Female Genitalia

Question 1

What forms the prepuce and clitoris?

Answer 1

Labia minora

Question 2

What is the vaginal orifice?

Answer 2

Introitus

Question 3

What is the area b/w the introitus and anus?

Answer 3

Perineum

Question 4

Where are the bartholin glands located?

Answer 4

5 & 7 o’clock

Question 5

What is a musculomembranous tube that terminates in the cervix?

Answer 5

Vagina

Question 6

The distal portion of what creates the upper vaginal fornices?

Answer 6

Uterine cervix

Question 7

The point where squamous & columnar epithelium meet

Answer 7

squamocolumnar junction

Question 8

What is the area around the os known as?

Answer 8

Transformation zone

Question 9

What makes up the adnexa?

Answer 9

Fallopian tubes & ovaries (almond shaped)

Question 10

The use of this steroid in the mother of a women can lead to a higher risk of clear cell cancer of the vagina

Answer 10

DES exposure (helped maintain the pregnancy)

Question 11

What typs of HPV does the vaccine protect against?

Answer 11

16,18,6,11

Question 12

When can you start the HPV vaccine?

Answer 12

9 and up

Question 13

WHat is NAATs

Answer 13

A urine test for screening for chlamydia and gonorrhea

Question 14

What is PMB?

Answer 14

Postmenopausal bleeding

Question 15

what is primary amenorrhea?

Answer 15

Never had a period

Question 16

What are some symptoms of a rectocele?

Answer 16

Constipation

Manual maneuvers needed to have a bowel movement

Question 17

with repeated candida what two conditions should you rule out?

Answer 17

HIV

Diabetes mellitus

Question 18

what cells do you look for with bacterial vaginosis?

Answer 18

Clue cells

Question 19

What does a friable cervix mean?

Answer 19

Bleeds when you touch it (sign of inflammation)

Question 20

What is a small, firm, round cystic nodule in the labia. Yellowish in color. There is a dar punctum marking the blocked opening of the gland.

Answer 20

Epidermoid Cyst

Question 21

Warty lesion on the labia and within the vestibule. Results from infection with HPV.

Answer 21

Veneral Wart (Condyloma Acuminatum)

Question 22

A firm, painless ulcer suggests this. Often go undetected.

Answer 22

Syphilitic Chancre

Question 23

Slightly raised, round, or oval, flat-topped papules convered by a gray exudate suggest this.

Answer 23

Secondary syphilis (condyloma latum)

Question 24

Shallow ulcers on a red base. Can be extensive and usually confined to a small patch.

Answer 24

Genital herpes

Question 25

An ulcerated or raised red vulvar lesion in an elderly women may suggest this.

Answer 25

Carcinoma of the vulva

Question 26

With this condition the discharge is yellowish green or gray, possibly frothy and often profuse. Patients will also have pruritus, pain on urination. There will be petechiae on the posterior fornix.

Answer 26

Trichomonal vaginitis

Question 27

In this condition women will have white and curdy discharge that is typically thick. Not malodorous and there is pruritus. Vulva and surrounding skin are often inflamed.

Answer 27

Candidal vaginitis

Question 28

For trichomonal vaginitis what laboratory evaluation should you do?

Answer 28

Scan saline wet mount for trichomonads (will have flagella)

Question 29

For candidal vaginitis what laboratory evaluation should you do?

Answer 29

Scan potassium hydroxide (KOH) preparation for branching hyphae of candida

Question 30

This condition is due to a yeast?

Answer 30

Candida albicans

Question 31

This condition is due to a protozoan.

Answer 31

Trichomonas vaginalis

Question 32

Is trichomonas vaginalis always acquired sexually.

Answer 32

No, but often is

Question 33

What may predispose and individual to candidal vaginitis?

Answer 33

Antibiotic therapy

Question 34

This condition has a gray or white, thin homogeneous, malodorous. Coats the vaginal walls; usually not profuse. May be minimal. There may be a fishy or musty genital odor.

Answer 34

Bacterial vaginosis

Question 35

What laboratory evaluation should you do for bacterial vaginosis?

Answer 35

Scan saline wet mount for clue cells (epithelial cells with stippled borders)

Question 36

What condition will have a fishy odor after applying KOH (whiff test) vaginal secretions with pH >4.5.

Answer 36

bacterial vaginosis

Question 37

This is a bulge or the upper 2/3 of the anterior vaginal wall together with the bladder above it.

