Gynaecology Picture Cards

Question 1

Answer 1

normal nulliparous cervix

Symmetrical

Os small

Healthy pink

See transformation zone – this is where we take smears from

Question 2

Answer 2

Cervical polyp

Fleshy skin tag

Benign

Twist off

Send to lab

Question 3

Answer 3

ectropion with ovulatory mucus

Normal variant

Larger transformation zone ( transformation zone is where columnar and squamous epithelium meet)

Usually normal

Can cause some bleeding post coitus

Usually suggests that there are extra hormones circulating

Mucus is clean - ovulatory

Question 4

Answer 4

cervical stenosis

Mis-shapen

Contracted

Scarring

Os mis-shapen

Likely from surgery to correct surgical dysplasia

Question 5

Answer 5

normal multiparous cervix with ovulatory mucus

Cervis no symetrical because it has experienced childbirth

Larger os

Clear mucus

Question 6

Answer 6

atrophic cervix

Generally patient is over 70 yo

Less link, much paler, lack of oestrogen

Transformation zone goes inside the canal

Question 7

Answer 7

mucopurulent discharge - ?gonorrhoea

Different mucus

Cervix inflammed

Question 8

Answer 8

normal os with IUD strings emerging

Normal cervix

Strings white or blue

Usually curve around cervix

Pap smear will not disrupt

Question 9

Answer 9

cervical wart

Raised

Emerging from oss

Warts can develop anywhere in the genital tract

Question 10

Answer 10

extensive nabothian follicles

Normal variation

Cysts are naothian follicles

Cysts on glandular surface

Excessive in this size

Common, benign

Question 11

Answer 11

cervical cancer

Markedly abnormal fungating tumor