GN 4 VG ATRPH

Question 1

Causes of vaginal atrophy (3)

Answer 1

Oophorectomy
Pelvic irradiation or chemotherapy
Anti-estrogens

Question 2

T/F hot fulshes abate over time regardless of whether estrogen therapy is used

Answer 2

T

Question 3

True about vaginal atrophy EXCEPT

a. Pathophysiology is related to hypoestrogenism
b. causes thinning of the vaginal epithelium
c. related to vaginal pH becoming less acidic
d. Infection is less likely to occur

Answer 3

D. increase in infection

Question 4

True about menopause

a. There is an increase in parabasal and intermediate cells and substantial increase in parabasal cell
b. intermediate and superficial cells predominate
c. both
d. neither

Answer 4

A

Question 5

True about genitalia in menopause

a. loss of labial and vulval fullness
b. narrow introitus
c. minimal vaginal discharge
d. all of the above

Answer 5

D

Question 6

Differential diagnosis of vaginal atrophy (6)

Answer 6

SLICE VI
Squamous cell hyperplasia
Lichen sclerosis
Infectious vulvovaginitis
Cervical and EM malignancy

Vulvar malignancy
Irritant contact dermatitis

Question 7

vaginal dsicharg pH of 3.0 to 3.5

a. Normal
b. Yeast
c. both
d. neither

Answer 7

C

Question 8

in the following conditions, vaignal discharge pH may be >5.0 EXCEPT

a. Bacterial vaginosis
b. Trichomoniasis
c. Inflammatory condition
d. Atrophic vaginitis

Answer 8

NOTA, all have pH >5.0

Question 9

True of normal Vaginal discharge except

a. pH 3.0 to 4.5
b. few or no WBC
c. no parabasal cells
d. curdy

Answer 9

D; creamy, mucoid, white