Gyne Ch. 18: Benign Gynecologic Lesions

Question 1

Most common large cyst of the vulva

Answer 1

Cystic dilatation of obstructed bartholin gland cyst

Question 2

2nd most common malignancy arising in the vulva

Answer 2

Melanoma

Question 3

Characterize dysplastic nevus of the vulva (size, border, pigment)

Answer 3

More than 5cm

Irregular borders.variegated pigment

Question 4

Management of nonobstetric vulvar hematoma

Answer 4

Conservative unless greater than 10cm or rapidly increasing in size

Question 5

Cause of 50% of cases of chronic vulvovaginal pruritus

Answer 5

Allergic and irritabt contact dermatitis

Question 6

Most common cause of vulvar contact dermatitis. Treatment?

Answer 6

Cosmetic and local therapeutic agents

Treatment:
Removal of irritants
Topical steroids until skin returns to normal

Question 7

Which is true of psoriasis?
A. Usually develops during childhood
B. Involves the vagina and vulva
C. Margins are better defined

Answer 7

C.

Usually develops during teenage years.
Does not involve the vagina, only the vulva.
Margins are better defined than other skin conditions like candidiasis, eczema, etc.

Question 8

Lichen sclerosis vs planus: which one involves the vagina?

Answer 8

VagiNa is involved in lichen plaNus.