Female Repro 2

Question 1

Which tumor is composed of primitive spindle rhabdomyoblasts in a dense zone beneath the vaginal epithelium (AKA Cambium layer)

Answer 1

Embryonal Rhabdomyosarcoma (Sarcoma Botryoides)

Question 2

How is Embryonal Rhabdomyosarcoma (Sarcoma Botryoides) usually detected?

How is it treated?

Answer 2

Detected due to spotting on the diaper

Tx- wide excision of the tumor and chemo

Question 3

The following is describing what?

• w/ age, the mucinous columnar epithelium undergoes squamous metaplasia and is replaced (transformed) into strat. squamous epithelium
• result- the new squamocolumnar junction is located at the internal os
• area b/w the original squamocolumnar junction on the exocervix and the new squamocolumnar junction at the internal os is the __________

Answer 3

the cervical “Transformation zone”

Question 4

The normal squamocolumnar junction is the anatomical junction of the______ and the ______ epithelia,

Answer 4

squamous and the mucinous

Question 5

the external os is the Macroscopically visible junction between the ______ and ______

Answer 5

exocervix and endocervix

Question 6

Cells in which zone are sampled in a pap smear

Answer 6

Cell from the cervical transformation zone

Question 7

______ _______ is he study of normal and disease-altered desquamated cells from various body sites.

Answer 7

Exfoliative cytology

Question 8

The ______ _______ is the cervical cytological test where the most superficial epithelial cells are exfoliated

Answer 8

PAP smear

Question 9

_______ is an effective screening procedure for the early detection of premalignant and malignant cervical lesions.

Answer 9

The pap smear

Question 10

________ is inflammation of the cervix

related to its constant exposure to the bacterial flora in the vagina.

Answer 10

Cervicitis

Question 11

Cervicitis results from infection w/ many microorganisms, particularly what organisms?

Which two are most common?

Answer 11

1. Particularly the endogenous vaginal aerobes and anaerobes:
   
   • MC are Strept and Staph
2. less common:
   
   1. Chlamydia
   2. Neisseria
   3. Herpes

Question 13

What is seen on examination w/ acute cervicitis?

Answer 13

•cervix is grossly red, swollen, and edematous, with copious amounts of pus dripping from the external or internal os.

Question 14

Microscopically, the tissue in acute cervicitis exhibits what?

Answer 14

the tissue exhibits an extensive infiltrate of polymorphonuclear leukocytes and stromal edema.

Question 15

Is acute or chronic cervicitis more common?

Answer 15

chronic

Question 16

What condition?

the cervical mucosa is reddened and hyperemic and there may also be true epithelial erosions.

Answer 16

Chronic cervicitis

Question 17

Which condition has the following microscopic appearance:

Stroma is infiltrated by mononuclear cells, principally lymphocytes and plasma cells, with _focal lymphoid follicle_s.

Answer 17

Chronic cervicitis