1

What is the most common sexually transmitted infection?

Answer 1

HPV

Question 2

How is HPV transmitted?

Answer 2

Through sexual contact via vaginal, anal, or oral.

Question 3

How many different types of HPV have been identified?

Answer 3

over 120 types

Question 4

Which strain of HPV accounts for 90% of high risk oral HPV infections?

Answer 4

HPV 16

Question 5

What tests are used to diagnose HPV if genital warts is not present?

Answer 5

Pap test
DNA test
Vinegar test

Question 6

What is the most common sexually transmitted infection IN WOMEN IN THE U.S.?

Answer 6

Chlamydia Trachomatis

Question 7

What is the incubation period of Chlamydia trachomatis?

Answer 7

7-14 days

Question 8

What are the symptoms of Chlamydia trachomatis?

Answer 8

uncomfortable urination
frequent urination
vaginal spotting
yellow discharge
pelvic pain

Question 9

What is the SECOND most common STI in women?

Answer 9

Neisseria Gonorrhea

Question 10

What is the incubation period of Neisseria Gonorrhea? Symptoms?

Answer 10

3-5 days

Symptoms: same as Chlamydia

Question 11

What are Candiasis’ acute lesions? Chronic?

Answer 11

Acute: Vaginal discharge (Leucorrhea)
Chronic: Grayish-White plaque (Leukoplakia)

Question 12

How do you diagnose Candida Vaginitis?

Answer 12

History of discharge, vaginal soreness, urinary discomfort

Positive Whiff test - fishy odor

Question 13

How do you diagnose Trichomonas Vaginalis

Answer 13

Extremely red cervix “Strawberry Cervix”

Question 14

Which Herpes virus typically results in oral pharyngeal infection?

Answer 14

HSV-1

Question 15

Which Herpes virus typically involves genital mucosa? and what is the order of frequency?

Answer 15

HSV-2

Cervix, vagina, vulva

Question 16

What is Molluscum contagiosum?

Answer 16

poxvirus infection of the skin

Question 17

What type of Molluscum contagiosum is most sexually transmitted?

Answer 17

MCV-2

Question 18

What age are infections most common in Molluscum contagiosum?

Answer 18

between ages 2-12

Question 19

How do you diagnose Molluscum contagiosum?

Answer 19

Identification of papules that contain inclusion bodies

Question 20

What is known as an infection and inflammation involving the entire genital tract

Answer 20

Pelvic Inflammatory Disease

Question 21

What 2 STI bacterias are commonly found with PID?

Answer 21

Gonococcii and Chlamydia enteric bacteria

Question 22

What are some complications of PID?

Answer 22

Bartholin cysts and abscesses, peritonitis, bacteremia

Question 23

How do you diagnose Lichen Sclerosis?

Answer 23

thin, white patches on the vulva and labia

Question 24

What is Condylomata acuminata caused by?

Answer 24

HPV-6, 11

Question 25

What other name is also used for Vulvar intraepithelial neoplasia (VIN)? What is it caused by?

Answer 25

- Bowen Disease | - HPV 16, 18

Question 26

What is the second most common gynecological cancer in North America? What ages are most common?

Answer 26

- Cervical Cancer | - Ages 30-50 years

Question 27

How is Cervical cancer diagnosed?

Answer 27

Pap test Cervical exam Tissue sample

Question 28

What is the condition where there is a growth of the basal layer of the endometrium?

Answer 28

Adenomyosis

Question 29

What are the symptoms of Adenomyosis?

Answer 29

- menorrhagia - dysmenorrhea - pelvic pain

Question 30

What is characterized by the presence of endometrial glands and stroma in other locations (outside the endomyometrium)

Answer 30

Endometriosis

Question 31

How do endometrial glands spread?

Answer 31

- By menstrual back flow through the Fallopian tubes | - By vascular/lymphatic dissemination

Question 32

In Endometriosis, what color are the nodules? If Ovaries are infected, what are they known as?

Answer 32

- red-blue to yellow-brown | - Chocolate cysts

Question 33

What is an excess of estrogen that will induce exaggerated endometrial proliferation?

Answer 33

Endometrial Hyperplasia

Question 34

What are the 2 forms of endometrial Hyperplasia?

Answer 34

- Simple Hyperplasia (cystic hyperplasia) | - Complex Hyperplasia (adenomatous hyperplasia )

Question 35

To whom are seen with endometrial polyps?

Answer 35

patients who are on Tamoxifen

Question 36

What are fibroids that grow in the inner mucosa of the uterus?

Answer 36

Submucosa fibroids

Question 37

What are some complications of submucosal fibroids?

Answer 37

- heavy menstrual bleeding | - may prevent implantation of embryo

Question 38

Who are more likely to have fibroids? and what hormones promote the growth of fibroids?

Answer 38

- Black women | - estrogen and progesterone

Question 39

What is the most common tumor in females and is another name for fibroids?

Answer 39

Leiomyoma

Question 40

What are the most common locations of Leiomyoma?

Answer 40

- Intramural = wall of uterus - Subserous = outside of uterus - Submucous = inside the uterus

Question 41

What is the most common invasive cancer in women? and when does it occur?

Answer 41

Carcinoma of Endometrium | -Ages 55-65, postmenopausal women

Question 42

What is a clinical manifestation of Gestational Trophoblastic Disease?

Answer 42

Hydatidiform mole

Question 43

What are the two types of gestational trophoblastic disease?

Answer 43

``` Complete = all villi are edematous Partial = some villi are edematous ```

Question 44

What is the most common type of ovarian cyst? and when does it form?

Answer 44

functional cyst | during the menstrual cycle

Question 45

What are the different types of functional cysts?

Answer 45

Follicle cyst = sac doesn't break open to release egg | Corpus luteum cyst = fluid builds up after release of egg