Answer 37

Cystocele

Question 38

this is when the entire anterior vaginal wall together with urethra is involved in the bulge. There is sometimes a groove present to define the border.

Answer 38

Cystourethrocele

Question 39

This is a small, red benign tumor visible at the posterior part of the urethral meatus. Occurs normally in postmenopausal women.

Answer 39

Urethral caruncle

Question 40

This forms a swollen red ring around the urethral meatus. Usually occur before menarche or after menopause.

Answer 40

Prolapse of the urethral mucosa

Question 41

Appears as a tense, hot, very tender abscess. Look for pus coming out the duct or erythema around the duct opening. Causes include trauma, gonococci anaerobes like bacteroides and peptostreptococci and chlamydia trachomatis.

Answer 41

Bartholin's Gland INfection

Question 42

This is a herniation of the rectum into the posterior wall of the vagina resulting from a weakness or defect in the endopelvic fascia.

Answer 42

Rectocele

Question 43

What are the two kinds of epithelia that cover the cervix?

Answer 43

Shiny pink squamous epithelium | Deep, red, plush columnar epithelium

Question 44

Where do the two kinds of epithelia that cover the cervix meet?

Answer 44

squamocolumnar junction

Question 45

What is the term for when columnar epithelium is transformed into squamous epithelium?

Answer 45

Metaplasia

Question 46

If secretions of columnar epithelium are blocked with increasing estrogen stimulation during adolescence what can form?

Answer 46

Retention cysts (nabuthian cysts)

Question 47

This arises from the endocervical canal and becomes visible when is protrudes through the cervical os. It is bright red, soft, often fragile.

Answer 47

Cervical polyp

Question 48

What are the two normal shapes of the cervical os?

Answer 48

Oval | Slit-like

Question 49

What are the three types of shapes of the cervical os that can be caused from lacerations from delivery?

Answer 49

Bilateral transverse, stellate, unilateral transverse

Question 50

This type of cervicitis results in a purulent yellow drainage from the cervical os. Usually from chlamydia trachomatis, neisseria gonorrhoeae or herpes infection.

Answer 50

Mucopurulent cervicitis

Question 51

In daughter of women who took DES during pregnancy what type cell may cover most or all of the cervix?

Answer 51

Columnar epithelium

Question 52

In daughters of women exposed to DES they may also have what 2 things besides columnar epithelium on most of the cervix.

Answer 52

Vaginal adenosis | A cervical collar

Question 53

This refers to a tilting backward of the entire uterus including both body and cervix?

Answer 53

Retroversion of the uterus

Question 54

In this type of retroversion the body of the uterus may not be palpable with either hand.

Answer 54

Moderate retroversion

Question 55

In this type of retroversion the body can be felt posteriorly, either through the posterior fornix or through the rectum.

Answer 55

Marked retroversion

Question 56

This refers to a backward angulation of the body of the uterus in relation to the cervix. The body of the uterus is often palpable through the posterior fornix or through the rectum.

Answer 56

Retroflexion of the uterus

Question 57

This is a common benign uterine tumor. May be single or multiple and can reach massive porportions. Feel like a firm, irregular nodules in continuity with the uterine surface.

Answer 57

Myomas of the uterus (fibroids)

Question 58

This results from weakness of the supporting structures of the pelvic floor and is often associated with cystocele and rectocele.

Answer 58

Prolapse of the uterus

Question 59

With this type of prolapse the uterus is at the introitus.

Answer 59

Second-degree prolapse

Question 60

In this type of prolapse the cervix and vaginal are outside the introitus.

Answer 60

Third-degree prolapse

Question 61

In this type of prolapse the cervix is still well within the vagina.

Answer 61

First-degree prolapse

Question 62

These type cysts tend to be smooth and compressible. Small cysts often occur in young women and are usually benign and often disappear after the next menstrual period.

Answer 62

Ovarian cysts

Question 63

This patient can present with guarding and rebound tenderness. A unilateral adnexal mass may be palpable. There is fainting, syncope, naseau, vomiting, tachycardia and shock.

Answer 63

Ruptured tubal pregnancy

Question 64

This is often a result of sexually transmitted infection of the fallopian tubes. Associated with very tender, bilateral adnexal masses. Movement of the cervix produces pain. If not treated a tubo-ovarian abscess or infertility may ensue.

Answer 64

Pelvic Inflammatory DIsease