Genital warts

Question 1

High risk HPV variants

Answer 1

HPV 16 and 18

Question 2

Intermediate risk HPV variants

Answer 2

HPV 31, 33, and 35

Question 3

Low risk HPV variants

Answer 3

HPV 6 and 11

Question 4

MC HPV cause of bowenoid papulosis

Answer 4

HPV 16

Question 5

At what timeframe do warts typically become visible after infection

Answer 5

~2.9 months

Question 6

What type of cancer can condyloma turn into

Answer 6

Squamous cell carcinoma

Question 7

Official name for genital warts

Answer 7

Condylomata acuminata or venereal warts

Question 8

Other causes of dome shaped projections on penis

Answer 8

• Pearly penile papules around the corona of the penis that are small angiofibromas (normal variant)
• seborrheic keratoses
• nevi
• molluscum contagiosum

Question 9

Tx of warts during pregnancy

Answer 9

• some people advocate for removal of visible lesions

- can cause laryngeal papillomatosis in infants

Question 10

Patient applied tx of warts

Answer 10

• Imiquimod: every other day at bedtime (up to 5x per week) for a maximum of 16 weeks. Clean area in AM.
• Podofilox: apply BID for 3 days in a row then stop (repeat weekly for 4-6 weeks). Contraindicated in pregnancy
• Green tea sinecatechins: apply TID

Question 11

Provider administrered tx of warts

Answer 11

Cryo: want white border to extend past wart by 1mm (repeat every 2-4 weeks)
Electrosurgery or scissor excision
Trichloroacetic acid: idea treatment in pregnancy, repeat every 1-2 weeks
Podophyllum Resin: applied weekly (initally wash off after 1hr then at next tx leave for 8-12 hrs)
5FU: conisder if resistance to other tx
CO2 laser