Gynecology

Question 1

What is the first line treatment for vaginal agenesis in pt with Mayer-Rokitansly-Kũster-Hauser Syndrome and androgen insensitivity syndrom

Answer 1

primary vaginal elongation by dilation

Question 2

Mayer-Rokitansly-Kũster-Hauser syndrome: etiology

Answer 2

embryologic underdevelopment of the mullerian duct&raquo_space; agenesis/ atresia of the vagina

Question 3

Mayer-Rokitansly-Kũster-Hauser syndrome: exam findings

Answer 3

markedly shortened vaginal canal
normal breast development
normal axillary and pubic hair
normally present with primary amenorrhea

Question 4

androgen insensitivity syndrome: etiology

Answer 4

x-linked mutation
loss of function of androgen receptors
loss of virilization in XY males

Question 5

androgen insensitivity syndrome: clinical presentation

Answer 5

female phenotype
breast development
scant axillary/pubic hair
blind pouch vagina
primary amenorrhea

Question 6

Most common surgical procedure to create a neovagina

Answer 6

Abbe-McIndoe operation (skin graft)

Question 7

What is the laparoscopic Vecchietti procedure

Answer 7

Creation of neovagina
external traction device affixed temporarily to abdominal wall

Question 8

What is the Abbe-McIndoe procedure

Answer 8

Creation of neovagina
open procedure
dissection of a space between the rectum and bladder
placement of stent covered with a split thickness skin graft into the space

Question 9

what is the williams vaginoplasty procedure

Answer 9

creation of neovagina
horseshoe shaped incision along the perineum is made and the labia majora is used to create a downward angle pouch
used second line in the setting of scarring

Question 10

what is the davydov procedure

Answer 10

creation of a neovagina
3-stage operation that requires dissection of the rectovesicular space with mobilization of a segment of the peritoneum and subsequent attachment of the peritoneum to the introitus

Question 11

What is a sigmoid vaginoplasty

Answer 11

creation of a neovagina
end of a resected segment of the colon is pulled to the introitus to form a blind pouch
end to end reanastomosis is performed to recreate a patent GI tract

Question 12

Women older than _ age with HSIL pap can proceed with colpo or in office excision

Answer 12

25

Question 13

What is the only FDA approved medication for management of interstitial cystitis

Answer 13

pentosan polysulfate sodium (elmiron)

Question 14

most common infectious pathogen associated with vulvovaginitis in the pediatric population

Answer 14

Group A strep